RN Navigator – Care Management/Disease Management

Allina Health
•$45 - $62•Onsite

About The Position

Allina Health is seeking an RN Navigator for its Care Management/Disease Management department. The role provides care management support to patients who need specialty services integrated with their overall plan of care. The RN Navigator works with specialty and primary care providers and the interdisciplinary team across the continuum of care to assess, plan, implement, document, coordinate, monitor, evaluate, and update care using evidence-based practices and recognized guidelines. The role researches and recommends resources for patients and families, supports quality and cost-effective care, helps optimize physical and psychosocial health, and serves as a primary contact for care-team navigation and complex care management. The position also contributes to quality improvement and program development and may involve work and travel to multiple Allina locations. The role is a 1.0 FTE position, working 80 hours per two-week pay period on an eight-hour day shift, with no weekend rotation. Potential travel to Allina clinics and Allina Commons may be required. A minimum of 2–5 years of dialysis unit and chronic kidney disease experience is highly preferred. The position is based at 2925 Chicago Ave Loading Dock, Minneapolis, Minnesota. The listed pay range is $44.64 to $61.76 per hour; starting pay depends on factors including experience, education, and any applicable union agreement. Shift, weekend, and other differentials may be available. Allina Health describes a broad employee well-being program and lists medical and dental coverage, paid time away, retirement savings plans, life insurance, short- and long-term disability, voluntary benefits, tuition reimbursement or continuing medical education as applicable, and student loan support related to the Federal Public Service Loan Forgiveness Program. Benefit eligibility and offerings depend on FTE and union representation.

Requirements

  • Bachelor's degree in nursing.
  • At least 2 years of nursing experience in the area of clinical specialty, care coordination, or care management.
  • Licensed Registered Nurse through the Minnesota Board of Nursing.
  • Wisconsin RN licensure through the Wisconsin Department of Safety & Professional Services is required if providing care to patients by phone, e-visits, virtual visits, or medical messages while the patient is in Wisconsin.
  • Meet at least one BLS requirement: current American Heart Association BLS certification, current American Red Cross BLS certification, or Allina in-house BLS training within 30 days of hire.

Nice To Haves

  • A minimum of 2–5 years of dialysis unit and chronic kidney disease experience is highly preferred.
  • Case Manager Certification or Specialty Certification preferred.

Responsibilities

  • Gather relevant patient information by communicating with patients, families, healthcare providers, care-team members, community supports, external providers, and agencies.
  • Use assessments from primary care and inpatient care management professionals when patients need those services.
  • Work with patients, families, and healthcare providers to develop treatment plans that enhance patient outcomes.
  • Monitor and reevaluate care plans and make modifications as patient needs change.
  • Use evidence-based nursing practice and consider applicable statutes, rules, and regulations when developing care plans.
  • Coordinate planning across specialty services and with primary care, inpatient care management, community resources, and external agencies.
  • Maintain oversight of the specialty plan of care alongside the integrated care plan and ensure that goals are met or addressed.
  • Coordinate needed services with patients, families, healthcare providers, and community supports.
  • Identify barriers to care and work with patients and families to resolve them.
  • Facilitate communication among patients, families, and members of the healthcare team.
  • Ensure healthcare benefits are reviewed and care is coordinated with insurers; identify alternate funding sources when available for services not covered by benefits.
  • Address complex communication and planning needs for patients receiving services across specialty care, particularly those with multiple consultants and services.
  • Lead and support transition and discharge planning when patients move between levels of care.
  • Transition patients back to their primary care provider and care manager when specialty services are no longer needed.
  • Educate and inform patients about their diagnosis, treatment, and quality of life.
  • Follow patients across time and care sites while specialty care is needed, evaluate the effectiveness of care plans, and adapt plans to changing needs.
  • Communicate care-plan changes to patients, families, and healthcare providers.
  • Coordinate, implement, and document care plans and outcomes in the electronic medical record.
  • Supervise and delegate appropriate plan-related tasks to care management support staff.
  • Collaborate with care managers and other healthcare professionals across specialty, inpatient, and community settings to oversee episodes of care and support the overall plan.
  • Participate in staff and departmental meetings and help identify and resolve problems, ideas, and opportunities.
  • Communicate issues and decisions related to committee and project work to team members, management, and sponsors.
  • Participate in specialty-care quality and performance improvement activities and incorporate improvements and best practices into practice.
  • Perform other duties as assigned.

Benefits

  • Medical and dental coverage.
  • PTO and time away.
  • Retirement savings plans.
  • Life insurance.
  • Short-term and long-term disability.
  • Voluntary benefits, including vision, legal, and critical illness coverage.
  • Tuition reimbursement or continuing medical education, as applicable.
  • Student loan support benefits to help navigate the Federal Public Service Loan Forgiveness Program.
  • Well-being program resources, including well-being dollars, dedicated well-being navigators, programs, activities, articles, videos, personal coaching, and tools.
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