The Patient Care Management Coordinator provides comprehensive care coordination of patients as assigned utilizing the practical application of the nursing process. The care coordinator provides a holistic assessment of physiological, psychological, sociocultural, spiritual, and economic and life-style factor related to health and wellbeing. The care coordinator develops the patients plan of care implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patients health care needs. The intensity of care coordination provided is situational and appropriate based on patient need and payer requirements. This position is accountable for the quality of clinical services delivered by both them and others and identifies/resolves barriers which may hinder effective patient care.
This position has responsibility to determine how to best accomplish functions within established procedures, consulting with leader on any unusual situations. Internal customers include all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External customers include physicians and their office staff, payers, community agencies, provider networks, and regulatory agencies.
This position will work M-F with rotating weekends (not more than every 6th weekend)
This is a benefit eligible position.
Manages patients across the health care continuum to achieve the optimal clinical, financial, operational, and satisfaction outcomes
Acts as one point of contact for patients, physicians and care providers throughout the patients hospitalization
Initiates/implements transition functions and activities for patients communicating with patients, families and the health care team to ensure seamless transitions
Assesses patient admissions and continued stay utilizing evidence based criteria
Contributes to the development and implementation of individualized patient care plans
Collaborates with health care team partners and patients/family to manage the patient discharge plan
Effectively communicates the plan across the continuum of care
Identify and communicate, to appropriate leader, all issues related to case escalation
Establishes a collaborative relationship with physicians, medical directors, nurses and other unit staff, and payers
Demonstrates effective communication by being a critical link with attending and consulting physicians and all health care team members and payers. Facilitates resolution to any identified issues
Evaluates and assists in evaluating practice in relation to existing evidence or care pathway identifying and communicating opportunity
Mentors internal members of the health care team on case management and managed care concepts
Assist in the development and implementation of process improvement activities in care coordination to achieve optimal clinical, financial and satisfaction outcomes
Enables efficiency in care by identifying and reducing delays, ensuring appropriate level of care, facilitating length of stay reductions and identifying resources to promote a safe and effective discharge
Collects data and other information required by payers to fulfill utilization and regulatory requirements
Understands and focuses on key performance indicators
Actively tracks outcomes and participates in quality planning
Facilitates integration of concepts into daily practice
Bachelors Degree in Nursing
Active MN Registered Nurse license
3-5 years RN clinical experience
Have an understanding of hospital, community resources and resource/utilization management
Have working knowledge of use of evidence-based guidelines
Demonstrate critical thinking skills, problem-solving abilities, effective communication skills and time management skills
Demonstrate ability to work effectively on an interdisciplinary team
Have familiarity with computer systems and Microsoft applications
Be available/able to work flexible hours, including covering weekends, and work on call as assigned
1+ years working as a care coordinator/case manager
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.