Policy Specialist

1 week ago

Edina, United States Fairview Health Services Full time

M Health Fairview Health Services is searching for a hardworking and enthusiastic RN who is looking for an exciting career in our busy Care Management Department located at our Edina, Minnesota campus

Fairview Southdale Hospital offers care to people living and working in the southwest Twin Cities metro area. With more than 40 specialty services, we combine talents to balance innovative technologies and treatments with the art of medicine. About this unit:

This Care Transitions Specialist-RN provides comprehensive care coordination of patients as assigned. The care coordinator assesses the patient's plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient's 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.

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 is 64 hours per pay period, days, 8 hour shifts with one weekend per month. We offer generous benefits including medical, dental, time off and more. The Registered Nurse is responsible for the assessment, planning, delivery, and evaluation of nursing care for all assigned patient population(s). The RN is responsible for performing these responsibilities in accordance with all policy, procedures, professional practice guidelines and the MN Nurse Practice Act. The RN coordinates care with members of the health care team and delegates responsibilities to others as appropriate.

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 patient's hospitalization.
* Initiates/implements transition functions and activities for patients communicating with patients, families and the health care team to ensure seamless transitions.
* 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.

Assist in the development and implementation of process improvement activities 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.

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. Mentors internal members of the health care team on case management and managed care concepts.

Understands and focuses on key performance indicators.

* Actively tracks outcomes and participates in quality planning.
* BLS for Health Care Providers
* Three to five years of current RN acute care clinical experience

1+ years working as a care coordinator/case manager
* Bachelor's Degree in Nursing

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