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Resource Nurse Care Coordinator
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OverviewAre you a registered nurse in the State of Minnesota? We at MHealth Fairview are looking for you to join our Kasota team located in Minneapolis This benefits eligible position is a 0.90FTE (72 hour/ 2 weeks) on the day shift with as needed rotating weekendsThe Home Infusion Resource Nurse Care Coordinator is responsible for coordinating high-quality, compassionate care to patients receiving infusion therapy in their homes. Process appropriate infusion therapy referrals by checking benefit information and acquiring initial authorization as needed to begin patient service or to seek an alternate plan when services are not covered. Communicate effectively with contacts to assure appropriate admission to Fairview Home Infusion services. Responsibilities Job DescriptionInitiate calls to receive prior authorization information for services prior to service delivery Takes initiatives to problem solve all questionable referrals to assure appropriate infusion therapy admissions and identify payer sourcesFollow up on pending unresolved coverage issues. Document and communicate to appropriate providers and internal departments accurate clinical information, benefit/authorization, and reauthorization information on current or potential patients. Utilize computer (CPR +/Pathways) to enter and maintain accurate/real time physician orders, patient benefit information and to effectively communicate with referral staff, liaisons, social workers, physicians, clinics, HCH teams or departments, case managers, staffers, billing/benefit staff and all others needing to make service-related decisions. Coordinate the delivery of nursing services for infusion therapy when the patient resides outside the Twin City metropolitan area. Responsible for identifying and contracting with appropriate nursing agencies that will deliver care to patients that receives infusion therapy services. Responsibilities include coordinating discharge planning, educating patients/caregivers, educating appropriate home care agencies, serving as a resource to referral sources and providing necessary follow-up to involved parties. Utilizes clinical expertise and advanced nursing skills in providing quality infusion therapy services to patients. Clinical resource for all nursing issues related to patients in service at FHI.Assure fast, easy access to FHI services as an expert infusion therapy resource for referral sources, nursing agencies, patients and FHI staff.Identify and contract with nursing agencies outside the metropolitan area that will provide quality nursing care to patients who receive infusion therapy services from Fairview Home Infusion. Provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.Conduct initial patient assessments and develop individualized care plans in collaboration with the healthcare team.Coordinate home infusion servicesEducate patients and their families on infusion therapy procedures, medications, and self-care techniques.Provide support and address patient concerns or questions regarding their treatment plans. QualificationsMinimum Education:Graduate of an approved school of professional registered nursingMinimum License/Certification/Registration:Current RN licensure in state of MinnesotaPreferred License/Certification/Registration:BSN preferred. OCN or CRNI preferred.Preferred Education:BSNPreferred Experience:Computer database management, keyboarding, email/GroupWise experience preferred.Additional Requirements:Has access to and responsibility for patient medical records and must use and promote discretion in disclosure of patient information EEO StatementEEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
