Patient Care Management Coordinator

3 months ago

St Paul, United States Fairview Health Services Full time

OverviewAre you an experienced nurse? We at M Health Fairview are looking for you to join our outstanding team This is a casual position.This Patient Care Management Coordinator 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. This position has responsibility to determine how to best accomplish functions within established procedures, coordinating with the 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. Responsibilities Job DescriptionManages patients across the health care continuum to achieve the efficient 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.Assesses and documents learning needs of the patient and family. Develops an individualized education plan for patients and families based on identified needsEstablish and implement nursing care plans for assigned patient populations through assessment, development, activation, evaluation, and discharge.Collaborates with health care team partners and patients/family to manage the patient discharge plan.Optimally communicates the plan across the continuum of care.Assist in the development and implementation of process improvement activities to achieve efficient 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.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.Mentors internal members of the health care team on case management and managed care concepts.Understands and focuses on key performance indicators.Actively supervises outcomes and participates in quality planning.Facilitates integration of concepts into daily practice QualificationsRequiredAD in Nursing5 years clinical experience1+ years working as a care coordinator/case managerActive MN Registered Nurse licensePreferredCase Management CertificationBSNBasic Life Support (BLS)Additional Requirements (must be acquired or completed within a period of time):Have an understanding of hospital, community resources and resource/utilization management.Have solid understanding 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.We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation. EEO StatementEEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

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