Patient Care Coordination Specialist

2 weeks ago

Minneapolis, Minnesota, United States Fairview Health Services Full time

Overview
Are you a seasoned nursing professional? Fairview Health Services is seeking a dedicated individual for a casual role that includes a commitment of two weekend shifts per month and one holiday per year.

The Patient Care Management Coordinator is responsible for the comprehensive coordination of patient care as assigned. This role involves assessing the patient's care plan and developing, implementing, monitoring, and documenting the utilization of resources while tracking the patient's progress through their healthcare journey, ensuring that their health care needs are met effectively.

The level of care coordination provided is tailored to the patient's specific needs and the requirements set by payers. This position is accountable for the quality of clinical services delivered by themselves and others, identifying and resolving any barriers that may impede effective patient care.

Key Responsibilities
1. Facilitate weekend discharges and conduct patient assessments.
2. Manage patients throughout the healthcare continuum to achieve optimal clinical, financial, operational, and satisfaction outcomes.
3. Serve as the primary point of contact for patients, physicians, and care providers during the patient's hospitalization.

4. Initiate and implement transition functions and activities for patients, ensuring clear communication with patients, families, and the healthcare team for seamless transitions.

5. Assess and document the learning needs of patients and their families, developing individualized education plans based on identified needs.

6. Establish and implement nursing care plans for assigned patient populations through assessment, development, activation, evaluation, and discharge.

7. Collaborate with healthcare team members and patients/families to manage the discharge plan effectively, ensuring optimal communication across the continuum of care.

8. Assist in the development and implementation of process improvement initiatives aimed at achieving efficient clinical, financial, and satisfaction outcomes.

9. Identify and reduce delays in care, ensuring appropriate levels of care, facilitating length of stay reductions, and identifying resources to promote safe and effective discharges.

10. Collect necessary data and information required by payers to meet utilization and regulatory requirements.

11. Communicate any issues related to case escalation to the appropriate leadership.

12. Establish collaborative relationships with physicians, medical directors, nurses, and other unit staff, as well as payers.

13. Demonstrate effective communication as a critical link between attending and consulting physicians, healthcare team members, and payers, facilitating resolutions to identified issues.

14. Mentor internal healthcare team members on case management and managed care concepts.

15. Focus on key performance indicators, actively supervising outcomes and participating in quality planning, integrating concepts into daily practice.

Qualifications
Required:
- Associate Degree in Nursing
- 5 years of clinical experience
- 1+ years of experience as a care coordinator or case manager
- Active Minnesota Registered Nurse license
Preferred:
- Case Management Certification
- Bachelor of Science in Nursing (BSN)
- Basic Life Support (BLS)

Additional Requirements:
- Understanding of hospital and community resources, as well as resource/utilization management.
- Solid understanding of evidence-based guidelines.
- Demonstrated critical thinking, problem-solving, effective communication, and time management skills.
- Ability to work effectively within an interdisciplinary team.
- Familiarity with computer systems and Microsoft applications.

EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status.

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