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Healthcare Patient Coordination Specialist

2 months ago

Minneapolis, Minnesota, United States Fairview Health Services Full time

Overview:

Fairview Health Services is seeking a dedicated and skilled nurse to become part of our exceptional team. This position is a 0.80FTE (64 hours/2 weeks) role on the day shift, including an every 6th weekend rotation and one holiday per year.

Role Summary:
This Healthcare Patient Coordination Specialist is responsible for delivering comprehensive care management for assigned patients. The coordinator evaluates the patient's care plan and develops, implements, monitors, and documents the utilization of resources while tracking the patient's progress through their healthcare journey. The level of care coordination is tailored to the patient's needs and payer requirements. This role is accountable for the quality of clinical services provided by themselves and others, addressing any barriers that may impede effective patient care.

Key Responsibilities:

  • Oversee patient management across the healthcare continuum to ensure optimal clinical, financial, operational, and satisfaction outcomes.
  • Serve as the primary contact for patients, physicians, and care providers throughout the patient's hospital stay.
  • Initiate and implement transition functions and activities for patients, ensuring clear communication with patients, families, and the healthcare team for seamless transitions.
  • Assess and document the educational needs of patients and families, creating tailored education plans based on identified requirements.
  • Establish and execute nursing care plans for designated patient populations through assessment, development, activation, evaluation, and discharge processes.
  • Collaborate with healthcare team members and patients/families to effectively manage discharge planning.
  • Communicate care plans effectively across the continuum of care.
  • Assist in the development and execution of process improvement initiatives to achieve efficient clinical, financial, and satisfaction outcomes.
  • Enhance care efficiency by identifying and mitigating delays, ensuring appropriate levels of care, and facilitating safe and effective discharges.
  • Gather necessary data and information required by payers to meet utilization and regulatory standards.
  • Identify and communicate any issues related to case escalation to the appropriate leadership.
  • Foster collaborative relationships with physicians, medical directors, nursing staff, and payers.
  • Demonstrate effective communication as a vital link among attending and consulting physicians, healthcare team members, and payers, facilitating resolutions to identified issues.
  • Mentor team members on case management and managed care principles.
  • Understand and focus on key performance indicators.
  • Actively monitor outcomes and engage in quality planning.
  • Facilitate the integration of concepts into daily practice.
  • Conduct assessments and discharges for patients during weekends.

Qualifications:

Required:

Associate Degree in Nursing

5 years of clinical experience

1+ years of experience as a care coordinator or case manager

Active Registered Nurse license in Minnesota

Preferred:

Case Management Certification

Bachelor of Science in Nursing (BSN)

Basic Life Support (BLS) certification

Additional Requirements:

Understanding of hospital and community resources, as well as resource/utilization management.

Solid grasp 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.