RN - Patient Care Management Coordinator

The Patient Care Management Coordinator provides comprehensive care coordination of patients as assigned utilizing the practical application of the nursing process. The care coordinator provides a holistic assessment of physiological, psychological, sociocultural, spiritual, and economic and life-style factor related to health and wellbeing. The care coordinator develops the patients plan of care implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patients 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, consulting with 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.

This position will work M-F with rotating weekends (not more than every 6th weekend)

This is a benefit eligible position.

• 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 patients hospitalization
  • Initiates/implements transition functions and activities for patients communicating with patients, families and the health care team to ensure seamless transitions
  • Assesses patient admissions and continued stay utilizing evidence based criteria
• 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
• 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
  • Evaluates and assists in evaluating practice in relation to existing evidence or care pathway identifying and communicating opportunity
  • Mentors internal members of the health care team on case management and managed care concepts
• Assist in the development and implementation of process improvement activities in care coordination 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
• Understands and focuses on key performance indicators
  • Actively tracks outcomes and participates in quality planning
  • Facilitates integration of concepts into daily practice

Required:

• Bachelors Degree in Nursing
• Active MN Registered Nurse license
• 3-5 years RN clinical experience
• Have an understanding of hospital, community resources and resource/utilization management
• Have working knowledge 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
• Be available/able to work flexible hours, including covering weekends, and work on call as assigned

Preferred:

• 1+ years working as a care coordinator/case manager
• Case Management Certification
• Basic Life Support (BLS)