- Manages 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 needs
- Establish 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
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patient care management coordinator - Minneapolis, MN , USA, United States - Fairview Health Services
Description
Overview
Are you an experienced nurse? We at M Health Fairview are looking for you to join our outstanding team This benefits eligible position is a 0.
The RN Care Coordinator position supports the inpatient families at MHealth Masonic Children's Hospital. The RN Care Coordinator role drives timely hospital transitions to home by removing barriers to discharge.
Complex pediatric patients may need support from the RNCC with things such as enteral feeds, IV antibiotics, durable medical equipment, arranging home ventilators and trach supplies, extended care nursing, coordination of outpatient specialty care and complex care handoffs to outpatient providers and speciality care coordinators.
Responsibilities/Job DescriptionThe schedule is Tuesday - Friday from 730a-430p with Mondays off.
Tuesdays are dedicated to covering inpatinet peds GI/Renal/Oncology teams and Thursdays are dedicated to covering inpatient peds Cards, CV ICU and Heart Transplant.
Wednesdays and Fridays will be overflow support or covering absences, etc.After completion of orientation there will be an every 6th weekend of call rotation (9a-3p Sat/Sun) and one holiday off-site call responsibility each year.
Required
AD in Nursing
5 years clinical experience
1+ years working as a care coordinator/case manager
Active MN Registered Nurse license
Preferred
Case Management Certification
BSN
Basic Life Support (BLS)
Past Care Coordination or bedside nursing experience a plus.
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.