Care Coordinator RN

This position focuses on an area of a specific medical specialty or chronic care condition (i.e. endoscopy, enterostomal therapy, mental health, total parenteral nutrition, bone marrow transplant). Serves as a resource and educator to patient, medical and hospital staff within the specialty. Coordinates care efforts for a safe, effective, efficient and patient centered transition along the health continuum. Provides pro-active disease management using evidence based practices. Acts as a liaison between patient/family, medical staff and others involved in treatment, promoting patient centered care based on jointly determined health care goals and priorities.

Responsibilities

• Accesses, analyzes, plans and provides follow-up care.
• Facilitates timely referrals and fosters positive relations with community providers.
• Evaluates and documents status and follows patient progress through phone calls, test results and report preparation. Evaluates quality of nursing care via patient rounds.
• Identifies problems that are specific to the clinical specialty.
• Provides pro-active disease management using evidence based practices.
• Serves as a liaison between patient/family, medical staff and others involved in treatment, promoting patient centered care based on jointly determined health care goals and priorities
• Collaborates with appropriate staff to provide coordinated transition of care across the healthcare continuum.
• Facilitates timely referrals and fosters positive relations with community providers.
• Provides direct patient care in the area of specialty.
• Establishes individual nursing care plans.
• Provides education, counseling, medication management, and general health information to patients and patient representatives.
• Triages patient concerns and responds to patient concerns between visits under provider direction, to reduce relapse or inpatient care.
• Functions as a resource to patient care units, outpatient clinics and medical staff regarding the clinical specialty.
• Identifies need and assists in writing and implementing policies and procedures.
• Provides education services to patients and their families and other hospital staff regarding the clinical specialty. Develops content, resource materials and coordinates the educational plan.
• Serves on task forces and committees related to the clinical specialty.
• Keeps up to date on technological advances and new pharmaceutical products.
• Consults with other areas regarding specialty.
• Assists with research projects which may include collection data, data analysis and evaluation. May identify research projects.
• Manages database to track patient outcomes and other specific categories as directed by physician.
• Promotes program and assists with marketing efforts. Oversees or manages prior authorization process and results verification process to ensure positive image.
• Provide effective educational material.
• Serves as a community liaison.
• Performs other duties including Performance Goals developed by manager and employee and reported in the employee’s Performance Review as part of UMPhysicians’ Performance Management tools
• Develops and maintains critical competencies listed in this job description and the competencies drop down list in the employee’s online performance management tool.

Required Qualifications

• 3 years specialty experience doing care coordination or
• 5 years licensed RN with five years of clinical experience and ability to learn new specialty area
• MN Registered Nurse (RN) License
• Basic Life Support (American Heart Assoc or Red Cross) *this requirement does not apply to dept 8901 Ambulatory Care Coordination within 30 Days

Preferred Qualifications

• Licensed RN with four year Baccalaureate Degree
• 2 years RN experience in the specialty area or previous care coordination experience
• Specialized knowledge of the specialty and conditions of served population