OPT Patient Care Manager Jobs

INTRODUCTION

Fairview is looking to hire a Patient Care Coordinator to join our team at Woodwinds Hospital in Woodbury, MN. This position is approved for 64 hours every two weeks (0.8 FTE) and is benefit eligible. The hours for this role are 7:30 a.m. – 4:00 p.m., with the schedule structured in a four-week rotation. This position also requires availability to work every fourth weekend. The ideal candidate will have previous care management experience, preferably within a healthcare or hospital setting.

This Patient Care Management Coordinator provides comprehensive care coordination of patients as assigned. The care coordinator assesses the patient's plan of care and develops, implements, monitors, and documents the utilization of resources and progress of the patient through their care, facilitating options and services to meet the patient's 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.

Responsibilities

• 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 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 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.
• Assists in the development and implementation of process improvement activities 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.
• Identifies and communicates, 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 tracks outcomes and participates in quality planning.
• Facilitates integration of concepts into daily practice.

BASIC QUALIFICATIONS

• Bachelors Degree in Nursing
• 1 year RN experience
• Registered Nurse

PREFERRED QUALIFICATIONS

• Case Management Nurse
• Basic Life Support (American Heart Assoc, Red Cross or MTN)

COMPENSATION

• $100,068.80 - $144,539.20 Annual