Job Description
Responsibilities/Job Description\n
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
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- 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.
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Required Qualifications
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- 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
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Preferred Qualifications
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- 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
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Qualifications\n
$85,737.60- $121,035.20 Annual