Fairview Health Services RN Care Manager in St. Paul, Minnesota

Overview

Oversees care management process for patients, ensures the achievement of desirable outcomes, appropriate length of stay, efficient utilization of resources, increased patient and family involvement, and patient/staff/family education.

This is a part-time, benefit eligible opportunity (0.7 FTE, 56 hours/ pay period) to work days, rotating weekends and holidays.

Responsibilities/Job Description

  • Develops, coordinates and implements clinical care management through partnership with Social Work Care Manager and Care Management Assistant in collaboration with clinical leadership, physicians, nursing staff, and other interdisciplinary clinicians

  • Participates in psychosocial management of patients

  • Facilitates plans for the transitions of patient care to the next level and location of care

  • Partners with system care navigation resources and care navigators from other settings to provide continuity of care and effective transitions

  • Maintains accountability for utilization management and communication with payers to assure continued stay authorization and assists with financial activities affecting the hospital stay

  • Conducts review activities on a daily basis following InterQual guidelines

  • Performs concurrent reviews to respond to payers

  • Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards

  • Actively participates in creating and implementing improvements

  • Performs other responsibilities as needed/assigned

Qualifications

Required:

  • Associate's degree in Nursing

  • Registered Nurse MN (RN) through MN Board of Nursing

  • 1 to 3 years experience

Preferred:

  • Bachelor's degree

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Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Joined by HealthEast in June 2017, Fairview is one of the most comprehensive and geographically accessible systems in the state, with 12 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area and north-central Minnesota.

Its broad continuum also includes 56 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.

EEO/AA Employer/Vet/DisabledAll qualified applicants will receive consideration without regard to any lawfully protected status.

Requisition ID 2019-28493

Profession Nursing (RN/LPN)

Speciality Nursing Resources/Education/Care Mgmt

Location St Joseph's Hospital

Shift day

Hours per 2 weeks 56

Department Care Management Services