Lead FVP RN Care Coordinator

M Health Fairview has an immediate opening for a Lead RN Care Coordinator to support the Fairview Partners (FVP) team.

This position will serve Fairview Partners members in the south Twin Cities metro and surrounding suburbs. 

This is a 1.0 FTE (80 hours per two week pay period) opening.

This position will serve Fairview Partners members in the Twin Cities metro area - specifically Minneapolis and surrounding southwest suburbs.

The Fairview Partners (FVP) Lead Nurse (RN) Care Coordinator (CC) performs all the job expectations of the FVP RN Care Coordinator and acts as a lead resource for best practice on a regional care coordination team. In partnership with a FVP CC Manager, the Lead CC will reinforce policies and procedures, provide case consultation and coverage to colleagues, and assist with departmental projects as assigned. This lead position role models the Fairview Commitments by supporting process improvement, communicating effectively with members and interdisciplinary colleagues, and providing exceptional customer experience. The Lead RN CC carries a reduced caseload to allow for these additional duties (described below), as assigned, but is still actively providing care coordination per department, FV system, state, and federal guidelines.

Job Expectations:

Be a regional team resource for care coordination best practice on new and established care coordination workflows, policies and procedures including, but not limited to: MMIS, MnChoices, health plan requirements, and state and federal regulations.

Be available to colleagues for case consults and be a ‘first call for help’ for troubleshooting individual CC questions.

Be a clinical practice resource to other nurses in the care management department. Participate in interdisciplinary team meetings, as requested.

Assist CC Manager team with chart reviews and monthly audits, as assigned.

Assist regional CC Manager in reinforcing the Daily Engagement System by hosting huddle in manager’s absence and being a champion for continuous improvement projects on the team.

Assist with or lead special projects and data gathering for health plan requests/reports.

Provide care coordination coverage during departmental staffing shortages due to employee leaves of absence, resignations, and terminations. Cover caseloads and/or assessments, as needed, for colleagues who are training new employees.

Contribute to workflow design including, but not limited to electronic medical record (Epic) documentation, support tools and best practice guidelines, as requested by leadership.

Represent Fairview Partners front-line staff to the system, when delegated by leadership.

Participate in interview process for potential employees, when requested by department leadership.

Attend health plan care coordination meetings with CC leadership team.

Present to colleagues at care coordination staff meetings or team huddles, as needed.

Model best practice in nursing care coordination and case management.

Model the Fairview Commitments of Respect for People and Continuous Improvement.

Organization Expectations, as applicable:

Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.

• Partners with patient care giver in care/decision making.
• Communicates in a respective manner.
• Ensures a safe, secure environment.
• Individualizes plan of care to meet patient needs.
• Modifies clinical interventions based on population served.
• Provides patient education based on as assessment of learning needs of patient/care giver.

Fulfills all organizational requirements.

• Completes all required learning relevant to the role.
• Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures, and standards.

Fosters a culture of improvement, efficiency, and innovative thinking.

Performs other duties as assigned.

Required

Education

Bachelor’s degree in nursing or equivalent (associate degree with minimum two years clinical nursing experience).

Experience

Three to five years’ experience in clinical nursing, care coordination with managed care, state, and public programs and/or health care systems. Critical thinking and ability to work with patients with complex health and psychosocial issues a must.

License/Certification/Registration

Current Minnesota Registered Nursing license in good standing

Current Driver’s License in good standing

Current Basic Life Support (BLS) for Health Care Provider from American Heart Association (AHA) or American Red Cross

Minimum Qualifications to Fulfill Job Responsibilities:

Knowledge/Skills: Working knowledge of electronic medical record systems and Minnesota Medicaid Information System.

Proficiency with MS Office programs, excellent communication, and presentation skills (written and verbal).

Strong knowledge base of case management/care coordination principles and best practice.

Preferred

Education

Bachelor’s degree or higher in nursing.

Experience

Five to seven years’ experience in clinical nursing, care coordination with managed care, state, and public programs and/or health care systems. Experience leading projects, workgroups, or committee in a workplace setting. Strong technology skills, especially with Microsoft Office programs, web-based systems, and electronic medical records.

License/Certification/Registration

Certification in Case Management

MnChoices Certified Assessor

Licensed Public Health Nurse

Additional Requirements (must be obtained or completed within a period): Basic computing skills including keyboarding, Microsoft Word, Outlook and Excel and Adobe Acrobat; demonstrated proficiency with electronic medical record systems; excellent written and verbal communication skills