Prior Authorization Rn Jobs in Minnesota (NOW HIRING)

Fairview has an immediate opening for a Registered Nurse (RN) Care Coordinator at the Clinics and Surgery Center (CSC) located on the University of Minnesota East Bank campus in Minneapolis, Minnesota. This RN will be supporting Urology. This is a full-time, salaried position 1.0 FTE, Monday through Friday, with 8-hour shifts between 8:00 a.m. and 5:00 p.m.

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.

• 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

Benefit Overview

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

Compensation Disclaimer

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status