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Allina Health

Non-profit network of hospitals and clinics

RN Navigator - Stroke Care Coordination

Medical, Clinical & VeterinaryPosted on Nov 12
Part-timeSt Paul, MN, USA$44.64 - $61.76 /hr

About the Job

Requirements

  • Bachelor's degree in nursing.
  • At least 2 years of nursing experience in the area of clinical specialty, care coordination, or care management.
  • Licensed Registered Nurse through the Minnesota Board of Nursing.
  • A Wisconsin Registered Nurse license through the Wisconsin Department of Safety and Professional Services is required if providing care remotely to patients who are in Wisconsin at the time of care.
  • Must hold current BLS certification from the American Heart Association or American Red Cross, or complete Allina in-house BLS training within 30 days of hire.

Responsibilities

  • Gather relevant patient information through communication with patients, families, healthcare providers, care team members, community support networks, external providers, and agencies.
  • Use assessments completed by primary-care and inpatient care management professionals when patients need those services.
  • Collaborate with patients, families, and healthcare providers to develop treatment plans that enhance patient outcomes.
  • Initiate and implement plan modifications as needed through monitoring and re-evaluation.
  • Incorporate evidence-based nursing practice and applicable statutes, rules, and regulations when developing plans of care.
  • Coordinate specialty care planning with primary-care and inpatient care management professionals as patients need those services.
  • Coordinate planning with community resources and external healthcare agencies to establish an integrated support network.
  • Oversee the specialty plan of care alongside the overall integrated plan and ensure goals are met or addressed.
  • Coordinate needed services with patients, families, healthcare providers, and community supports.
  • Identify barriers and work with patients and families to resolve them.
  • Facilitate communication among patients, families, and all members of the healthcare team.
  • Ensure healthcare benefits have been reviewed and care coordinated with the insurance provider; identify alternate funding sources when available for services not covered by benefits.
  • Address complex communication and planning issues as patients receive specialty services, particularly when they have multiple consultants and services.
  • Lead and support transition and discharge planning for patients moving between levels of care.
  • Transition patients back to their primary-care provider and care manager when specialty services are no longer needed.
  • Educate and inform patients about their diagnosis, treatment, and quality of life.
  • Follow patients over time and across care sites while specialty care is needed to measure the effectiveness of their plans.
  • Adapt care plans to meet changing needs and communicate plan changes to patients, families, and healthcare providers.
  • Coordinate, implement, and document care plans and outcomes in the electronic medical record.
  • Supervise and delegate to care management support staff tasks that contribute to the care plan.
  • Maintain oversight throughout episodes of care and collaborate with care managers, healthcare professionals in specialty and inpatient areas, and community partners to ensure the overall plan is met.
  • Participate in staff and departmental meetings and help identify and resolve problems, ideas, and opportunities.
  • Communicate issues and decisions related to committee and project work to team members, management, and sponsors.
  • Participate in quality and performance improvement activities related to specialty care practice and incorporate improvement practices and best practices into that practice.
  • Perform other duties as assigned.

Desired Qualifications

  • Case Manager Certification or Specialty Certification.

About the Company

Allina Health

Non-profit network of hospitals and clinics

Allina Health is a non-profit health system delivering medical services across Minnesota and western Wisconsin through 12 hospitals, 90 clinics, retail pharmacies, and specialty centers like the Minneapolis Heart Institute. It coordinates care across a vertically integrated network and offers telehealth, with some services aligned under a Medicare Accountable Care Organization model to emphasize quality and efficiency. Unlike many systems, profits are reinvested back into community health, business development, and healthcare innovations. Its goal is to provide comprehensive, coordinated, high-quality care to its communities while expanding access and reinvested earnings to sustain health services.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Minneapolis, MN
Founded
1994

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