Registered Nurse/ SUD/ Care Coordination
University of Minnesota Twin Cities
Localização do trabalho
Minneapolis, MN, USA
Status de emprego
Tempo total
Detalhes sobre a oferta de trabalho
Objective/Overview
This position contributes to the efficiency and effectiveness of the clinic’s services in providing patient care and care coordination for the Mobile Health Care, Psychiatry Department and/or Medical Department. This position reports to the Registered Nurse (RN) Supervisor
Essential Functions
All patient Care & Care Coordination (40%)
• Administer care/treatment and care coordination to patients as ordered by medical and mental health providers.
• Participate and work together with nursing and multidisciplinary team members to ensure that patients receive whole-person care.
• Conduct patient and family education related to preventive care, mental health care, chronic care and condition management as appropriate; connect patients to resources to meet their psychological needs and aid in their recovery.
• Manage a panel of patients, many with multiple medical and mental health diagnoses, and other patient populations as assigned.
• Develop patient care plans based on risk and overall patient care complexity.
• Work with care managers to implement the patient’s care plan.
• Communicate with providers, care coordination team members, and other support staff through EHR, in person, and other means.
• Communicate significant changes in patient status to the provider and care team.
• Facilitate medication refills and provide medication education for patients as needed.
• Identify and connect patients to community resources that will assist them in achieving stability, sustained recovery, and improved health outcomes.
• Follow-up with patients if they have not scheduled their appointments. Check lab/path results from Fairview and if needed call Fairview for results.
• Follow-up with no-show patients that have not rescheduled.
• Work with interpreters and/or PSRs to call and schedule non-English speaking patients accordingly.
• Orient residents and nursing students as needed.
• Provide walk-in and phone triage. Empower patients to utilize appropriate resource for level of urgency (primary care vs. urgent care vs. emergency department)
• Respond to flags, Emergency Department/Inpatient Hospitalization summaries, refill requests.
• Respond promptly to Codes and other emergencies in the clinic, and work with clinical team members to deliver emergent care to patients.
SUBSTANCE USE DISORDERS CARE COORDINATION & MANAGEMENT (50%)
• Provide Care Coordination services for patients eligible for the Suboxone program and for restricted patients.
• Identify patients for the Suboxone program.
• Thorough medical assessment and documentation of patient’s signs and symptoms.
• Receive and transcribe physician orders to client charts.
• Manage dosage changes with providers.
• Administer and dispense opioid replacement medicine as ordered (Suboxone).
• Accurately and appropriately document client behaviors and self-reports.
• Assist with client intake process (e.g. Enrollment paperwork, screening client appropriateness).
• Provide patient education (e.g. risks and benefits of Suboxone, symptom management, understanding pain).
• Provide education on relapse, addiction, and overdose.
• Facilitate external referrals for medical needs.
• Monitor lab tests as required (e.g. urine toxicity, blood tests).
• Provide panel management, maintain contact requirements for best practices.
• Safely dispose of unused medications.
• Communicate changes to the Care Team.
• Teaming with Suboxone providers, primary care providers, primary physiatrist providers, nurses, therapists, pharmacists, and other internal and external supports on patient’s Care Team.
• In conjunction with the provider, develop care plans for restricted patients, provide care coordination and manage restricted patients by communicating with providers, pharmacies, patients, etc.
Other Duties as Assigned (10%)
• Attend all-staff meetings, weekly care coordination meetings, weekly nursing meetings, and daily huddles.
• Other duties as assigned.
This position requires a criminal background check and negative TB test
All required qualifications must be documented on application materials
Required Qualifications
• Graduation from an accredited school of nursing. BA/BS degree or a combination of related education and work experience to equal at least four years.
• Current licensure as a Registered Nurse in the State of Minnesota.
• CPR certified.
• Experience in managing clinical care using an electronic health record.
Preferred Qualifications
• Two to three years of experience in providing care coordination or skilled nursing.
• Experience working in a chemical dependency, addiction or mental health clinic.
• Knowledge of community resources and/or social service agencies.
• Proficient in one of CUHCC’s dominant languages: Spanish, Somali, Vietnamese, Hmong, or Laotian.
• Experience or certification in mental health nursing.
• Experience in providing care coordination to a complex, diverse patient population.
Required Skills
• Nursing assessment aptitude and problem-solving skills
• Strong time management and organizational skills
• Knowledge of regulations, policies, and procedures for nursing in the primary care setting.
• Proficiency in utilizing an electronic medical record, registries or databases to monitor patient outcomes. Proficiency in electronic tools with the EMR to communicate with patients and clinical team members.
• Must be able to lift 30 lbs.
• Must be able to work in a fast-paced, rapidly changing environment that requires sitting, standing, and walking, with frequently changing priorities. Must be able to be flexible and multitask.
• High-level communications skills to work with patients, staff, providers, and outside agencies.
• Excellent customer service skills.
• Willingness and skill in working with patients and staff from diverse cultures, languages, and backgrounds.
• Capacity to work on a team and make positive contributions to the team
