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.
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
Actively participates in creating and implementing improvements.
Performs other responsibilities as needed/assigned.
Associate's degree in Nursing
Registered Nurse MN (RN) through MN Board of Nursing
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 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.