Registered Nurse - Primary Care- Adult Medical Care Coordination - RN

Registered Nurse (RN) - Primary Care

Join a specialized nursing team within Primary Care that supports patients with chronic conditions transitioning from a hospitalization back to Primary Care. This role is well suited for an experienced Registered Nurse (RN) with a background in caring for patients with chronic conditions, such as CHF, COPD, diabetes and others, and/or primary care, and an interest in motivational interviewing, care coordination, and collaborative health care.

Key Responsibilities:

• Post-hospital Follow-up Calls: Conduct post-hospital follow up calls for patients at risk of readmission.
• Home Visits: Conduct in-home visits to patients who qualify for adult medical care coordination following dismissal from a hospitalization. Complete medication reconciliation, symptom assessment, safety evaluation, and patient-centered goal setting.
• Collaborative Care: Partner closely with primary care providers to develop, implement, and monitor individualized care plans that support patient-centered healthcare treatment.
• Panel Management: Manage a defined panel of patients, providing ongoing follow-up, care coordination, and progress monitoring.
• Education and Support: Provide education and support to patients related to their chronic health conditions, treatment plans, and prescribed medications, promoting engagement and informed decision-making with a goal to increase the patient's capacity to care for their chronic conditions.

The registered nurse (RN) is accountable for the coordination of nursing care, including direct patient care, patient/family education and transitions of care. The RN supports professional nursing practice across practice settings and across the continuum of care to meet the needs of the patient and family. The RN will function within the Mayo Clinic Nursing Professional Practice Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The ANA Nursing: Scope and Standards of Practice provide a basis for the practice of the RN. The RN provides leadership through activities such as preceptor role, informal and formal leadership roles, and quality improvement efforts. The RN delegates patient care according to skill level, experience, patient acuity, fiscal accountability and availability of resources. The RN possesses excellent communication skills; is skillful in mentoring and teaching; and may participate on committees or projects. A subset of employees may be required to drive their personal vehicle as a part of the responsibility of their role. This role is eligible for TN sponsorship. Holders of F1 status eligible for post-completion OPT are welcome to apply. This role is NOT eligible to participate in the F-1 STEM OPT extension program. Successful sponsorship will require state licensure and completion of the VisaScreen or equivalent certification.

Qualifications

Graduate of a baccalaureate nursing program, as recognized by the Accreditation Commission for Education in Nursing (ACEN), Commission on Collegiate Nursing Education (CCNE), National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). If graduated from a nursing program that was not accredited by ACEN, CCNE, or NLN CNEA, at least one year of RN experience in an applicable care setting or one year of LPN experience at Mayo Clinic is required.

All entry-level associate degree registered nurses with a RN start date of April 1, 2020 and after must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program within five years from the last day of the month of the RN start date. All entry-level associate degree registered nurses with a RN start date prior to April 1, 2020 must provide documented evidence of program completion of the baccalaureate degree in nursing from an accredited nursing program as stipulated by the degree requirement program in place at time of hire. One year of RN experience in an applicable care setting or one year of current LPN experience at Mayo Clinic is preferred. Excellent communication skills (verbal and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work flexible hours, which may include days, evenings, nights, holidays, and weekends and on-call. Ability to adapt to unpredictable situations within the work setting. Demonstrated leadership, effective communicator, and excellent critical thinking skills. Current RN license by applicable state requirements. Arizona and Florida - Maintains Basic Life Support (BLS) competency. Midwest - Maintains current Basic Life Support for Health Care Providers from one of the following programs: American Heart Association or American Red Cross. Positions that are not on campus may not require current Basic Life Support (BLS) competency as determined by the work area. Additional state licensure(s) and/or specialty certification/training as required by the work area.

Exemption Status Nonexempt Compensation Detail The pay for this role is $35.84-$58.84. Mayo Clinic has an innovative nursing compensation model that rewards experience, education, and dedication to the organization. Combined with our competitive tuition reimbursement program, the compensation approach empowers nurses to grow professionally and maximize their earning potential. Benefits Eligible Yes Schedule Full Time Hours/Pay Period 64 Schedule Details Variable schedule Days, 8 hour shifts Weekend Schedule none at this time International Assignment No