Provides assessment, education and therapeutic interventions related to health/wellness issues for clients and their families. Serves as a liaison between the physician and the interdisciplinary team. Effectively communicates verbally and in writing with the interdisciplinary team and external support systems. Participates in the development and implementation of the treatment and discharge plan. Functions as an interdisciplinary team member. Responsible, as assigned, for the management of caseload.
Works collaboratively with the physician and the interdisciplinary team
Implements physician directed care within prescribed timeframe.
Participates on the interdisciplinary team to ensure coordination and cooperation among team members for patient care.
Contributes to the development of an individualized treatment plan
Collaborates with patient, family and other interdisciplinary team members to develop an individualized treatment plan.
Develops and individualized treatment plan based on age, social and cultural considerations, clinical diagnosis, level of functioning and other relevant needs.
Acts as a liaison between patient, family, community resources, multidisciplinary team and other concerned parties on assessment and treatment issues.
Provides ongoing assessment, monitoring, and interventions of the clients health needs.
Documents the plan in a legible, thorough, timely and clinically appropriate manner.
Provides case management and coordinates the treatment planning process in collaboration with the multidisciplinary team.
Participates in developing and implementing a clinically appropriate discharge plan.
Identifies health related discharge needs.
Acts, as assigned, as a liaison between patient, family, community resources, multidisciplinary team and other concerned parties on discharge issues.
Documents the discharge plan in a legible, thorough, timely and clinically appropriate manner.
Contributes to an individualized discharge plan based on age, social and cultural considerations, clinical diagnosis, level of functioning and other relevant needs.
Facilitates individual and group psycho-education.
Focuses on the management of physical and mental health conditions.
Provides appropriate client education on the use of prescribed medication and its side effects.
Communicates effectively with others.
Communicates only appropriate clinical information.
Ensures both written and verbal information in a clear, concise and accurate manner.
Demonstrates the ability to support the business functions of the outpatient program
Completes the billing function for services provided
Completes the requirements of various payers and utilization management reviewers to obtain authorization for treatment.
Demonstrates the ability to advance evidence based practice by utilizing standards, guidelines and pathways for care delivery. Incorporates data and information into practice to continually improve care and practice so that patient outcomes are enhanced.
Promotes a culture of evidence based practice by participation in any of, but not limited to, the following activities:
Utilizing evidence based policies in clinical practice
Attends and participates in learning opportunities about evidence based practice
Membership in hospital or unit based nursing practice council/research council
Evidence based practice project (e.g. policy development or poster presentation)
Journal article critique and circulation
Development of standard/pathway/guideline for patient care
Organization Expectations, as applicable:
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
Partners with patient care giver in care/decision making.
Communicates in a respective manner.
Ensures a safe, secure environment.
Individualizes plan of care to meet patient needs.
Modifies clinical interventions based on population served.
Provides patient education based on as assessment of learning needs of patient/care giver.
Fulfills all organizational requirements
Completes all required learning relevant to the role
Complies with all relevant laws, regulation and policies
Performs other duties as assigned
Bachelors Degree in Nursing or Behavioral Science
Three years in mental health or related setting
Current Registered Nurse license in Minnesota
Basic Life Support Certification prior to end of orientation
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.