Fairview Home Infusion is a nonprofit provider with over 25 years of experience, offering personalized home infusion care for adults and children of all ages. Our mission: Helping people of all ages manage their illness while continuing to live their lives. We care for patients across the five state areas of Minnesota, Wisconsin, Iowa, North Dakota and South Dakota.
We are looking for a full time RN Clinical Coordinator-Home Infusion to work at our facility in Minneapolis. This is a benefit eligible, day position that includes rotatingweekends.
Assure fast, easy access to Fairview Home Infusion (FHI) services as an expert infusion therapy resource for referral sources, nursing agencies, patients and FHI staff.
Identify and coordinate the admission of appropriate patients to FHI services to assure a safe environment for home infusion therapy. Provide patient assessment based on established criteria.
Demonstrate knowledge about home care and infusion therapy rates and policies; negotiate pricing under guidance of the Supervisor.
Collect, aggregate and analysis of data on IV device related infections for the patients in the Fairview Home Infusion program. Generate action plans with the Nurse Manager or nursing agencies if trends or results are greater than established thresholds.
Identify and contract with nursing agencies outside the metropolitan area that will provide quality nursing care to patients who receive infusion therapy services from Fairview Home Infusion.
Ensure that each contracted nursing agency complies with accepted standards of care and state licensure requirements.
Oversee and coordinate appropriate clinical follow-up for patients.
Approves charges submitted by nursing agencies as needed to ensure accurate, appropriate and timely billing of services provided. Responsible for authorization of all visits made by nursing agencies and Fairview affiliate home care agencies.
Assures that all appropriate documentation is present in the patient's medial record.
Perform insurance benefit checks and responds quickly to referral sources (within 2-4 hours, 24-28 hours for late or weekend referrals).
Actively participate (teamwork) in decisions regarding payer information and the cost to perform service with the Nursing and Pharmacy Infusion Therapy staff.
Perform verification of insurance benefits and document appropriate sequencing of payers for accurate billing. Notify patient/caregiver of anticipated financial responsibility.
Secure initial authorization or certification on third party referrals. Obtain the initial authorization for all new referrals before If authorization cannot be obtained before visit is due, call the referral source/physician to notify and call patient to inform of possible financial liability.
Screen referrals for reimbursement source and actively question or problem solves discrepancies between services ordered and reimbursement information.
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 netwo...rk 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.