Fairview Health Services RN Clinic Care Coordinator in St. Paul, Minnesota


Be part of a team that is transforming primary care into what patients really want and need! HeathEast’s Clinic Care Coordination department is a Patient Centered Medical Home Program serving all of the HealthEast Clinics. This team consists of twenty five Care Guides who help each patient navigate their health care needs throughout the contiuum of care. As non-licensed professionals these Care Guides depend on our licensed teammates for items outside their scope. We have four Registered Nurses that support this team and work with our medically complex patients. You'll enjoy Monday through Friday day shift hours in an outpatient clinic setting. You will challenge your nursing skills and knowledge through comprehensive clinical chart reviews, meeting with the patient for an hour long assessment, and helping to chronic care manage patients who see mulitple specialists.


  • Maintains knowledge of, and complies with, all relevant laws, regulations and policies, procedures and standards.

  • Actively participates in creating and implementing improvements to achieve clinical, satisfaction and/or efficiency outcomes.

  • Partners with Clinic Care Guides to ensure appropriate support is available to the patients, families, clinicians, and staff for authorizations, service arrangements, data tracking and other services as assigned.

  • Provides clinical oversight to Clinic Care Guides as they support patients through care transitions such as home, hospital in-patient, nursing home, customized living, adult foster care and coordinates services for continuity of care and patient safety.

  • Participates in care conferences with patients, families and clinicians. Participates in patients visits as requested for complex medical issues and/or education. Processes prescription refill requests promptly and accurately according to established protocols.

  • Provides education to patients/families related to clinical care.

  • Dialogues with team members to ensure progress in meeting expected care and service outcomes. Assists team members in building strong relationships with clinic staff, clinicians and interdisciplinary team members involved in patient care.

  • Serves as a resources to team members to enhance successful implementation of plan of care.

  • Conducts clinical chart reviews as assigned.




  • Associate's DegreeAssociate's degree in Nursing required. Bachelor's degree preferred.




  • Description: RN-MNCredential Comments:

  • Description: RN-WICredential Comments:

  • Description: Valid Basic Life Support (BLS)Credential Comments:

Experience: 3 to 5 years of experience working with health plans, clinic systems, or general health care environment with a focus of public health or care coordination preferred.

Knowledge: Knowledge of Medicare, Medical Assistance and Federal waiver programs necessary. ;Knowledge of community service organizations, agencies, programs and funding sources.



  • Assessment, Planning, Evaluation: Collects and analyses pertinent data and/or clinical findings. Incorporates clinical findings and scientific evidence in the development, coordination and implementation of an individualized plan of care to achieve desired outcomes. Evaluates progress towards goals and outcomes identifying opportunities for improvement and change.

  • Computer Skills Basic: Ability to use a computer and applications that are associated with performing basic work tasks (use a mouse, navigate in Windows, Outlook, etc).

  • Evidence Based Practice: Evaluates and/or assists in the evaluation of practice in relation to existing evidence identifying opportunities for the generation and use of research

  • Interpersonal Communication: Skilled in developing effective rapport with customers, co-workers, or families, actively listening to develop a positive connection.

  • Multi-Cultural Communication: Ability to interact effectively with people of different cultures. Cultural competence comprises four components: (a) Awareness of one's own cultural worldview, (b) Attitude towards cultural differences, (c) Knowledge of different cultural practices and worldviews, and (d) cross-cultural skills.

  • Nursing Process: Utilizes the nursing process to provide holistic, compassionate, safe, high quality, population based care.

  • Patient Advocacy: Gathers information that reflects the patient's perspective; advocates and brings resolution to customer concerns; effective in mediating with third party payers on behalf of the patient.

  • Patient Safety: Demonstrates practices that support safety with recognition of variations in populations served, preventing harm to patients, families, employees, and themselves.

  • Problem Solving: Identifies problems; determines accuracy and relevance of information; utilizes appropriate tools and staff resources along with sound judgment to generate and evaluate alternatives, and to make recommendations.

  • Professional Practice: Demonstrates behavior consistent with the standards, scope of practice, ethics, and characteristics of a licensed professional.

About HealthEast

At HealthEast, our patients are our neighbors and we are dedicated to their, and our, optimal health and well-being. We are guided by our faith-based heritage, a call to healing that respects the dignity and culture of every person. We empower our patients with user-friendly access to their health information, dependable service, and affordable, high-quality care.

We put new, more efficient models of care into practice, allowing our 7,500 employees and 850 physicians to focus on what’s important: providing compassionate health care that puts the patient and their needs first. With 14 clinics, home care, a medical transportation center, and four hospitals — Bethesda Hospital, St. John’s Hospital, St. Joseph’s Hospital, and Woodwinds Health Campus — we provide excellent family health and specialization, including primary, maternity, orthopaedics and post-acute care.

Job ID 2018-10752

Category Nursing

Contract Status ND

FTE 1.00

Shift Days

HealthEast is an Equal Opportunity Employer. HealthEast will not discriminate in public accommodation, or employment on the basis of race, color, creed, religion, national origin, sex, marital status, status with regard to public assistance, membership or activity in a local commission, disability, sexual orientation, gender identity or expression, age or genetic information.