Primary Care RN: Care Coordination & Home Visit Specialist

Mayo Clinic; Eyota (MN); On-site; USD 48,000 - 81,000; Full time

Benefits offered by this job

Medical plans

Dental coverage

Vision plan

HSA/FSAs

Retirement plan

Job summary

Mayo Clinic in Minnesota seeks a Registered Nurse (RN) for primary care with a focus on chronic conditions transitioning from hospital to home care. The role involves post-hospital follow-ups, in-home visits, and close collaboration with primary care providers to create and adjust patient-centered care plans.

Ideal candidates have a baccalaureate nursing degree, RN licensure, and strong communication, leadership, and critical thinking skills.

Qualifications

• Excellent communication skills (verbal and written) and ability to lead while working in a team.
• Leadership roles or demonstrated leadership in nursing settings.
• Strong critical thinking and problem-solving in clinical care and care coordination.

Responsibilities

• Post-hospital follow-up calls for patients at risk of readmission.
• In-home visits for adult medical care coordination after discharge.
• Collaborate with primary care to develop and monitor care plans.
• Manage a defined patient panel with ongoing follow-up and care coordination.
• Educate patients about chronic conditions and medications to promote engagement.

Skills

Excellent communication skills

Leadership

Critical thinking

Team player

Education

Bachelor's degree in nursing

Tools

Electronic Medical Records (EMR)

Job description

Mayo Clinic in Minnesota seeks a Registered Nurse (RN) for primary care with a focus on chronic conditions transitioning from hospital to home care. The role involves post-hospital follow-ups, in-home visits, and close collaboration with primary care providers to create and adjust patient-centered care plans.

Ideal candidates have a baccalaureate nursing degree, RN licensure, and strong communication, leadership, and critical thinking skills.