Primary Care RN: Care Coordination & Home Visits

Mayo Clinic; Dodge Center (MN); On-site; USD 75,000 - 122,000; Full time

Benefits offered by this job

Medical benefits

Dental coverage

Vision plan

HSA/FSAs

Retirement plan

Job summary

Mayo Clinic is seeking a Registered Nurse to join a specialized Primary Care team focused on patients with chronic conditions transitioning from hospital to home care. You will conduct post-hospital follow-ups, perform in-home visits, and partner with primary care providers to implement individualized care plans.

The role emphasizes care coordination, patient education, and improving outcomes for chronic illnesses such as CHF, COPD, and diabetes.

Qualifications

• RN must be a graduate of a baccalaureate nursing program and licensed.
• If the nursing program is not ACEN/CCNE/NLN CNEA accredited, at least one year of RN experience at Mayo Clinic is required.
• All entry-level associate degree RNs with start date after April 1, 2020 must provide evidence of a baccalaureate degree within five years from the RN start date.
• All entry-level associate degree RNs with start date before April 1, 2020 must provide evidence of the baccalaureate degree as stipulated by the degree requirement in place at hire.
• One year of RN experience in an applicable care setting is preferred.

Responsibilities

• Post-hospital follow-up calls for patients at risk of readmission.
• In-home visits for adult medical care coordination after discharge, including medication reconciliation and safety evaluation.
• Collaborate closely with primary care providers to develop, implement, and monitor individualized care plans.
• Panel management with ongoing follow-up, care coordination and progress monitoring.
• Educate and support patients about chronic conditions and prescribed medications to improve engagement and decision-making.

Education

Bachelor's degree in Nursing

RN licensure

Job description

Mayo Clinic is seeking a Registered Nurse to join a specialized Primary Care team focused on patients with chronic conditions transitioning from hospital to home care. You will conduct post-hospital follow-ups, perform in-home visits, and partner with primary care providers to implement individualized care plans.

The role emphasizes care coordination, patient education, and improving outcomes for chronic illnesses such as CHF, COPD, and diabetes.