Clinical Care Coordinator (C3), Registered Nurse (RN) - Care Coordination, Full Time

Mary Washington Healthcare•Fredericksburg, VA

7d•$39 - $59

About The Position

The Unit Clinical Care Coordinator (Unit C3) manages unit-level patient flow efficiency through appropriate patient placement, status determination, DRG and target length-of-stay assignment, timely patient progression, and staffing. The role serves as a unit progression leader and primary liaison among emergency and surgical services, clinical and ancillary teams, service departments, and the Hub to ensure patient care needs are met and treatment plans are carried out in a timely manner. The Unit C3 leads and collaborates with the healthcare team to improve patient throughput, patient-focused outcomes, and organizational length-of-stay performance. The coordinator assesses patient status and care needs, supports appropriate placement and progression, coordinates discharge planning, and identifies and resolves barriers. The role provides guidance to medical and nursing staff, collaborates with physicians and ancillary services, leads daily SNAP huddles, and manages patient progression and discharge information in Care Advance software. The position also coordinates care sequencing, communicates plans to patients and families, ensures timely completion of preprocedural requirements, and manages unit staffing and bed assignments for current and next shifts.

Requirements

Minimum of three years of recent acute care nursing experience.
Valid RN license from Virginia or a reciprocal compact state.
Ability to work independently and manage time, multiple priorities, and resources to achieve goals.
Ability to maintain a calm demeanor and command during crisis management.
Ability to assimilate information quickly, make sound decisions, and recognize situations requiring immediate intervention.
Ability to communicate information and ideas clearly in writing and verbally.
Critical thinking and analytical skills.
Ability to multitask and communicate and collaborate effectively with a multidisciplinary team.
Capacity to cope with difficult situations.
Ability to tolerate irregular hours, including evenings, nights, and weekends.
Physical ability to use arms and hands constantly; stand, walk, and sit frequently; bend, stoop, and squat occasionally; lift 35 pounds; and push and pull up to 20 pounds.
Auditory and visual skills, including color determination.
Ability to wear appropriate personal protective equipment where required.

Nice To Haves

Bachelor of Science in Nursing.
One year of supervisory experience.
Utilization review experience.
Certification in nursing, case management, or utilization review.

Responsibilities

Coordinate patient care activities with the Hub and Clinical Care Coordinators to support appropriate patient placement, level of care, patient progression, and unit-level patient flow.
Set unit bed reservation priorities based on patient care needs and nurse staffing ratios, and communicate priorities to the Hub C3.
Identify and remove unit barriers that may impede department-wide or system-wide patient flow.
Assess patients’ clinical presentations against Milliman Care Guidelines to determine admission status, working DRG, and target length of stay; validate admission orders and collaborate with the CDI Nurse when additional evaluation is warranted.
Assess patients in observation and outpatient status for potential status changes and progress patients as clinically indicated.
Coordinate with the Utilization Review Nurse to align payor and status requirements with clinical progression and verify delivery of required regulatory letters.
Consult with and educate medical and nursing staff regarding patient status, placement, payor requirements, and resource utilization.
Assess discharge needs and develop and arrange comprehensive discharge plans addressing patient needs, barriers, and readmission risk; consult ancillary services when indicated.
Collaborate with physicians, including through participation in patient rounds, to identify progression and discharge needs and develop plans to address barriers.
Lead the clinical care team in daily SNAP huddles to identify progression and discharge barriers, assign barriers for resolution, escalate unresolved barriers to senior leadership, and align the team toward discharge goals.
Manage patient progression and discharge information in Care Advance software, including DRG, target length of stay, progression plans, barriers, resolutions, discharge planning, and alerts; maintain timely communication with the Hub.
Coordinate the plan of care with appropriate clinicians to sequence care and interventions and ensure applicable clinical pathways, protocols, or standards of care are initiated.
Communicate the plan of care and discharge plan to patients and/or families in coordination with the primary care team.
Oversee timely completion of preprocedural requirements for service department diagnostics and procedures and communicate service event issues to the care team.
Create and manage unit staffing and bed assignments for the current and next shift, collaborating with the Nurse Manager, Assistant Nurse Manager, and Staffing Coordinator as needed.
Serve as a resource for unit Associates on patient status, progression, and care coordination.
Perform other duties as assigned.