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

Mary Washington Healthcare•Fredericksburg, WA

About The Position

The Unit Clinical Care Coordinator (Unit C3) manages unit-level patient flow and efficiency through appropriate patient placement, status determination, DRG and target length-of-stay assignment, timely patient progression, and staffing. As a spoke of the Hub, the coordinator provides unit progression leadership and serves as a primary liaison among emergency and surgical services, clinical and ancillary teams, and service departments. The role collaborates with the healthcare team to improve throughput and achieve patient-focused outcomes and organizational length-of-stay performance. The coordinator assesses patient status and care needs, develops and coordinates progression and discharge plans, identifies and resolves barriers, and communicates with patients, families, clinicians, the Hub, and relevant service teams. The role also leads daily SNAP huddles, manages progression documentation in Care Advance software, coordinates unit bed assignments and staffing, and serves as a resource to unit associates.

Requirements

At least 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.
Clear written and verbal communication skills.
Ability to tolerate irregular hours, including evenings, nights, and weekends.
Ability to use critical thinking and analytical skills, multitask, communicate effectively, and collaborate with a multidisciplinary team.
Capacity to cope with difficult situations.
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.

Nice To Haves

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

Responsibilities

Coordinate patient care activities with the Hub and Clinical Care Coordinators to support appropriate placement, level of care, progression, and unit-level patient flow.
Assess patient care needs and nurse staffing ratios to set bed reservation priorities, and communicate those priorities to the Hub C3.
Identify and remove unit barriers that may impede department or system-wide patient flow.
Assess clinical presentation against Milliman Care Guidelines to identify admission status, working DRG, and target length of stay; validate admission orders and collaborate with the CDI Nurse when further evaluation is needed.
Assess observation and outpatient patients for possible status changes and progress patients as clinically indicated.
Coordinate with the Utilization Review Nurse on payor and status requirements and verify that required regulatory letters are delivered to patients and families.
Consult and educate medical and nursing staff about 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 participation in patient rounds as applicable, to identify progression and discharge needs and address barriers.
Lead daily SNAP huddles with the clinical care team to identify progression and discharge barriers, assign barriers for resolution, escalate unresolved barriers, and align the team around discharge goals.
Manage patient progression and discharge information in Care Advance software, including DRG, target length of stay, progression plans, barriers and resolutions, discharge planning, and alerts; communicate patient status to the Hub in a timely and ongoing manner.
Coordinate plans of care with appropriate clinicians to sequence care and interventions and ensure applicable pathways, protocols, or standards of care are initiated.
Communicate the plan of care and discharge plan to patients and 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 or Assistant Nurse Manager and Staffing Coordinator as needed.
Serve as a unit resource on patient status, progression, and care coordination.
Perform other duties as assigned.