Hub Critical Care Clinical Care Coordinator (Hub C4) - Care Navigation (Per Diem, Noc)

Montage Health•Monterey, CA

8d•$84 - $113•Onsite

About The Position

The Clinical Hub C4 provides hospital-wide clinical expertise, assessment, and response to support patient safety, clinical escalation, and effective use of clinical resources. In close partnership with the Operational Hub C3, the Hub C4 serves as the on-site clinical resource, assessing situations, triaging immediate needs, initiating interventions within scope and demonstrated competency, and communicating real-time findings and recommendations to the Hub C3. The role responds to Rapid Response Team (RRT) events, Code Blue, STAT assist, hospital-wide overhead pages, emergency activations, and other urgent clinical events. It supports patients experiencing or at risk for deterioration, offers specialized clinical expertise to frontline teams, and may provide after-hours vascular access and peritoneal dialysis support based on competency and organizational need. The Hub C4 coordinates clinical resource deployment with the Hub C3 and appropriate clinical leaders and does not assume unit-level administrative, employee relations, or routine staffing management responsibilities. The position also supports proactive clinical surveillance, emergency preparedness, education, competency validation, and documentation of clinical assessments and interventions. After completing required training for designated Hub C3 duties, the employee may provide coverage during breaks, meal periods, or other operational needs.

Requirements

Minimum of 5 years of recent acute care nursing experience.
Demonstrated experience caring for complex and/or critically ill patients.
Demonstrated experience responding to clinical deterioration, rapid response, code events, or other high-acuity situations.
Critical care, emergency department, rapid response, or other high-acuity acute care experience within the last 3 years.
Ability to independently assess patients, prioritize competing clinical needs, and initiate appropriate interventions.
Ability to communicate effectively and collaborate across disciplines and organizational levels.
Graduate of an accredited nursing program.
State of California RN license.
American Heart Association Healthcare Provider BLS certification.
ACLS certification.
PALS certification.
NIHSS certification.
Must pass orientation and initial competency assessment before independent assignment of patients requiring the applicable skill, and complete and pass all annual competencies.
Vascular access competency or certification before independently performing applicable procedures.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Experience serving as a clinical resource, preceptor, charge nurse, educator, or mentor.
Experience with vascular access, ultrasound-guided IV placement, and/or PICC placement.
Specialty certification such as CCRN, CEN, or equivalent.

Responsibilities

Respond to RRTs, Code Blue, STAT assist, hospital-wide overhead pages, emergency activations, and other clinical emergencies, providing direct assessment and interventions to stabilize patients.
Assess and triage clinical, patient safety, and operational concerns and determine the immediate clinical response required.
Initiate appropriate interventions within scope of practice, demonstrated competency, and organizational standards.
Communicate timely findings, interventions, updates, and recommendations to the Hub C3, and when necessary directly to appropriate providers or clinical and operational leaders while maintaining coordination with the Hub C3.
Maintain closed-loop communication with the Hub C3 during significant events until the situation is stabilized, resolved, or transitioned to the appropriate team or leader.
Collaborate with bedside nurses, providers, respiratory therapy, and other interdisciplinary partners during complex or emergent situations.
Support escalation of patients requiring a higher level of care and assist with stabilization and transition of care.
Provide additional hospital-wide support as directed, including assisting with family or visitor concerns, obtaining supplies, and addressing emerging clinical or operational needs within role responsibilities.
Conduct proactive clinical surveillance and rounding for patients at risk for deterioration or needing additional clinical support.
Identify changes in patient condition, safety concerns, and clinical resource needs and communicate them to the appropriate care team and Hub C3.
Provide clinical consultation, mentorship, and support to frontline nursing staff managing complex or rapidly changing patient conditions.
Assess immediate clinical resource needs when requested and provide short-term clinical support or recommendations based on patient acuity and safety.
Support equitable deployment of clinical resources and partner with the Hub C3 to identify, prioritize, and communicate hospital-wide resource needs.
Provide after-hours vascular access support, including ultrasound-guided peripheral IV placement, and after-hours peritoneal dialysis support.
Support emergency preparedness and hospital-wide events, including fire and emergency response; communicate findings, resource needs, and recommendations to the Hub C3 and Incident Commander or designated operational leader as appropriate.
After required training, provide coverage for designated Hub C3 duties during breaks, meal periods, or other operational needs.
Participate in education, competency validation, and development of clinical practices related to emergency response, deterioration management, vascular access, and other applicable skills.
Document clinical assessments, interventions, and patient care activities in accordance with organizational standards.
Perform other duties within the scope of licensure, demonstrated competency, and organizational need.