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

Montage Health•Monterey, CA

8d•Onsite

About The Position

The Clinical Hub C4 provides hospital-wide clinical expertise, assessment, and response to support patient safety, clinical escalation, and effective utilization of clinical resources. In partnership with the Operational Hub C3, the role provides direct clinical assessment and intervention at the point of need, triages immediate needs, initiates appropriate interventions within scope and demonstrated competency, and communicates real-time findings and recommendations to the Hub C3. The Hub C4 responds to rapid response calls, Code Blue events, STAT assists, overhead pages, and other urgent clinical or hospital-wide events. The role supports patients experiencing or at risk of clinical deterioration, provides specialized expertise and consultation to frontline teams, and helps stabilize patients and transition them to a higher level of care when needed. The role may also provide after-hours vascular access and peritoneal dialysis support based on demonstrated competency and organizational need. It does not assume unit-level administrative, employee relations, or routine staffing management responsibilities. The position provides proactive clinical surveillance and rounding, identifies patient safety concerns and clinical resource needs, and coordinates clinical resource deployment with the Hub C3 and appropriate clinical leaders. It also participates in education, competency validation, and development of clinical practices; documents assessments and interventions; and may cover designated Hub C3 duties after completing required training. The role requires a California RN license, relevant certifications, and successful completion of orientation and applicable competencies before independently performing relevant skills.

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.
Current State of California RN license.
American Heart Association Healthcare Provider BLS certification.
ACLS certification.
PALS certification.
NIHSS certification.
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 Rapid Response Team calls, Code Blue events, STAT assists, overhead pages, and other clinical or non-clinical emergencies, providing assessment and interventions appropriate to the situation and level of training.
Assess and triage emerging clinical, patient safety, and operational concerns and determine the immediate clinical response required.
Initiate clinical interventions within scope of practice, demonstrated competency, and organizational standards.
Communicate timely findings, interventions, updates, and recommendations to the Hub C3 and, when appropriate, providers, clinical leaders, operational leaders, the Incident Commander, or other resources.
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 interdisciplinary partners during complex or emergent situations.
Support escalation of patients needing a higher level of care and assist with stabilization and transition of care.
Provide additional hospital-wide support as directed, including assistance 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 of 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 short-term support to frontline nursing staff managing complex or rapidly changing patient conditions.
Assess immediate clinical resource needs and support equitable deployment of clinical resources in coordination with the Hub C3 and appropriate clinical leaders.
Provide after-hours vascular access support, including ultrasound-guided peripheral IV placement, and after-hours peritoneal dialysis support, as qualified.
Support emergency preparedness and hospital-wide events, including fire and emergency response.
After completing required training for designated Hub C3 duties, provide coverage during identified breaks, meal periods, or other periods of operational need.
Participate in education, competency validation, and development of 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.
Do not assume unit-level administrative, employee relations, or routine staffing management responsibilities.