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

Montage Health•Monterey, CA

9d•$74 - $99•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 appropriate 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) calls, Code Blue events, STAT assists, overhead pages, and other urgent clinical or hospital-wide emergencies. It supports patients experiencing or at risk of deterioration, provides specialized expertise to frontline teams, and may provide vascular access and peritoneal dialysis support based on competency and organizational need. The Hub C4 supports emergency preparedness and hospital-wide events, and may cover designated Hub C3 duties after completing required training. The position does not assume unit-level administrative, employee-relations, or routine staffing-management responsibilities. It assesses immediate clinical resource needs, provides appropriate short-term clinical support, and coordinates resource deployment with the Hub C3 and appropriate clinical leaders. The role requires a California RN license, BLS, ACLS, PALS, and NIHSS, along with completion of orientation, initial competency assessment, and annual competencies.

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 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 direct assessment and interventions appropriate to the situation and training.
Assess and triage emerging clinical, patient-safety, and operational concerns and determine the immediate clinical response required.
Initiate interventions within scope of practice, demonstrated competency, and organizational standards.
Provide timely clinical and operational updates, findings, interventions, and recommendations to the Hub C3 and, when appropriate, directly to providers or clinical and operational leaders.
Maintain closed-loop communication with the Hub C3 during significant events until situations are stabilized, resolved, or transitioned to the appropriate team or leader.
Collaborate with bedside nurses, providers, respiratory therapists, and other interdisciplinary partners during complex or emergent situations.
Support patients requiring a higher level of care, including stabilization and transition of care.
Conduct proactive clinical surveillance and rounding for patients at risk of deterioration or needing additional support; communicate condition changes, safety concerns, and resource needs.
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 coordinate resource deployment with the Hub C3 and appropriate clinical leaders based on acuity, safety, and hospital-wide priorities.
Provide after-hours vascular access support, including ultrasound-guided peripheral IV placement, and after-hours peritoneal dialysis support, as applicable to competency and organizational need.
Support emergency preparedness and hospital-wide events, including fire and emergency response; communicate findings and resource needs to the Hub C3 and Incident Commander or designated operational leader as appropriate.
Provide coverage for designated Hub C3 duties during breaks, meal periods, or other operational needs after completing required training.
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 according to organizational standards.
Provide other duties within licensure, demonstrated competency, and organizational need.