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

Montage Health•Monterey, CA

8d•$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 partnership with the Operational Hub C3, the Hub C4 provides an on-site clinical presence by assessing situations, triaging immediate needs, initiating appropriate interventions within scope and demonstrated competency, and communicating real-time findings and recommendations. The position responds to Rapid Response Teams, Code Blue events, STAT assists, hospital-wide overhead pages, and other urgent clinical or emergency events. It supports patients experiencing or at risk for deterioration, provides specialized clinical expertise, and assists frontline teams with complex clinical needs. Depending on demonstrated competency and organizational need, the role may also provide or assist with services such as vascular access and peritoneal dialysis. The Hub C4 does not assume unit-level administrative, employee relations, or routine staffing management responsibilities. It assesses immediate clinical resource needs, provides appropriate clinical support, and coordinates resource needs with the Hub C3. The role also supports emergency preparedness and hospital-wide events, documents clinical assessments and interventions, participates in education and competency validation, and performs other duties within the scope of licensure, competency, and organizational need.

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 work collaboratively across disciplines and organizational levels.
Graduate of an accredited nursing program.
California RN license.
American Heart Association Healthcare Provider BLS.
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 required 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, and other clinical emergencies with direct assessment and interventions to stabilize patients and support safe transitions in care.
Respond to hospital-wide overhead pages and clinical or non-clinical emergency activations, providing support appropriate to the situation, assigned responsibilities, and 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.
Provide timely updates, findings, interventions, and recommendations to the Hub C3, and communicate directly with appropriate providers or leaders when clinically or operationally necessary 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 who need a higher level of care and assist with stabilization and transition of care.
Provide additional hospital-wide support as directed, including assistance with family and 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 requiring additional clinical support.
Identify changes in patient condition, safety concerns, and clinical resource needs, and communicate concerns to the care team and Hub C3.
Provide clinical consultation, mentorship, and support to frontline nursing staff managing complex or rapidly changing patient conditions.
Provide after-hours clinical support for high-acuity or complex patient care needs as needed.
Assess immediate clinical resource needs when requested and provide short-term support or recommendations based on patient acuity and safety.
Coordinate with the Hub C3 to support equitable deployment of clinical resources based on acuity, clinical need, and hospital-wide priorities.
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 clinical findings, resource needs, and recommendations to the Hub C3 and Incident Commander or designated operational leader as appropriate.
After 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 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.
Coordinate clinical resource deployment with the Hub C3 and appropriate clinical leaders; do not assume unit-level administrative, employee relations, or routine staffing management responsibilities.
Perform other duties within the scope of licensure, demonstrated competency, and organizational need.