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

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 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 position responds to Rapid Response Team (RRT) calls, Code Blue events, STAT assists, overhead pages, emergency activations, and other urgent clinical events. It supports patients experiencing or at risk for deterioration, assists frontline teams with complex clinical needs, and may provide specialized services such as vascular access and peritoneal dialysis based on competency and organizational need. The role does not assume unit-level administrative, employee relations, or routine staffing management responsibilities; clinical resource needs are coordinated with the Hub C3. This is a per diem, day-shift role with rotating weekends and holidays. The pay range is $84.27 to $112.70 per hour based on applicable experience. Shift differentials are $5.50 per hour for evening shifts and $8.00 per hour for night shifts.

Requirements

At least 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 responses, 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.
Must pass orientation and initial competency assessment before independently taking assignments 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).
Specialty certification such as CCRN, CEN, or equivalent.
Experience serving as a clinical resource, preceptor, charge nurse, educator, or mentor.
Experience with vascular access, ultrasound-guided IV placement, and/or PICC placement.

Responsibilities

Respond to RRTs, Code Blue events, STAT assists, overhead pages, and other clinical or non-clinical emergencies, providing assessment and support appropriate to the situation 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 findings, interventions, updates, and recommendations to the Hub C3, and communicate directly with appropriate providers or leaders when 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 therapists, and interdisciplinary partners during complex or emergent situations.
Support escalation, stabilization, and transition of patients requiring a higher level 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 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 them to the care team and Hub C3.
Provide clinical consultation and support to frontline nursing staff managing complex or rapidly changing patient conditions, including possible after-hours support for high-acuity needs.
Assess immediate clinical resource needs when requested and provide short-term clinical support or recommendations based on patient acuity and safety.
Provide expert clinical support and mentorship to nursing staff during complex patient-care situations.
Coordinate with the Hub C3 to identify, prioritize, communicate, and 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 completing required training for designated Hub C3 duties, provide coverage during identified breaks, meal periods, or other operational needs.
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 according to organizational standards.
Perform other duties within the scope of licensure, demonstrated competency, and organizational need.