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

Montage Health•Monterey, CA

7d•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. Working in close partnership with the Operational Hub C3, the coordinator 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 Hub C3. The role responds to rapid response calls, Code Blue, STAT assist, and other urgent clinical events; supports patients experiencing or at risk for clinical deterioration; provides specialized expertise; and assists frontline teams with complex clinical needs. The role also supports hospital-wide emergency response and may provide specialized services such as vascular access and peritoneal dialysis based on demonstrated competency and organizational need. The coordinator assesses immediate clinical resource needs, provides appropriate clinical support, and coordinates resource needs with Hub C3. The position does not assume unit-level administrative, employee relations, or routine staffing management responsibilities. Work is 0.9 FTE on 12-hour day shifts, with rotating weekends and holidays. The position is regular. Pay range is $73.91 to $98.85, based on years of applicable experience; shift differentials may apply for evening and night hours.

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.
Vascular-access competency or certification before independently performing applicable procedures.
Pass orientation and initial competency assessment before independent assignment of patients requiring the applicable skill, and complete and pass all annual competencies.

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, STAT assist, and other clinical emergencies, providing assessment and interventions to stabilize patients and support safe transitions in care.
Respond to hospital-wide overhead pages and 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 findings, interventions, updates, and recommendations to Hub C3 and, when necessary, communicate directly with appropriate providers or leaders while maintaining coordination with Hub C3.
Maintain communication with 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 and visitor concerns, obtaining supplies, and addressing emerging clinical or operational needs within the role's scope.
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; communicate concerns to the appropriate care team and Hub C3.
Provide clinical consultation and support to frontline nursing staff managing complex or rapidly changing patient conditions, including after-hours support when needed.
Assess immediate clinical resource needs when requested and provide short-term clinical support or recommendations based on acuity and safety.
Provide expert clinical support and mentorship to nursing staff during complex patient-care situations.
Coordinate with 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, when competent and assigned.
Support emergency preparedness and hospital-wide events, including fire and emergency response; communicate clinical findings, resource needs, and recommendations to Hub C3 and the 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 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 according to organizational standards.
Perform other duties within scope of licensure, demonstrated competency, and organizational need.