Hub Critical Care Clinical Coordinator (Hub C4) - Care Navigation (Per Diem, 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 closely with the Operational Hub C3, the Hub C4 serves as the on-site clinical resource, assessing situations, triaging immediate needs, initiating interventions within scope and demonstrated competency, and communicating real-time findings and recommendations to the Hub C3. The role responds to Rapid Response Teams, Code Blue events, STAT assists, overhead pages, and other urgent clinical or non-clinical events. It supports patients experiencing or at risk of clinical deterioration, assists frontline teams with complex clinical needs, and contributes to hospital-wide emergency response. Depending on demonstrated competency and organizational need, specialized support may include vascular access and peritoneal dialysis. The position does not assume unit-level administrative, employee-relations, or routine staffing-management responsibilities. The Hub C4 coordinates clinical resource needs with the Hub C3, supports safe stabilization and transitions of care, and may provide coverage for designated Hub C3 duties after completing required training. The role also participates in education, competency validation, and development of relevant clinical practices, and documents assessments, interventions, and patient-care activities according to organizational standards.

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.
Demonstrated ability to independently assess patients, prioritize competing clinical needs, and initiate appropriate interventions.
Demonstrated ability to communicate effectively and collaborate across disciplines and levels of the organization.
Graduate of an accredited nursing program.
California Registered Nurse license.
American Heart Association Healthcare Provider BLS certification.
ACLS certification.
PALS certification.
NIHSS certification.
Pass orientation and initial competency assessment before independently taking 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, hospital-wide overhead pages, emergency activations, and other clinical emergencies, providing direct assessment and interventions within scope and competency.
Assess and triage emerging clinical, patient-safety, and operational concerns and determine the immediate clinical response required.
Provide on-site clinical assessment and support at the point of need, including stabilization of patients and support for safe transitions to a higher level of care.
Communicate timely findings, interventions, resource needs, and recommendations to the Hub C3 and, when necessary, directly to appropriate providers or clinical and operational leaders 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.
Provide additional hospital-wide support as directed, including assisting with family or 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 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.
Support equitable deployment of clinical resources based on acuity, clinical need, and hospital-wide priorities 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.
Support emergency preparedness and hospital-wide events, including fire and emergency response, communicating clinical findings and resource needs 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 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.
Perform other duties within the scope of licensure, demonstrated competency, and organizational need.