RN Care Coordinator, Emergency Department, PRN

Mary Washington Healthcare•Fredericksburg, VA

5d•$39 - $59

About The Position

The Unit Clinical Care Coordinator – Emergency Department (Unit C3-ED) manages emergency department admission flow, patient progression, care coordination, and discharge planning to support system efficiency. The position serves as a primary liaison between the Emergency Department and the Hub, clinical and ancillary teams, and service departments, ensuring patient care needs are met and treatment plans are carried out in a timely manner. The coordinator leads and collaborates with the healthcare team to improve patient throughput and achieve patient-focused outcomes and organizational length-of-stay goals. The coordinator assesses patients for admission appropriateness, coordinates placement and progression with the Hub, and identifies patients with repeated ED visits, readmissions, or unmet social and community needs. The role leads SNAP huddles for ED holds, develops and coordinates discharge plans, manages patient information in the bed management and discharge planning system, and works with Utilization Review to align payer and status requirements with clinical progression. The coordinator also supports timely completion of preprocedural requirements, resolves or escalates barriers to patient flow, and educates medical and nursing staff on admission appropriateness, patient progression, resource utilization, and care coordination.

Requirements

At least three years of recent acute care nursing experience.
Ability to work independently and manage time, multiple priorities, and resources to achieve goals.
Ability to maintain a calm demeanor and command during crisis management.
Ability to assimilate information quickly, make sound decisions, and recognize situations requiring immediate intervention.
Clear written and verbal communication skills.
Valid RN license from Virginia or a reciprocal compact state.
Critical thinking and analytical skills; ability to multitask, communicate effectively, collaborate with a multidisciplinary team, and cope with difficult situations.
Ability to tolerate irregular hours, including evenings, nights, and weekends.
Physical ability to use arms and hands constantly; stand, walk, and sit frequently; bend, stoop, and squat occasionally; lift 35 pounds; and push and pull up to 20 pounds.
Auditory and visual skills, including color determination.
Ability to wear appropriate personal protective equipment and work with potential exposure to radiation, toxic chemicals, and bloodborne pathogens.

Nice To Haves

Bachelor of Science in Nursing.
Emergency Department acute care nursing or case management experience.
One year of supervisory experience.
Certification in nursing or case management.

Responsibilities

Assess ED patients’ clinical presentations to identify admission appropriateness, working DRG, and target length of stay; communicate bed needs to the Hub.
Coordinate admissions and patient care activities with the Hub to support system-wide planning, timely placement, patient progression, and patient flow.
Identify patients with repeated ED visits, 30-day readmissions, or unmet social and community needs; collaborate with physicians and ancillary services to determine admission appropriateness and alternatives to acute hospital care.
Lead SNAP huddles for ED holds, identify progression and discharge barriers, assign barriers for resolution, escalate unresolved barriers, and align the care team toward discharge goals.
Assess discharge needs and develop and arrange comprehensive discharge plans that address patient needs, barriers, and readmission risk factors.
Communicate plans of care and discharge plans to patients and families in coordination with the patient’s care team.
Manage admission, patient progression, and discharge details in the bed management and discharge planning system, and provide timely updates to the Hub on clinical status and level-of-care needs.
Ensure timely compliance with preprocedural requirements for service department diagnostics and procedures, and communicate service event issues to the care team.
Identify and resolve barriers to department or system-wide patient flow and escalate barriers to senior leadership when necessary.
Coordinate with the Utilization Review Nurse on payer and status requirements and verify delivery of required regulatory letters to patients and families.
Educate and serve as a resource to medical and nursing staff on admission appropriateness, patient progression, resource utilization, and care coordination.
Perform other duties as assigned.