RN Care Coordinator, Emergency Department, PRN

Mary Washington Healthcare • Fredericksburg, WA

2d

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, helping ensure 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 patient-focused outcomes, including length-of-stay performance.

The role assesses clinical presentation and admission appropriateness, coordinates bed requests and patient placement, identifies progression and discharge barriers, and develops comprehensive discharge plans. It also supports care teams through SNAP huddles, coordinates with Utilization Review, monitors preprocedural requirements, and educates medical and nursing staff about admission appropriateness, resource utilization, patient progression, and care coordination. The position may involve irregular hours, including evenings, nights, and weekends, and potential exposure to radiation, toxic chemicals, and bloodborne pathogens.

Requirements

• Minimum of 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.
• Ability to tolerate irregular hours, including evenings, nights, and weekends.
• Critical thinking and analytical skills; ability to multitask, communicate effectively, collaborate with a multidisciplinary team, and cope with difficult situations.
• Ability to meet the stated physical requirements, including lifting 35 pounds and pushing and pulling up to 20 pounds.

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 presentation to identify admission appropriateness, working DRG, and target length of stay; communicate bed needs proactively to the Hub.
• Coordinate patient admissions and 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; partner with physicians and ancillary services to assess admission appropriateness and alternatives to acute hospital care.
• Lead SNAP huddles for ED holds with the clinical care team to identify progression and discharge barriers, assign barriers for resolution, escalate unresolved barriers, and align the team toward discharge goals.
• Assess discharge needs and develop and arrange comprehensive plans addressing patient needs, barriers, and readmission risk factors.
• Communicate the plan of care and discharge plan to patients and/or families in coordination with the care team.
• Manage admission, patient progression, and discharge activities in the hospital’s bed management and discharge planning system, including bed requests, patient attributes and alerts, DRG/TLOS, barriers, and escalations.
• Provide timely updates about patient clinical status and level-of-care needs to the Hub to facilitate unit and bed assignments.
• Oversee timely compliance with preprocedural requirements for service department diagnostics and procedures and communicate service event issues to the care team.
• Identify and resolve barriers that may impede department or system-wide patient flow and escalate barriers to senior leadership when needed.
• Coordinate with the Utilization Review Nurse to align payor and status requirements with clinical progression and verify delivery of required regulatory letters to patients and families.
• Serve as a resource and educate medical and nursing staff on admission appropriateness, patient progression, resource utilization, and care coordination.
• Perform other duties as assigned.

What This Job Offers

• Education Level: No Education Listed