Clinical Care Coordinator (C3), Unit PRN

Essential Functions and Responsibilities

• Manages patient progression, care coordination, and discharge planning to ensure optimal system efficiency and continuity of care.
• Assists unit leadership with unit admission and discharge processes.
• Conducts admission assessments for designated patient populations to identify patient discharge needs and develops a comprehensive discharge plan addressing those needs, potential barriers, and readmission risks.
• Collaborates with ancillary services (e.g., PT, OT, Social Work) as needed to ensure a well-rounded and effective plan.
• Leads the clinical care team, including nurses, physicians, social workers and ancillary staff in daily SNAP huddles to align discharge goals.
• Identifies and addresses any barriers to patient progression and discharge, ensuring timely and coordinated care.
• Manages documentation of designated patient progression elements in the care coordination software to include the classification, documentation, and resolution of progression and discharge barriers; escalates unresolved barriers to senior leadership via escalation huddle.
• Synchronizes unit capacity status with the Hub to support efficient system throughput and optimal patient flow.
• Partners with virtual Utilization Review (UR) Nurse to align payor and status requirements with patient’s clinical progression; verifies appropriate regulatory letters are delivered to patient and family when indicated.
• Coordinates patient’s plan of care in collaboration with appropriate clinicians for efficient sequencing of care/interventions.
• Communicates progression and discharge plan to the patient and/or their designated proxy in coordination with the patient’s primary care team (RN, physician).
• Oversees and ensures care team’s timely compliance with patient’s preprocedural requirements for service department diagnostics and procedures; ensures communication of service event issues with care team.
• Consults and educates medical and nursing staff on resource utilization, payor requirements, and community resources, while serving as a resource for unit associates on patient progression and care coordination.

Qualifications

• Associate’s degree in nursing, required.
• Valid RN License from Virginia or reciprocal compact state, required.
• Minimum of three (3) years of recent acute care nursing experience, required.
• Bachelor of Science in Nursing, preferred.
• Charge Nurse or Case Management experience in an acute care setting strongly preferred.
• ACM (American Case Management) Certification, preferred.
• Able to work independently, managing time, multiple priorities, and resources to achieve goals.
• Able to maintain a calm demeanor and command during times of crisis management.
• Able to assimilate information quickly to produce sound decisions and recognize situations that require immediate intervention.
• Able to articulate information and ideas clearly through both written and verbal communication.

Mental Requirements

• Possesses critical thinking and analytical skills.
• Ability to multi-task.
• Ability to communicate effectively and collaborate with a multi-disciplinary team.
• Capacity to cope with difficult situations.
• Ability to tolerate irregular hours including evenings, nights, and weekends.

Environmental Requirements and Exposure Hazards

• Potential risk of exposure to radiation and toxic chemicals.
• Potential for exposure to bloodborne pathogens; must be able to wear appropriate personal protective equipment.