Clinical Care Coordinator (Hub)-Full Time Mids

Hub Clinical Care Coordinator

Start the day excited to make a differenceend the day knowing you did. Come join our team.

Job Summary: The Hub Clinical Care Coordinator (Hub C3) is responsible for the management of organizational-wide patient placement activities for all admissions, transfers, and discharges. This position serves as the leader of the system Hub, serving as the primary liaison between all nursing units, service locations, support departments, other healthcare facilities. In partnership with physicians, the Hub C3 guides appropriate patient placement for effective, efficient patient-focused outcomes. The Hub C3 collaborates with all system departments and healthcare team to improve LOS performance of the organization.

Essential Functions and Responsibilities:

• Coordinates with the Admission and Unit Clinical Care Coordinators (C3s) to manage 24/7 hospital-wide patient placement and flow to include all admissions, transfers, and discharges.
• Designates system-wide unit and bed assignments based on assessment of patient clinical needs, nurse staffing, and unit bed priority status; ensures correct patient status and level of care; communicates to ensure timely, ongoing communication of patient status with the Hub spokes.
• Anticipates, identifies, and manages barriers that may impede system-wide flow; escalates issues as appropriate.
• Assesses patients' clinical presentation against Milliman Care Guidelines (MCG) to identify admission status, working DRG and target LOS for all direct admits and incoming facility transfers; escalates cases not meeting admission criteria.
• Evaluates and facilitates implementation of appropriate accommodations for patient care needs (i.e., bariatric bed, special equipment, language line, etc.) with the Unit C3/Nursing Units.
• Manages all aspects of patient placement, direct admits and transfers in Care Logistics software (i.e., DRG, TLOS, key patient attributes, patient/flow alerts, and required transfer documentation); validates admission order matches determined status and level of care.
• Leverages information to adjust resources (EVS, Transport, Ancillary Services, & Staffing) in real-time to facilitate patient flow efficiency and achieve system-wide length of stay goals.
• Consults and educates medical and nursing staff regarding status, placement, payor requirements, and utilization of resources.
• Manages the centralized, one-call transfer center in the system Hub for direct admits and facility transfers; initiates required steps to ensure appropriate and timely pre-certification and insurance authorization is obtained on admissions.
• Coordinates registration, insurance authorization and care management clerical duties with the Hub Clinical Care Coordinator Assistant (Hub C3A) and completes minimum required tasks in absence of Hub C3A.
• Partners with the Order Organizer to identify and prioritize scheduling of ancillary and service department testing and procedures to optimize system-wide patient flow.
• Collaborates with the Staffing Coordinator to identify and prioritize nursing staff capacity to optimize system-wide patient placement and flow.
• Serves as resource on patient placement, system flow and patient transfer management for the Hub, nursing unit, ancillary and service department Associates.
• Performs rounding with Progression Leader on each Nursing Unit to determine bed availability and capacity.
• Maintains knowledge about units scope of service as to type of patients, equipment, space resources, and procedures performed.
• Collaborates with Administrator on Call when escalation of higher-level issues needs to be resolved.
• Communicates with patients and families to maintain positive patient experiences as appropriate.
• Acts as a liaison/resource for service recovery, escalation of issues/events to Regulatory Affairs and/or the Administrator on Call when Leadership or point-of-contact is not available.
• Serves as materials management resource when they are unavailable.
• Utilizes appropriate patient care resources to fulfill staffing needs, based on workload and patient to staff ratio for current and upcoming shift, considering staff skills/competencies/experience.
• Partners with Unit C3s/Progression Leader to address any staffing shortages or overages.
• HUB C3 to collaborate on staffing in absence of the Coordinator.
• Performs other duties as assigned.

Qualifications:

Required:

• Minimum of three (3) years recent acute care clinical experience
• Bachelor of Science in Nursing is preferred (applicable to all external and internal placements.)
• Able to work independently, managing time, multiple priorities, and resources to achieve goals
• Able to assimilate information quickly to produce sound decisions and recognize situations that require immediate intervention
• Able to maintain a calm demeanor and command during time of crisis management.
• Able to articulate information and ideas clearly through written and verbal communication.

Preferred:

• One (1) year supervisory experience strongly preferred
• Bed management experience strongly preferred
• Utilization review experience

License and/or Certifications:

Required:

• Valid RN License from Virginia or reciprocal compact state required.
• AHA BLS Provider CPR required at hire

Preferred:

• Certification in nursing, case management or utilization review

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.