RN Care Coordinator, Emergency Department, PRN

Start the day excited to make a difference…end the day knowing you did.  Come join our team.

Job Summary:

The Unit Clinical Care Coordinator – Emergency Department (Unit C3-ED) is responsible for the management of emergency department admission flow, patient progression, care coordination, and discharge planning to achieve system efficiency. This position is a spoke of the MWHC Hub serving as the primary liaison between the Emergency and the Hub, clinical and ancillary teams, and service departments to ensure patient care needs are met and treatment plans are executed timely.

The Unit C3-ED leads and collaborates with members of the healthcare team to improve patient throughput, resulting in effective patient-focused outcomes and length of stay performance of the organization.

Essential Functions & Responsibilities:

Assesses ED patients’ clinical presentation to identify admission appropriateness, working DRG and target length of stay; proactively communicates bed need to the Hub to facilitate admission flow.

Communicates and coordinates patient admission and care activities with the Hub to facilitate system-wide planning; ensures timely patient placement, patient progression, and patient flow.

Proactively identifies patients with repeated ED visits, 30-day readmissions, or unmet social/community needs; partners with physician and ancillary services (i.e., Social Work, Rehab) to determine admission appropriateness; assists in developing an alternative level of care for patients not requiring acute hospital level of care.

Leads clinical care team (RN, physician, ancillary staff, and social worker) in SNAP huddles (for ED holds) to identify patient progression and discharge barriers; assigns barriers to appropriate team member for resolution; identifies and escalates unresolved barriers to senior leadership; aligns care team toward discharge goals.

Assesses patient’s discharge needs; develops and arranges for a comprehensive discharge plan that addresses patient needs, barriers, and readmission risk factors.

Communicates plan of care and discharge plan to patient and/or their family in coordination with the patient’s care team (RN, physician).

Manages all aspects of admission/patient progression/discharge in hospital’s bed management / discharge planning system (i.e., bed requests, patient attributes/alerts, DRG/TLOS, barriers, escalations, etc.); communicates timely updates of patient clinical status and level of care needs to the Hub to facilitate unit and bed assignment for admitted patients.

Oversees and ensures timely compliance with preprocedural requirements for service department diagnostics and procedures; ensures communication of service event issues with care team.

Proactively identifies and resolves barriers that may impede department or system-wide patient flow; escalates barriers to senior leadership when unable to resolve.

Coordinates with 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.

Serves as a resource and educates medical and nursing staff on admission appropriateness, patient progression, utilization of resources, and care coordination.

Performs other duties as assigned

Qualifications:

• Required: Minimum of three (3) years recent acute care nursing experience
• 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.
• Preferred: Bachelor of Science in Nursing is preferred
• Emergency Department acute care nursing or case management is preferred
• One (1) year supervisory experience strongly preferred
• License and/or Certification
• Required: Valid RN License from Virginia or reciprocal compact state required.
• Preferred: Certification in nursing or case management
• MWHC 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 (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.
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• Required
• Physical Requirements: Constant (67-100% of workday) use of arms and hands; frequent (34-66% of workday) standing, walking, and sitting; occasional (0-33% of workday) bending, stooping, and squatting; ability to lift 35 lbs.; ability to push and pull up to 20 lbs.; auditory and visual skills to include color determination.
• 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.
• “It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates.”
• ‎ Compensation Pay Range: $39.44 - $59.15