RN Care Coordinator: Patient Flow & Discharge Lead

Mary Washington Healthcare Incorporated; Fredericksburg (VA); On-site; USD 54,000 - 81,000; Full time

Job summary

Mary Washington Healthcare Incorporated in Virginia is seeking a Unit Clinical Care Coordinator (Unit C3) to optimize unit-level patient flow, determine status, and manage DRG/TLOS assignments. You will liaise with the Hub, emergency and surgical services, and care teams to ensure timely progression and discharge planning.

This role leads a multidisciplinary team, monitors discharge barriers, and coordinates with UR and CDI as needed to improve LOS performance and patient outcomes.

Qualifications

• Minimum of three (3) years recent acute care nursing 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 maintain a calm demeanor and command during time 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.

Responsibilities

• Coordinates patient care activities in collaboration with the Hub and Clinical Care Coordinators (C3s) to ensure appropriate patient placement, level of care, patient progression, and patient flow at the unit level.
• Designates unit bed reservation priorities through assessment of patient care needs and nurse staffing ratios; communicates bed reservation priorities to the Hub C3.
• Identifies and removes unit barriers that may impede department or system-wide patient flow.
• Assesses patients' clinical presentation against Milliman Care Guidelines (MCG) to identify admission status, working DRG and target LOS; validates admission order matches determined status and level of care; collaborates with CDI Nurse when further evaluation is warranted.
• Assesses patients in observation and outpatient status to determine if clinical presentation warrants status change; progresses patient as clinically indicated.
• Coordinates with 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.
• Consults and educates medical and nursing staff regarding status, placement, payor requirements, and utilization of resources.
• Assesses patient's discharge needs, develops, and arranges for a comprehensive discharge plan that addresses patient needs, barriers, and readmission risk; consults ancillary services when indicated.
• Collaborates with physicians to ensure patient progression and discharge needs are identified and a plan is developed to address barriers.
• Leads clinical care team in daily SNAP huddle to identify patient progression and discharge barriers; assigns barriers to appropriate team member for resolution; escalates unresolved barriers to senior leadership; aligns care team towards discharge goals.
• Manages all aspects of patient progression and discharge in Care Advance software and communicates to ensure timely, ongoing communication of patient status with the Hub.
• Coordinates plan of care with appropriate clinicians for sequencing of care/interventions; ensures clinical pathways or standards of care are initiated.
• Communicates plan of care and discharge plan to patient and/or family in coordination with the patient's primary care team.
• Oversees and ensures care team's timely compliance with preprocedural requirements for service diagnostics; communicates service issues with care team.
• Creates and manages unit staffing and bed assignment for current and next shift; coordinates with Nurse Manager and Staffing Coordinator for staffing needs.
• Serves as a resource on patient status, progression, and care coordination for the unit Associates.
• Performs other duties as assigned

Skills

Acute care nursing

Independent work

Time management

Communication

Education

BSN preferred

Job description

Mary Washington Healthcare Incorporated in Virginia is seeking a Unit Clinical Care Coordinator (Unit C3) to optimize unit-level patient flow, determine status, and manage DRG/TLOS assignments. You will liaise with the Hub, emergency and surgical services, and care teams to ensure timely progression and discharge planning.

This role leads a multidisciplinary team, monitors discharge barriers, and coordinates with UR and CDI as needed to improve LOS performance and patient outcomes.