RN Unit Care Coordinator: Throughput & Discharge Lead

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

Job summary

Mary Washington Healthcare in Fredericksburg, VA seeks a Unit Clinical Care Coordinator (Unit C3) to optimize patient flow, determine appropriate placement, and manage LOS targets. This role serves as a liaison among emergency, surgical, clinical and ancillary teams to ensure timely care plans and smooth transitions.

The coordinator leads a care team, uses Care Advance software for DRG and TLOS, collaborates with UR and CDI teams, and supports discharge planning while maintaining high-quality

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.

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 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.
• 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 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 status updates with the Hub.
• Coordinates plan of care in collaboration with clinicians for appropriate sequencing of care/interventions; ensures appropriate clinical pathways, protocols 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 department diagnostics and procedures; ensures communication of service event issues with care team.
• Creates and manages unit staffing and bed assignment for current and next shift; collaborates with Nurse Manager 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

Education

BSN - Bachelor of Science in Nursing

Job description

Mary Washington Healthcare in Fredericksburg, VA seeks a Unit Clinical Care Coordinator (Unit C3) to optimize patient flow, determine appropriate placement, and manage LOS targets. This role serves as a liaison among emergency, surgical, clinical and ancillary teams to ensure timely care plans and smooth transitions.

The coordinator leads a care team, uses Care Advance software for DRG and TLOS, collaborates with UR and CDI teams, and supports discharge planning while maintaining high-quality