Surgical Clinical Care Coordinator (Surgical C3) - Care Navigation

Community Hospital of the Monterey Peninsula (CHOMP); Monterey (CA); On-site; USD 101,000 - 135,000; Part time

Benefits offered by this job

Evening shift differential

Night shift differential

Job summary

Community Hospital of the Monterey Peninsula (CHOMP) seeks a Surgical Clinical Care Coordinator to gatekeep Surgical Services, providing early admission visibility to support proactive bed planning.

The role focuses on validating patient status, coordinating with OR, PACU, surgeons, and the Hub, and guiding discharge planning for complex cases. Part-time, 0.7 FTE, Monterey, CA.

Qualifications

• Bachelor’s degree in nursing preferred.
• RN license in California required.
• AHA BLS credential required.
• 5 years acute care hospital experience preferred.
• Strong communication and organizational skills.
• Experience with utilization management or surgical services preferred.

Responsibilities

• Act as hub liaison to facilitate each patient’s care.
• Collaborate with surgical staff to identify admissions.
• Review OR schedule and validate patient status (inpatient/outpatient).
• Ensure necessary pre-certifications are obtained when required.
• Anticipate discharge needs for planned admissions.
• Guide bed placement and status updates with Medicare/Medicaid rules.
• Support discharge planning for skilled needs.
• Educate staff on patient status, payor requirements, and resource use.

Skills

Care coordination

Interdisciplinary teamwork

Communication skills

Bed management

Education

Bachelor's degree in nursing

Tools

Utilization management

Job description

Position Summary

The Surgical Clinical Care Coordinator is the gatekeeper of Surgical Services, providing the Hub early visibility of admissions to enable proactive bed planning, ensuring every admission is appropriately statused, and preventing avoidable admissions.

Key Responsibilities

• Acts as a spoke of the Hub by partnering with other Care Coordinators to facilitate each patient’s care
• Works proactively with surgical staff, PACU charge nurse, and surgeons to identify potential admissions, and communicates admissions and patient needs to the Hub
• Reviews future OR schedule and validates accuracy of patient status (inpatient, outpatient, observation)
• Verifies pre-authorization/pre-certification is obtained on each patient when required
• Identifies inpatient Medicare/Medicaid procedures and ensures order, OR schedule, and other applicable systems reflect inpatient status
• For planned admissions, anticipates discharge needs and begin discharge planning if possible
• Evaluates and manages appropriate patient admissions
• Collaborates with Surgical staff to identify variations between planned and final surgery and updates accordingly (status, LOS, diagnosis, delays, etc.)
• Considers alternatives to admission for patients who do not meet criteria for admission
• Ensures documentation of admission orders per policy
• Discusses and advises physicians regarding patient admission status determination and those that do not meet admission order criteria (inpatient vs. observation vs. discharge)
• Partners with PACU staff to facilitate patient flow out of the PACU
• Serves as a consultant and educator with surgical staff regarding patient status, bed placement, payor requirements, and utilization of resources.
• Identifies and initiates discharge planning for skilled needs.

Experience

• 5 years current acute care hospital experience preferred.
• Broad clinical expertise to evaluate patient diagnosis and treatment plan and outcomes utilizing established criteria.
• Effective communication, customer and public relations skills.
• Ability to work as an integral member of the interdisciplinary assessment team.
• Strong organization skills.
• Knowledge of financial reimbursement, state, federal and commercial insurance requirements preferred.
• Knowledge of community resources preferred.
• Acute hospital case management experience preferred.
• Utilization Management experience preferred
• Surgical Services experience preferred

Education

Bachelor’s degree in nursing preferred.

Must pass orientation and initial competency assessment prior to independent assignment of patients requiring the applicable skill, and must complete and pass all annual competencies.

Licensure/Certifications

State of California RN license required. American Heart Association Healthcare Provider BLS required.

Equal Opportunity Employer

Equal Opportunity Employer

Assigned Work Hours:

Part Time, 0.7 FTE

M-F

5-6 hour shifts

variable day shift

no weekends, no holidays

Position Type:
Regular

Pay Range (based on years of applicable experience):

$73.13
to
$97.81

The hours employees work determine when a shift differential is paid.
Hourly Evening Shift Differential: $5.50

Hourly Night Shift Differential: $8.00