Unit Clinical Care Coordinator (Unit C3) - Care Navigation

Montage Health; Monterey (CA); On-site; USD 101,000 - 135,000; Full time

Job summary

Montage Health in California is seeking an experienced Care Coordinator on Unit C3 who will drive patient progression and discharge activities in collaboration with the interdisciplinary team. The role requires coordinating with the unit and Hub, leading SNAP rounds with physicians, and ensuring timely post-acute planning for patients. Strong acute-care background and communication are essential.  

Qualifications

• Minimum 5 years of acute hospital experience preferred.
• Bachelor’s degree in nursing is preferred.
• Strong communication and organizational skills are essential.

Responsibilities

• Facilitate patient progression and discharge planning with Care Coordinators.
• Collaborate with Hub to ensure appropriate patient placement and level of care.
• Evaluate discharge needs upon admission and ensure a complete plan.
• Lead SNAP rounds with physicians to discuss progression and barriers.
• Communicate post-acute plan of care to patients and families.
• Identify discharge opportunities and update patient status.
• Coordinate with UM and unit staff to reflect status in Care Progression systems.

Skills

Effective communication

Organization skills

Interdisciplinary teamwork

Clinical assessment

Education

Bachelor's degree in nursing

Job description

Job Description

Welcome to Montage Health’s application process! Job Description:

Position Summary

Unit C3 is the leader of patient progression on the unit, coordinating progression and discharge activities to align with each patient’s target length of stay. In this role, the Unit C3 serves as the primary liaison between interdisciplinary team members on the unit such as the Unit Charge Nurse, Utilization Review nurse, Social Worker, Primary Nurse, PT, OT, and Primary Physician.

Key Responsibilities

• Acts as a spoke of the Hub by partnering with other Care Coordinators to facilitate patient progression and care coordination at a unit level to achieve system goals.
• Collaborates with the Hub to ensure appropriate patient placement and level of care (ICU, Telemetry, Med/Surg, etc.).
• Evaluates discharge needs upon admission, ensuring each patient has a complete discharge plan.
• Works collaboratively with interdisciplinary team to progress each patient's care towards discharge while assuring quality standards and excellent patient experience.
• Leads SNAP rounds on the unit with the physician to discuss patient progression and barriers to discharge.
• Communicates with patients and families as needed on post-acute plan of care.
• Identifies potential discharges and updates patient status and planned discharge time.
• Works with primary nurse and SW on discharge needs/barriers for all patients; initiates intervention by UM nurse as needed.
• Works with unit staff to ensure Care Progression technology accurately reflects unit and patient status (anticipated transfers, discharges, and patient alerts).
• Proactively monitors patients in observation or outpatient status to ensure timely discharge or status change.
• Communicates service event and patient preparedness issues to Order Coordinator.
• Ensures acknowledgement and completion of prep prior to testing and/or procedures.
• Identifies opportunities to transition patient care or testing to an outpatient setting.
• Assists Clinical Documentation Specialist in engaging physician to respond to queries clarifying documentation to reflect appropriate severity of illness.
• Serves as a consultant and educator with medical staff regarding status, placement, payor requirements, and utilization of resources.

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

Education

• Bachelor’s degree in nursing preferred.

Licensure/Certifications

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

Equal Opportunity Employer

Assigned Work Hours

Full Time 10 hr, Day shift 7:00am-5:30pm, rotating weekend and 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

Montage Health, a nonprofit company, is a collection - a montage - of entities designed to keep people healthy and connected. Preventive, restorative, palliative, and coordinated care. Many parts operating with a single, shared vision.