Nurse; RN - Capacity Coordination Center, Part-time

Overview

Are you looking to advance your knowledge and skills? You will enhance your critical thinking while engaging with clinical professionals within the coordination center to support other member hospitals within the Dartmouth‑Hitchcock Health system. This is the opportunity for you! Nurse, Capacity Coordination Center – 12 hour shifts, D/N Rotation (part‑time, 24 hours per week). As part of a multi‑disciplinary team, you will apply the nursing process to develop a plan using telephone triage and review of the medical record for patients who require urgent/emergent DH consultation, outpatient procedure or transfer as well as transfers between levels of care during patients' inpatient hospitalization.

Capacity Coordination Center Nurses are responsible for providing a high level of customer service in a high‑stress, fast‑paced environment while maintaining flexibility and the ability to adapt, improvise, and problem‑solve in rapidly changing conditions.

• Obtains and documents relevant clinical data to individually assess the needs of each patient to ensure appropriate level of care and proper placement of patients.
• Acts as a navigator for referring providers in identifying and accessing appropriate DHH services.
• Manages and coordinates communications between referring and DH providers via telephone and electronic communication methods.
• Identifies and facilitates patients for redirect and placement to DHH affiliates.
• In collaboration with the On‑Call Medical Director determines appropriateness of requests for outside transfers, and identifies patients who are considered high priority such as EMTALA, active cancer care, dialysis, DH readmission, etc.
• Obtains and communicates to DH providers, relevant medical records and images from referring providers.
• Arranges and coordinates local, regional and international transfers to DH for patients who require tertiary care or who have established care at DH.
• Works with medical staff to appropriately re‑prioritize transfer queue.
• Communicates and collaborates with DH medical staff to prioritize activities associated with accurate transfer timing, placement needs, and bed assignment.
• Coordinates and actively participates in daily capacity huddles with On‑Call Medical Director, administration, and designated departmental charge nurses to develop relevant mitigation strategies that maximize safe patient intake and patient care resource needs.
• Advocates on patient behalf in obtaining access to appropriate DHH services.
• Directs, coordinates, and updates patient transfer queue.
• Coordinates and assists in developing transportation plans for Neonatal, Pediatric, and Adult Critical Care patients.
• Identifies and delegates appropriate tasks to assistive personnel/coordinators.
• Develops and promotes long‑term relationships with house supervisors, charge nurses, referring facilities and providers.
• Determines and assigns accurate patient admission type following established guidelines and criteria.
• Collaborates with others to maximize day‑to‑day patient and bed flow management, including preparing for critical care bed meetings, monitoring, interacting with, and ensuring accuracy of electronic patient placement systems data, providing backup for patient placement discussion and decisions.
• Implements standardized and consistent patient placement processes across all areas of responsibility, assigning locations/beds for step‑down and critical care patients, arranging external, and facilitating internal transfers for step‑down and critical care patients.
• Implements and communicates patient census procedures, analyzes, synthesizes, and corrects census errors and acts as a resource to ensure accurate census and patient charges.
• Actively engages in the daily implementation of strategic goals, engaging with leadership to develop, maintain, and improve departmental policies, procedures, and workflows. Interprets and supports policies, procedures, and safety standards to facilitate daily operations.
• Identifies and defines problem areas, making recommendations for improvement.
• Performs other duties as required or assigned.

• Graduate from an accredited Nursing…