Welcome to Montage Health’s application process!
Job Description:
Position Summary
The Clinical Hub C4 provides hospital-wide clinical expertise, assessment, and response to support patient safety, clinical escalation, and effective utilization of clinical resources. Working in close partnership with the Operational Hub C3, the Hub C4 serves as the boots on the ground and clinical eyes on the situation, providing direct assessment and intervention at the point of need.
The Hub C4 provides the corresponding clinical presence to the Hub C3, by assessing the situation, triaging immediate needs, initiating appropriate interventions within scope and demonstrated competency, and communicating real-time findings and recommendations to the Hub C3.
The Hub C4 responds to RRTs, Code Blue, STAT assist, and other urgent clinical events; supports patients experiencing or at risk for clinical deterioration; provides specialized clinical expertise; and assists frontline teams with complex clinical needs. The role also supports hospital-wide emergency response and may provide or assist specialized services such as vascular access and peritoneal dialysis based on demonstrated competency and organizational need.
The Hub C4 does not assume unit-level administrative or staffing management responsibilities. When immediate clinical resource needs arise, the Hub C4 assesses the clinical situation, provides appropriate clinical support, and coordinates resource needs with the Hub C3.
Key Responsibilities
Response and Escalation
- Responds to Rapid Response Team (RRT), Code Blue, and other clinical emergencies to provide direct clinical assessment and interventions to stabilize patients and support safe transitions in care.
- Responds to hospital-wide overhead pages and emergency activations, including clinical and non-clinical emergencies, and provides support appropriate to the situation, assigned responsibilities, and level of training.
- Serves as the boots on the ground and clinical eyes on the situation, providing direct assessment and clinical support at the point of need.
- Assesses and triages emerging clinical, patient safety, and operational concerns and determines the immediate clinical response required.
- Initiates appropriate clinical interventions within scope of practice, demonstrated competency, and organizational standards.
- Provides timely clinical and operational updates, findings, interventions, and recommendations to the Hub C3 to support escalation to Incident Command, HEARTline, operational leaders, or other appropriate resources.
- When clinically or operationally necessary, communicates directly with the appropriate provider, clinical leader, or operational leader while maintaining coordination with the Hub C3.
- Maintains communication with the Hub C3 throughout significant events until the situation is stabilized or transitioned to the appropriate team.
- Collaborates with bedside nurses, providers, respiratory therapy, and other interdisciplinary partners during complex or emergent situations.
- Supports timely escalation of patients requiring a higher level of care and assists with stabilization and transition of care.
- Provides additional hospital-wide support as directed by the Hub C3, including, but not limited to, assisting with family and visitor concerns or escalations, obtaining needed supplies, and addressing emerging clinical or operational needs within the scope of licensure, competency, and role responsibilities.
Proactive Clinical Surveillance
- Provides proactive clinical surveillance and rounding for patients at risk for deterioration or requiring additional clinical support.
- Identifies changes in patient condition, emerging safety concerns, and clinical resource needs and communicates concerns to the appropriate care team and Hub C3.
- Provides clinical consultation and support to frontline nursing staff managing complex or rapidly changing patient conditions.
- May provide after-hours clinical support for high-acuity or complex patient care needs.
- Assesses immediate clinical resource needs when requested by the Hub C3 or frontline teams and provides short-term clinical support or recommendations based on patient acuity and safety.
Clinical Resource and Specialized Support
- Provides expert clinical support and mentorship to nursing staff during complex patient care situations.
- Supports equitable deployment of clinical resources based on patient acuity, clinical need, and hospital-wide priorities in coordination with the Hub C3.
- Partners with the Hub C3 to identify, prioritize, and communicate hospital-wide clinical resource needs.
- Provides after-hours vascular access support, including ultrasound-guided peripheral IV placement.
- Provides after-hours peritoneal dialysis support.
- Provides support for emergency preparedness and hospital-wide events, including fire/emergency response.
- During emergency events, provides clinical assessment and response while communicating clinical findings, resource needs, and recommendations to the Hub C3 and Incident Commander or designated operational leader as appropriate.
- Following completion of required training for designated Hub C3 duties, provides coverage during identified breaks, meal periods or other periods of operational need.
- Participates in education, competency validation, and development of clinical practices related to emergency response, deterioration management, vascular access, and other applicable skills.
- Documents clinical assessments, interventions, and patient care activities in accordance with organizational standards.
- Functions as the on-site clinical response resource in partnership with the Operational Hub C3.
- Does not assume unit-level administrative, employee relations, or routine staffing management responsibilities.
- Coordinates clinical resource deployment with the Hub C3 and appropriate clinical leaders based on patient acuity, safety, and hospital-wide priorities.
- Maintains closed-loop communication with the Hub C3 during significant events until the situation is stabilized, resolved, or transitioned to the appropriate team or leader.
- Performs other duties within the scope of licensure, demonstrated competency, and organizational need.
Experience
- Minimum of 5 years of recent acute care nursing experience required.
- Demonstrated experience caring for complex and/or critically ill patients.
- Demonstrated experience responding to clinical deterioration, rapid response, code events, or other high-acuity situations.
- Critical care, emergency department, rapid response, or other high-acuity acute care experience within the last 3 years.
- Demonstrated ability to independently assess patients, prioritize competing clinical needs, and initiate appropriate interventions.
- Demonstrated ability to communicate effectively and work collaboratively across disciplines and levels of the organization.
- Experience serving as a clinical resource, preceptor, charge nurse, educator, or mentor preferred.
- Experience with vascular access, ultrasound-guided IV placement, and/or PICC placement preferred.
Education
- Graduate of an accredited nursing program required.
- Bachelor of Science in Nursing (BSN) 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.
- ACLS required.
- PALS required.
- NIHSS required.
- Specialty certification such as CCRN, CEN, or equivalent preferred.
- Vascular access competency or certification required prior to independently performing applicable procedures.
Equal Opportunity Employer
#LI-DNI
Assigned Work Hours:
0.9 FTE
12-hr Day shift; rotating weekends and holidays
Position Type:
Regular
Pay Range (based on years of applicable experience):
$73.91
to
$98.85
The hours employees work determine when a shift differential is paid.
Hourly Evening Shift Differential: $5.50
Hourly Night Shift Differential: $8.00
