Are you looking to advance your knowledge and skills? You will enhance your critical thinking while engaging with clinical professionals – as the command 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

As part of a multi-disciplinary team, applies 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.

1. 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.
2. Acts as a navigator for referring providers in identifying and accessing appropriate DHH services.
3. Manages and coordinates communications between referring and DH providers via telephone and electronic communication methods.
4. Identifies and facilitates patients for redirect and placement to DHH affiliates.
5. 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.
6. Obtains and communicates to DH providers, relevant medical records and images from referring providers.
7. Arranges and coordinates local, regional and international transfers to DH, for patients who require tertiary care or who have established care at DH. .
8. Works with medical staff to appropriately re-prioritize transfer queue.
9. Communicates and collaborates with DH medical staff to prioritize activities associated with accurate transfer timing, placement needs, and bed assignment. .
10. 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.
11. Advocates on patient behalf in obtaining access to appropriate DHH services.
12. Directs, coordinates, and updates patient transfer queue.
13. Coordinates and assists in developing transportation plans for Neonatal, Pediatric, and Adult Critical Care patients.
14. Identifies and delegates appropriate tasks to assistive personnel/coordinators.
15. Develops and promotes long-term relationships with house supervisors, charge nurses, referring facilities and providers.
16. Determines and assigns accurate patient admission type following established guidelines and criteria.
17. Collaborates with other to maximize day to day patient and bed flow management. This includes, but is not limited to, preparing for critical care bed meetings, monitoring, interacting with, and ensuring accuracy of electronic patient placement systems data, providing back up for patient placement discussion and decisions.
18. Implements standardized and consistent patient placement processes across all areas of responsibility. Assigns locations/beds for stepdown and critical care patients. Arranges external, and facilitates internal transfers for stepdown and critical care patients.
19. Implements and communicates patient census procedures. Analyzes, synthesizes, and corrects census errors and act as a resource to ensure accurate census and patient charges.
20. Actively engages in the daily implementation of strategic goals. Engages with leadership to develop, maintain, and improve departmental policies, procedures, and workflows. Interprets and supports policies, procedures, and safety standards to facilitate daily operations.
21. Identifies and defines problem areas, making recommendations for improvement.
22. Perform other duties as required or assigned.

• Graduate from an accredited Nursing Program required.
• Bachelor of Science Degree in Nursing (BSN) is strongly preferred.
• 3 years of Critical Care experience strongly preferred.
• Leadership experience desirable.
• Previous computer experience required (Word, Windows, and Excel).
• Proven organizational and multi-tasking abilities along with strong customer service skills that include excellent phone etiquette.

• Licensed Registered Nurse with NH eligibility required.
• Basic Life Support (BLS) Certificate required.