Position SummaryThe Lead Transplant Coordinator is a clinical leader responsible for overseeing transplant coordination operations, assist in the onboarding and orientation of new transplant coordinators, and serve as an extension of the transplant coordinator role. This role combines advanced transplant expertise with clinical leadership, quality oversight, and real-time decision support for transplant teams. The Lead Transplant Coordinator serves as a subject-matter expert, escalation resource, and mentor to Transplant Coordinators. They ensure consistent application of clinical standards, regulatory compliance, and best practices during organ offer evaluation, transplant coordination, transplant patient management, and after-hours triage. The role directly impacts organ utilization, patient safety, transplant outcomes, and transplant center confidence through both hands-on coordination and leadership influence. Mission AlignmentThis role is a critical extension of Transplant Care Calls mission to deliver rapid, expert, and compassionate transplant coordination and support. The Lead Transplant Coordinator upholds clinical excellence while fostering consistency, accountability, and continuous improvement across the coordinator team. Through leadership, mentorship, and advanced clinical judgment, this role strengthens system reliability and supports lifesaving transplantation. Key Responsibilities1. Organ Offer ManagementOffer Evaluation: Independently evaluate and triage organ offers via UNet, applying evidence-based clinical criteria and institutional protocols. Assess donor risk factors, organ quality indicators, and transplant suitability in a time-sensitive environment.Clinical Synthesis: Integrate data from laboratory results, imaging, hemodynamic parameters, serologies, and biopsy reports to provide clear, structured, and surgeon-ready clinical summaries. Highlight key risks, urgent findings, and/or unique donor characteristics.Surgical Logistics: Coordinate the full logistical pathway for organ procurement, including air and ground travel arrangements, recovery team deployment, and OR coordination for donor and recipient hospitals. Anticipate delays and communicate real-time updates across transplant teams.Regulatory Timeliness: Ensure compliance with all OPTN/UNOS requirements, documentation deadlines, and transplant polices/procedures. Maintain consistent awareness of changing policy requirements.Leadership Role: Serve as an escalation-level reviewer for complex, high-risk, or atypical organ offers and provide guidance to transplant coordinators. Serve as a back-up resource for transplant coordinators during high-acuity times.2. Patient Notification & Admission ProcessCall-In Process: Conduct detailed patient readiness assessments, identifying any new illnesses, medication changes, and/or contraindications to surgery. Educate patients on expected timelines, preoperative instructions, and transplant requirements.Admission Coordination: Initiate the formal admission process by entering transplant-specific order sets, triggering perioperative workflows, and ensuring necessary diagnostic tests or labs are prepared.Multidisciplinary Activation: Coordinate communication among Anesthesia, OR staff, Blood Bank, Laboratory, Radiology, and other critical departments. Confirm surgery availability, room readiness, and staffing coverage specific to transplant operations.Leadership Role: Provide guidance to transplant coordinators on complex patient scenarios, contraindications, and/or last-minute changes in clinical status. Serve as a back-up resource for transplant coordinators during high-acuity times.3. After-Hours Patient TriageProvide clinical guidance for transplant recipients experiencing symptoms, medication issues, and/or acute concerns. Apply evidencebased triage criteria to determine urgency, direct intervention, or escalation to transplant physicians.Assess whether symptoms can be managed remotely or require emergency evaluation. Ensure accurate, empathetic communication throughout the interaction.Leadership Role: Serve as an escalation resource for transplant coordinators managing after-hours patient triage.4. Documentation & Regulatory ComplianceReal-Time Records: Maintain detailed and accurate records of organ offers, decisions, communications, and clinical justifications. Provide documentation suitable for UNOS audits and internal quality review.Data Integrity: Capture all required fields such as timestamps, crossmatch details, candidate status, and match-run responses with full accuracy. Complete EMR documentation per UNOS standards and transplant center policies.System Proficiency: Maintain proficiency across EMRs, UNet, and donor management platforms while safeguarding data integrity.5. Team Leadership, Mentorship & Quality OversightProvide clinical mentorship and guidance to Transplant Coordinators, supporting skill development, education, and confidence.Serve as a resource for policy interpretation, complex decision-making, and best practice reinforcement.Participate in onboarding, training, and competency validation for new coordinators.Support performance improvement through case review, feedback, and quality monitoring.Identify trends, risks, and/or workflow inefficiencies and recommend process improvements. Work Schedule & On-Call ExpectationsParticipate in a rotating call schedule that includes nights, weekends, and holidays. Periods of extended availability may be required based on case load.Respond to all organ offers, surgeon calls, and time-critical notifications within policy-defined time, ensuring no delay in clinical decision-making. Serve as a backup or escalation contact for coordinators during assigned coverage periods.Manage multiple simultaneous priorities in a fast-paced, high-stakes environment requiring sustained concentration and adaptability. Key Performance Indicators (KPIs)Speed and accuracy of organ offer evaluations and response times.Compliance rates with OPTN/UNOS and specific transplant center documentation and audit requirements.Clinical triage outcomes and percentage of calls resolved.Efficiency of transplant team activation workflows and multidisciplinary coordination.Quality and clarity of communication with surgeons, patients, and transplant teams. Required QualificationsEducation: Bachelor of Science in Nursing (BSN) required.Licensure: Active, unencumbered RN license in the state of practice with the ability to secure licensure in additional states if necessary.Experience: Minimum of five (5) years in transplant coordination, critical care, ICU, emergency medicine, and/or a related high-acuity environment.Certifications: CCTC or CPTC required (or obtained within 12 months if not already held).Technical Proficiency: Advanced capabilities in UNet, EMR platforms (e.g., Epic, Cerner), telehealth communication tools, and donor management systems. Core CompetenciesHigh-Stakes Communication: Ensure clinical information is delivered with accuracy, clarity, and empathy to surgeons, staff, patients, and transplant teams.Clinical Autonomy: Work effectively during overnight and high-pressure conditions, applying independent judgment aligned with best clinical practices.Regulatory Knowledge: Maintain current understanding of OPTN, UNOS, and HIPAA regulations, incorporating updates into daily workflow.Critical Thinking: Analyze complex clinical data rapidly and formulate sound, evidence-based recommendations.Leadership: Apply advanced transplant clinical judgment, mentorship, and collaborative problem-solving. Lead team with positive influence and expertise. Physical Demands & Work EnvironmentAbility to sustain attention and alertness for long periods during on-call shifts.Extended phone communication and computer use required.Work performed in a remote environment with frequent transitions between high-intensity tasks. Supervisory ResponsibilitiesThis role does not include direct people management, but does include clinical leadership, mentorship, and functional oversight of Transplant Coordinators. Work Hours, Pay Basis & Travel RequirementsFLSA Status: Exempt under the Professional Exemption.Standard Hours: Full-time; typical expectation of three (3) call days/week twelve (12) call shifts/month.Travel: Rare travel (<10%) may be required for trainings, program meetings, and/or educational conferences. Performance EvaluationPerformance will be reviewed annually and may include interim check-ins based on clinical quality and alignment with Transplant Care Call values and core competencies. Other DutiesThis job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities. Duties, responsibilities, and activities may change at any time with proper notice. Reasonable AccommodationReasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of this position. Employment At-WillEmployment with Transplant Care Call is at will. Nothing in this job description alters the at-will relationship. Pay Transparency & Wage DisclosureWhere required by state or local law, Transplant Care Call will disclose an anticipated compensation range and a general description of benefits in job postings. Employees are free to discuss wages or compensation; TCC will not discharge or discriminate against employees or applicants for inquiring about, discussing, or disclosing their own pay or the pay of another employee or applicant consistent with applicable law. Pre-Employment ScreeningOffers of employment may be contingent upon successful completion of background checks, eligibility verification, and drug screening consistent with federal and state law and TCC policy. Work AuthorizationCandidates must be legally authorized to work in the United States. Participation in E-Verify may be required where applicable. Equal Employment Opportunity StatementTransplant Care Call is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
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