I’ve got an offer to move from outpatient LPN clinical coordinator (8 MAs, Epic optimization, phone triage flow) to a 120-bed SNF coordinator role overseeing 24 LPNs/CNAs across two wings; pay is +$3/hr but on-call every 3rd weekend and heavier admissions. For those who’ve made a similar jump, how did the trade-off shake out for patient care continuity and realistic support for the team without burnout?
Did this from clinic coordinator (Epic build/triage) to a 120‑bed SNF; the +$3/hr was erased by every‑3rd‑weekend call unless they guaranteed a second RN for admits. What worked: hard admissions cutoff (no non‑urgent after 6p) and a scheduled float per wing on heavy days. Continuity drops vs clinic, but team outcomes improved — get the on‑call scope and weekend staffing written into the offer, @OP.
I made that jump last year; the $3 only mattered after I negotiated a written admit cap per wing and a second nurse for admit surges — otherwise it’s whack‑a‑mole at 9 p.m. @jrobinson98 is right on call; ask for a comp day after on‑call weekends and a protected 30‑min daily block for continuity calls (PCP/family) so plans don’t scatter. If they won’t put it in writing, the clinic track is saner.
What kept me sane when I stepped into a 100‑bed SNF coordinator spot was getting a written ‘no admits after 7 p.m. without a second nurse’ clause plus a 30‑day on‑call trial. Shadow one on‑call weekend and watch how their eMAR/Epic med rec runs — if orders reconciliation is clunky, that +$3 evaporates; if they balk at shadowing, push for a defined admit window and protected handoff. Co‑sign @jrobi on surge coverage, but the trial period was the real tell for support.
I moved from an outpatient LPN coordinator setup (Epic build + phone triage with 8 MAs) and the $3 didn’t matter until I got a written “pharmacy cutoff 5 p.m. for new admits” and a real post‑call day after every 3rd weekend — otherwise , the 9 p.m. med/consent chase never ends. For continuity I turned our Epic triage checklist into a one‑page SBAR for nights and paired it with a float roster; if leadership balks, do a 30‑day on‑call trial and log after‑hours admits and pharmacy delays. @jrobi did you tie your admit window to MD rounding times too?