Nursing Jobs in Dix Hills, NY
$68,000 - $115,000 / year
197698 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Assesses the patient’s physiologic health status: Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Performs a comprehensive health assessment across all body systems; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status: Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome: Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome: Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care: Maintains constant vigilance over patients’ care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, exam tables in lowest position etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge from ambulatory procedural or operative site and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other; Participates in patient education and care planning; coordinates referrals and follow-up resources as appropriate; provides clear instructions to patients and significant others regarding treatments, procedures, self-care, and ongoing health management; ensures understanding through teach-back and other evidence-based methods; evaluates the effectiveness of education and care provided by assessing patient outcomes and comprehension. Evaluates care provided for patient outcome: Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team: Collaborates with the appropriate Physician or Provider on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician or Provider; Assists the Physician or Provider during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or Physician or Provider abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Provides wound care and care for pressure ulcers (Stages I–IV): Performs preventive skin care measures; Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely: Correctly identifies medication (action; dosage; side effects and implications for the patient); Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education: Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-procedural or operative care; coordinates appropriate referrals for follow-up care, specialty services, or community resources; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but Considered Related Are Not Essential Functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current license to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Previous Experience In Pediatrics Highly Preferred. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
$68,000 - $115,000 / year
186674 Job Description Performs an age specific plan of care for designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate, assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; Assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care; determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; Identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; Identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique; applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary. Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions. Participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Previous Pediatrics Experience Highly Preferred. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
$100,000 - $160,000 / year
196861 Job Description Manages and has 24/7 responsibility for the nursing practice, patient care delivery, human and fiscal resources, and regulatory compliance of a patient care unit. Maintains a professional environment that supports delivery of high-quality patient and family centered care. Job Responsibility Manages and has 24/7 responsibility for the team members, operations and patient care activities of a patient care unit. Assists nursing leadership in setting strategic direction for key programs in alignment with organization mission, vision, and values and nursing strategic plan. Communicates, builds consensus, and guides team toward achieving department objectives. Promotes and maintains high quality patient and family centered care in a healing environment. Creates a professional work environment that fosters team member respect, engagement, accountability and optimal patient outcomes. Promotes appreciative inquiry and evidence-based, ethical and compassionate practice. Acquires and manages staffing for patient care unit. Collaborates with HR for requirements. Provides direction and guidance to patient care unit team members and supervisors. Facilitates performance reviews, promotions, pay and corrective actions. Serves as a role model for standards of professional practice (clinical, educational and leadership). Assists in career development planning for team members. Educates teams in new and existing department procedures and systems (information systems, fiscal responsibility, etc.). Manages patient care unit budget. Monitors expenditures and implements action plans when variances are present. Monitors performance metrics that support decision-making to achieve optimal performance levels. Ensures adherence to the established care delivery model, using knowledge of scope and standards of practice. Facilitates continual compliance for unit with the JC, CMS, New York State, DOH, Public Health Law, HIPPA regulations and System, hospital and department standards. Demonstrates current knowledge of clinical competencies for patient population of oversight in order to manage direct patient care. Maintains current knowledge of scope and standards of practice, healthcare legislation, and population health. Identifies and leads opportunities to make changes to improve operations across teams using evidence-based strategies and solutions. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelors of Science Degree, required. Masters, preferred. (Bachelors or Master’s Degree must be in Nursing) Current license to practice as a Registered Professional Nurse in New York State, required. Specialized certifications, as needed. 6-8 years of nursing experience and 2-5 years of leadership/management experience, required. Prior Labor & Delivery RN leadership experience, highly preferred. Prior Labor & Delivery RN experience, highly preferred. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). $106,916.04 - $138,356.04 / year
NYU Langone Hospital—Suffolk is a 306-bed medical center, providing care to residents of eastern Long Island. The hospital facility is home to the Knapp Cardiac Care Center—an advanced heart disease diagnostic and treatment facility—as well as a modern ambulatory surgical pavilion with specialized services including women's imaging, a sleep laboratory, and bariatric surgery. Our Provisional Level 2 Trauma Center delivers comprehensive and specialized care for patients with traumatic injuries. The Stroke Center at NYU Langone Hospital—Suffolk is designated by the New York State Department of Health as a Primary Stroke Center, with expert neurologists available to provide treatment 24 hours a day, 7 days a week. Additionally, NYU Langone Hospital—Suffolk has multiple outpatient sites, including an outpatient wound care center, a hemodialysis center, and various primary care and specialty offices. For more information, go to NYU Langone Hospital—Suffolk , and interact with us on LinkedIn , Glassdoor , Indeed , Facebook , X , YouTube and Instagram . Position Summary: We have an exciting opportunity to join our team as a Registered Nurse- Med Surg 3S- Full Time, Nights In this role, the successful candidate executes professional nursing care in accordance with physician treatment plans in order to provide for the comfort and well-being of patients and their family or support system. In doing so, assesses the patient's needs, plans and implements the treatment plan, observes and evaluates the patient's progress and documents pertinent observations. Works collaboratively with the interdisciplinary health team to meet the holistic needs of the patient. Directs the delivery of nursing care by the other members of the nursing team. Participates in the orientation process of new employees. Job Responsibilities: The registered nurse collects patient health data by involving the patient, family and other health care providers Performs initial assessment based on patient's presentation. Records relevant data on the nursing component of the Interdisciplinary Admission Assessment. Demonstrates awareness of the special needs of each age group or culture served as well as those patients with disabilities. Ongoing assessments are performed as established by department policy and as warranted by the patient's response. Incorporates discharge planning into the admission process. Analyzes the assessment data in determining problem identification. Identifies expected outcomes individualized to the patient. Demonstrates the ability to combine theoretical knowledge and clinical expertise to anticipate and plan for the identified patient and family care needs. Analyzes the assessment data and identifies actual or potential problems that are validated with the patient, family and other health care providers. Identifies any cultural, ethnic, and spiritual aspects of patient/family dynamics related to the patient's care. Recognizes the patient's comfort/pain management needs that may impact on the plan of care and desired outcome. Identifies actual or potential knowledge deficits for the patient and/or family. Communicates expected outcomes to the patient, family and other health care providers to promote continuity of care. Develops a plan of care that prescribes interventions to attain expected outcome. Collaborates with the patient, family and appropriate healthcare providers in developing the plan of care. Formulates a family centered plan of care consistent with the assessment of the patient's needs and the physician's treatment plan; Integrates identified cultural, ethnic and spiritual aspects of care into the plan. Incorporates teaching and learning principles in the plan of care based on the identified learning needs and developmental level. Assists the patient and family in identifying and securing services to address health related needs Communicates the plan of care to the patient, family and other health care providers to promote continuity of care. Documents the initial plan of care and provides updates as required. Establishes realistic goals, sets appropriate priorities and uses time efficiently Implements the plan of care for each patient and performs appropriate patient monitoring. Adapts nursing procedures to meet the needs of the individual patient. Provides education to the patient and family utilizing the educational assessment. Recognizes hazards to patient safety and takes action to maintain a safe environment. Works collaboratively with other team members to implement interventions. Assigns or delegates tasks as defined by the state nurse practice act and according to the knowledge and skills of the caregiver. Demonstrates knowledge regarding drug administration, incompatibilities, contraindications and adverse effects. Seeks out appropriate resources when uncertain regarding an aspect about medication administration. Complies with medication policy and procedure for order transcription/verification, drug administration and documentation. Evaluates the patient's progress toward attainment of outcomes. Documents the patient's response to interventions and revisions to the plan of care. Ongoing assessment data is used to revise expected outcomes and the patient plan of care as needed Identifies barriers to achieving desired patient/family outcomes and utilizes resources to diminish the negative impact on the patient/family. Communicates with and includes the patient, family and other health care providers in the evaluation process. Provides care that demonstrates ethical beliefs and respect for patient's rights. Demonstrates and participates in activities that support customer satisfaction. Participates in the evaluation of the quality and effectiveness of nursing practices and supports measures to improve practice. Demonstrates the ability to maintain effective interactions with the staff on the unit and in other departments. Interacts with and contributes to the professional development of peers and other health care providers. Demonstrates the ability to act as a facilitator when dealing with other staff members regarding issues concerning patient care and/or functioning on the unit. Seeks out and utilizes the Nurse Manager or Nursing Administrative Supervisor to address issues that require their assistance to resolve. Accepts feedback from peers and management for the purposes of improved patient care and/or unit functioning. Engages in performance appraisal identifying areas of strength as well as areas where professional development would be beneficial. Works collaboratively with management to improve the environment of care for patients, families and personnel. Demonstrates a working knowledge of the principles, policies and procedures specific to the assigned nursing service. Maintains knowledge base through participation in learning situations such as departmental meetings, educational programs, professional association membership, journal review or committee participation Complies with staff meeting attendance requirement. Minimum Qualifications: To qualify you must have a Professional knowledge of nursing theory and practice acquired through completion of a two year training at an accredited School of Nursing. Current New York State license as a Registered Professional Nurse. BLS certification and de-escalation training ACLS (ICU, Float pool, Emergency Dept) TCAR Certification (SICU, PACU) For Emergency Dept: PALS, TNCC (within first year) Behavioral health RNs: CPI and BERT training within the first 6 months. *BLS, ACLS, PALS must be through AHA* Interpersonal skills necessary to effectively interact with patients and their families that demonstrate recognition of cultural diversity Practice reflects customer service excellence. Ability to clearly communicate in verbal and written format. Analytical ability to assess and develop solutions to clinical situations or unit problems. Maintains knowledge and proficiency in the clinical area and age group served. Ability to frequently lift/carry more than 75 lbs. Ability to frequently push/pull more than 100 lbs. Ability to frequently bend, squat, kneel, climb steps/ladder and reach above shoulders.. Required Licenses: Registered Nurse License-NYS Preferred Qualifications: For ED RN: 1 year Med Surg experience. For Med Surg Float Pool: 1 year Med Surg experience. For Critical Care: 1 year ICU/SDU experience. For ASU RN: 1 year critical care experience preferred. BSN preferred PALS preferred Certified Ambulatory Perianesthesia (e.g. CAPA) preferred. 1 year of nursing experience in preoperative, perioperative, or post-anesthesia care preferred Experience in patient assessment, education, and care planning for pre and post-operative patients preferred Prior experience in discharge planning and coordination of perioperative patients preferred Experience with electronic health records (EHR) systems, including documentation of patient assessments, treatment plans, and discharge instructions preferred NYU Langone Hospital—Suffolk provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. NYU Langone Hospital—Suffolk is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal . NYU Langone Hospital-Suffolk provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $106,916.04 - $138,356.04 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. View the Pay Transparency Notice for further details. $118,942 - $152,717 / year
Overview Provides high quality comprehensive nursing care to meet the needs of the patient/client and manages/coordinates the delivery of cost effective multidisciplinary health care services for a caseload of patients/clients consistent with VNS Health philosophy, policy, goals and objectives, and Standards of Nursing Practice. Works under moderate supervision. For Nurse-Family Partnership (NFP) only: Provides health education, social support and community linkages to meet the needs of pregnant and postpartum, first-time mothers and their infants. Also responsible for adhering to NFP national guidelines. • Assesses the physical, social and psychological needs and environmental conditions of the patient/client through professional knowledge, skills of observation, interviewing, and physical examination to develop a plan of care. • Understands, interprets, and implements reimbursement protocols; determines the billing source for patient/client care. Consults with management on complex/unique reimbursement cases. • Acts as the coordinator of care for the multidisciplinary team by providing and managing the care needs of patients/clients which includes making/confirming referrals to other disciplines/community agencies and ordering supplies/services and ensuring they are delivered as needed. • Documents content and process of all services provided in accordance with government regulations/requirements, and VNS Health policies, practices, and procedures, as well as NFP requirements as appropriate. Initiates and maintains written (including clinical and progress notes) and verbal communications with team members and management to assure optimal patient/client care. • Participates in the orientation of selected staff through ‘buddy system’ field observation of staff and feedback to appropriate staff involved in orientation process. • Participates in selected student programs by providing guidance, training and mentoring to students. • Provides nursing care in accordance with VNS Health policies, practices, procedures and Standards of Nursing Practice, which may require standing, stooping, sitting, crouching, bending and stretching to deliver patient/client care. • Transports and utilizes required medical equipment and other supplies using VNS Health designated/supplied carrying case weighing approximately 25 – 30 lbs. to and from patient/client homes/care facilities. • Travels to patient/clients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient/client. • Follows work procedures in relation to established workflows. • Maintains productivity sufficient to meet VNS Health goals. • Assumes responsibility for personal professional growth through attendance at in-services, training, continued formal education and select journal readership. • Performs other related duties and participates in special project, as assigned. • For CHHA and Hospice Only • Establishes, implements, and revises a plan of care with input from appropriate multidisciplinary health team members (i.e., physician, OT, PT, SW, SLP, family members, caregivers, HHAs, etc.) based on goals mutually acceptable to the patient and significant others. Ensures that services follow the plan of care by ongoing assessment, planning, coordination, counseling, teaching and supervision of the delivery of care to meet the needs of the patient. • Oversees/supervises the care provided to the patient by Licensed Practical Nurses and Paraprofessionals through regular home visits in compliance with regulatory and VNS Health requirements. Assesses the patient’s condition, monitors the effect of the care plans on the patient/family health status, informs physician and other team members of changes in the client's needs and updates the plan of treatment, as needed. • Manages, plans, coordinates and executes the patient’s safe discharge from service. Ensures that physician’s orders, discharge summary and communication to team members, patient and family members adhere to VNS Health and regulatory requirements. • Communicates and consults with patient’s MD and follows-up on problematic situations affecting care such as abnormal clinical findings, medication discrepancies, or other factors that impact patient’s ability to comply with the plan of care. Manages and coordinates all aspects of assigned caseload. • Assists patients with activities of daily living, which may require positioning, moving, transferring and lifting patients of varying weights and physical conditions, with and without assistance and as appropriate, from family members and/or paraprofessionals. • For NFP Only • Establishes, implements, and revises a plan of care with input from the client and from appropriate multidisciplinary health team members (i.e., social worker, physician) based on goals mutually acceptable to the client. Ensures that services follow the plan of care by ongoing assessment, planning, coordination, counseling, teaching, and evaluation of the delivery of care to meet the needs of the client. • Manages, plans, coordinates and executes the client’s safe discharge from service. Ensures that discharge summary and communication to team members, patient and family members adhere to VNS Health and regulatory requirements. • Maintains a flexible work schedule to meet clients needs. • Participates in all required NFP training sessions. • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a registered professional nurse in New York State required Valid driver's license or NYS Non-Driver photo ID card, may be required as determined by operational/regional needs. For Hospice Only: Wound Care Certification required or willingness to obtain within one (1) year of hire preferred Certification in Hospice and Palliative Care Nursing preferred Education: Degree in Nursing from an approved program required Bachelor's Degree NFP Only- Nursing required Work Experience: Experience for CHHA: Minimum of one year of experience in a medical/surgical environment required Experience for Hospice: Minimum of one year of clinical nursing experience, including at least six months of Hospice, or Med/Surg or ICU or Emergency Dep’t or Home care, Palliative Care, Oncology or Long Term Care experience required Experience for NFP: Minimum of one year of recent experience in maternal/child health required Demonstrated basic computer skills required Pay Range per Visit: If you are applying to the per diem per visit version of this job, the hiring range is as follows: $78.64- $123.20 per visit. Pay Range USD $118,942.00 - USD $152,717.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
$68,000 - $115,000 / year
197674 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Assesses the patient’s physiologic health status: Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Performs a comprehensive health assessment across all body systems; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status: Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome: Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome: Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care: Maintains constant vigilance over patients’ care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, exam tables in lowest position etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge from ambulatory procedural or operative site and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other; Participates in patient education and care planning; coordinates referrals and follow-up resources as appropriate; provides clear instructions to patients and significant others regarding treatments, procedures, self-care, and ongoing health management; ensures understanding through teach-back and other evidence-based methods; evaluates the effectiveness of education and care provided by assessing patient outcomes and comprehension. Evaluates care provided for patient outcome: Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team: Collaborates with the appropriate Physician or Provider on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician or Provider; Assists the Physician or Provider during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or Physician or Provider abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Provides wound care and care for pressure ulcers (Stages I–IV): Performs preventive skin care measures; Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely: Correctly identifies medication (action; dosage; side effects and implications for the patient); Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education: Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-procedural or operative care; coordinates appropriate referrals for follow-up care, specialty services, or community resources; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but Considered Related Are Not Essential Functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current license to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Oncology experience preferred Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
Hiring Certified Nurse Aides (CNAs) for Long Term Care Facilities. Inexperienced CNAs Welcome!!! Immediate Hire Hourly pay rate: $20-$25 Make a difference on your own schedule and terms. As one of Five Star’s Certified Nurse Aides, you will have access to: • Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) • Competitive Weekly Pay with Direct Deposit • Dedicated Office staff & 24-hour On-call Service • Positive Work Environment • Medical, dental, vision, and other insurance options available • Paid Sick Leave • Lucrative Referral Bonuses CNA/ Certified Nurse Aide Requirements: • Currently holds an active CNA certificate to work in New York • Meets all State and Federal requirements for US employment in a Nursing Facility • Ability to communicate effectively We look forward to hearing from you soon. Apply today! 
