Nursing Jobs in Hoboken, NJ
TRABAJO INMEDIATO DISPONIBLE PARA HHA/PCA EN BROOKLYN & QUEENS TURNOS DE 12 HORAS EN LA MANANA Y NOCHE. NOSOTROS PAGAMOS $20.34 CADA HORA CON DERECHO A DEPOSITO DIRECTO. ORIENTACION SE HACE ELECTRONICAMENTE. NECESITAMOS TRABAJADORES Y TRABAJADORAS QUE HABLEN ESPANOL. SI TIENEN PREGUNTAS LLAMA A RECURSO HUMANOS - 718-819-5235 EXT 211 & 214 
$190,000 - $230,000 / year
GENERAL JOB SUMMARY An exempt clinical position where the nurse practitioner (NP) is responsible for providing direct patient care. The NP participates as a leader of the skilled nursing facility (SNF) care team. Visits managed care and fee-for-service patients at skilled and long-term levels of care in designated SNFs facilities. Provides appropriate evidence-based geriatric medicine. Coordinates care with hospitalists, primary care physicians and care managers. Makes home visits as directed by the medical staff to meet patient needs and provide continuity of care. ESSENTIAL JOB FUNCTIONS Maintains privileges in multiple Nursing Homes as directed by ACA Maintains license and malpractice insurance Consults supervising attending as needed Documents patient visits electronically at least 90% of the time Participates in documentation and other quality improvement programs Available via phone weekdays 8am- 7pm and when on call. Will reviews, approves, and modifies admission orders Creates a detailed admit note for each admission within 24 hours of patient admission to SNF, including medication reconciliation Initiates/documents Advanced Directives Determines if Health Care Proxy status is correct and invoke if appropriate On weekends, takes call for admissions and see new patients within 24 hours of admission on a rotating basis with other practitioners in the program. Daily Visits Initiates and review orders, including medications, on a daily basis Reviews labs, radiology reports, and consults on all patients Talks to and examines each assigned skilled-level patient on daily rounds Monday through Friday Writes at least one daily progress note for each skilled patient Assess patient’s medical stability daily. Consults/coordinates with specialists as needed Addresses acute mental status changes via non-pharmacologic or pharmacologic measures, consultation or transfer Coordinates/assess rehab progress on a daily basis Discusses concerns with the patient, family, rehab, and case management. Educates patient and family members regarding acute and chronic illness management Attends family meetings as necessary Assists PCP’s that participate in SNF management Informs attending and/or ACA medical director of significant changes in medical condition Participates in weekly utilization meetings, collaborating with the SNF care team and ACA care managers Coordinates with PCP’s, Hospitalists, ACA Medical Directors and Case Managers Performs home visits on selected patients Addresses /coordinates any legal issues. Discharge Develops a discharge plan utilizing input from case management and rehab. Identify barriers to discharge Creates a detailed discharge summary for each admission on all patients, including medication reconciliation, and sends to the PCP at the time of SNF discharge Ensures that patients have all appropriate drug and DME prescriptions at discharge Coordinates visits with the PCP post-discharge Discharges summary to be sent to the PCP at discharge Updates all patients in Care Screen™ before discharge Coordinates transition from skilled to long term placement. Long-Term Care Assists case management in the evaluation of selected long term patients Follows “new” long term patients every 30 days Assists the attending physician with management for complex long-term patients Qualifications EDUCATION AND EXPERIENCE License to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner issued by the State Board of Registered Nursing. Geriatrics specialty certification preferred Minimum of three years of clinical nursing experience preferred, including work in a skilled nursing facility. 20 days PTO, Health insurance, 401 k %2, Malpractice insurance. 
$73,000 - $117,000 / year
194587 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 Conducts pre-admission screening and initial nursing health assessment on new patients; assess body systems (cardiac, vascular, neurological, and gastrointestinal, etc.); develops nursing plan of care and goals based on patients needs. Provides nursing care to patients to include but not limited to supervising diet, medication, activity level of client, supervising safety in the home and activities of daily living. Evaluates the provision of nursing care to patients including but not limited to Evaluation of physical, therapy, occupational therapy, speech, therapy, nutrition counseling and respiratory therapy, Contracting agency nurses. Trains and evaluates home health aides, homemakers and personal care workers in the patient’s home, recommending personnel changes to the administration of Hospice as is necessary. Determines the need for, and recommends the rental or purchase of medical equipment and/or supplies for patients. Provides on-going evaluation of equipment for defects, repairs or additional needs. Recommends to the Hospice IDG (Interdisciplinary Group) when physical therapy, occupational therapy, speech therapy, nutritional counseling and respiratory therapy are warranted, as per his/her clinical assessment; requests physician written orders for changes in the plan of care as is appropriate; reports to and consults regarding patient status; participates in on-going orientation and in-service training offered both within and outside the Hospice. Participates in on-call coverage system on a rotating basis; serves as a liaison in maintaining the Hospice patients Plan of Care while inpatient; refers major or recurrent problems to the Hospice supervising nurse. Participates in the on-going Quality Improvement Program. Physical Demands are constant – standing and walking; frequent – stooping, bending, stretching, lifting, pulling, pushing, and turning; lifting of objects from 10 lbs. to 150 lbs. and pushes objects up to 200 lbs.; occasional – sitting; lifting with assistance objects greater than 150 lbs. 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. Minimum two years of experience in acute care – med/surg strongly preferred. Experience in community health, hospice, and home care, strongly preferred. Experience in Admissions and/or Referrals, strongly preferred. Case Management 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). 
