Nursing Jobs in Holmdel, NJ

JOB DESCRIPTION Distinguishing Characteristics Graduate Nurses (T&RC) and Registered Nurses 1 (T&RC) perform similar nursing tasks and activities; coordinate and provide nursing care to individuals in State University of New York teaching and research center hospitals; administer treatments and nursing procedures within established guidelines and as prescribed by licensed health care providers; and consult on nursing matters with treatment teams and other disciplines. Levels in the series are primarily distinguished by scope and independence of operation, which is based on incumbents’ credentials (i.e., possession of a limited permit as a graduate nurse or eligible to enter examination for licensure as a registered professional nurse; or possession of a license and current registration as a registered professional nurse in New York State). Graduate Nurse (T&RC): entry level; possesses a limited permit as a graduate nurse or is eligible to enter examination for licensure as a registered professional nurse in New York State; under the close supervision of a higher-level registered nurse, provides direct nursing care to individuals in accordance with Article 139 of the Education Law. Registered Nurse 1 (T&RC): full performance level; possesses a license as a registered professional nurse in New York State; under the general direction of a higher-level registered nurse or licensed health care provider, independently provides direct nursing care to individuals in accordance with Article 139 of the Education Law; supervises nursing care activities; and provides clinical supervision and training to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff. Registered Nurse 2 (T&RC): advanced performance level; provides direct nursing care to individuals in an acute care environment requiring advanced clinical interventions; performs professional nursing functions in three areas: direct individual care, preceptor, and clinical management. Registered Nurse Supervisor 1 (T&RC): supervisory level; provides administrative and clinical supervision to lower-level registered nurses and direct care staff; oversees and coordinates nursing services for an assigned unit; and may be involved in teaching and orientation functions. Related Classes Teaching & Research Center Licensed Practical Nurses are licensed practical nurses that provide direct nursing care to individuals receiving treatment in State University of New York teaching and research center hospitals under the direction of a registered nurse, physician, or other licensed health care provider. Illustrative Duties Graduate Nurse (T&RC) Prepares or assists with preparation of nursing care plans consistent with individuals’ comprehensive treatment plans and medical needs. Carries out treatment procedures, administers medications, and monitors individuals’ conditions. Records notes and maintains individuals’ medical records and nursing care plans, including nursing care, medications, and treatments, reactions to care and treatment, intake and output of liquids and solids, and vital signs. Participates in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team. Modifies nursing care plans based on individual condition and responses to care and treatment. Triages individuals by inquiring about illnesses, injuries, and symptoms, and records findings and observations. Assesses findings, and either refers individuals directly to a physician in emergency cases or initiates appropriate remedial action; as directed, assists physicians with treatment functions. Provides education and counseling to individuals and families regarding health, medications, procedures, and treatment goals. Practices and ensures compliance with established infection control policies and procedures. May train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment. Registered Nurse 1 (T&RC) Independently performs the duties described above and provides clinical supervision and instruction to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff in completing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals’ nursing care needs and observe and evaluate the provision of nursing services. May perform the full range of supervisory duties over Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors 1 (T&RC); and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. Registered Nurse 2 (T&RC) Positions perform duties in each of the three functional areas described below. Direct Individual Care: Provides nursing care to individuals in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in nursing assessment, planning, implementation, and evaluation activities. Observes and responds to individual emergency situations, and sets priorities for care based on individual acuity, preferences, and the possibility of effective intervention. Implements nursing interventions in response to changes in individual status and unusual circumstances. Interprets assessment data to determine if individuals are at physiological or psychosocial risk. Takes steps to decrease stress and increase the effectiveness of individual coping mechanisms; uses effective communication strategies with individuals, families, staff, and the general public. Assesses individual status upon entry to the hospital and throughout hospitalization. Identifies implications of individuals’ statuses and prioritizes data collection based on individuals’ immediate needs. Identifies safety and security risks to promote a culture of safety and to prevent injury and harm to individuals, visitors, and staff. Preceptor: Guides lower-level, and new to specialty, registered nurses in choosing nursing interventions, developing skills, and applying knowledge. Serves as a resource nurse for staff members, orienting new staff and providing feedback on nursing skills for specialty care areas. Develops and maintains care standards knowledge bases for specialty care areas and develops care guidelines for unit-specific individual populations. Maintains a minimum standard of continuing education for specialty areas. Evaluates and assesses individual staff and nursing student development needs. Counsels and implements a variety of teaching strategies to meet those needs in consultation with nursing management staff. Participates in in-service and other educational programs related to clinical specialties. May identify, develop, and implement nursing research studies on clinical units, in consultation with medical staff consultants. Clinical Management: Consults and coordinates with other health care team members to resolve complex clinical issues and develop short and long-term clinical goals for assigned units. Integrates and evaluates clinical care knowledge specific to the needs of unit individuals; develops unit-specific policies and procedures in consultation with nursing management staff. Identifies and implements corrective actions to improve the quality of individual care; may oversee equipment testing and supplies. Leads and attends various hospital committees. Assists Registered Nurse Supervisor 1 (T&RC) staff with implementing and achieving unit operating changes; may take charge of a unit in the absence of a Registered Nurse Supervisor 1 (T&RC). Resolves individual relation issues. Identifies and reports issues related to individual care, operation, and quality outcomes. Identifies potential conflict situations and facilitates solutions. Registered Nurse Supervisor 1 (T&RC) Plans, directs, and supervises nursing services on an assigned unit, including direct supervision of Registered Nurse 1 (T&RC) and other staff. Directs the development and implementation of nursing care plans on a unit. Provides individual care, and functions as an educator and nursing services expert. Assesses work methods of nursing staff and provides feedback to improve the efficiency and effectiveness of care delivered. Coordinates medical and nursing care needs with other health care providers and departments. Ensures proper functioning of equipment and unit compliance with safety and environmental standards. Monitors nursing care quality standards, and implements corrective actions as needed. Attends and participates in medical committees to represent nursing staff needs and the individual population, and participates in writing of care standards. Identifies staff training needs and collaborates with unit educators to develop and implement educational programs. Develops and implements orientation plans for new employees and participates in staffing decisions. QUALIFICATIONS Graduate Nurse (T&RC) Open Competitive: possession of limited permit as a graduate nurse in New York State; or eligible to enter examination for licensure as a registered professional nurse in New York State. Registered Nurse 1 (T&RC) Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Registered Nurse 2 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and one year of service as a Registered Nurse 1 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and two years of post-licensure clinical nursing experience in the acute care specialty area. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. Registered Nurse Supervisor 1 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and two years of service as a Registered Nurse 1 (T&RC); or one year of service as a Registered Nurse 2 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure acute care clinical nursing experience. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. 
Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant. 
Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant. 
Compensation and Benefits for the (LPN) Licensed Practical Nurse • Salary of the (LPN) Licensed Practical Nurse : $40/hour • Paid orientation. • Direct deposit available. • Flexible Schedules – full time or part time available. • Weekend Schedule available Requirements of the (LPN) Licensed Practical Nurse • Current LPN license and registration • CPR certification • Malpractice insurance • Resume • Physical • MMR & Varicella titers • PPD or proof of chest X ray if positive • 1 Personal reference letter, 1 Professional reference letter • Original Social Security Card • Original Non expired State Identification • Original Proof of Citizenship / Immigration (Example of documents: Birth Cert, Green Card, Resident Card) • Sigma Care experience (computer system, patient information) a plus • Long-term care experience a big plus, but new grads welcome as well! Responsibilities for the (LPN) Licensed Practical Nurse • Record a patient’s medical history accurately • Take and record measurements of blood pressure, temperature, heart rate etc. • Observe patients under treatment to identify progress, side-effects of medications etc. • Monitor patients’ condition including fluid intake and output and compose patient charts • Assist ailing patients in daily necessary activities such as eating, bathing etc. • Administer injections, prescribed medications, enemas etc., clean and dress wounds and assist with other basic medical care tasks • Collect samples for lab testing as assigned • Provide emotional and psychological support when needed • Communicate with patients’ family or friends to provide advice, comfort and release instructions 
Join Unicare Home Care Family. We are Hiring Caregivers, (HHA) Home Health Aides & (PCA) Personal Care Aides. Are you a HHA or PCA Are you a HHA Or PCA looking to work close to your home with a flexible schedule? If you answered yes to any of these questions, then Unicare Home Care is the place you want to be! We would love to connect with you so that we can share with you why so many HHA's And PCA's are so proud to be part of the Unicare Home Care family. Pay is up to $19.09 Unicare Home Care Benefits: Overtime Pay Holiday Pay Weekly Pay on Fridays Direct Deposit Job Qualifications: Have A Valid HHA or PCA Certificate Current photo Id Social Security Card Full Physical, PPD, Rubella & Rubeola titers (within 6 months) Drug Screen (within 6 months) Two References letters Shifts Available: Day Shift Night shifts Weekend shifts Live-ins Click to apply Or call (718) 322 3555 Ext 0 Unicare Home Care Home Care 132 32nd St Brooklyn NY 11232 Web Site: http://www.unicareny.com Email: hr@unicareny.com $150,000 - $200,000 / year
Director of Nursing - SNF located in Somers, NY Salary: $150K to $200K range APPLY NOW!! Requirements of the Director of Nursing: Must have a valid New York RN license Must have 5+ years of prior Director of Nursing experience in a skilled nursing setting Must have long term care experience Must have strong leadership skills and experience Must have strong clinical background & knowledge Responsibilities of the Director of Nursing: Supervises all nursing staff in the facility Development and implementation of nursing policy and procedure Overseeing the hiring and continued employment of nursing staff Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident #7574 
JOB DESCRIPTION Distinguishing Characteristics Graduate Nurses (T&RC) and Registered Nurses 1 (T&RC) perform similar nursing tasks and activities; coordinate and provide nursing care to individuals in State University of New York teaching and research center hospitals; administer treatments and nursing procedures within established guidelines and as prescribed by licensed health care providers; and consult on nursing matters with treatment teams and other disciplines. Levels in the series are primarily distinguished by scope and independence of operation, which is based on incumbents’ credentials (i.e., possession of a limited permit as a graduate nurse or eligible to enter examination for licensure as a registered professional nurse; or possession of a license and current registration as a registered professional nurse in New York State). Graduate Nurse (T&RC): entry level; possesses a limited permit as a graduate nurse or is eligible to enter examination for licensure as a registered professional nurse in New York State; under the close supervision of a higher-level registered nurse, provides direct nursing care to individuals in accordance with Article 139 of the Education Law. Registered Nurse 1 (T&RC): full performance level; possesses a license as a registered professional nurse in New York State; under the general direction of a higher-level registered nurse or licensed health care provider, independently provides direct nursing care to individuals in accordance with Article 139 of the Education Law; supervises nursing care activities; and provides clinical supervision and training to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff. Registered Nurse 2 (T&RC): advanced performance level; provides direct nursing care to individuals in an acute care environment requiring advanced clinical interventions; performs professional nursing functions in three areas: direct individual care, preceptor, and clinical management. Registered Nurse Supervisor 1 (T&RC): supervisory level; provides administrative and clinical supervision to lower-level registered nurses and direct care staff; oversees and coordinates nursing services for an assigned unit; and may be involved in teaching and orientation functions. Related Classes Teaching & Research Center Licensed Practical Nurses are licensed practical nurses that provide direct nursing care to individuals receiving treatment in State University of New York teaching and research center hospitals under the direction of a registered nurse, physician, or other licensed health care provider. Illustrative Duties Graduate Nurse (T&RC) Prepares or assists with preparation of nursing care plans consistent with individuals’ comprehensive treatment plans and medical needs. Carries out treatment procedures, administers medications, and monitors individuals’ conditions. Records notes and maintains individuals’ medical records and nursing care plans, including nursing care, medications, and treatments, reactions to care and treatment, intake and output of liquids and solids, and vital signs. Participates in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team. Modifies nursing care plans based on individual condition and responses to care and treatment. Triages individuals by inquiring about illnesses, injuries, and symptoms, and records findings and observations. Assesses findings, and either refers individuals directly to a physician in emergency cases or initiates appropriate remedial action; as directed, assists physicians with treatment functions. Provides education and counseling to individuals and families regarding health, medications, procedures, and treatment goals. Practices and ensures compliance with established infection control policies and procedures. May train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment. Registered Nurse 1 (T&RC) Independently performs the duties described above and provides clinical supervision and instruction to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff in completing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals’ nursing care needs and observe and evaluate the provision of nursing services. May perform the full range of supervisory duties over Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors 1 (T&RC); and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. Registered Nurse 2 (T&RC) Positions perform duties in each of the three functional areas described below. Direct Individual Care: Provides nursing care to individuals in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in nursing assessment, planning, implementation, and evaluation activities. Observes and responds to individual emergency situations, and sets priorities for care based on individual acuity, preferences, and the possibility of effective intervention. Implements nursing interventions in response to changes in individual status and unusual circumstances. Interprets assessment data to determine if individuals are at physiological or psychosocial risk. Takes steps to decrease stress and increase the effectiveness of individual coping mechanisms; uses effective communication strategies with individuals, families, staff, and the general public. Assesses individual status upon entry to the hospital and throughout hospitalization. Identifies implications of individuals’ statuses and prioritizes data collection based on individuals’ immediate needs. Identifies safety and security risks to promote a culture of safety and to prevent injury and harm to individuals, visitors, and staff. Preceptor: Guides lower-level, and new to specialty, registered nurses in choosing nursing interventions, developing skills, and applying knowledge. Serves as a resource nurse for staff members, orienting new staff and providing feedback on nursing skills for specialty care areas. Develops and maintains care standards knowledge bases for specialty care areas and develops care guidelines for unit-specific individual populations. Maintains a minimum standard of continuing education for specialty areas. Evaluates and assesses individual staff and nursing student development needs. Counsels and implements a variety of teaching strategies to meet those needs in consultation with nursing management staff. Participates in in-service and other educational programs related to clinical specialties. May identify, develop, and implement nursing research studies on clinical units, in consultation with medical staff consultants. Clinical Management: Consults and coordinates with other health care team members to resolve complex clinical issues and develop short and long-term clinical goals for assigned units. Integrates and evaluates clinical care knowledge specific to the needs of unit individuals; develops unit-specific policies and procedures in consultation with nursing management staff. Identifies and implements corrective actions to improve the quality of individual care; may oversee equipment testing and supplies. Leads and attends various hospital committees. Assists Registered Nurse Supervisor 1 (T&RC) staff with implementing and achieving unit operating changes; may take charge of a unit in the absence of a Registered Nurse Supervisor 1 (T&RC). Resolves individual relation issues. Identifies and reports issues related to individual care, operation, and quality outcomes. Identifies potential conflict situations and facilitates solutions. Registered Nurse Supervisor 1 (T&RC) Plans, directs, and supervises nursing services on an assigned unit, including direct supervision of Registered Nurse 1 (T&RC) and other staff. Directs the development and implementation of nursing care plans on a unit. Provides individual care, and functions as an educator and nursing services expert. Assesses work methods of nursing staff and provides feedback to improve the efficiency and effectiveness of care delivered. Coordinates medical and nursing care needs with other health care providers and departments. Ensures proper functioning of equipment and unit compliance with safety and environmental standards. Monitors nursing care quality standards, and implements corrective actions as needed. Attends and participates in medical committees to represent nursing staff needs and the individual population, and participates in writing of care standards. Identifies staff training needs and collaborates with unit educators to develop and implement educational programs. Develops and implements orientation plans for new employees and participates in staffing decisions. QUALIFICATIONS Graduate Nurse (T&RC) Open Competitive: possession of limited permit as a graduate nurse in New York State; or eligible to enter examination for licensure as a registered professional nurse in New York State. Registered Nurse 1 (T&RC) Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Registered Nurse 2 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and one year of service as a Registered Nurse 1 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and two years of post-licensure clinical nursing experience in the acute care specialty area. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. Registered Nurse Supervisor 1 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and two years of service as a Registered Nurse 1 (T&RC); or one year of service as a Registered Nurse 2 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure acute care clinical nursing experience. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. 
Job Description The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University is seeking a full-time Assistant Director of Nursing / Nurse Practitioner, Suite D Pediatrics. The successful candidate will: Provide primary care services to individuals and families; this will include care for incumbents own panel of patients, as well as seeing walk-in patients of the practice as needed. Document all care provided in the patients medical records. Develop further, maintain/manage patient care panel with participation in managed care programs and other direct patient care programs as applicable. On a daily bases, review all laboratory and radiology reports to identify abnormal results for urgent follow up; ensure that patients are contacted to arrange additional care and that their primary providers are notified. Participate in and provide departmental and Family Medicine educational activities to medial students and allied health professional students. Participate in hospital and departmental health fairs, community education events and speak to community groups, when requested. Qualifications Required Qualifications Master of Science Degree in Nursing. New York State Registered Nurse Licensure with Certification as a Family Nurse Practitioner (FNP). BCLS certification. Preferred Qualifications 2+ years of relevant clinical work experience as an FNP. 
Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant. 
JOB DESCRIPTION Distinguishing Characteristics Graduate Nurses (T&RC) and Registered Nurses 1 (T&RC) perform similar nursing tasks and activities; coordinate and provide nursing care to individuals in State University of New York teaching and research center hospitals; administer treatments and nursing procedures within established guidelines and as prescribed by licensed health care providers; and consult on nursing matters with treatment teams and other disciplines. Levels in the series are primarily distinguished by scope and independence of operation, which is based on incumbents’ credentials (i.e., possession of a limited permit as a graduate nurse or eligible to enter examination for licensure as a registered professional nurse; or possession of a license and current registration as a registered professional nurse in New York State). Graduate Nurse (T&RC): entry level; possesses a limited permit as a graduate nurse or is eligible to enter examination for licensure as a registered professional nurse in New York State; under the close supervision of a higher-level registered nurse, provides direct nursing care to individuals in accordance with Article 139 of the Education Law. Registered Nurse 1 (T&RC): full performance level; possesses a license as a registered professional nurse in New York State; under the general direction of a higher-level registered nurse or licensed health care provider, independently provides direct nursing care to individuals in accordance with Article 139 of the Education Law; supervises nursing care activities; and provides clinical supervision and training to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff. Registered Nurse 2 (T&RC): advanced performance level; provides direct nursing care to individuals in an acute care environment requiring advanced clinical interventions; performs professional nursing functions in three areas: direct individual care, preceptor, and clinical management. Registered Nurse Supervisor 1 (T&RC): supervisory level; provides administrative and clinical supervision to lower-level registered nurses and direct care staff; oversees and coordinates nursing services for an assigned unit; and may be involved in teaching and orientation functions. Related Classes Teaching & Research Center Licensed Practical Nurses are licensed practical nurses that provide direct nursing care to individuals receiving treatment in State University of New York teaching and research center hospitals under the direction of a registered nurse, physician, or other licensed health care provider. Illustrative Duties Graduate Nurse (T&RC) Prepares or assists with preparation of nursing care plans consistent with individuals’ comprehensive treatment plans and medical needs. Carries out treatment procedures, administers medications, and monitors individuals’ conditions. Records notes and maintains individuals’ medical records and nursing care plans, including nursing care, medications, and treatments, reactions to care and treatment, intake and output of liquids and solids, and vital signs. Participates in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team. Modifies nursing care plans based on individual condition and responses to care and treatment. Triages individuals by inquiring about illnesses, injuries, and symptoms, and records findings and observations. Assesses findings, and either refers individuals directly to a physician in emergency cases or initiates appropriate remedial action; as directed, assists physicians with treatment functions. Provides education and counseling to individuals and families regarding health, medications, procedures, and treatment goals. Practices and ensures compliance with established infection control policies and procedures. May train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment. Registered Nurse 1 (T&RC) Independently performs the duties described above and provides clinical supervision and instruction to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff in completing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals’ nursing care needs and observe and evaluate the provision of nursing services. May perform the full range of supervisory duties over Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors 1 (T&RC); and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. Registered Nurse 2 (T&RC) Positions perform duties in each of the three functional areas described below. Direct Individual Care: Provides nursing care to individuals in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in nursing assessment, planning, implementation, and evaluation activities. Observes and responds to individual emergency situations, and sets priorities for care based on individual acuity, preferences, and the possibility of effective intervention. Implements nursing interventions in response to changes in individual status and unusual circumstances. Interprets assessment data to determine if individuals are at physiological or psychosocial risk. Takes steps to decrease stress and increase the effectiveness of individual coping mechanisms; uses effective communication strategies with individuals, families, staff, and the general public. Assesses individual status upon entry to the hospital and throughout hospitalization. Identifies implications of individuals’ statuses and prioritizes data collection based on individuals’ immediate needs. Identifies safety and security risks to promote a culture of safety and to prevent injury and harm to individuals, visitors, and staff. Preceptor: Guides lower-level, and new to specialty, registered nurses in choosing nursing interventions, developing skills, and applying knowledge. Serves as a resource nurse for staff members, orienting new staff and providing feedback on nursing skills for specialty care areas. Develops and maintains care standards knowledge bases for specialty care areas and develops care guidelines for unit-specific individual populations. Maintains a minimum standard of continuing education for specialty areas. Evaluates and assesses individual staff and nursing student development needs. Counsels and implements a variety of teaching strategies to meet those needs in consultation with nursing management staff. Participates in in-service and other educational programs related to clinical specialties. May identify, develop, and implement nursing research studies on clinical units, in consultation with medical staff consultants. Clinical Management: Consults and coordinates with other health care team members to resolve complex clinical issues and develop short and long-term clinical goals for assigned units. Integrates and evaluates clinical care knowledge specific to the needs of unit individuals; develops unit-specific policies and procedures in consultation with nursing management staff. Identifies and implements corrective actions to improve the quality of individual care; may oversee equipment testing and supplies. Leads and attends various hospital committees. Assists Registered Nurse Supervisor 1 (T&RC) staff with implementing and achieving unit operating changes; may take charge of a unit in the absence of a Registered Nurse Supervisor 1 (T&RC). Resolves individual relation issues. Identifies and reports issues related to individual care, operation, and quality outcomes. Identifies potential conflict situations and facilitates solutions. Registered Nurse Supervisor 1 (T&RC) Plans, directs, and supervises nursing services on an assigned unit, including direct supervision of Registered Nurse 1 (T&RC) and other staff. Directs the development and implementation of nursing care plans on a unit. Provides individual care, and functions as an educator and nursing services expert. Assesses work methods of nursing staff and provides feedback to improve the efficiency and effectiveness of care delivered. Coordinates medical and nursing care needs with other health care providers and departments. Ensures proper functioning of equipment and unit compliance with safety and environmental standards. Monitors nursing care quality standards, and implements corrective actions as needed. Attends and participates in medical committees to represent nursing staff needs and the individual population, and participates in writing of care standards. Identifies staff training needs and collaborates with unit educators to develop and implement educational programs. Develops and implements orientation plans for new employees and participates in staffing decisions. QUALIFICATIONS Graduate Nurse (T&RC) Open Competitive: possession of limited permit as a graduate nurse in New York State; or eligible to enter examination for licensure as a registered professional nurse in New York State. Registered Nurse 1 (T&RC) Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Registered Nurse 2 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and one year of service as a Registered Nurse 1 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and two years of post-licensure clinical nursing experience in the acute care specialty area. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. Registered Nurse Supervisor 1 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and two years of service as a Registered Nurse 1 (T&RC); or one year of service as a Registered Nurse 2 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure acute care clinical nursing experience. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. $98,200 - $130,800 / year
Overview Plans, manages, and evaluates clinical orientation and ongoing education and training programs for staff for one or more programs across VNS Health. Collaborates with regional/program leadership in the delivery of new hire and ongoing clinical education and competency development. Develops new and modifies existing curriculum and training materials to ensure all clinical training and educational needs are met. Recommends and implements approved changes to ensure effective clinical education and training support for field operations. Partners with peers across the enterprise to develop clinical standards, guidelines, relevant statutes, rules and regulations. Facilitates consistency of dissemination of standardized clinical education policies, procedures and programs. Works under general direction. What We Provide Referral bonus opportunities Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability Employer-matched 401k retirement saving program and opportunity for both pre- and post-tax contributions Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program Generous tuition reimbursement for qualifying degrees Opportunities for professional growth, career advancement and CEU credits What You Will Do Manages and delivers program specific clinical education programs designed to foster high quality care through implementation of evidence-based practice, performance improvement activities, and professional staff development. Collaborates with Education staff across the enterprise in the development of an annual training calendar to ensure a coordinated approach to ongoing programs. Ensures clinical education programs are aligned with CMS Triple Aim framework: improving the patient’s experience of care (including quality and satisfaction), improving the health of populations, and reducing the per capita cost of healthcare. Ensures clinical education programs address patient centered needs. Identifies and communicates protocols and standards of care for a cultural and demographic diverse patient population; provides education intervention guidelines based on these population health needs. Manages implementation of clinical staff development programs such as orientation, in-services, training and other learning activities. Ensures that development and delivery of programs meet the strategic objectives of specific programs. Ensures all clinical education programs are in accordance with standards of nursing and social work practice, state and federal regulations and VNS Health policies and procedures. Reviews program specific educational program outcomes and program evaluations to determine areas for improvement and makes recommendations for change and/or new programs for clinical education as appropriate. Presents improvement strategies to department leadership. Trains and/or oversees training of new and current staff in VNS Health/program philosophy, policy, standards, procedures, documentation, models for service delivery and efficient, productive, cost-effective work processes. Monitors and evaluates performance of newly hired staff and staff referred on for remedial or additional training. Counsels, disciplines, terminates or extends probation for staff based on performance during introductory, probationary or training period. Designs new and modifies existing educational curriculum and training materials to ensure staff has current knowledge and competencies to meet program contractual and regulatory compliance. Conducts educational needs assessment in collaboration with operations staff to identify learning needs among staff. Analyzes and utilizes assessment data to plan for program educational sessions. Develops education programs such as workshops and/or group learning activities; follows up to ensure programs are effectively implemented. Identifies performance issues and develops performance improvement plans for tenured employees in collaboration with program management. Evaluates competency and performance in conjunction with program management. Reviews and evaluates clinical orientation and ongoing educational program outcomes to determine areas for improvement and recommends changes to current orientation program as appropriate. Participates in the development of revised programs and/or materials. Communicates ongoing e-learning opportunities. Evaluates e-learning usage and effectiveness; identifies opportunities for distance learning. Analyzes course evaluations in order to evaluate effectiveness of training sessions and to implement improvements. Participates in the development of annual clinical education strategic goals and objectives. Utilizes resources and practices sound fiscal responsibility; provides input for the development of the department budget. Monitors expenditures and ensures compliance with budgetary constraints. Collaborates with Quality department in the development of and implementation of education related training programs. Ensures program content is presented in a manner that promotes learning and enables trainees to meet competency requirements. Demonstrates services excellence and creates and implements education and training programs which are centered on the goals and strategies of VNS Health. Performs other supervisory related duties and projects as assigned. Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: Licensure: Current license and registration to practice as a Registered Professional Nurse in New York State required Education: Bachelor's Degree Nursing or equivalent work experience required Master's Degree Nursing required Work Experience: Minimum four years’ experience in a community based or long term home health setting, including at least two years with a primary focus on education and training. required Knowledge of health care delivery systems, patient care, care coordination, case management, and clinical processes required Experience assessing and designing clinical education programs preferred Experience in a health care setting in a teaching capacity with an understanding of adult education and learning processes preferred Effective oral and written communication, presentation, analytical, coaching and organizational skills required Knowledge of computer applications required Pay Range USD $98,200.00 - USD $130,800.00 /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. 
Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant. $150,000 - $200,000 / hour
Director of Nursing - SNF located in Somers, NY Salary: $150K to $200K range APPLY NOW!! Requirements of the Director of Nursing: Must have a valid New York RN license Must have 5+ years of prior Director of Nursing experience in a skilled nursing setting Must have long term care experience Must have strong leadership skills and experience Must have strong clinical background & knowledge Responsibilities of the Director of Nursing: Supervises all nursing staff in the facility Development and implementation of nursing policy and procedure Overseeing the hiring and continued employment of nursing staff Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident #7574 
We are seeking Home Health Aides and Personal Care Aides, to work with kids with developmental disabilities. Join Unicare Home Care Family. We are Hiring Caregivers, (HHA) Home Health Aides & (PCA) Personal Care Aides. Are you a HHA or PCA Are you a HHA Or PCA looking to work close to your home with a flexible schedule? If you answered yes to any of these questions, then Unicare Home Care is the place you want to be! We would love to connect with you so that we can share with you why so many HHA's And PCA's are so proud to be part of the Unicare Home Care family. Pay is up to $21.09 Unicare Home Care Benefits: Overtime Pay Holiday Pay Weekly Pay on Fridays Direct Deposit Job Qualifications: Have A Valid HHA or PCA Certificate Current photo Id Social Security Card Full Physical, PPD, Rubella & Rubeola titers (within 6 months) Two References letters Direct Deposit Shifts Available: Day Shift Night shifts Weekend shifts Live-ins Click to apply Or call (718) 322 3555 Ext 0 Unicare Home Care Home Care 132 32 nd St Brooklyn NY 11232 Web Site: http://www.unicareny.com Email: hr@unicareny.com 
Job Description The Department of Nursing at SUNY Downstate Health Sciences University is seeking a full-time Registered Nurse Supervisor 1, Cardiac Catheterization Lab. Distinguishing Characteristics The Registered Nurse Supervisor 1 (T&RC) is supervisory level, and provides administrative and clinical supervision to lower-level registered nurses and direct care staff; oversees and coordinates nursing services for an assigned unit; and may be involved in teaching and orientation functions. Illustrative Duties Plans, directs, and supervises nursing services on an assigned unit, including direct supervision of Registered Nurse 1 (T&RC) and other staff. Directs the development and implementation of nursing care plans on a unit. Provides individual care, and functions as an educator and nursing services expert. Assesses work methods of nursing staff and provides feedback to improve the efficiency and effectiveness of care delivered. Coordinates medical and nursing care needs with other health care providers and departments.Ensures proper functioning of equipment and unit compliance with safety and environmental standards. Monitors nursing care quality standards, and implements corrective actions as needed. Attends and participates in medical committees to represent nursing staff needs and the individual population, and participates in writing of care standards. Identifies staff training needs and collaborates with unit educators to develop and implement educational programs. Develops and implements orientation plans for new employees and participates in staffing decisions. Qualifications Required Qualifications Possession of a license and current registration as a registered professional nurse in New York State; and 3-years of post-licensure acute care clinical nursing experience. A Bachelor’s Degree in Nursing can substitute for 1-year of post-licensure clinical nursing experience; and a Master’s Degree in Nursing can substitute for 2-years of post-licensure clinical nursing experience. 55 B/C Qualifications Individuals certified eligible for the 55 B/C program under the Governor's Program to Hire Persons/Veterans with Disabilities pursuant to Section 55 B/C of the Civil Service Law will also be considered. To be considered, you must provide a copy of your letter of eligibility with your response. It is essential that candidates clearly and concisely indicate exactly how they meet the above minimum qualifications in their resume. Failure to show how you meet the minimum qualifications above may result in disqualification and removal from consideration. 
We are seeking Home Health Aides and Personal Care Aides, to work with kids with developmental disabilities. Join Unicare Home Care Family. We are Hiring Caregivers, (HHA) Home Health Aides & (PCA) Personal Care Aides. Are you a HHA or PCA Are you a HHA Or PCA looking to work close to your home with a flexible schedule? If you answered yes to any of these questions, then Unicare Home Care is the place you want to be! We would love to connect with you so that we can share with you why so many HHA's And PCA's are so proud to be part of the Unicare Home Care family. Pay is up to $21.09 Unicare Home Care Benefits: Overtime Pay Holiday Pay Weekly Pay on Fridays Direct Deposit Job Qualifications: Have A Valid HHA or PCA Certificate Current photo Id Social Security Card Full Physical, PPD, Rubella & Rubeola titers (within 6 months) Two References letters Direct Deposit Shifts Available: Day Shift Night shifts Weekend shifts Live-ins Click to apply Or call (718) 322 3555 Ext 0 Unicare Home Care Home Care 132 32 nd St Brooklyn NY 11232 Web Site: http://www.unicareny.com Email: hr@unicareny.com $270,000 - $335,000 / year
Location New York, New York Shift: Day Flex (United States of America) Description: Amazing Patients, Inspiring Careers Certified Registered Nurse Anesthetist - CRNA- NewYork-Presbyterian/Lower Manhattan Hospital- Part Time Transform your career as a Certified Registered Nurse Anesthetist (CRNA) at NewYork-Presbyterian/Lower Manhattan Hospital, the singular source of advanced care and caring for the 600,000 New Yorkers who live and work south of 14th Street. Here, our Certified Registered Nurse Anesthetists’ are the voice of the patient. Our CRNAs, administers, monitors and manages patient care before, during and after anesthesia. Perform pre-anesthesia assessment, induction and maintenance of and emergence from anesthesia with the supervision of an Attending Anesthesiologist. Surgeries at NewYork-Presbyterian range from the vital to the complex to the truly ground breaking, with one common thread: an expert CRNA team, driven by a deep seated passion for patients. Our CRNA’s deliver incredible care that is unseen anywhere else in the world. Across all our widely renowned hospitals and surgical centers, CRNA’s are the heart of our perioperative teams. From providing patient-centered anesthesia care to monitoring recovery, our CRNA’s make safe, effective and historic surgeries possible. Each of our CRNA dares to be truly excellent – thriving in a compassionate culture of care and caring. Together, we improve the health of patients and their families, making our communities – and the world – stronger. You’ll work with the brightest minds in healthcare to make tomorrow better for countless human beings. Our CRNA team provides an unwavering commitment to excellence and a constant spirit of professionalism. And it’s your opportunity to enjoy flexible scheduling, shared clinical decision-making, inspirational leadership, supportive colleagues and much more. We have a large volume of lumbar spine surgeries and a very flourishing OB practice that utilizes Nitrous Oxide, Regional and IV analgesia. Now, you have the opportunity to join us. This is a part time position at NewYork-Presbyterian/Lower Manhattan Hospital. Preferred Criteria At least 1 year of experience as a CRNA Doctor of Nursing Practice (DNP or DNAP) Required Criteria Certification of Nurse Anesthetists Master's of Science in Nursing Current New York State RN license (or willingness to obtain) BCLS ACLS Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today. Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP. NYP will not reimburse for travel expenses. __________________ 2026 Best Companies in Healthcare, Biotech & Pharma – Glassdoor 2026 Best Place to Work – Glassdoor 2026 America’s Best Large Employers – Forbes 2026 America’s Best-In-State Employers – Forbes 2026 America’s Dream Employers – Forbes 2026 America’s Greatest Workplaces for Culture, Belonging & Community – Newsweek 2026 Best Places to Work in IT - Computerworld 2025 Great Place to Work Certified 2025 Best Employers for Women – Forbes 2025 Companies that Care – People 2025 America’s Greatest Workplaces for Mental Well-Being - Newsweek NewYork-Presbyterian Hospital is an equal opportunity employer. Salary Range: $270,000-$335,000/Annual It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works. 
Job Description The Department of Ambulatory Dialysis at SUNY Downstate Health Sciences University is seeking a full-time Assistant Director of Nursing / Nurse Manager. The successful candidate will be accountable for the following areas of responsibility: Foundational Thinking Skills Develops and implements Innovative strategies to promote support of patient/family. Responsible for planning, implementation and evaluation of long- and short-range goals and objectives related to patient care services. Responds to the needs of the work environment creating a safe and efficient workplace. Analyzes relationships among several parts of a problem or situation to determine a solution. Anticipates obstacles and thinks ahead about the next step. Encourages and demonstrates creative and innovative thinking. Strategic Management Encourages collaborative relationships at all levels and participates in team projects. Solicits ideas and opinions from other individuals and units. Frequently exchanges information and resources with others throughout the organization. Promotes the strategic plans of the hospital and department of nursing. Creates a culture of safety throughout the department. Human Resource Leadership Skills Directs and monitors the personnel management and supervision in the service/line area. Acts as a resource to other members of the health care team and assists with staff teaching and development. Promotes education and professional development for staff and students. Recruits and retains high performing staff. Ensures challenging assignments and opportunity for staff growth. Provides timely and specific feedback with the intent of Improving performance. Applies human resource policies fairly and consistently. When necessary, works with DHR to apply the progressive discipline policy. Is well versed in the union contracts and abides by their requirements. Financial Management Responsible for managing human and material resources of the department within budget/targets. Uses innovation and creativity to explore ways to reduce costs while maintaining or Improving quality patient outcomes. In collaboration with Finance, develops an annual expense and revenue budget in order to ensure the ability to monitor overall financial performance of the department and make timely adjustments to achieve operating financial targets. Relationship Management Represents UHB in a positive manner by demonstrating respect and courtesy to all internal and external customers. Practices the Principles of Service Excellence in all interactions with patients, families and colleagues. Creates an environment that is supportive of the healthcare related cultural practices of the hospital's primary patient populations. Communicates effectively with customers, visitors, patients, staff, faculty and students. Establishes goals and objectives and implement plans to achieve the vision and mission and values of UHB. Works collaboratively with other members of the healthcare team and establishes appropriate lines of communication for problem solving. Builds a partnership with physicians and other healthcare professionals as champions for patient care, quality and professional practice. Personal And Professional Accountability Accepts responsibility and is outcomes driven. Inspires and motivates staff to perform at their highest level and to continuously improve their practice. Utilizes ANA Code of Ethics as a guide to support staff in addressing ethical issues that impact patients and staff in the work environment. Maintains confidentiality of information, adheres to HIPAA regulations. Collaborates with the Education Department In the development and implementation of effective educational programs and teaching to enhance staff knowledge and confidence. Participates in cross-divisional and Interdepartmental activities to improve organizational performance. Career Planning Assures personal and professional growth through self-study/attendance/participation in seminars/workshops. Demonstrates knowledge of job responsibilities. Evaluates own performance based on professional practice standards. Fostering Professional Environment Encourages staff to advance their own professional career. Utilizes research findings and observational data to promote unit-based research and integrates evidenced-based practice and knowledge into the delivery of nursing care. Encourages professionalism, mutual respect and understanding amongst colleagues to create a healthy work environment. Recommends staff for promotions and awards. Develops and implements innovative strategies to promote and foster team spirit. Optimizing The Leader Within/Reflective Practice Behavior Demonstrates integrity, truthfulness and fairness when working with others. Creates an environment of acceptance and respect in the work place. Promotes a culture of resource efficiency. Communicates important organizational information to staff and encourages open communication from staff and actively listens. Demonstrates strong verbal and written communication skills that promote effective communication with all "customers" and staff. Takes ownership and responds appropriately to mistakes, (i.e. investigates complaints to improve quality of service). Demonstrates flexibility to adapt to new challenges. Cultural Competence Integrates knowledge of cultural competence and inclusion in all dally practices such as assessment, documentation, communication, etc. Ensures culturally and linguistically appropriate healthcare services across the healthcare continuum of care. Participates within the community performing nursing health related activities, which contribute to the positive Image of nursing service. Shared Decision Making Facilitates the shared decision-making process by encouraging staff participation in unit-based councils. Takes a strategic approach to identify problems and opportunities in setting priorities. Empowers and engages staff to actively participate in unit and departmental decision making and performance improvement. . Interacts with and contributes to the professional development of peers and others practicing in a shared governance model of nursing practice. Actively works to develop positive group interaction interdepartmentally and intradepartmental. Empowers staff at all levels to impact the patient care experience positively. Performance Improvement Contributes to organizational, departmental and unit-based process Improvement activities. Maintains a safe and efficient work environment. Demonstrates working knowledge of legal, regulatory and union requirements for service; monitors these to maintain full compliance. Leads/delegates group activities to solve problems or accomplish a specific task. Participates in the development of nursing service policies; supports and assists in the implementation of these policies. Utilizes objective data to assess outcomes to plan and Improve patient care. Technology Demonstrates knowledge of basic computer skills Including capability with Microsoft Office applications. Is capable in navigating the electronic medical record. Demonstrates ability to integrate technology into patient care processes in order to improve patient outcomes and work efficiency. Uses technology to improve intra and inter-unit communications. Clinical Practice Knowledge And Skill Ensures that care delivered is individualized, consistent with the plan of care and consistent with evidenced-based standards of practice. Demonstrates knowledge of normal growth and development in the delivery of care to patient. Demonstrates expertise in the development and implementation of evidence-based nursing standards for the management of specific patient populations. Evaluates health care delivery by identifying problems, seeking resolutions, implementing change, assessing progress and evaluating outcomes in collaboration with appropriate personnel. Uses appropriate policies and procedures to deliver quality services and assists in revising policies and procedures to adapt practice to evidence as it emerges. Maintains clinical expertise, role-model clinical excellence and supports staff through direct patient care at scheduled intervals and at periods of high acuity as necessary to maintain safe patient care. Qualifications Required Qualifications New York State Registered Nurse Licensure. Bachelor of Science Degree in Nursing. Master's Degree in Nursing or enrolled in a Master's program. 3 to 5 years of active relevant clinical experience. Progressive leadership accomplishment in nursing. Or, a satisfactory equivalent combination of experience, education and training. Preferred Qualifications Prior management or leadership experience preferred. 
Job Description Distinguishing Characteristics All positions are in the non-competitive jurisdictional class. Nursing Assistant 1: entry level; performs basic patient care duties under direction of a nurse, physician, or other clinician; may assist Nursing Assistants 2, physicians, and nurses in the performance of care functions. Incumbents at this level receive in-service training in a limited number of care procedures, leading to eligibility to qualify for appointment to Nursing Assistant 2. Nursing Assistant 2: full performance level; using detailed guidelines, standards, and procedures, and under the supervision of clinicians, observes patients and performs prescribed simple treatment procedures; attends to personal hygiene needs of patients; and performs limited cleaning and housekeeping duties directly related to patient care. Treatment tasks performed require only knowledge of a limited number of specific treatment procedures performed at the facility. Nursing Assistant (Certified): full performance level; performs duties similar to a Nursing Assistant 2, but functions are performed in a long-term care facility and require certification as a New York State Certified Nursing Assistant. Related Classes Rehabilitation Hospital Nursing Assistants perform similar functions to those of Nursing Assistants but are focused on rehabilitation activities and are only classified at DOH’s Helen Hayes Hospital. Licensed Practical Nurses are classified in a variety of State health care settings and observe patients for symptoms and reactions to treatments; treat patients for physical maladies as directed and under close supervision; and attend to patients’ personal hygiene needs. Incumbents are licensed New York State Licensed Practical Nurses. Illustrative Duties Nursing Assistant 1 Under Direct Clinical Supervision, Performs The Following Duties Changes simple dressings as directed, gives enemas, douches, and irrigations as directed. Applies abdominal “T” binders, hot water bottles, aqua “K” pads, ice bags, and coolers, and hot and cold compresses to patients as directed. Assists patients in collecting urine and stool specimens. Observes and records patients’ quantitative food and fluid intake and waste output. Takes temperature, pulse rate, blood pressure and respiration rate. Gives therapeutic baths such as sitz and fever sponge baths. Measures and records height and weight. Inspects functioning oxygen therapy equipment including tents, masks, and cannulae to ensure appropriate functioning. Recognizes and reports abnormal signs and symptoms of common diseases and conditions to clinical staff. Applies splints, braces, slings and other self-help devices. Operates a variety of specialized patient monitoring and treatment devices. Attends to patients’ hygiene and daily living needs in order to maintain an atmosphere conducive to patient comfort and treatment. Examples include bathing and dressing patients, brushing teeth, and trimming nails. Collects and carries patients’ laundry and dry cleaning and delivers objects to appropriate locations in the health care facility. Receives patients’ belongings and transports objects to safe storage, keeping appropriate records. Feeds patients requiring assistance. As directed by clinical staff, moves, positions, lifts and transports patients using a variety of lifts and other aids in order to make patients comfortable, prepare patients for treatment, deliver patients to treatment areas, and to prevent contractures. Brings bedpans and urinals to patients requiring assistance and attends to incontinent patients. Talks and listens to patients and responds by encouraging patients to cooperate and participate in treatment activities. May transport patients and supplies on occasion. May perform a variety of limited housekeeping and cleaning duties related to direct patient care in order to ensure that treatment and patient areas are clean, sanitary, orderly, and properly supplied. Nursing Assistant 2 Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 1, but with greater proficiency. Positions may assist with training new staff in assigned treatment areas. Nursing Assistant (Certified) Under direction of higher-level treatment staff, performs duties similar to those of a Nursing Assistant 2, but also participates in required quarterly in-service education to maintain certification and meet all necessary requirements to be re-certified every two years. Communication Nursing Assistants have frequent face-to-face communication with patients and visitors for the purposes of conveying treatment procedure and visitor information. Incumbents attempt to encourage and support patients who may be despondent or apprehensive, and regularly communicate with clinical staff to convey information on patients’ physical conditions and responses to treatment. This information includes items such as observable physical behavioral changes, fatigue levels, and general behaviors and responses to routine treatments, such as foot soaks. Qualifications Nursing Assistant 1 Non-Competitive: possession of or ability to acquire the necessary knowledge, skills and abilities during the probationary period. Nursing Assistant 2 Non-Competitive: one year of satisfactory full-time experience in the provision of simple treatment and other patient care services under professional supervision. Possession of current certification as a New York State Certified Nursing Assistant may substitute for the required experience. Nursing Assistant (Certified) Non-Competitive: possession of current certification as a New York State Certified Nursing Assistant. 
Job Description The Department of Pediatrics at SUNY Downstate Health Sciences University is seeking a full-time TH Assistant Director of Nursing / Nurse Practitioner. The successful candidate will: Manage and provide care for the patient requiring neonatal intensive care utilizing collaborative consultation with team members, under the direction and supervision (but not necessarily the direct attendance) of an attending neonatologist. Provide prenatal consultations as needed. Receive a distressed neonate in the Delivery Room and initiates appropriate intervention. Perform a complete newborn physical examination and assessment of gestational age, discriminating between normal and abnormal findings. Conduct parent interviews and take family history. Collaborate with neonatologists concerning pertinent historical events, physical findings, diagnostic and therapeutic measures initiated on all admissions. Order appropriate laboratory tests and procedures. Perform diagnostic and therapeutic procedures necessary and appropriate for the care of the patient (from ELBW to LOA babies). Review and provide general care items involved in neonatal care, such as temperature stabilization, hyperalimentation therapy, feeding management, etc. Obtain patient history and performs assessment via observation, interview, and examination of the NICU patient. Order, perform and interpret diagnostic studies. Provide direct treatment and management of health conditions. Document on delivery of health care and nursing processes in accordance with specific specialty area standards and network nursing policy. Perform procedures, to include intubation, umbilical lines, lumbar puncture, thoracentesis/chest tube placement, PICC line placement, Participate in and attend to high-risk deliveries including stabilization and management of complex critical needs of the newborn. Demonstrate strong newborn assessment, management, and delivery room skills. Participate in neonatal transport, if/when needed. Work collaboratively with experienced neonatologists and APPs in a team-centered atmosphere. Demonstrate excellent communication and interpersonal skills. Qualifications Required Qualifications Master of Science Degree. New York State Nurse Practitioner License. APRN National Specialty Certification. Board Certified or eligible. Current BLS and NRP Certification. Preferred Qualifications 2+ years of neonatal nurse practitioner work experience. Eagle Home Care is hiring! We have many open positions for HHA’s and PCA’s. WE match you to your desired shift. Fast and easy hiring process. Come to an agency where you are treated like part of the family. Call 929-563-7905 Come visit our offices: 472 S Broadway, Yonkers NY 10705 76 West Brighton Ave. Suite 206 Brooklyn, NY 11224 504a East Tremont ave. Bronx NY 10457 Ask us about our digital application! 
For over 125 years, Calvary Hospital and Calvary @Home located in the Bronx, New York has been dedicated to the palliative care of advanced cancer and other terminally ill patients and their families. Through a caring, compassionate philosophy of non-abandonment, the hospital provides a full spectrum of palliative services, including emotional, spiritual, and physical care. The hospital receives patients from referring institutions throughout New York City and the entire tristate area. When you come to Calvary Hospital, you’re not just getting a job, you’re joining a family. Benefits/Perks: Includes accrued vacation days, sick days, holidays, and free days. Pension (vested after 5 years of full-time or part-time service) Participation in 403 (b) Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Flex Spending, Transit Check. Free On-Site Parking Qualifications: Current New York State Registered Nurse License/Permit. Current BLS from AHA (American Heart Association) Education: Associate degree BSN Preferred Responsibilities: The Registered Nurse is responsible to utilize the Nursing Process, the Staff Nurse assesses, plans, implements and evaluates patient care; and coordinates patient care provided by other disciplines which meet the physiological, safety, spiritual and psychosocial needs of the patients and their families, according to the New York State Nurse Practice Act, established Calvary Hospital Nursing policies, procedures and standards of care, Geriatric Standards of Care, and Regulatory Standards. Participates in the ongoing systematic Quality Assessment and Improvement process. Job Type: Full-Time Salary: $51.85 - $65.44/hourly (Full-time) 
Job Description The Department of Nursing at SUNY Downstate Health Sciences University is seeking a full-time Registered Nurse 1, NS32 Obstetrics. Distinguishing Characteristics The Registered Nurse 1 (T&RC) is a full performance level nurse position and possesses a license as a registered professional nurse in New York State; under the general direction of a higher level registered nurse or licensed health care provider, independently provides direct nursing care to individuals in accordance with Article 139 of the Education Law; supervises nursing care activities; and provides clinical supervision and training to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff. Illustrative Duties Prepares or assists with preparation of nursing care plans consistent with individuals’ comprehensive treatment plans and medical needs. Carries out treatment procedures, administers medications, and monitors individuals’ conditions. Records notes and maintains individuals’ medical records and nursing care plans, including nursing care, medications, and treatments, reactions to care and treatment, intake and output of liquids and solids, and vital signs. Participates in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team. Modifies nursing care plans based on individual condition and responses to care and treatment. Triages individuals by inquiring about illnesses, injuries, and symptoms, and records findings and observations. Assesses findings, and either refers individuals directly to a physician in emergency cases or initiates appropriate remedial action; as directed, assists physicians with treatment functions. Provides education and counseling to individuals and families regarding health, medications, procedures, and treatment goals. Practices and ensures compliance with established infection control policies and procedures. May train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment. Qualifications Required Qualifications Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Preferred Qualifications Bachelor of Science Degree in Nursing. 1 year of relevant clinical experience. 
JOB DESCRIPTION Distinguishing Characteristics Graduate Nurses (T&RC) and Registered Nurses 1 (T&RC) perform similar nursing tasks and activities; coordinate and provide nursing care to individuals in State University of New York teaching and research center hospitals; administer treatments and nursing procedures within established guidelines and as prescribed by licensed health care providers; and consult on nursing matters with treatment teams and other disciplines. Levels in the series are primarily distinguished by scope and independence of operation, which is based on incumbents’ credentials (i.e., possession of a limited permit as a graduate nurse or eligible to enter examination for licensure as a registered professional nurse; or possession of a license and current registration as a registered professional nurse in New York State). Graduate Nurse (T&RC): entry level; possesses a limited permit as a graduate nurse or is eligible to enter examination for licensure as a registered professional nurse in New York State; under the close supervision of a higher-level registered nurse, provides direct nursing care to individuals in accordance with Article 139 of the Education Law. Registered Nurse 1 (T&RC): full performance level; possesses a license as a registered professional nurse in New York State; under the general direction of a higher-level registered nurse or licensed health care provider, independently provides direct nursing care to individuals in accordance with Article 139 of the Education Law; supervises nursing care activities; and provides clinical supervision and training to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff. Registered Nurse 2 (T&RC): advanced performance level; provides direct nursing care to individuals in an acute care environment requiring advanced clinical interventions; performs professional nursing functions in three areas: direct individual care, preceptor, and clinical management. Registered Nurse Supervisor 1 (T&RC): supervisory level; provides administrative and clinical supervision to lower-level registered nurses and direct care staff; oversees and coordinates nursing services for an assigned unit; and may be involved in teaching and orientation functions. Related Classes Teaching & Research Center Licensed Practical Nurses are licensed practical nurses that provide direct nursing care to individuals receiving treatment in State University of New York teaching and research center hospitals under the direction of a registered nurse, physician, or other licensed health care provider. Illustrative Duties Graduate Nurse (T&RC) Prepares or assists with preparation of nursing care plans consistent with individuals’ comprehensive treatment plans and medical needs. Carries out treatment procedures, administers medications, and monitors individuals’ conditions. Records notes and maintains individuals’ medical records and nursing care plans, including nursing care, medications, and treatments, reactions to care and treatment, intake and output of liquids and solids, and vital signs. Participates in the development, implementation, and revision of individual care plans as a member of a multidisciplinary treatment team. Modifies nursing care plans based on individual condition and responses to care and treatment. Triages individuals by inquiring about illnesses, injuries, and symptoms, and records findings and observations. Assesses findings, and either refers individuals directly to a physician in emergency cases or initiates appropriate remedial action; as directed, assists physicians with treatment functions. Provides education and counseling to individuals and families regarding health, medications, procedures, and treatment goals. Practices and ensures compliance with established infection control policies and procedures. May train paraprofessional staff by demonstrating nursing techniques and providing instructions on use of techniques and nursing equipment. Registered Nurse 1 (T&RC) Independently performs the duties described above and provides clinical supervision and instruction to Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff in completing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals’ nursing care needs and observe and evaluate the provision of nursing services. May perform the full range of supervisory duties over Graduate Nurses (T&RC), Teaching & Research Center Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors 1 (T&RC); and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. Registered Nurse 2 (T&RC) Positions perform duties in each of the three functional areas described below. Direct Individual Care: Provides nursing care to individuals in an acute care environment requiring complex nursing skills; uses advanced knowledge and skill in nursing assessment, planning, implementation, and evaluation activities. Observes and responds to individual emergency situations, and sets priorities for care based on individual acuity, preferences, and the possibility of effective intervention. Implements nursing interventions in response to changes in individual status and unusual circumstances. Interprets assessment data to determine if individuals are at physiological or psychosocial risk. Takes steps to decrease stress and increase the effectiveness of individual coping mechanisms; uses effective communication strategies with individuals, families, staff, and the general public. Assesses individual status upon entry to the hospital and throughout hospitalization. Identifies implications of individuals’ statuses and prioritizes data collection based on individuals’ immediate needs. Identifies safety and security risks to promote a culture of safety and to prevent injury and harm to individuals, visitors, and staff. Preceptor: Guides lower-level, and new to specialty, registered nurses in choosing nursing interventions, developing skills, and applying knowledge. Serves as a resource nurse for staff members, orienting new staff and providing feedback on nursing skills for specialty care areas. Develops and maintains care standards knowledge bases for specialty care areas and develops care guidelines for unit-specific individual populations. Maintains a minimum standard of continuing education for specialty areas. Evaluates and assesses individual staff and nursing student development needs. Counsels and implements a variety of teaching strategies to meet those needs in consultation with nursing management staff. Participates in in-service and other educational programs related to clinical specialties. May identify, develop, and implement nursing research studies on clinical units, in consultation with medical staff consultants. Clinical Management: Consults and coordinates with other health care team members to resolve complex clinical issues and develop short and long-term clinical goals for assigned units. Integrates and evaluates clinical care knowledge specific to the needs of unit individuals; develops unit-specific policies and procedures in consultation with nursing management staff. Identifies and implements corrective actions to improve the quality of individual care; may oversee equipment testing and supplies. Leads and attends various hospital committees. Assists Registered Nurse Supervisor 1 (T&RC) staff with implementing and achieving unit operating changes; may take charge of a unit in the absence of a Registered Nurse Supervisor 1 (T&RC). Resolves individual relation issues. Identifies and reports issues related to individual care, operation, and quality outcomes. Identifies potential conflict situations and facilitates solutions. Registered Nurse Supervisor 1 (T&RC) Plans, directs, and supervises nursing services on an assigned unit, including direct supervision of Registered Nurse 1 (T&RC) and other staff. Directs the development and implementation of nursing care plans on a unit. Provides individual care, and functions as an educator and nursing services expert. Assesses work methods of nursing staff and provides feedback to improve the efficiency and effectiveness of care delivered. Coordinates medical and nursing care needs with other health care providers and departments. Ensures proper functioning of equipment and unit compliance with safety and environmental standards. Monitors nursing care quality standards, and implements corrective actions as needed. Attends and participates in medical committees to represent nursing staff needs and the individual population, and participates in writing of care standards. Identifies staff training needs and collaborates with unit educators to develop and implement educational programs. Develops and implements orientation plans for new employees and participates in staffing decisions. QUALIFICATIONS Graduate Nurse (T&RC) Open Competitive: possession of limited permit as a graduate nurse in New York State; or eligible to enter examination for licensure as a registered professional nurse in New York State. Registered Nurse 1 (T&RC) Open Competitive: possession of a license and current registration as a registered professional nurse in New York State. Registered Nurse 2 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and one year of service as a Registered Nurse 1 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and two years of post-licensure clinical nursing experience in the acute care specialty area. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. Registered Nurse Supervisor 1 (T&RC) Promotion: possession of a license and current registration as a registered professional nurse in New York State and two years of service as a Registered Nurse 1 (T&RC); or one year of service as a Registered Nurse 2 (T&RC). Open Competitive: possession of a license and current registration as a registered professional nurse in New York State; and three years of post-licensure acute care clinical nursing experience. Substitution: a bachelor’s degree in nursing may substitute for one year of post-licensure clinical nursing experience; and a master’s degree in nursing may substitute for two years of post-licensure clinical nursing experience. 
JOB DESCRIPTION Distinguishing Characteristics Medical Assistant: Non-supervisory; performs clinical and/or laboratory duties at least 50% of the time in accordance with prescribed procedures. Duties of the position may vary when assigned to an inpatient versus outpatient care area of the hospital. Illustrative Duties Medical Assistants function under the direct supervision and guidance of nursing personnel, physicians, and other medical and laboratory personnel in the performance of assigned duties. The Supervisor: Oversees and instructs on unusual or special procedures and techniques Spot-checks work and provides overall direction, control, and guidance Reviews and investigates abnormal findings or conditions Medical Assistants: Must share pertinent patient care information with physicians and nursing personnel Are expected to obtain assistance during emergencies and may assist in gathering necessary equipment Clinical and Laboratory Activities Acclimatizes patient and family to unit; provides general information regarding room, unit, and hospital Obtains, records, and exchanges information on behalf of or with patient Prepares patient for exam or laboratory test Answers routine questions and assists physician during examinations (including chaperoning) Records reason for visit, recent problems, and other required info Reviews relevant information with patient and distributes informational packets Obtains and records weight, height, blood pressure, vital signs Performs routine lab techniques (e.g., dipstick urine, fingerstick glucose, vision testing) Provides basic patient care (e.g., ambulation, ROM, hygiene, comfort, hydration, toileting) Escorts/transports patients Processes patient/lab/medical orders; schedules follow-ups; performs non-sterile dressing changes Operates laboratory equipment (e.g., centrifuges) and records results Centrifuges specimens, subdivides and identifies those for external labs Cleans and sterilizes instruments, disposes of contaminated supplies per protocol Draws blood, obtains EKGs, documents and reports glucose results; performs glucometer quality checks Performs phlebotomy (adult and pediatric), handles specimens safely, labels properly, resolves labeling/test order issues Serves as patient safety companion; monitors patients on suicide watch; documents behavior and safety responses Summons emergency assistance and gathers required equipment Clerical Activities Greets and directs visitors; answers routine questions Processes incoming/outgoing mail and prepares routine correspondence Answers phones, screens/routs calls, and takes messages; escalates as needed During phone triage, determines severity of condition and directs accordingly; records info per protocol Responds to inquiries from medical staff regarding patient/test info Answers routine patient questions about scheduling, billing, and testing Prepares daily scheduling reports; transcribes/processes orders; routes correspondence Performs patient reception, schedules appointments and testing, provides visit instructions, handles changes Accessions lab tests and inputs info using CAIS or Laboratory Info System; generates barcodes Processes specimens (labeling, data entry, preparation for transport) Registers and/or enters patient information (demographics, charges) Checks insurance eligibility, obtains approvals, collects co-pays, issues receipts Reviews and enters patient charges based on CPT codes Maintains supplies; conducts inventory; reorders using manual or automated systems Maintains and updates charts and logs; ensures records are accurate and complete Identifies and contacts resources for maintenance; arranges for work orders Communication Medical Assistants: Frequently communicate orally with patients and families to obtain, provide, or elicit information Have daily contact with physicians and medical/lab personnel during routine duties Regularly consult with professional staff about procedures and processes Are expected to immediately notify physicians/nursing staff in emergency situations QUALIFICATIONS Open Competitive: One year of experience performing clinical and clerical support activities in a health care setting, or completion of a medical assistant program.