Nursing Jobs in Irvington, NY
$140,001.21 - $177,585.91 / year
Description The Nurse Manager (NM) is responsible for the management of nursing practice and operations on a designated unit/service setting such as inpatient, procedural, emergency department or ambulatory care. This includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply chain and budget, daily staffing (as supported by the Center-Led Staffing Model), employee performance evaluation, quality improvement, staff education, medical record documentation, compliance with internal and external regulatory agency requirements and patient safety solution/corrective action plans. The Nurse Manager collaborates with multiple professionals to support and coordinate the provision / management of patient care inclusive of the patient admission throughout the discharge process appropriate to the setting. This individual works closely with the Nursing Director, unit Dyad partner and staff to ensure that the Service/Unit setting maintains the highest standards of patient care and is responsive to the needs of the patient & family as well as the organization. Responsibilities PATIENT CARE 1. Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of patient experience. 2. Demonstrates proficiency in all aspects of Hourly Care Checks and role models expected behaviors. 3. Ensures the integration of Hourly Care Checks into clinical activities to enhance Relationship Centered Care validates staff members Hourly Care Checks on all patients by direct observation and patient feedback. 4. Assesses staff competency in Hourly Care Checks and provides consistent meaningful feedback with more focused feedback as needed. 5. Conducts rounding of identified patients on a daily basis (Monday-Friday.). Conducts rounding on staff on a weekly basis. 6. Communicates quantitative and qualitative information regarding the patient experience and staff engagement to the staff and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan. 7. Collaborates with the physician dyad and escalates concerns as appropriate. 8. Follows up on all patient concerns in a timely manner and provides service recovery as needed. 9. Demonstrates caring, agility, respect, compassion, empathy and active listening through dialogue, body language and actions. PATIENT EXPERIENCE 1. Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) by collaboratively facilitating patient-centered care processes appropriate to the clinical setting (inpatient, procedural, ambulatory) through facilitation of the following actions but not limited to: Admission or Visit Welcome, , Bedside Shift Report, HELP, AM/PM Care, Dedicated Sit Down, Purposeful Hourly Rounding (PHR)/Care Checks, or patient check-ins, Medication Review, Discharge Wrap Up or visit completion. 2. Participates and facilitates Communication Huddle with staff at the start of the shift, identifying high-risk patients who require special attention and escalates concerns in a timely manner for resolution. 3. Participates in Interdisciplinary Care Rounds, or other structured team communications as appropriate to the care setting, leading nursing practice while supporting the interdisciplinary teams use of evidence-based practice for care delivery, LOS reductions, transition of care and discharge planning, transition planning, and efficient access to care.. 4. Collaborates with physicians, nursing, case management, OT/PT, pharmacy, and ancillary services to identify and address patient care outcomes and barriers to safe, timely discharge. 5. Communicates to nursing leadership concerns or issues identified during huddle and throughout shift. 6. Initiates service recovery for patients and family members who have concerns and escalates to Nursing Director/designee and Patient Relations as needed. 7. Interprets and communicates patient experience scores and benchmarks and keeps staff informed of progress and areas of opportunity. 8. Considers the patient’s values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care. 9. Empowers staff to use evidence-based practices to increase understanding of patients’ perceptions of care. 10. Identifies the Key Performance Indicator(s) of Patient Experience and oversees progress through the use of the Story Board performance improvement process within the Data Management Board (DMB). 11. Demonstrates caring, respect, compassion, empathy and active listening through verbal and body language and actions. QUALITY AND SAFETY 1. Plan, supports, and leads a safe, therapeutic, efficient, and patient-centered care environment that promotes professional nursing practice across inpatient, ambulatory, and procedural settings. 2. Identifies and investigates issues or variances in practice/operations by participating in the RCA/Patient Safety Solutions (PSS) processes and implements corrective action plans/safety solutions accordingly. 3. Partners with clinical and operational leaders to monitor quality, safety, and throughput metrics, using data to drive continuous improvement in length of stay and discharge processes. 4. Participates in unit and hospital-based quality, patient safety and patient experience process improvement initiatives. 5. Utilizes the principles of Lean methodology for process improvement through the use of the Daily Management Boards (DMB). 6. Identifies the Key Performance Indicators (KPI) for Quality and Safety with emphasis of the nurse sensitive indicators using the Story Board process within the DMB, utilizing Leader Standard Work appropriate to the practice setting.. 7. Fosters a fair and open Just Culture that encourages error and near-miss occurrence reporting. 8. Leads interdisciplinary quality improvement teams using the principles of high reliability. 9. Reviews unit progress, changes, and compliance with quality and safety metrics with clinical nurses and other members of the healthcare team. 10. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol. 11. Monitors institutional information technology infrastructure and corrects gaps in clinical nursing documentation. 12. Leads staff participation in quality and safety initiatives and mandated compliance measures. 13. Demonstrates accountability for all unit quality and safety practices and compliance and ensures required evaluation of staff competencies is maintained. OPERATIONS AND ADMINISTRATION 1. Supports the implementation of the mission, vision, goals, and objectives of the department across inpatient, ambulatory, and procedural care settings, ensuring alignment throughout the clinical service and patient care areas. 2. Provides administrative and clinical oversight to ensure that all operational activities—including staffing, patient access and flow, support services, interdisciplinary collaboration, resource utilization, and financial stewardship—support organizational goals and high-quality patient care across all care settings. 3. Ensures compliance with all applicable staffing regulations, collective bargaining agreements, and regulatory requirements, including the staffing enforcement provisions of the applicable CBA, NYSDOH Staffing Committee Law, and inpatient, procedural and ambulatory staffing standards, as applicable. 4. Oversees patient care delivery and daily operations across assigned inpatient units and/or ambulatory practice areas, utilizing Leader Standard Work to ensure consistency in leadership practices, operational excellence, patient access, quality outcomes, and the implementation of evidence-based best practices. 5. Works collaboratively with the Center-led Staffing Department as needed to ensure staffing grids are met (as covered by this service) and optimize workforce deployment. 6. Support labor management strategies by collaboratively maximizing retention strategies and internal resource utilization and minimizing reliance on premium labor, verifying that staffing plans maintain quality, safety, and appropriate clinical expertise. 7. Monitors staffing trends and workforce metrics, validating and implementing data-driven recommendations to support informed staffing decisions and continuous workforce improvement. 8. Works collaboratively with physician dyads and all members of the healthcare team to promote patient care and regulatory standards. 9. Prioritizes recruitment and retention strategies in accordance with system and local hospital retention goals. 10. Implements and monitors unit salary and supply budgets, including capital equipment allocation according to MSHS financial goals. 11. Monitors availability and maintenance of nursing equipment and supplies 12. Maintains position control of established positions and manages the recruitment and retention of qualified staff. 13. Maintains patient/employee confidentiality in the management of information. 14. Evaluates nursing staff performance and mentors, coaches, counsels and disciplines staff as needed. 15. Evaluates all newly hired/transferred staff and participates in the decision about passing the probationary period. 16. Participates in the ongoing and completes the annual performance appraisals for all staff. 17. Completes performance improvement plans of employees as needed and shares feedback with the Associate Directors/Directors and Senior Directors accordingly. 18. Interprets and implements the associated collective bargaining agreements and System and Hospital policies and procedures. 19. Performs disciplinary actions as necessary with collaboration with Nursing and Labor Relations. 20. Acts as a management witness in disciplinary activities. 21. Ensures all staff have met their orientation goals/weekly progress reports and annual competency requirements and participates in the Competency Planning Tool for unit/service. 22. Conducts regular staff meetings to ensure communication with staff about progress, changes and compliance with all hospital policies and procedures. Maintains records of minutes for staff team meetings. 23. Encourages, recognizes and rewards staff participation in quality and safety initiatives, compliance and successes. 24. Facilitates organizational change initiatives by using effective strategies. 25. Leads a shared decision-making model by establishing a structure of shared governance, just culture and staff engagement in structured unit, procedural or practice, practice councils, departmental meetings and initiatives. 26. Responds to protest of assignment in a timely manner as detailed in the collective bargaining agreement and discusses the resolution in unit staff meetings. 27. Ensures assigned inpatient units, ambulatory practices, and clinical departments maintain compliance with all applicable regulatory, accreditation, and professional practice standards, including those established by the New York State Department of Health (NYSDOH), The Joint Commission, and other governing agencies, as applicable. PROFESSIONAL DEVELOPMENT 1. Performs as a clinical leader who actively creates and supports nursing practice and an environment of care that reflects clinical excellence. 2. Organizes the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. 3. Projects and cultivates a professional image to colleagues by communicating caring, respect, compassion, empathy and trust. 4. Incorporates ethical principles into decision making for patients and family in collaboration with the clinical nursing staff and the healthcare team. 5. Fosters a spirit of scholarship, inquiry, life-long learning and innovation for self and others. 6. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs. 7. Leads shared decision making through unit/service practice councils, nursing department and hospital committees, and clinical service/unit initiatives. 8. Serves as a professional role model and preceptor for new leadership staff and students. 9. Integrates the values of research and evidence-based practice and its application to nursing practice and the environment of care. 10. Contributes to the profession of nursing through leadership and participation in professional organizations. Qualifications Bachelor of Science with a major in nursing required; Master's Degree in Nursing or healthcare-related field or be enrolled in a program preferred Licensed as a registered nurse with current registration in New York State Basic Life Support (BLS) Issuing Agency: AHA Advanced Cardiovascular Life Support (ACLS) Issuing Agency: AHA Pediatric Advanced life Support (PALS) Issuing Agency: AHA Care Course (or equivalent) required within 6 months of hire. Certified Post Anesthesia Nurse (CPAN ® ) required within 6 months of hire Must have relevant clinical competence in the area of Post-anesthesia -care 3-5 years of nursing clinical care with Charge Nurse/Supervisory experience preferred. Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $140001.21 - $177585.91 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. $68,000 - $115,000 / year
196397 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Assesses the patient’s physiologic health status: Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Performs a comprehensive health assessment across all body systems; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status: Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome: Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome: Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care: Maintains constant vigilance over patients’ care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, exam tables in lowest position etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge from ambulatory procedural or operative site and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other; Participates in patient education and care planning; coordinates referrals and follow-up resources as appropriate; provides clear instructions to patients and significant others regarding treatments, procedures, self-care, and ongoing health management; ensures understanding through teach-back and other evidence-based methods; evaluates the effectiveness of education and care provided by assessing patient outcomes and comprehension. Evaluates care provided for patient outcome: Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team: Collaborates with the appropriate Physician or Provider on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician or Provider; Assists the Physician or Provider during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or Physician or Provider abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Provides wound care and care for pressure ulcers (Stages I–IV): Performs preventive skin care measures; Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely: Correctly identifies medication (action; dosage; side effects and implications for the patient); Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education: Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-procedural or operative care; coordinates appropriate referrals for follow-up care, specialty services, or community resources; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but Considered Related Are Not Essential Functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current license to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
$118,726 - $128,120 / year
Description Duties Description The Registered Nurse 1 will coordinate, direct and provide professional nursing care to residents of the Nursing Home under the direction and supervision of the Nurse Administrator. Notes Maintaining a current and valid license and/or registration is a condition of employment; failure to do so will result in removal from the position. In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists. Should an appointee be subsequently listed as an excluded individual or entity on any of these lists, employment may be terminated Qualifications Minimum Qualifications Reassignment: Current New York State Department of Health Veterans Home at Montrose employee with permanent or contingent permanent status as a Registered Nurse 1, Grade 18. Transfer: Current New York State employee with one or more years of permanent, contingent-permanent, or 55 b/c service in a position eligible for transfer under Section 70.1 of the Civil Service Law, to a Registered Nurse 1, Grade 18. Open Competitive HELPS qualifications: Possession of a license and current registration as a registered professional nurse in New York State. Preferred Qualifications: The preferred candidate would have experience in a Long-Term Care setting with a geriatric population. Additional Comments All Shifts Available. We are a 252-bed long term skilled care nursing facility providing care to the Veterans of our community. Degrees awarded from educational institutions outside of the United States, or its territories must be independently verified for equivalency. Please see https://www.cs.ny.gov/jobseeker/degrees.cfm for additional information. Posted salary range ($118,726 - $128,120) includes statutory hiring rate at step 4 and job rate for grade 18, plus a geographic pay differential of $35,000, & downstate adjustment of $4,150. If applicable, the inconvenience pay program of $825 per year will be paid to employees who work four (4) hours or more between 6:00 p.m. and 6:00 a.m. Hours worked between 6:00 a.m. and 6:00 p.m. on an overtime basis are not included for Inconvenience Pay. When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate’s favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications. This position is part of the NYS HELPS program. No examination is required. We offer a work-life balance and a generous benefits package, worth 65% of salary, including: Holiday & Paid Time Off Public Service Loan Forgiveness (PSLF) Pension from New York State Employees’ Retirement System Shift & Geographic pay differentials Affordable Health Care options Family dental and vision benefits at no additional cost NYS Deferred Compensation plan Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds And many more... The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request. NYS Department of Health does not participate in E-Verify and does not sponsor visa applications. For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts. 
$130,000 - $140,000 / year
RN Supervisor – Pediatric | Evening Shift Location: Brooklyn, NY Salary: $130,000–$140,000 per year Employment Type: Full-Time Shift: Evening Shift Ditmas Children’s Nursing & Rehab is seeking an experienced Registered Nurse (RN) Supervisor to join our pediatric nursing leadership team for the evening shift . The RN Supervisor will oversee the nursing team and ensure the delivery of high-quality care to medically complex pediatric residents . This position requires a clinically strong RN who can lead the nursing staff, respond to changes in resident condition, and ensure appropriate communication and follow-through throughout the evening shift. Candidates must have previous PICU or NICU experience and be comfortable working with children who have complex medical and clinical needs. Responsibilities Supervise RNs, LPNs, CNAs, and nursing staff during the evening shift Oversee the care of medically complex pediatric residents Provide hands-on clinical guidance and leadership to the nursing team Monitor residents for changes in condition and ensure appropriate interventions Oversee admissions, transfers, physician orders, medications, treatments, and nursing documentation Ensure nursing policies, procedures, and clinical standards are consistently followed Respond to clinical emergencies and provide leadership during urgent situations Communicate with physicians, families, nursing leadership, and the interdisciplinary care team Ensure appropriate staffing and nursing coverage throughout the shift Review nursing documentation for accuracy and completeness Follow up on incidents, clinical concerns, and changes in resident condition Ensure a smooth transition and appropriate communication between shifts Qualifications Current New York State Registered Nurse (RN) license PICU or NICU experience required Experience caring for medically complex pediatric patients Previous RN Supervisor, Charge Nurse, or nursing leadership experience strongly preferred Strong pediatric assessment and critical-care skills Ability to remain calm and provide leadership during clinical emergencies Strong communication, organizational, and supervisory skills Compensation & Benefits $130,000–$140,000 per year , based on experience. Benefits for eligible full-time employees include: Health insurance Paid time off Join the team at Ditmas Children’s Nursing & Rehab and take a leadership role in providing high-quality care to children with complex medical needs. $68,000 - $115,000 / year
197241 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Assesses the patient’s physiologic health status: Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Performs a comprehensive health assessment across all body systems; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status: Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome: Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome: Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care: Maintains constant vigilance over patients’ care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, exam tables in lowest position etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge from ambulatory procedural or operative site and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other; Participates in patient education and care planning; coordinates referrals and follow-up resources as appropriate; provides clear instructions to patients and significant others regarding treatments, procedures, self-care, and ongoing health management; ensures understanding through teach-back and other evidence-based methods; evaluates the effectiveness of education and care provided by assessing patient outcomes and comprehension. Evaluates care provided for patient outcome: Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team: Collaborates with the appropriate Physician or Provider on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician or Provider; Assists the Physician or Provider during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or Physician or Provider abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Provides wound care and care for pressure ulcers (Stages I–IV): Performs preventive skin care measures; Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely: Correctly identifies medication (action; dosage; side effects and implications for the patient); Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education: Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-procedural or operative care; coordinates appropriate referrals for follow-up care, specialty services, or community resources; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but Considered Related Are Not Essential Functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current license to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 4+ years of Cardiology/telemetry experience preferred. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
$96,147 - $105,138 / year
Duties Description Independently performs the duties below: Conducts nursing assessments; and obtains, records, and updates individuals’ health information and vital signs, using standard instruments and procedures. Prepares, implements, and modifies nursing care plans; prepares individuals for and/or assists with examinations and treatments; and administers medications and nursing procedures to individuals, as prescribed Observes, monitors, and records individuals’ symptoms, conditions, and care, including diet and physical activity; and identifies and reports individuals’ responses to medication or changes in health status. Serves as the nursing representative on a treatment team; provides information on nursing needs; and consults and coordinates with treatment teams and other health care disciplines to assess, plan, implement, or evaluate individuals’ care. Makes clinical rounds to assess individuals’ nursing care needs and observe and participate in the provision of nursing services. Provides health teaching, counseling, and education to individuals, families, and other groups; and develops health improvement programs. Implements infection control protocols and procedures and provides related consultation and instruction to staff. Maintains and updates charts, records, and other documentation, consistent with agency, State, and federal requirements; and may collect data and perform related activities to support medical research. Monitors inventories and ensures that standards for medications, solutions, supplies, and equipment are maintained to meet nursing care needs. Provides clinical supervision and instruction to Graduate Nurses, Licensed Practical Nurses, and direct care staff in completing nursing 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. Acts as liaison to outside agencies and providers to ensure continuity of care and the necessary follow-up for individuals; advocates for individuals’ needs; and may provide instruction to providers on individuals’ discharge plans. May perform the full range of supervisory duties over Graduate Nurses, Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors; and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all Minimum Qualifications Must have a license and a current registration as a registered professional nurse in New York State. Additional Comments This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title. At a future date (within one year of permanent appointment), employees hired under NY HELPS are expected to have their permanent non-competitive employment status converted to permanent competitive status. You will not have to take an exam to gain permanent competitive status. Please note that starting salary for this title reflects the increased hiring salary and geographic pay differential. Posted Hiring Salary includes the sum of the statutory hiring rate for PS&T Grade 18 ($66,951), Increased Hiring Salary ($9,196) and Geographic Pay Differential ($20,000). Geographic Pay Differential is added to the job rate ($85,138). If you are currently a New York State employee serving in a permanent competitive qualifying title and eligible for a transfer via Section 70.1 of the Civil Service Law, you may be appointed to this title as a permanent competitive employee. The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies. Preference will be given to OPWDD employees impacted by closures. If you are being impacted by closure, please indicate this on your resume. All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a qualifying repayment plan while working full-time for a qualifying employer. For more information on PSLF, please visit www.studentAid.gov/publicservice. Employees on long term leave can bid on positions but must be able to report to work within fourteen (14) days and be able to perform the essential functions of their positions with or without reasonable accommodation (RA). If an employee or job applicant believes that they need a reasonable accommodation, they should contact the Reasonable Accommodation Unit at (518) 486-7222 or email accommodationrequests@opwdd.ny.gov to obtain information and RA forms. Savings programs such as the U.S. Savings Bond and the College Savings Plan. Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered health care expenses or dependent care expenses. Access to the Employee Assistance Program (EAP) an assessment and referral service that connects employees with local service providers and support services to address their personal needs. Life insurance and Disability insurance. The New York State Deferred Compensation Plan is a voluntary retirement plan that offers employees the option to invest a part of their salaries for retirement on a tax-deferred basis. Paid Holidays and Leave: ° Thirteen (13) paid holidays each year. ° Thirteen (13) days of paid vacation leave initially. ° Five (5) days paid personal leave each year. ° Thirteen (13) days of paid sick leave each year (PEF/CSEA), which may carry over from year to year. ° Up to three (3) days professional leave each year to participate in professional development events. Health Care Coverage: Employees and their eligible dependents can choose from a variety of affordable health insurance programs. Employees are provided family dental and vision plans at no extra cost. Paid Parental Leave: Paid Parental Leave allows eligible employees to take up to 12 weeks of paid leave at full pay for each qualifying event. A qualifying event is defined as the birth of a child or placement of a child for adoption or foster care. Retirement Program: Participate in The NYS Employees’ Retirement System (ERS), which is recognized as one of the best-managed and best-funded public retirement systems in the nation. Professional Development and Education and Training: NYS offers training programs and tuition assistance to eligible employees to maintain and increase their professional skills and prepare them for promotional opportunities. For more information, please visit https://oer.ny.gov/training-and-professional-development. Additionally, the Public Service Workshops Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated employees that may grant continuing education credits towards maintaining professional licensure. For more information, please visit https://oer.ny.gov/public-service-workshops-program-pswp. OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion. We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large workforce, we rely on the collective individual differences, life experiences, knowledge, self-expression, ideas and talent that our employees bring to their work. This speaks to our culture and is a key part of our successes. As we continuously recruit people for our team, we welcome the unique contributions that applicants bring in terms of their education, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, color, religion, disability, sexual orientation and beliefs. ***All people with disabilities are encouraged to apply.*** 
