Nursing Jobs in Thiells, NY
Responsible for utilizing the Nursing Process in a collaborative manner to plan, implement and evaluate nursing care in accordance with his/her scope of practice. The RN supports the goals and philosophy of the Department of Nursing within the St. Joseph's Healthcare System and on his/her assigned unit. $68,000 - $115,000 / year
175461 Job Description Performs an age specific plan of care for designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Conducts patient interview, explains policies and procedures to patient/ significant others, reviews patient’s chart and answers questions correctly and courteously; assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate, assesses level of pain and pain management; communicates/documents patient’s physiologic health status and plan of care; Assesses patient’s psychosocial health status; elicits perception of medical/nursing care and the expectation of care; determines coping mechanism, knowledge level, and ability to comprehend; identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; communicates and documents psychological status and care plan of support groups, counseling services, and social services; Identifies patient outcome; develops criteria for measurement of patient outcomes; identifies actual/potential patient problems; identifies patient’s need for teaching based on psychosocial and developmental assessment. Develops patient outcome statement (s) and establishes individualized patient goals; Identifies care activities and establishes the priorities necessary to achieve expected outcome; coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; documents the plan of care and collaborates with physicians and other health team members; Implements the plan of care; maintains constant vigilance over patients care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.; exercises professional skills related to the plan of care; reassesses patients as needed and appropriately revises plan of care; correctly administers prescribed treatments; correctly uses equipment necessary for patient care; provides emotional support to patient and significant other; applies scientific principles in performing procedures; carries them out safely, timely and efficiently; makes accurate observations of patient’s conditions during treatments/procedures; reports and records same as appropriate; keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; uses appropriate methods of documentation according to departmental policy; acts rapidly and effectively during any emergency situation, managing self, patients and other employees; provides a calm, quiet, restful atmosphere; communicates effectively with the patient’s family or caretakers; participates in planning for discharge and coordinates referrals, as appropriate; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same; performs variance analysis related to outcome data for performance improvement; designs, implements, and evaluates systems to improve care in unit; keeps accurate documentation of patient’s treatment, activity and condition; uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team; collaborates with the appropriate physician on patient’s plan of care. Accurately interprets and implements treatment regimen as prescribed by the Physician; assists the Physician during treatments and/or diagnostic procedures; keeps Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Decubitus Care; performs preventive skin care measures; applies simple dressings, maintaining principles of aseptic technique; applies warm and cold compresses, consistent with facility procedure; performs irrigations, consistent with Facility procedure; performs other procedures related to skin care, as necessary. Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient; meets standard on medication administration examination; demonstrates preparation of local solutions. Administers and documents medication correctly; educates patients and significant others related to drug and food interactions; educates patients and significant others related to drug and food interactions. Participates in patient and family education; provides patient with an explanation of his/her condition as indicated; communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; provides for early discharge planning and appropriate referrals for post-hospital care; evaluates the effectiveness of teaching by feedback from patient/ family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 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). Responsible for utilizing the Nursing Process in a collaborative manner to plan, implement and evaluate nursing care in accordance with his/her scope of practice. The RN supports the goals and philosophy of the Department of Nursing within the St. Joseph's Healthcare System and on his/her assigned unit. 
Responsible for utilizing the Nursing Process in a collaborative manner to plan, implement and evaluate nursing care in accordance with his/her scope of practice. The RN supports the goals and philosophy of the Department of Nursing within the St. Joseph's Healthcare System and on his/her assigned unit. Responsible for utilizing the Nursing Process in a collaborative manner to plan, implement and evaluate nursing care in accordance with his/her scope of practice. The RN supports the goals and philosophy of the Department of Nursing within the St. Joseph's Healthcare System and on his/her assigned unit. $122,000 - $203,000 / year
Position: Bilingual Nurse Practitioner/Physician Assistant Seeking Bilingual APPS that are fluent in Spanish, Chinese, Russian, Yiddish or Bengali Monogram Health is always looking to connect with exceptional clinicians who share our mission to transform healthcare for patients with chronic conditions. This posting reflects an anticipated hiring need and is intended to build a pipeline of qualified candidates for future APP opportunities that may become available within the posted location. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value-based, patient-centered care model, providing quality driven managed care with a population health focus. Highlights At Monogram Health, you’re empowered to earn more, grow your expertise, and invest in your future through a robust compensation and incentive program: Earn a competitive base salary - $122,000-$203,000 per year Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete Invest in your longevity with a $5,000 annual anniversary bonus Maximize your income potential with up to 15% in additional bonuses, including: Quarterly bonuses for quality, patient experience, and chronic condition outcomes Annual bonuses for visit cadence, wellness performance, and patient engagement A companywide 5% annual kicker bonus Start earning bonuses sooner — eligibility begins after just 3 months. Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts Roles and Responsibilities Provide evidence based, patient focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow‑ups, and post discharge visits Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing Participate in recurring virtual integrated care team meetings Coordinate care with PCPs, specialists, and ancillary services Complete documentation accurately and in a timely manner Periodic travel may be required. Requirements Bilingual (Fluent in Spanish, Chinese, Russian, Yiddish or Bengali preferred) Active and unrestricted RN and NP license, or Physician Assistant license Board certification (NP: ANCC/AANP | PA: NCCPA) Current and unrestricted DEA certificate, or eligibility to obtain Minimum 2 years of direct patient care experience Field‑based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance BLS certification (supported during onboarding) Demonstrated initiative and independent, critical thinking, and decision making skills Knowledge of and compliance with federal/state regulations (HIPAA, OSHA) Previous experience conducting annual wellness or comprehensive visits preferred Prior experience with EHR systems (Athena, Salesforce) preferred Background in managed care, population health, or value‑based care preferred About Monogram Health Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for patients with complex chronic conditions. Our personalized model addresses the full spectrum of patient needs—clinical, behavioral, social, and environmental. Supported by a multidisciplinary team across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care, we deliver comprehensive care that improves outcomes, enhances quality of life, and reduces healthcare costs. $122,000 - $203,000 / year
Position: Bilingual Nurse Practitioner/Physician Assistant Seeking Bilingual APPS that are fluent in Spanish, Chinese, Russian, Yiddish or Bengali Monogram Health is always looking to connect with exceptional clinicians who share our mission to transform healthcare for patients with chronic conditions. This posting reflects an anticipated hiring need and is intended to build a pipeline of qualified candidates for future APP opportunities that may become available within the posted location. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value-based, patient-centered care model, providing quality driven managed care with a population health focus. Highlights At Monogram Health, you’re empowered to earn more, grow your expertise, and invest in your future through a robust compensation and incentive program: Earn a competitive base salary - $122,000-$203,000 per year Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete Invest in your longevity with a $5,000 annual anniversary bonus Maximize your income potential with up to 15% in additional bonuses, including: Quarterly bonuses for quality, patient experience, and chronic condition outcomes Annual bonuses for visit cadence, wellness performance, and patient engagement A companywide 5% annual kicker bonus Start earning bonuses sooner — eligibility begins after just 3 months. Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts Roles and Responsibilities Provide evidence based, patient focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow‑ups, and post discharge visits Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing Participate in recurring virtual integrated care team meetings Coordinate care with PCPs, specialists, and ancillary services Complete documentation accurately and in a timely manner Periodic travel may be required. Requirements Bilingual (Fluent in Spanish, Chinese, Russian, Yiddish or Bengali preferred) Active and unrestricted RN and NP license, or Physician Assistant license Board certification (NP: ANCC/AANP | PA: NCCPA) Current and unrestricted DEA certificate, or eligibility to obtain Minimum 2 years of direct patient care experience Field‑based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance BLS certification (supported during onboarding) Demonstrated initiative and independent, critical thinking, and decision making skills Knowledge of and compliance with federal/state regulations (HIPAA, OSHA) Previous experience conducting annual wellness or comprehensive visits preferred Prior experience with EHR systems (Athena, Salesforce) preferred Background in managed care, population health, or value‑based care preferred About Monogram Health Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for patients with complex chronic conditions. Our personalized model addresses the full spectrum of patient needs—clinical, behavioral, social, and environmental. Supported by a multidisciplinary team across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care, we deliver comprehensive care that improves outcomes, enhances quality of life, and reduces healthcare costs. 
$122,000 - $203,000 / year
Position: Bilingual Nurse Practitioner/Physician Assistant Seeking Bilingual APPS that are fluent in Spanish, Chinese, Russian, Yiddish or Bengali Monogram Health is always looking to connect with exceptional clinicians who share our mission to transform healthcare for patients with chronic conditions. This posting reflects an anticipated hiring need and is intended to build a pipeline of qualified candidates for future APP opportunities that may become available within the posted location. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value-based, patient-centered care model, providing quality driven managed care with a population health focus. Highlights At Monogram Health, you’re empowered to earn more, grow your expertise, and invest in your future through a robust compensation and incentive program: Earn a competitive base salary - $122,000-$203,000 per year Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete Invest in your longevity with a $5,000 annual anniversary bonus Maximize your income potential with up to 15% in additional bonuses, including: Quarterly bonuses for quality, patient experience, and chronic condition outcomes Annual bonuses for visit cadence, wellness performance, and patient engagement A companywide 5% annual kicker bonus Start earning bonuses sooner — eligibility begins after just 3 months. Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts Roles and Responsibilities Provide evidence based, patient focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow‑ups, and post discharge visits Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing Participate in recurring virtual integrated care team meetings Coordinate care with PCPs, specialists, and ancillary services Complete documentation accurately and in a timely manner Periodic travel may be required. Requirements Bilingual (Fluent in Spanish, Chinese, Russian, Yiddish or Bengali preferred) Active and unrestricted RN and NP license, or Physician Assistant license Board certification (NP: ANCC/AANP | PA: NCCPA) Current and unrestricted DEA certificate, or eligibility to obtain Minimum 2 years of direct patient care experience Field‑based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance BLS certification (supported during onboarding) Demonstrated initiative and independent, critical thinking, and decision making skills Knowledge of and compliance with federal/state regulations (HIPAA, OSHA) Previous experience conducting annual wellness or comprehensive visits preferred Prior experience with EHR systems (Athena, Salesforce) preferred Background in managed care, population health, or value‑based care preferred About Monogram Health Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for patients with complex chronic conditions. Our personalized model addresses the full spectrum of patient needs—clinical, behavioral, social, and environmental. Supported by a multidisciplinary team across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care, we deliver comprehensive care that improves outcomes, enhances quality of life, and reduces healthcare costs. 
