PACS

RCM- RN

Registered Nurse (RN) General Purpose The primary responsibility of your job position is to supervise the day-to-day nursing activities of the facility during your tour of duty. Such supervision must be accordance with current federal, state, and local standards, guidelines and regulations that govern the facility and may be required by the Director of Nursing (DON)and or/Assistant Director of Nursing (ADON) when applicable, to ensure that the highest degree of quality care is maintained at all times. Essential Duties Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions • Assist the Director of Nursing Services in directing the day-to-day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long-term care facility. • Participate in developing, maintaining, and updating written policies and procedures that govern the day-to-day functions of the nursing service department. • Ensure that reference material (i.e., PDR’S, regulations, professional standards of practice, etc.) maintained at the nurses’ stations is current. Recommend written material that will assist the nursing service department in meeting the day-to-day needs of the resident. • Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed in this facility. • Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. • Make written and oral reports/recommendations to the Director as necessary/required, concerning the operation of the nursing service department. • Periodically review the department’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions to the Director. • Assist in developing methods for coordinating nursing services with other resident services to ensure the continuity of the residents’ total regimen of care. • Ensure that all nursing service personnel are in compliance with their respective job descriptions. • Participate in the development, maintenance and implementation of the facility’s quality assurance program for the nursing service department. • Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services. • Periodically review the resident’s written discharge plan. Participate in the updating of the resident’s written discharge plan as required. • Assist the Director in planning the nursing services portion of the resident’s discharge plan as necessary. • Meet with the nursing staff, as well as support personnel, in planning the department’s services, programs, and activities. • Admit, transfer, and discharge residents as required. • Complete accident/incident reports as necessary. • Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required. • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., asnecessary. • Agree not to disclose assigned user ID code and password for accessing resident/facility information and promptly report suspected or known violations of such disclosure to the Administrator. • Agree not to disclose resident’s protected health information and promptly report suspected or known violations of such disclosure to the Administrator. • Report any known or suspected unauthorized attempt to access facility’s information system. Committee Functions • Attend various committee meetings of the facility (i.e., Infection Control, Policy Advisory, Pharmaceutical, Quality Assessment, etc.) as required. • Assist in preparing written and/or oral reports of the nursing service programs and activities to submit to such committee(s) as directed. • Provide information to the Quality Assurance and Assessment Committee as requested. • Participate in developing the agenda for the Care Plan Committee meetings as necessary. • Participate in regularly scheduled reviews of the discharge plans and make such plans available to the Care Plan Committee as required or as may be necessary. • Implement recommendations from established committees as instructed by the Director. Personnel Functions • Ensure that a sufficient number of licensed practical and/or registered nurses are available for your tour of duty to ensure that quality care is maintained. • Ensure that a sufficient number of certified nursing assistants are available for your tour of duty to ensure that routine nursing care is provided to meet the daily nursing care needs of each resident. • Develop work assignments, and/or assist in completing and performing such tasks. • Delegate to each Charge Nurse the administrative authority, responsibility, and accountability necessary to perform his/her assigned duties. • Ensure that all nursing assistants are enrolled in or have graduated from an approved nursing assistant training program. • Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. • Make daily rounds of the nursing service department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director. • Monitor absenteeism to ensure that an adequate number of nursing care personnel are on duty at all times. Report problem areas to the Director. • Ensure that established policies and procedures, including dress codes, are followed by all departmental personnel. • Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director as required or as may be necessary. • Develop and maintain a good working rapport with inter-department personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. • Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit and shift. • Meet with your shift on a regularly scheduled basis to assist in identifying and correcting problem areas and/or to assist in the improvement of services. • Review and evaluate your department’s work force and make recommendations to the Director. • Participate in employee performance evaluations, determining your shift’s staffing requirements, and making recommendations to the Director concerning employee dismissals, transfers, etc. • Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. • Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents. • Report known or suspected incidents of fraud to the Administrator. • Ensure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. Nursing Care Functions • Inform nursing service personnel of new admissions, their expected time of arrival, room assignment, etc. • Ensure that rooms are ready for new admissions. • Greet newly admitted residents upon admission. Escort them to their rooms as necessary • Make rounds with physicians as necessary. • Encourage attending physicians to record and sign progress notes, physicians’ orders, etc., on a timely basis and in accordance with current regulations. • Inform the Director when physician visits are not made in a timely manner. • Consult with the resident, his/her family, and the resident’s physician in planning the resident’s care, treatment, rehabilitation, etc., as necessary. • Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition. • Visit residents on a daily basis in order to observe and evaluate each resident’s physical and emotional status. • Ensure that direct nursing care be provided by a licensed nurse, a certified nursing assistant, and/or a nurse aide trainee qualified to perform the procedure. • Review nurses’ notes to ensure that they are informative and descriptive of the nursing care being provided, that they reflect the resident’s response to the care, and that such care is provided in accordance with the resident’s wishes. • Provide direct nursing care as necessary. • Start IVs, obtain sputum, urine and other specimens for lab tests as ordered. • Take TPRs, blood pressures, etc., as necessary. • Admit, transfer and discharge residents as necessary. • Report problem areas to the Director. Assist in developing and implementing corrective action. • Keep the Director informed of the status of residents and other related matters through written/oral reports. • Assist the Charge Nurse in monitoring seriously ill residents. • Authorize the use of restraints when necessary and in accordance with our facilities policies and procedures. • Ensure that all RNs and LPNs on your shift comply with written procedures for the administration, storage, and control of medications and supplies. • Monitor medication passes and treatment schedules to ensure that medications are being administered as ordered and that treatments are provided as scheduled. • Review medication cards for completeness of information, accuracy in the transcription of physician orders, and adherence to stop order policies. • Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. • Ensure that residents who are unable to call for help are checked frequently. • Meet with residents, and/or family members, as necessary. Report problems to the Director. • Assist in arranging transportation for discharged residents as necessary. • Inform family members of the death of the resident. • Call funeral homes when requested by the family. Staff Development • Participate in developing, planning, conducting, and scheduling in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department. • Assist the In-service Director/Educator in developing annual facility in-service training programs (e.g., OSHA, TB, HIPAA, Abuse Prevention, Safety, Infection Control, etc.). • Assist the Director in planning clinical supervision for nurse aide trainees. • Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation • Assist the Safety Officer in developing safety standards for the nursing service department as necessary. • Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and jobrelated functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. • Ensure that all personnel performing tasks that involve potential exposure to blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. • Ensure that an adequate supply of personal protective equipment is on hand and readily available to personnel who perform procedures that involve exposure to blood or body fluids. • Ensure that personnel follow established procedures for the use and disposal of personal protective equipment. • Monitor your shift’s personnel to ensure that they are following established safety regulations in the use of equipment and supplies. • Ensure that all nursing service personnel comply with established departmental policies and procedures. • Ensure that nursing service work areas (i.e., nurses’ stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. • Ensure that all resident care rooms, treatment areas, etc., are maintained in a clean, safe, and sanitary manner. • Ensure that nursing service personnel follow established handwashing and hand hygiene procedures. • Ensure that nursing service personnel participate in and conduct all fire safety and disaster preparedness drills in a safe and professional manner. • Participate in the development, implementation, and maintenance of the infection control program for monitoring communicable and/or infectious diseases among the residents and personnel. • Ensure that nursing service personnel follow established infection control procedures when isolation precautions become necessary. • Participate in the development, implementation and maintenance of the procedures for reporting hazardous conditions or equipment. • Ensure that all personnel wear and/or use safety equipment and supplies (e.g., back brace, mechanical lifts, etc.) when lifting or moving residents. • Report missing/illegible labels and MSDSs to the safety officer or other designated person. Equipment and Supply Functions • Recommend to the Director the equipment and supply needs of the department. • Ensure that an adequate stock level of medications, medical supplies, equipment, etc., is maintained on premises at all times to meet the needs of the resident. • Assist the Maintenance Director in developing a preventive maintenance program for maintaining the nursing service department’s equipment and supplies in a safe and operable manner. • Participate in the development and implementation of the procedures for the safe operation of all nursing service equipment. • Ensure that only trained and authorized personnel operate the nursing service department’s equipment. • Ensure that all personnel operate nursing service equipment in a safe manner. • Monitor nursing procedures to ensure that nursing service supplies are used in an efficient manner to avoid waste. • Ensure that appropriate MSDSs are on file for hazardous chemicals used in the nursing service department. Care Plan and Assessment Functions • Participate in the development of written preliminary and comprehensive assessments of the nursing needs of each resident as necessary. • Participate in the development of a written plan of care (preliminary and comprehensive) for each resident that identifies the problems/needs of the resident, indicates the care to be given, goals to be accomplished, and which professional service is responsible for each element of care. • Encourage the resident to participate in the development and review of his/her care plan. • Review resident care plans for appropriate resident goals, problems, approaches, and revisions based on nursing needs. • Ensure that all personnel involved in providing care to the resident are aware of the resident’s care plan. Ensure that nursing personnel refer to the resident’s care plan prior to administering daily care to the resident. • Review nurses’ notes to determine if the care plan is being followed. • Assist the Resident Assessment/Care Plan Coordinator in planning, scheduling, and revising the MDS, including the implementation of RAPs and Triggers. • Review resident’s medical and nursing treatments to ensure that they are provided in accordance with the resident’s care plan and wishes. Budget and Planning Functions • Keep abreast of economic conditions/situations, and recommend to the Director adjustments in nursing services that ensure the continued ability to provide quality care. • Recommend to the Director the equipment needs of the nursing service department. • Report suspected or known incidence of fraud relative to false billings, cost reports, kickbacks, etc. Supervisory Requirements Assist with the overall supervision of and management of the nursing staff. As RN, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Qualification Education and/or Experience Must posess, as a minimum, a Nursing Degree an accredited college or university. Must have training in rehabilitative and restorative nursing practices. 2 years or more experience preferably in a long-term care facility. Language Skills Must be able to read, write, speak, and understand the English language. Ability to read technical procedures. Ability to read and comprehend policy and procedure manuals. Ability to effectively present information and respond to questions from managers and employees. Mathematical Skills Ability to apply concepts such as fractions, percentages, ratios and proportions to practical situations. Reasoning Ability Must possess • the ability to make independent decisions when circumstances warrant such action with the ability to solve practical problems. • the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. • leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel. • the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. Must demonstrate the knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served. Be a supportive team member, contribute to and be an example of team work and team concept. Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities. Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices. Must be able to relate information concerning a resident’s condition. Must not pose a direct threat to the health or safety of other individuals in the workplace. Certificates, Licenses, Registrations Must possess a current, unencumbered, active license to practice as an RN in this state. Current CPR certification. Knowledge and experience with PCC preferred. Must maintain all required continuing education/licensing. Must remain in good standing with the State Board of Nursing at all times. Physical Demands Must be able to move intermittently throughout the workday. Must be able to speak and write the English language in an understandable manner. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. Must function independently, and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies. Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination. Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Must be able to push, pull, move, and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet. May be necessary to assist in the evacuation of residents during emergency situations. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works in office area(s) as well as throughout the nursing service area (i.e., drug rooms, nurses’ stations, resident rooms, etc.). Moves intermittently during working hours. Is subject to frequent interruptions. Is involved with residents, personnel, visitors, government agencies/personnel, etc., under all conditions and circumstances. Is subject to hostile and emotionally upset residents, family members, personnel, and visitors. Communicates with the medical staff, nursing personnel, and other department directors. Works beyond normal working hours and on weekends and holidays when necessary. Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.). Is involved in community/civic health matters/projects as appropriate. Attends and participates in continuing educational programs. Is subject to injury from falls, burns from equipment, odors, etc., throughout the workday, as well as reactions from dust, disinfectants, tobacco smoke, and other air contaminants. Is subject to exposure to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses. May be subject to the handling of and exposure to hazardous chemicals. Maintains a liaison with the residents, their families, support departments, etc., to adequately plan for the residents’ needs. Additional Information Note: Nothing in this job specification restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.
Mount Sinai Health System

Licensed Practical Nurse - 117th Street Dialysis - Mount Sinai Hospital - Full-Time Days 10AM-8:30PM + Alt. Weekends

$35.25 / year
Description The practice of nursing as a Licensed Practical Nurse is defined as performing tasks & responsibilities within the scope of supportive & restorative care; medication administration and specialized tasks under the direction of a Registered Professional Nurse of licensed or otherwise legally authorized physician or dentist. Responsibilities A. Clinical/Technical/Service 1. Participates in the application of the nursing process to an assigned group of patients. 2. Demonstrates those behaviors which reflect the scientific knowledge, judgment, and technical skills of a Licensed Practical Nurse 3. Performs job duties under supervision of a Registered Professional Nurse. 4. Demonstrates a competent level of approved skilled nursing care tasks and procedures using approved technical skills related to vital signs, pulse oximetry, venipuncture, starting standard peripheral IVs only (not midlines or long peripheral lines), urinary catheter insertion/catheter care; and simple dressings, remove/discontinue a peripheral line. 5. Administer IV fluids, provided completion of annual competency IV therapy training. 6. Monitors patients receiving blood and blood products and TPN under the direction of the RN, who administers the transfusion. 7. Makes recommendations in the application of the nursing process. 8. Participates in planning, and administers direct patient care, including activities of daily living (ADL). 9. Performs point of care testing including blood glucose. 10. Performs nursing procedures as defined in the nursing procedure manual. 11. Administers medication as defined in nursing policy. ALL routes except cannot administer medications IV push/bolus (except for a Normal Saline or heparin flush) or via a central line. LPNs do not administer chemotherapy or immunotherapy. 12. LPNs cannot administer first dose of an IV drug. The RN will administer the first dose of an IV drug and assess for side effects, after which the LPN can administer subsequent doses. 13. LPNs working exclusively in chronic outpatient hemodialysis settings may, under the direct supervision of a Registered Professional Nurse (RN) and after completing an approved hemodialysis training and competency program, perform dialysis-related tasks as permitted by the New York State Education Department (NYSED) Office of the Professions and 10 NYCRR §700.4(b). See Section D for more details regarding role of LPNs in the Outpatient Hemodialysis setting. This exception does not permit independent practice or unsupervised access to central venous lines. 14. Assists in patient assessment after the RN has completed the initial patient assessment, including pain management. 15. Carries out medical and nursing orders. Cannot accept verbal orders or carry out RN standing orders. 16. Makes, reports and records observations on assigned patients within the EMR. 17. Observes and reports any signs and symptoms of change in a patient’s condition to the appropriate person. 18. Participates in health teaching to patients and families following the RNs development of the teaching plan. 19. Establishes an environment that promotes optimum physical and emotional comfort. 20. Performs purposeful hourly care checks and supports the patient experience in accordance with Relationship Centered Care Professional Practice Model 21. Organizes supplies and equipment necessary for carrying out the plan of care is identified and communicated by the charge nurse/designee. 22. Contributes specified data to the patients’ medical record. 23. Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area. Age Specific Competencies (Neonate/Infant, Pediatric, Adolescent, Adult, Geriatric) a. Identifies physical, behavioral and emotional characteristics typical for the age group. b. Modifies approaches based on patient age-specific needs and responses to treatment. c. Provides care for patients based on age-specific needs. d. Uses communication techniques which are age appropriate. 24. Behavior demonstrates an awareness of the goals of the Nursing Department 25. Supports the patient experience to achieve safe and quality care. 26. Adaptation to changing departmental needs reflects awareness of institutional needs. 27. Time management meets needs of unit/department. 28. Interprets hospital policies and regulatory standards of care. 29. Recommends changes in nursing practice of practical nurses and policy through the appropriate leadership person or nursing committee. B. Organizational/Managerial 30. Participates in the Nursing Department Quality Improvement Program/ activities. 31. Maintains patient/employee confidentiality in the management of information. C. Educational/Professional Development 32. Participates in the development of other staff members. 33. Meets regulatory, licensure and annual health assessment requirements. 34. Participates in patient care conferences. 35. Maintains nursing care standards through participation in workshops, in-service programs and staff meetings. 36. Maintains competence through participation in continuing education and other appropriate experiences. 37. D. Communication/Relationships 38. Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others. 39. Displays courtesy, professionalism and respect during interactions with all members of the hospital staff and extended community. 40. Responsible to the leadership person of the unit 41. Provides direction, assistance and support to auxiliary staff. 42. Participates in interdepartmental and intergroup communication to provide a continuity of patient care. 43. Participates in departmental committees, as assigned. 44. Adheres to the MSHS legal and ethical standards. 45. May be required to perform other duties as assigned. D. LPNs in the Outpatient Hemodialysis Setting An LPN can practice in the chronic hemodialysis outpatient department under the direct supervision of an RN. The LPN will participate in educational programs on a regular basis, including initial orientation and continuing in service training to care for patients with central venous access devices (CVAD). The training should include a written examination and competency demonstration. A Hemodialysis LPN may: • Administer bolus of medications by IV push in a chronic outpatient hemodialysis treatment center, excluding first dose administration which is administered by an RN. The RN will access and care for patient’s initial catheter use. Subsequently, and following the MSHS CVAD care policy, the LPN can: • Identify and set up supplies necessary for accessing a CVAD. • Initiate treatment with a CVAD. • Draw blood specimens from a CVAD. • Perform CVAD dressing change and exit site care. • Monitor and adjust flow rates of central venous catheter access device/line. • Intervene if there is a catheter/blood line disconnection or other complications associated with a CVAD. • Provide CVAD care at the end of dialysis treatment. Qualifications Education Requirements Completion of educational program for licensure as a LPN. Successful completion of required New York State Department of Health LPN IV Therapy Initial Program for the demonstration of competence in the performance of intravenous therapy/blood administration procedures as part of Centralized Orientation. Successful completion of annual unit-based review & update program in procedures associated with intravenous therapy. Experience Requirements Appropriate experience in a health care setting preferred Licensing and Certification Requirements (if applicable) Name: LPN Issuing Agency: New York State Department of Health Name: Basic Life Saver (BLS) Issuing Agency: AHA Collective bargaining unit: SEIU 1199-MSH 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 $35.2528 - $35.2528 Hourly. 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.
Mount Sinai Health System

Licensed Practical Nurse-Institute for Advanced Medicine-Mount Sinai West-Full Time-Days

$37.06 / year
Description Position Title: Licensed Practical Nurse-Institute for Advanced Medicine-Mount Sinai West-Full Time-Days Position Summary: Participates in the application of the nursing process to an assigned group of patients. Demonstrates those behaviors which reflect the scientific knowledge, judgment, and technical skills of a Licensed Practical Nurse. Responsibilities A. Clinical/Technical/Service Participates in the application of the nursing process to an assigned group of patients Demonstrates those behaviors which reflect the scientific knowledge, judgment, and technical skills of a Licensed Practical Nurse Performs job duties under supervision of a Registered Professional Nurse. Demonstrates a competent level of approved skilled nursing care tasks and procedures using approved technical skills related to Vital signs, pulse oximetry, venipuncture, starting peripheral IVs only, urinary catheter insertion/catheter care; and simple dressings, remove/discontinue a peripheral line, EKGs.. Administer IV fluids, provided completion of annual competency IV therapy training. Monitors patients receiving blood and blood products and TPN under the direction of the RN. It is the RN who administers the transfusion. Makes recommendations in the application of the nursing process Participates in planning, and administers direct patient care Performs point of care testing including blood glucose. Performs nursing procedures as defined in the nursing procedure manual Administers medication as defined in nursing policy. ALL routes except cannot administer medications IV push/bolus (except for a Normal Saline or heparin flush) or via a central line. LPNs do not administer chemotherapy. Assists in patient assessment after the RN has completed the initial patient assessment, including pain management. Carries out medical and nursing orders Makes, reports and records observations on assigned patients Observes and reports any signs and symptoms of change in a patient’s condition to the appropriate person Participates in health teaching to patients and families following the RNs development of the teaching plan. Establishes an environment that promotes optimum physical and emotional comfort Performs purposeful hourly rounding and supports the patient experience in accordance with Relationship Centered Care Professional Practice Model Organizes supplies and equipment necessary for carrying out the plan of care is identified and communicated by the charge nurse/designee. Contributes specified data to the patients’ medical record. Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area Age Specific Competencies (Neonate/Infant, Pediatric, Adolescent, Adult, Geriatric) Identifies physical, behavioral and emotional characteristics typical for the age group Modifies approaches based on patient age-specific needs and responses to treatment Provides care for patients based on age-specific needs Uses communication techniques which are age appropriate Behavior demonstrates an awareness of the goals of the Nursing Department Supports the patient experience to achieve safe and quality care Adaptation to changing departmental needs reflects awareness of institutional needs Time management meets needs of unit/department Interprets hospital policies and regulatory standards of care. Recommends changes in nursing practice of practical nurses and policy through the appropriate leadership person or nursing committee B. Organizational/Managerial Participates in the Nursing Department Quality Improvement Program/ activities Maintains patient/employee confidentiality in the management of information C. Educational/Professional Development Participates in the development of other staff members Meets regulatory, licensure and annual health assessment requirements Participates in patient care conferences Maintains nursing care standards through participation in workshops, in-service programs and staff meetings Maintains competence through participation in continuing education and other appropriate experiences D. Communication/Relationships Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others Displays courtesy, professionalism and respect during interactions with all members of the hospital staff and extended community Responsible to the leadership person of the unit Provides direction, assistance and support to auxiliary staff Participates in interdepartmental and intergroup communication to provide a continuity of patient care Participates in departmental committees, as assigned. Adheres to the MSHS legal and ethical standards May be required to perform other duties as assigned Items 1-39 are essential functions of this position under the Americans with Disabilities Act Qualifications Provides documentation of completion of an accredited LPN training program Documented previous work experience or educational preparation to support position assignment. Licensed and currently registered or otherwise duly authorized to practice as a Licensed Practical Nurse in New York State. Collective bargaining unit: SEIU LPN 721-SLW Compensation Statement: 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 $37.06 - $37.06 Hourly. 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. SEIU LPN 721 at Saint Luke's/West for Licensed Practical Nurse, BAB - Aids Non Nursing - WST, Mount Sinai West 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 $37.0587 - $37.0587 Hourly. 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.
Defense Health Agency (DHA)

ADVANCED PRACTICE NURSE (NURSE PRACT/FAMILY PRACTICE) GS-0610-12

Overview ADVANCED PRACTICE NURSE (NURSE PRACT/FAMILY PRACTICE) Naval Hospital Bremerton (NHB) is a United States Navy hospital located on Naval Station Bremerton in Bremerton, Washington. Located 10 minutes from Tacoma and Seattle, 20 minutes from Olympia, the state capitol. NH Bremerton is situated in a key location along Interstate 5, allowing easy access to Sea-Tac Airport and to the deep-water ports of Tacoma and Seattle. Although the Army and Air Force missions have changed over the years, one thing has not changed—the natural setting of the base. Majestic Mount Rainier looms on the horizon, towering over the other peaks of the Cascade Range. From the mountains to the deep waters of Puget Sound and the Pacific Ocean, the local areas abound in natural beauty and outdoor recreation opportunities. Camping, hunting, fishing, hiking, boating and now sports are a way of life in Washington State. Working for the Department of Defense comes with an abundance of benefits and perks to include competitive compensation packages, paid-time off, medical benefits, student loan repayments, and retirement package with Thrift Savings Plan to include matching employer contributions. For more information, please visit the following link: https://www.usajobs.gov/Help/working-in-government/benefits/ Responsibilities POSITION DUTIES: 1. Serves as a direct primary health care provider in the capacity of a credentialed Nurse Practitioner to provide primary care services to patients ranging in ages from infant through geriatric within a variety of primary health care clinics at a military medical treatment facility (MTF). This role will be focused on primary care services and women’s health, with the APRN supplementing care to primary care clinics such as Family Medicine, the Urgent Care Clinic and women’s health clinics such as OB/GYN.Provides health management for a DOD beneficiary patient population with responsibility for the independent examination, diagnosis and treatment within personal credentials and privileges delineated by the MTF. Provides leadership in comprehensive primary care services and auxiliary practices in general medicine to military and their family members. Performs varied duties requiring many different and unrelated processes and methods applied to a broad range of general medicine in the pediatric, adult, and geriatric patients in specialty areas. Makes decisions regarding the medical care required and, in the interpretation, and evaluation of processes resulting from continuing changes in the medical field due to new technological developments or conflicting requirements.Performs a variety of complex duties involving the full range of medical care that involves isolating and defining unknown medical conditions. Assignments include a wide range of activities including assessing, planning, evaluating and modifying the treatment of patients in various locations throughout the MTF. Secures a health and medical history from the patients or family member, records findings and makes clinical evaluation. Examines patient and performs initial patient work-up and assessment of patient's care and treatment. Determines the need for and orders laboratory tests, X-rays and other procedures necessary to complete the assessment of the patient. Discriminates between normal and abnormal findings to recognize early stages of serious physical, emotional or mental problems. Adheres to medical and primary care practices and procedures to stabilize chronically ill patients; adjusts regimens within established protocols recognizing when to refer the patient to the physician or other primary care members.Makes decisions concerning primary care needs of patients that impact the care of other healthcare professionals and ancillary staff; works independently and collaboratively with physicians in patient management, evaluation, and revision of therapeutic plans, referring extremely or selected complex medical problems to medical management. Diagnoses disease, illness, disorder or injury, institutes treatment of patients. Prescribes for and treats a variety of diseases, disorders and injuries; treats patients returning for routine or directed follow-up and treatment of chronic illnesses previously documented in patient's medical records. Writes routine orders on outpatients; performs medical histories and dictates narrative summaries. Provides a full range of emergency services or crises interventions in the absence of the physician, including life-saving emergency procedures in order to stabilize a patient within the scope of practice and approved protocols.Writes prescriptions, orders the administration of medications, dispenses medications, and prescribes controlled substances in accordance with scope of practice for Nurse Practitioners. Performs a variety of physical examinations such as school, employment, sports, retirement, discharge, reenlistment, disability separation or retirement, annual and other special physicals, health certificate employment and other related physical examinations. Orders laboratory tests, X-rays, etc. and arranges for physician consultation if required. Records entries into patient's charts including progress notes, treatment rendered, tests or procedures ordered, and notations of prescriptions or orders, and drugs dispensed or administered in accordance with approved protocols including computer-based progress notes. Evaluates the primary care aspects of patient care recognizing when reassessment by a physician or other staff professionals is required. Provides primary care and preventive services to healthy individuals, including guidance in common illnesses, accidents, child growth and development, alternative drugs usage, etc. Evaluates the total health care needs of patients and develops plans to meet clients' needs. 2. Develops new techniques and establishes criteria for providing improved, quality patient health care to clients and family members of the Medical Center. Plans, with other professionals and agencies involved in providing primary care services to patients and their family members, and coordinates the primary care provided. Develops and recommends new approaches for providing improved, quality primary care for military and their family members and other clients of the hospital. Provides consultation, teaching, and coordination with patients and their family members regarding treatment and medical care. Performs other duties assigned. Qualifications Who May Apply: US Citizens In order to qualify, you must meet the experience and education requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Basic Requirement for Advanced Practice Nurse (Nurse Practitioner): Degree: A graduate or higher level degree from an accredited professional nursing educational program in Nurse Practitioner is required. This education must have been accredited by the Commission on Collegiate Nursing Education, Council on Accreditation of Nurse Anesthesia Educational Programs, Accreditation Commission for Midwifery Education, or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. (Note: You must attach a copy of your transcripts.). Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse in the specialty of Nurse Practitioner or related specialty from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status. Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant. Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience : One or more full years of professional nursing experience which includes performing examination and assessments of assigned patients, obtaining and recording health histories of patients, ordering and interpreting laboratory and diagnostic tests for patients, prescribing a variety of medications to patients. Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted. Education FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.
WellBe Senior Medical

Nurse Practitioner - Uniontown, PA

Job Summary Join a Top-Rated Healthcare Company Making a Difference in Senior Care! WellBe Senior Medical was founded in 2019 to provide a more effective and personalized healthcare experience for patients living with chronic conditions. Our home-based medical visits nurture all aspects of a patient’s well-being so they can live better, feel healthier, and stay independent longer. With our mission at the forefront of everything we do, we aim to build our team with the most capable and compassionate individuals we can find. Named a Best Place to Work from Modern Healthcare, WellBe is a leading provider of in-home medical care and mental health services across the country! Job Description What APP – Nurse Practitioners Love About WellBe: Competitive salary and full benefits package. $106,800.00 - $134,800.00 Meaningful, one-on-one care with your own patient panel. Mileage reimbursement WellBe’s Culture is Welcoming: Be part of something important: Be part of pioneering a new way of healthcare that is revolutionizing the industry. A patient-focused environment that ensures patients can live a fulfilling life whatever their health level is. Our focus is to give our patients more good days. Give yourself incredible opportunities: Work as part of a collaborative team with a strong team culture. Training in the WellBe model and team-based care. Full in-person orientation, vision, mission, and values introduction, and instilling cultural ideals. Empowerment and ownership for solving problems that arise and doing the right thing in each interaction. Your APP – Nurse Practitioner Responsibilities: Will primarily support in-home, patient-facing visits to support patient care needs in the market. Performs primary care in home services, initial patient screenings/physical examinations, creates appropriate assessment/plan and completes documentation in a timely manner. Partners with other clinicians in the Care Community managing the health and wellbeing of patients living in their homes. Responsible for engaging attributed patients into the WellBe program and supporting care needs and efforts to keep patients engaged. Facilitates staff, patient, and family decision-making by providing educational resources. Addresses any urgent care needs of the patients as needed, including transition of care visits. Collaborates with community team to complete a full patient care assessment and plan. Orders, interprets, and analyzes diagnostic tests and determine the need for follow-up. appointments and further treatment options per state supervisory agreement. Prescribes and manage medications and treatments as appropriate, including but not limited to as psychopharmacological agents per state supervisory agreement. Updates patient records and check records for accuracy at each patient appointment. Delivers patient care and completes regular patient reviews with supervising physician per state supervisory agreement. Focuses clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses. Utilizes all available resources to help care for patient needs and refers to internal/external resources as appropriate, such as WellBe behavioral health protocols. Collaborate with the interdisciplinary team and participate in regularly scheduled team meetings. Oher tasks needed to accomplish team’s objectives/goals. Job Requirements APP – Nurse Practitioner Qualifications Master’s Degree, Nursing with focus on Family Nurse Practitioner, Adult Nurse Practitioner, Geriatric Nurse Practitioner or Adult-Geriatric Nurse Practitioner from an accredited, Nurse Practitioner program (required) Active, unencumbered Nurse Practitioner license in the state of job posting and must reside in state (required) Current board certification in your field with either ANCC (American Nurses Credentialing Center) or AANP (American Association of Nurse Practitioners) (required) BLS certified and an active NPI# as an NP (required) CPR certification (required) Active, unencumbered DEA licensure or eligibility to obtain (required) Have a valid driver’s license, car insurance, have access to a car and willingness to drive to patient homes as site of care delivery Requires proof of an active auto insurance policy (required) APP – Nurse Practitioner Skills We Value 3+ years Nurse Practitioner experience (preferred), will consider new grads Prior healthcare experience in areas of medical assistant, certified nursing assistant, EMT/paramedic, lab assistant, registered nurse, or similar health care related roles (preferred) Previous experience in value-based care, home care, primary care, hospice, palliative care, or geriatrics strongly preferred, other complex patient health care experience also beneficial (preferred) Additional experience with telehealth care delivery (preferred) Requires homes visits to patients in a variety of residential settings Ability to conduct in- home setting visits and have previous experience on a telehealth platform Demonstrated role proficiency with Microsoft Office; Excel, Word, G-suite, etc. Proficient with office software, including Electronic Health Records, Scheduling Software and Ring Central applications Supervisory Responsibility : This position will have supervisory responsibility. Travel requirements : Travel may be required up to 100% locally to deliver patient care. Work Conditions: Ability to lift up to 30 lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assisting with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity. The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodation so that a qualified employee(s) can perform the essential functions of this role. Safety-Sensitive Statement :This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including for substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana—including medical or recreational use—is prohibited. WellBe Senior Medicalwill comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations. Drug Screening Requirement :As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Americans with Disabilities Act: WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application or employment process, please contact Human Resources at HRPeopleLine@wellbe.com