Community Health Nurse -Registered Nurse -Bronx Location

NYC Health + Hospitals/Community Care reaches outside the walls of our hospitals and brings health care to patients where they live. With more than 600 dedicated employees, Community Care provides services including home care, community care coordination, and community-based care management to individuals managing chronic health conditions residing in Brooklyn, Manhattan, Queens and The Bronx.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Job Description

PURPOSE OF POSITION

Under the direction of the supervising Assistant Director of Nursing in Community Care, assesses, plans, implements, and evaluates the patient's plan if care. Provides direct skilled nursing care and observes and instructs the patient in their place of residence. May coordinate services of other caregivers.

Duties & Responsibilities

AREAS OF RESPONSIBILITIES
1. Provides individualized skilled Nursing care to the patients requiring part-time intermittent professional nursing service through the use of the nursing process.
2. Provides assessment of patient and develops a plan of treatment and care with ongoing evaluation of patient/family needs for other services.
3. Provides professional nursing services as outlined in the patient's plan of treatment and authorized by patient's physician and provides emergency treatment as needed.
4. Records physical, social, psychosocial and environmental needs of the patient. Provide ongoing monitoring of the patient in the home care setting and escalates any clinical changes to the physician or non-physician provider as needed.
5. Utilizes input from patient, caregiver, MD and peers to devise a Nursing Care Plan which is feasible within the physical, financial and emotional resources of the patient/caregiver and the Department of Health regulations.
6. Evaluates patient's response to plan of care as necessary, consistent with physician's orders.
7. Reviews and revises plan of care as necessary, consistent with physician's orders.
8. Plans activities necessary for effectuating the timely discharge/transfer of patient and notifies all appropriate parties including patient's physician.
9. Authorize & coordinate all services including nursing, rehab, respiratory therapy, nutritional services, equipment, professional and non-professional staffing and support services.
10. Collaborates with Accountable Care Managers and other disciplines regarding the patient's progress, plan of care and discharge plans.
11. Demonstrates a professional attitude and ethical conduct in compliance with departmental standards.
12. Involves the patient and caregiver actively in goal setting
13. Establishes and maintains a cooperative, effective working relationship with the staff, MD's, Case Managers and other hospital personnel, outside vendors, agencies and the community at large.
14. Attends weekly to bi-monthly team meetings and participates in case conferences and case load reviews on a weekly to bi-weekly basis.
15. When needed completes Physician's Orders in a timely manner.
16. Completes admission paperwork, including physician and nursing POCs within 48 hours of visit encounter
17. Reviews clinical records to ensure compliance with departmental and regulatory standards.
18. Obtains written orders for all verbal orders returned.
19. Writes clean and concise progress notes that reflect the implementation of the plan of care and the patient's response to that plan of care.
20. Maintain up-to-date patient files with complete records including care plans and re-certifications, reports of all services rendered, progress notes and discharge summaries.
21. Competent in knowledge of patient teaching plans and interventions
22. Competent in knowledge of safe administration and teaching medications.
23. Demonstrates safety and accuracy in performing treatments and procedures according to the Home Care Department standards of care/practice.
24. Competent to complete thorough and accurate nursing assessments.
25. Demonstrate competence in skilled nursing interventions.
26. Competent in knowledge of documentation requirements for Home Care.
27. Participates in case conferences and/or Interdisciplinary Team conferences as needed and as designated by the Clinical Manager
28. Works with other members of the Interdisciplinary Team (IDT) to develop appropriate interventions in order to achieve clinical and functional goals
29. Participates in the agency's Quality Assurance Performance Improvement/PIP as assigned.
30. Supervises and monitors the care given by home health aides and ensures proper documentation.
31. Participates in an interdisciplinary health care team in determining and implementing a comprehensive plan of care.
32. Participates in the coordination of other professional and para-professional services in the home and provides supervision as needed.
33. Provides patient/family/significant other/patient identified representatives with teaching and involves them in assessment activities.
34. Maintains current, complete, and appropriate documentation in the patient care record. May be required to use computer systems in carrying out these functions.
35. Duties include but may not be limited to wound care, including NPWT/VAC, Peg/Trach Care Management, Foley insertion and catheter care management, JP/PleuRx Drain care, administering injections.
36. Provides teaching on disease and medication management.
37. Obtains photographs for consultation by wound specialists.
38. Ability to apply evidence-based practices to the home care setting.
39. And other duties as ordered/prescribed.

Minimum Qualifications

Qualification Requirements:
1. A valid New York State license and current registration to practice as a Registered Professional Nurse in New York State; and
2. Holds, or obtains through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA); and
3. One (1) year of experience as a registered nurse; and
4. Ability to travel regularly to patient/client assignments across New York City via public transportation and/or private vehicle; and
5. Demonstrated commitment to continued professional development.

Department Preferences

QUALIFICATIONS FOR THE JOB: CERTIFICATION(S)/LICENSE(S):
Licensed and currently registered to practice as a professional nurse in New York State; and Current certification in Basic Life Support procedures including CPR
EDUCATIONAL LEVEL:
Baccalaureate Degree in Nursing from an approved program preferred
YEARS OF EXPERIENCE:
Minimum two (2) years of full-time nursing experience
At least 2 years of experience in Homecare, Long-term Care, or Hospital setting.
KNOWLEDGEABLE IN:
Demonstrated knowledge regarding Federal, State and local regulations and JCAHO standards for Home Care.
Excellent verbal, written, organizational and analytical skills.
Demonstrated competence as a registered nurse in patient assessments and critical thinking skills
Previous experience using various computer software applications: i.e., Word, Excel, Access, etc.
EQUIPMENT/MACHINES OPERATED:
Smart phone * Laptop Computer * Scale * Nursing Bag

COMPUTER PROGRAMS/SOFTWARE OPERATED
EPIC H2O Hyperspace
EPIC H2O Remote Client
Microsoft Office (Word, Excel, PowerPoint, Visio, OneNote)

If you wish to apply for this position, please apply online by clicking the "Apply Now" button or forward your resume to CommunityCareCareers@nychhc.org noting the above Job ID #.109004

NYC Health and Hospitals offers a competitive benefits package that includes:

• Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
• Retirement Savings and Pension Plans
• Loan Forgiveness Programs for eligible employees
• Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
• College tuition discounts and professional development opportunities
• Multiple employee discounts programs