Staff Nurse - Emergency Services, Adult (Referral Center)

NYC Health + Hospitals/Bellevue is America's oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue's clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children's Psychiatric Emergency Program; and Cancer Services.

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

SUMMARY OF DUTIES AND RESPONSIBILITIES: This role works independently and supports the Transfer Center Nurse Supervisor and transfer center operations in providing clinical coordination of appropriate patient transfers. In effort to provide complete customer and patient satisfaction, the TC nurse will accurately listen and respond appropriately to requests made by transferring physicians, hospitals and peers and provide clinical direction. The TC nurse will manage multiple phone lines and responsibilities including transfer center logistics for patients being transferred into and out of all NYC H+H facilities. This role will report to the TC nurse supervisor.

General tasks and responsibilities will include:

• Demonstrate exemplary customer service to all stakeholders/clients of NYCHHC requesting transfers via telephone and electronic requests through Epic Transfer Center Module.
• Prioritize and problem solve to meet changes in patient needs with regard to admission/transfer/resource availability.
• Coordinate NYC H+H functions in support of emergent, urgent, routine and elective patients to a final destination facility from all potential referral sources via a single call to initiate acceptance and expedite decision making relative to a potential access in support of NYC H+H facilities.
• Field calls from clinicians, gather clinical information for transfer requests and facilitate transfers by matching the patient's clinical needs to the facility with bed capacity and service capacity.
• Act as a clinical resource to internal and external customers, departments, and clinicians involved in patient transfers.
• Correctly and completely collect and interpret patient condition, medical eligibility, and appropriateness for transfers.
• Anticipate potential safety concerns and identify high risk patient situations and intervene or triage as needed.
• Provide preadmission/admission screening of all incoming patients and transfers in order to attaint efficient effective quality of care for patients.
• Utilize knowledge and understanding of acuity of disease processes, in addition to knowledge of emergency critical care of adult, adolescent, pediatric and geriatric patients to triage appropriately and communicate clinical updates to clinical staff.
• Demonstrate the independent ability to immediately triage and prioritize patient medical condition and diagnoses and communicate an accurate presentation of the patient from referring facilities for accepting physicians and nurses.
• Perform insurance verification and obtain authorization as needed.
• Work directly with staff at each facility to ensure timely access, appropriate bed assignment, and accurate patient information documentation to assist with an appropriate final destination plan of care at receiving facility.
• Proficient in database, telephone systems with call recording, and/or Bed Management systems and office-oriented systems as required to support client operations.
• Communicate with physicians and outlying facilities regarding all patient access, potential bed placement and assists with coordinating patient movement from one facility to another based on defined protocols a criteria.

Minimum Qualifications
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).
Special Note:
For assignments in Post-Acute Care ONLY, individuals meeting the following criteria may also be considered for appointment: Graduation from a nursing education program registered by the New York State Education Department (NYSED) as licensure qualifying for Registered Professional Nurse (RN) and has applied for licensure as an RN. These unlicensed individuals may be employed to practice under the immediate and personal supervision of a NYS licensed, currently registered, RN for up to 90 days immediately following graduation pending receipt of a limited permit, which selected candidates must apply for and receive within the same 90-day period. Once a limited permit is received, individuals can practice nursing, under the immediate and personal supervision of a NYS licensed, currently registered, RN at a NYC Health + Hospitals health care setting for up to one (1) year from the date of issuance of the limited permit. In addition, must hold or obtain through facility orientation, a valid and current certification in Basic Life Support (BLS) through the American Heart Association (AHA).

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