Lead Staff Nurse I/II - Acute Care & Care Coordination

Montefiore Hudson Valley Collaborative; New York (NY); On-site; USD 75,000 - 110,000; Full time

Job summary

Montefiore Hudson Valley Collaborative is seeking a qualified Registered Nurse to uphold nursing standards and lead care delivery at Montefiore Medical Center. You will participate in performance improvement, mentoring, and ensuring 100% of patients have documented care plans.

The role requires an RN with NYS license, current certifications, and a commitment to patient safety and quality care. Strong communication and teamwork are essential.

Qualifications

• Associate Degree in Nursing Required.
• BSN in Nursing Preferred.
• One (1) year of acute care RN experience is required; exceptional recent graduates will be considered.
• 2 years of RN experience in Medical/Surgical, Telemetry, or Emergency Department experience preferred.
• Ability to use basic data entry and retrieval systems (Medium proficiency).
• Effective English communication skills, both written and oral (Medium proficiency).
• OHS Fit Test Required.
• Registered Nurse New York - New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an RN Upon Hire.
• OHS Annual Assessment Required.
• Certification in specialty Upon Hire Preferred.
• Basic Life Support (BLS) Training Upon Hire Required.
• Advanced Cardiovascular Life Support (ACLS) Training Upon Hire Required.
• Pediatric Advanced Life Support (PALS) Training Upon Hire Required.
• Infection Control & Barrier Precaution Training Upon Hire Required.

Responsibilities

• Demonstrates leadership skills in the coordination and delivery of patient care.
• Coordinates an interdisciplinary plan of care.
• Assures 100% assigned patients have a documented plan of care.
• Ensures completion of patient care assignment 100% of time.
• Interdisciplinary plan of care is congruent with accepted LOS parameters for all assigned patients.
• Delegates aspects of care of the patient to team members consistent with capabilities and responsibilities of caregiver.
• Ensures that delegated aspects of care are completed in accordance with established standards of practice.
• Negotiates with team member if unable to fulfill role responsibilities; escalates as per MMC policy and procedure.
• Establishes a therapeutic relationship with patient/family.
• Assumes charge nurse assignment.
• Participates in the orienting and development of associates by mentorship and assigned preceptorship.
• Patient/family wishes related to care decisions are assessed and documented.
• Systematically assesses the health care of patients/families and responses to care rendered.
• Completes 100% of admission assessment within 8 hours.
• Completes documentation reflecting interdisciplinary team approach as per policy.
• Documentation reflects systematic and continuous collection of data.
• Documents teaching/learning needs of patients and families prior to discharge.
• Assesses, evaluates and documents patient's response to nursing and interdisciplinary team interventions, including patient/family teaching.
• Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission.
• Modifies plan of care through prioritization of patient/family needs and interdisciplinary orders.
• Demonstrates critical thinking skills to problem solve and initiate clinical decision making.
• Takes action to optimize achievement of patient outcomes.
• Participates in identification, Investigation and resolution of actual and/or potential risk management/quality care/ethical issues.
• Incorporates effective problem solving/conflict resolution/consensus building into daily practice.
• Evaluates patient progress toward health goals and modifies critical path or plan of care accordingly.
• Identifies variances to plan of care.
• Initiates appropriate interventions to amend identified variances from plan of care.
• Documents patient and family response to interventions and modifies plan of care as needed.
• Reviews plan of care daily and/or updates it to reflect current status of patient.
• Consistently participates and communicates in daily IDT rounds to provide concise direction to all caregivers.
• Develops, coordinates and provides direct care for specific patient assignment.
• Provides patient-focused care.
• Incorporates standards of practice, critical pathways, age-specific guidelines and patient care guidelines into plan of care.
• Assess potential and actual changes in level of care required.
• Develops plan of care within 24 hours of admission to the extent possible.
• Includes patient/family in care planning.
• Provides a safe environment for patients/families.
• Orients patient/family to environment assuring comprehension of information presented.
• Administers medication according to the medication administration policy.
• Responds appropriately to urgent/emergent situations. Utilizes and documents use of restraints according to hospital patient care guidelines.
• Uses equipment in accordance with MMC policies and procedures.
• Provides comprehensive direct patient care to assigned patients.
• Utilizes knowledge of nursing, research and evidence-based practice in the application of care and clinical judgment.
• Administrates care consistent with standards of care for MM.
• Nursing interventions demonstrate consideration of patient's bio psychosocial and spiritual needs.
• Communicates effectively with patient/family and members of the health care team.
• Defends and preserves the rights of patients relative to all aspects of care, information, knowledge and privacy.
• Demonstrates respect of cultures and respect for cultural diversity with co-workers and other health care team members, patients, families and co-workers.
• Recognizes the family as defined by the patient. Communicates interdisciplinary plan of care to 100% of assigned patients and families within 24 hours of admission and daily.
• Identifies patient satisfaction/dissatisfaction with plan of care. If patient expresses dissatisfaction, implements conflict resolution skills, and escalates issues with plan of care.
• Assesses and documents patient advanced care directives for 100% of assigned patients.
• Establishes collaborative and collegial relationships with health care team members.
• Documents legibly.

Skills

English communication

Leadership

Critical thinking

Education

Associate Degree in Nursing

BSN in Nursing Preferred

Job description

Montefiore Hudson Valley Collaborative is seeking a qualified Registered Nurse to uphold nursing standards and lead care delivery at Montefiore Medical Center. You will participate in performance improvement, mentoring, and ensuring 100% of patients have documented care plans.

The role requires an RN with NYS license, current certifications, and a commitment to patient safety and quality care. Strong communication and teamwork are essential.