Primary Care Nurse Manager (RN)

Columbia University Irving Medical Center; New York (NY); On-site; USD 110,000 - 135,000; Full time

Job summary

Columbia University Irving Medical Center is seeking a Primary Care Nurse Manager to lead nursing practice oversight, organize delivery of care, and drive quality and population health initiatives across assigned practices.

You will mentor clinical staff, ensure regulatory compliance, and collaborate with leadership to improve patient outcomes and staff performance in a busy ambulatory setting.

Qualifications

• Bachelor of Science in Nursing degree.
• Minimum 4 years of related nursing leadership experience.
• Current New York State RN license.
• Current BLS certification.
• Strong clinical skills in a high-volume environment.
• Demonstrated customer service orientation and problem-solving skills.
• Ability to manage a demanding workload and prioritize tasks.
• Effective communication with diverse teams.

Responsibilities

• Collaborate with providers and managers to achieve clinical goals and standardize policies.
• Monitor KPIs and lead performance improvement initiatives in nursing practice.
• Develop staffing schedules and maintain budgeted coverage.
• Lead staff huddles, provide coaching, and ensure coverage for practice sites.
• Ensure compliance with clinical policies and regulatory requirements.

Skills

Nursing leadership

Staff supervision

Clinical quality improvement

Education and mentoring

Education

Bachelor of Science in Nursing

Tools

EMR dashboards

Microsoft Office

Job description

• Standard Work Schedule: Core business hours Monday-Friday; schedules vary
• Building: 51 West 51st Street, New York, NY 10019
• Salary Range: $110,000.00 - $135,000.00

Grade 105

• Job Type: Officer of Administration
• Regular/Temporary: Regular
• Hours Per Week: 40
• Standard Work Schedule: Core business hours Monday-Friday; schedules vary
• Building: 51 West 51st Street, New York, NY 10019
• Salary Range: $110,000.00 - $135,000.00

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

This working ambulatory Primary Care nursing role serves as a key member of the Primary Care leadership team and is responsible for nursing practice oversight by organizing and leading the delivery of nursing care for assigned Primary Care Practices. Responsibilities include analyzing clinical practice and identifying opportunities to increase quality, safety, effectiveness, and efficiency; working with operational leadership to identify clinical indicators to measure, evaluate, and improve care; maintaining compliance with all federal, state, and local clinical policies, procedures, and regulations; supervision of registered nurses who deliver nursing care; and clinical competency education and testing oversight for CMA and other clinical support roles. The position leads continuous quality improvement projects and population health initiatives in collaboration with medical and operational leadership. The Primary Care Nurse Manager will work closely with internal and external stakeholders in the organization to advance population health, care coordination, clinical initiatives, and nursing staff performance, and to deliver practice experience that contributes to positive health outcomes for patients and work culture for staff. This role may provide clinical coverage within licensure, scope of practice, and training when needed to support continuity of patient care and practice operations. This role will lead the assigned practices in a manner that delivers an exceptional patient experience that contributes to a positive health outcomes for patients and a work culture of kindness, inclusion, integrity, accountability, and excellence.

Responsibilities

• Accountable for working collaboratively with providers, administrative and clinical managers, and staff to ensure the achievement of practice-wide clinical goals/metrics. Supports all strategies in the area/functions assigned, ensuring organizational guidelines and policies are standardized across all clinical sites.
• Implements policies, procedures, and workflows related to nursing care, infection control, regulatory compliance, and clinical issues across the Primary Care organization.
• In partnership with the Director of Nursing, monitors key performance indicators (KPIs) and implements performance improvement initiatives related to nursing practice. Continuously seeks and implements operational improvements in clinical flow. Utilizes electronic medical record dashboards and reports to monitor KPIs of relevant clinical and quality workflows to ensure a holistic view of the practice’s clinical operations.
• Develops long-term unit staffing schedules and ensures adequate daily coverage in accordance with established staffing needs. In collaboration with the Director of Nursing, maintains effective nursing staff coverage within the approved budget. Collaborates with nursing and operational leadership to propose and justify incremental requests as needed.
• Executes clinical practice optimization and improvement strategies and utilizes a data-driven methodology to monitor progress. Highlights key recommendations to clinical and operational leadership.
• Fosters an experience and environment of patient and family-centered care through mentorship, coaching, and education of the clinical team.
• As a part of coverage, works with the care team to develop the plan and care across the continuum (e.g., inpatient, outpatient, home, skilled nursing facility, schools), which includes assisting with medication management (e.g., medication renewals), including medical prior authorizations as needed. Administers immunizations and medications.
• Executes nursing interventions by collaborating with the care team and following standards of care established by the unit/department.
• As a part of coverage, assumes responsibility and accountability for effectively managing nursing care of individual escalations. Assists with the management of urgent and emergent patient situations
• Supports ongoing clinical functions of the service to provide compassionate patient-centered care.
• Provides coverage for assigned pracices/service line within licensure, scope of practice, and training as appropriate. Provides coverage for the Practice Supervisor/Manager as needed.
• Maintains and supports evidence-based practices and a culture of safety based on regulatory guidelines.

Strategy

• Responsible for the overall planning process for the division of Primary Care. Develops an effective plan for delivery of nursing care within the assigned area of responsibility. Uses findings from patient satisfaction surveys and input from the staff to establish a unit-based customer service agenda.
• Executes nursing interventions by collaborating with the care team and following the standards of care established by Columbia Primary Care.
• Executes implementation of organizational strategies for clinical staff.
• Develops clinical competencies for clinical staff at all levels and plans for implementation and ongoing assessment to ensure clinical support staff can perform their duties effectively, safely, and to the standard of care appropriate to their scope of practice. Utilizes a tracking system that ensures adherence to regular and ongoing compliance, education, and training requirements of the unit. Creates and maintains a master educational roster, tracks enrollment and attendance, and sends reminders to staff to ensure compliance. Ensures corrective action is taken for non-compliant staff as needed. Manages employee enrollment/rescheduling of classes, etc. Researches and suggests new learning opportunities to enhance the performance of the unit.
• Collaborates with medical leadership to develop and implement clinical triage protocols.
• Contributes to CUIMC population health and care coordination initiatives.
• Prepares and delivers reports to administrative and medical leadership outlining progress towards meeting goals and objectives related to clinical programs, quality, safety, and human resource initiatives of the nursing staff.
• Participates in the planning and opening of new sites with a focus on clinical staff requirements, clinical staff workflows, selection of clinical equipment used in nursing care, and patient-centered office flow.
• Leads clinical staff huddles and meetings to align the clinical team with organizational strategy, new initiatives, and programs. Conducts regularly scheduled meetings with Supervisors and other Leads to develop new paths, procedures, and approaches to maximize opportunities for performance and process improvement.
• Assesses and systematically collects data related to patient health status and works with the care team to develop the plan of care. Utilizes data to continuously meet care coordination needs across settings in conjunction with the patient, family, and/or other care providers
• Documents nursing assessment and interventions to reflect a comprehensive and integrated approach to patient care
• Provides care that is safe, ethical, patient- and family-centered, culturally congruent and evidence-based
• Identifies research protocols affecting the patient population served and keeps nursing staff informed.
• Develops, prepares, and monitors the personnel, supply, and equipment budgets in collaboration with the Practice Manager.
• Participates as a member of the healthcare team and various interdisciplinary committees to improve patient care and meet patient needs.
• Creates the daily, weekly, and/or monthly assignment list to ensure adequate clinical coverage and provider support in the practice. In a managerial role, the incumbent will also directly assist physicians with patient care, health education/promotion, electronic medical record (EMR) chart management, coordination of patient care, and clinical protocols as needed.

People

• Directs oversight of assigned staff, including recruiting and human resource management. Ensures the approved HR strategy is implemented and adhered to. Ensures staff productivity benchmarks and quality measures are achieved. Develops remediation plans as needed. Monitors unit metrics and goals to measure the effectiveness of retention strategies.
• Promotes staff professionalism and performance with coaching, training, and feedback. Mentors staff in individual and team accountability, modeling behavior, and demonstrating best practices/techniques. Demonstrates self-development and keeps current on a variety of facilities management topics.
• Establishes a culture of coaching and mentoring to facilitate continuous professional development and maintain an efficient patient-centeredenvironment, ensuring accountability, quality patient care, and patient satisfaction. Identifies and mitigates any roadblocks to performance and evaluates the effectiveness of development. Works with HR to develop remediation/action plans.
• Supports and implements clinical staff recruitment and retention strategies that support top-of-license clinical performance.
• Assesses nursing, certified medical assistant, and/or clinical support development needs; identifies goals and provides resources.

Compliance

• Keeps current on all organizational, regulatory compliance, and patient privacy trainings policies (e.g., infection control, public safety, EH&S, HIPAA, OSHA, etc.) and successfully completes all required trainings.
• Serves on relevant committees, task forces, and workgroups within the department.
• Performs other related duties and responsibilities as assigned/requested.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Minimum Qualifications

• Bachelor of Science degree in Nursing.
• A minimum of 4 years of related experience.
• An equivalent combination of education and experience may be considered.
• Current and unrestricted New York State RN license.
• Current Basic Life Support (BLS) certification.
• Must have excellent clinical skills in a high-volume, high-pressure environment.
• Candidate must demonstrate strong customer service orientation and the ability to deliver consistently exceptional service while demonstrating tact, respect, and sensitivity.
• Candidate must be organized and be able to manage a demanding workload and moderately complex cases accurately and in a timely manner.
• Demonstrated advanced skills in problem assessment and resolution and collaborative problem solving in complex and interdisciplinary settings, including advanced proficiency in nursing competencies.
• Ability to communicate effectively in both oral and written form. This position requires the ability to interact positively, constructively, and effectively with professional staff, providers, and organizational stakeholders.
• Must be able to create and deliver high-level communication presentations for senior leadership and other organizational stakeholders.
• Ability to lead and mentor the team through new and changing situations. Demonstrate a professional and compassionate manner while conveying a positive image of the practice.
• Ability to work independently, follow through, and handle multiple tasks simultaneously.
• Ability to work collaboratively with a culturally diverse staff and patient/family population, demonstrating tact and sensitivity in stressful situations.
• Strong proficiency in Microsoft Office (Word & Excel) or similar software is required, and an ability and willingness to learn new systems and programs.
• Must be a motivated individual with a positive mindset and exceptional work ethic.
• Ability to work indoors in an environmentally controlled environment with a degree of dust, noise, odors, etc without undue discomfort
• Ability to perform sedentary work that primarily involves sitting or standing for long periods of time
• Travel between clinical sites may be required depending on need.
• Duties performed routinely require exposure to blood, body fluid, and tissue. Incumbent is expected to perform/assist in emergency care and/or first aid as needed.
• Must successfully complete systems training requirements.

Preferred Qualifications

• Master's degree is preferred.
• Ambulatory Care Nursing Certification (AMB-BC) and/or physician practice experience preferred.
• Advanced Cardiovascular Life Support (ACLS) certification.

Competencies

Patient Facing Competencies

Minimum Proficiency Level

• Accountability & Self-Management Level 3 - Intermediate
• Adaptability to Change & Learning Agility Level 3 - Intermediate
• Communication Level 3 - Intermediate
• Customer Service & Patient Centered Level 3 - Intermediate
• Emotional Intelligence Level 3 - Intermediate
• Problem Solving & Decision Making Level 3 - Intermediate
• Productivity & Time Management Level 3 - Intermediate
• Teamwork & Collaboration Level 3 - Intermediate
• Quality, Patient & Workplace Safety Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

• Business Acumen & Vision Driver Level 1 -Introductory
• Performance Management Level 2 - Basic
• Innovation & Organizational Development Level 1 -Introductory

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.