Employment Type : Full-Time
Community Health/DTC Float Nurse (NYC Metro Area) CLHC Bronx NY - Allerton (PACE Center) CAREER OFFERING PERSONAL AND PROFESSIONAL FULFILLMENT! Since 1920, CenterLight Health System has provided exceptional, high-quality homecare for patients in the New York metropolitan area. CenterLight Health System offers residential and community-based services. At CenterLight Health System, we embrace the values of integrity, caring, diversity and creativity through everything we do. If you are a team player with similar values and are looking to grow in your career, we are looking to invest in you. We seek talented professionals from diverse backgrounds and sectors that want to make a difference! This position provides quality and safe delivery of nursing services in the Diagnostic & Treatment Center (DTC) and Day Health Center (DHC) in compliance with applicable laws, regulations and organizational policies. The PACE Community Health/DTC Float Nurse assesses, plans, implements and coordinates nursing care in the Medical Practice and DHC. The PACE Community Health/DTC Float Nurse also provides skilled care and routine clinical nursing assessment visits to PACE participants and families utilizing all elements of the nursing process and Visits are mostly in the participant’s home but visits can also take place in the PACE center, hospitals, nursing homes, and other alternate setting as deemed necessary for care coordination consistent with the PACE model of care. RESPONSIBILITIES · Carries out the organization’s mission, philosophy, goals and objectives within guidelines of policy and position function. Interprets and implements the organization’s philosophy to staff and members of the community. · Assumes responsibility for assignments given, seeks supervision appropriately, and is accountable for his/her actions by performing within the limits of his/her education and experience. · Knows and conforms to the law governing the practice of professional nursing and provides professional nursing care using all elements of the nursing process. · Assesses and evaluates the health care needs of patients and families with consideration regarding physiological, psychological, social and environmental factors. · Identifies complete, accurate and logical Uniform Assessment System (UAS) for NY and appropriate sequencing of diagnoses in collaboration with the PCP to maintain compliance with state and federal regulations. · Participates in mandatory PACE comprehensive care planning meetings routinely as required by PACE regulations. Collaborates with all members of the IDT in developing a comprehensive care plan based on member-specific needs, physician orders, UAS-NY CAPS, other IDT assessments, members’ specific parameters and identified goals that are respectful of member, family, community and organizational resources. · Implements the nursing care plan and revises it whenever necessary by regularly assessing, observing, and evaluating the patient’s condition, needs and response to care and makes appropriate nursing judgments and decisions for care plan revision. · Initiates and applies appropriate preventative, emergency, therapeutic and rehabilitative nursing procedures and techniques. Administers medications and treatments as prescribed by the PCP. Independently performs skilled nursing procedures and techniques based on the changing nursing needs that the member requires. This includes venipuncture, dressing changes, straight catheterization, suctioning, immunizations, etc. · Teaches and supervises the patient, family/caregivers and DTC staff via one-to-one instruction and educational in-services whenever appropriate and provides instruction regarding medication, diet, safety and treatment modalities in accordance with the plan of care. · Recognizes and utilizes additional opportunities for health counseling/education with patients, families and other caregivers and provides them with information that will facilitate decisions regarding the promotion, maintenance and restoration of health. · Delegates responsibility appropriately, and supervises ancillary personnel in a manner that will assure quality care and compliance with the care plan. · Evaluates for and promotes a safe environment for the patient and complies with National Patient Safety Goals. · Completes, maintains and submits all required documentation that is timely (in compliance with organizational policy) accurate, and relevant. · Meet all requirements for UAS-NY assessor function: timely completion within regulatory standards, follow-up assessments, and significant change assessments as needed. · Reviews and confirms eligibility of member in the PACE program based on Nursing Facility Level of Care (NFLOC) score obtained from the UAS-NY assessment. Confirms eligibility of members with the members of the IDT. · Performs care coordination as part of their nursing visits to PACE members across all settings of care. Collaborative care coordination to include internal (e.g., other IDT members) and/or external health care professional (e.g., MD specialists, SNF staff, hospital staff) in a manner that assures care plan coordination as well as continuity of care. · Performs periodic Nutrition Risk Screen (NRS) and coordinates member referral to a Dietician when needed in compliance with CLHC PACE waiver requirements with CMS. · Assumes responsibility for personal growth and development; maintains and upgrades professional knowledge and practice skills through attendance/participation in continuing and in-service education programs. · Meets organizational productivity guidelines. · As requested by supervision, participates in and assists with staff and student orientation and development; participates in internal and external committee activities; and represents the organization in the community. · Participates in performance improvement activities, as required. Participates in evaluating overall position performance, goal setting and achievement, and performance improvement plan. · Performs diagnostic tests as authorized by the Primary Care provider (PCP.) Obtains laboratory specimens when indicated. Provides treatment under medical direction. · Assesses, evaluates and reports to physician patient’s physical and emotional condition, reaction to medications and/or treatments, and/or critical laboratory result requiring PCP intervention. · Reports pertinent patient information and maintains up-to-date patient records. · Arranges adequate provision of supplies and medications in the Medical Practice and DTC. Ensures proper working condition of all Medical Practice equipment (i.e., EKG, suction machine, etc.). · Tracks and monitors currency of all stock medications at the DTC. Coordinates with Nurse Manager and/or Business Manager ordering of needed stock medications. · Conducts periodic monitoring/inventory of Emergency Crash Carts and/or Emergency Box as per agency policy. · Participates in interdisciplinary team meetings and quality assurance activities. · Conducts monthly Medical Practice environmental rounds to ensure area is safe for patients and staff. · Coordinates and collaborates with the Site Medical Director and members of the interdisciplinary team (IDT) the Infection Control and Surveillance activities at the PACE Center. · Supervises Nursing Attendants to maintain patient flow and conducts annual clinical assessments for Nursing Attendant staff. · Acts as preceptor for students on rotation from nursing schools. · Assists with coordination/preparation of mail order prescriptions. Completes prescription log and prepares mailing list. · Conducts yearly Influenza immunization campaign and performs PPD tests. Administers adult/geriatric required immunization as prescribed by PCP. QUALIFICATIONS · Degree from an NLN accredited school of nursing required, BSN preferred. · A current New York State License to practice as a Registered Nurse. · Experience: Minimum of one (1) year current skills clinical nursing experience in a certified home health agency (CHHA), acute care, medical surgical, and/or critical care experience required. Current is defined as having this experience within one (1) year of date of hire or transfer. · Possess and maintain good physical stamina and mental health, including satisfactory health clearance as required by NYS regulations and or organizational policy. · Current Driver’s License, required insurance and car available for work as required. Certification requirements: The following are required certification at time of hire or transfer and must demonstrate recent verifiable experience (within one 1 year) to independently perform: · IV Therapy · Phlebotomy / Venipuncture · EKG interpretation · Basic Life Support certified by the American Heart Association or American Red Cross) KNOWLEDGE, SKILLS AND ABILITIES · Computer/laptop proficiency required · Good organizational, observation, communication and judgment skills, · Is self-directed with ability to work with supervision. · Is flexible and cooperative in fulfilling role obligations. WORKING CONDITIONS · Works outside in varied weather conditions in all areas of the community, using private or public means of transportation. · Walks to and from patients’ homes. · Potential exposure to health hazards. · Works inside in well lighted, heated or air-conditioned office and in varied conditions in patients’ home. To learn more about our Generous Vacation and Time Off Plans, Flexible and Remote Working options for select positions, Tuition Reimbursement and MORE Please send your resume. CenterLight Health System Care and compassion for generations, serving the New York Community for more than 90 years! Job Type: Full-time Benefits: Medical Specialty: Schedule: Work Location: Multiple Locations