Ambulatory Care Nurse *GI/Multispeciality – Penn District*

NYU Grossman School of Medicine is among the nation’s top-ranked medical schools. For 175 years, NYU Grossman School of Medicine has trained thousands of physicians and scientists who have helped to shape the course of medical history and enrich the lives of countless people. An integral part of NYU Langone Health, the Grossman School of Medicine at its core is committed to improving the human condition through medical education, scientific research, and direct patient care. At NYU Langone Health, equity, diversity, and inclusion are fundamental values. We strive to be a place where our exceptionally talented faculty, staff, and students of all identities can thrive. We embrace diversity, inclusion, and individual skills, ideas, and knowledge. For more information, go to med.nyu.edu, and interact with us on LinkedIn, Glassdoor, Indeed, Facebook, Twitter , and Instagram.

Position Summary:
We have an exciting opportunity to join our team as an Ambulatory Care Nurse (37.5).

In this role, the successful candidate will support the coordination, integration, communication, implementation, and evaluation of nursing practice and clinical policies and procedures. In this role, the Ambulatory Care Nurse will participate in the site and organizational quality and performance improvement activities, collect patient healthcare data systematically using appropriate assessment techniques and instruments, and collaborate with licensed providers to develop patient-centered plans of care that prescribe interventions to attain expected outcomes. The Ambulatory Care Nurse provides comprehensive care in support of all patients’ manifested requirements through: the administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptoms relief including health teaching and health counseling.

Job Responsibilities:

Specific activities include, but are not limited to:
• Performs physical examinations and diagnostic tests.
• Collects patient health history.
• Records information in electronic health records.
• Provide information, counsel, and education to patients and families regarding test results and treatment plans as directed.
• Administers medications (including vaccination, IV therapy, and oxygen administration), provides comprehensive wound care and performs phone and in-person patient triage for clinical concerns.
• Assesses and monitors patient responses to various treatments, procedures, and anesthesia.
• Assesses and interprets patient information, making treatment decisions as appropriate.
• Consult with clinical supervisors and licensed providers to determine the best treatment plans for patients.
• Directs, supervises, and delegates to licensed practical nurses, medical assistants, and technicians as needed to support patient flow and efficiency.
• Performs other duties as needed.

Clinical Responsibilities
• Supports the coordination, integration, communication, implementation, and performance evaluation of nursing practice and clinical policies and procedures.
• Ensures clinical compliance with Patient Safety initiatives and reporting.
• Supports key quality initiatives (e.g. MIPS, Care gap management) to impact clinical outcome measures.
• Demonstrates knowledge of the NYULH Service Standards and incorporates it into the performance of responsibilities.
• Participates in designated activities related to NYULH clinical standards and regulations of relevant outside agencies.
• Supports the missions, philosophy, standards, goals, and objectives of NYULH, Departments of Nursing, and FGP.  
• Participates in the coordination of on-site activities to provide patient care in a healing, humane, and caring environment.
• Collaborates with members of the interdisciplinary team and promotes collegial relationships.
• Serves as a support and resource for nursing, other clinical staff, and providers.
• Participates in clinical inquiry and activities to foster evidence-based practice.
• Embraces fundamental values and obligations beyond that of a private citizen including ethical obligations and a recognition of patients’ rights to confidentiality. (NYSED, 2009)
• Provides emergency care in accordance with organizational policy.

• Functions as a respectful member of the health care team.

• Delegates and oversees specific nursing interventions to implement patient care plans to members of the health care team as deemed appropriate by job description and license/certification.

Professional

• Engages in self-assessment and participates in activities to promote own professional growth and development.
• Seeks, acquires, and maintains current nursing knowledge and competence to fulfill responsibilities as an FGP Ambulatory Nurse.
• Procures and applies new knowledge related to medical treatment and technology.
• Utilizes resources to meet individual learning needs and promote professional development in clinical practice.
• Maintains awareness of current patient-centered, evidence-based practice and considers applicable research data to patient care delivery.
• Acts as a mentor to peers and colleagues.
• Fulfills obligation to identify and report professional misconduct appropriately.

Implementation / Provision of Care
• Executes medical regimens as prescribed by licensed providers: (physicians, dentists, nurse practitioners, certified midwives, physician assistants, podiatrists)
• Assessment: Assess patients, identify unmet patient needs, and plan comprehensive care to meet those needs about the patient’s illness, condition, or disability.
• Case-finding: Identify unidentified co-morbidities or emergent complications and report to the provider so that an intervention may be ordered.
• Coordination: Integrate care with other health care providers such as respiratory therapists, physical therapists, social workers, physicians, nurse practitioners, dieticians, navigators, and discharge planners.
• Provision of direct care services: Provides physical care in the entire patient’s manifested requirements including but not limited to administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling.

TASK/PROCEDURE
• Collects and documents patient clinical historical and assessment data.
• Performs onsite testing, e.g.: POC lab testing, EKG, specimen collection (including phlebotomy), auditory & visual test, psychiatric & physical risk screening, fetal monitoring (ante partum) and non-stress test, spirometry, allergy skin testing, bladder, tb skin testing, and result evaluation.
• Performs medical and nursing treatments by plan of care, provider orders, and NYSBON scope of practice.
• Perform procedures, e.g.: hot & cold applications, placement/ removal of orthopedic appliances, casts, splints, suture and staple removal, urinary bladder irrigation w/ and w/o chemotherapy, insertion/removal/catheter care of urinary catheter, ear irrigation.
• Applies and removes dressings, and performs wound care. 
• Assists with Minor and Major Procedures.
• Performs patient monitoring including pre-, intra, and post-procedure, testing, medication administration, medical/surgical treatment, and/or sedation.
• Provides medication administration: (IM, PO, SQ, ID, IV topical, inhalation, ocular, vaginal, rectal) as per provider orders or protocols to patients in practice, following nursing rights of medication administration and organizational policies. This includes oxygen therapy.
• Facilitates medication refills by reviewing clinical information and preparing orders for provider (prospective) authorization in EMR.
• Administers IV therapy: including blood, blood products, IV fluids, chemotherapy (with proper certification), and IV medications via peripheral or central venous devices.
• Starts and discontinues peripheral IV lines.
• Maintains peripheral and central IV lines and manages complications with appropriate certification.

Communication and Message Management
• Ensures clinical in-baskets are managed and encounters closed promptly.
• Receives, documents, and reports critical lab values as indicated.
• Relays normal and abnormal clinical results, follow-up, and explanation to patients, as directed by the provider. 
• Performs preliminary review of results for prioritization of urgent findings, then notifies provider for final verification.
• Performs in-person and phone triage for patient clinical concerns with appropriate escalation; provides clinical advice as within RN scope and/or direction from the provider.  
• Performs Care/Case management of a defined population via a multi-disciplinary plan to coordinate/facilitate patient care as needed.

Health Promotion & Education
• Identifies, through case-finding and critical analysis, patient, family, and/or community deviations from health and wellbeing; advocates for, initiates, and/or recommends appropriate actions including the establishment of safe environments.
• Collects patient healthcare data systematically and continuously, using appropriate assessment techniques and instruments.
• Analyzes assessment data to determine health status and nursing diagnoses
• Reports deviations requiring medical diagnosis and/or treatment to the provider.  
• Escalates urgent/emergent deviations to medical provider and/or emergency care.
• Identifies expected outcomes and anticipates unexpected or adverse outcomes as individualized to the patient.
• Considers needs and behaviors of specific patient age and cultural groups in all patient care activities.
• Assesses the patient’s ability to adapt to new situations and circumstances created by changes in health status and/or environment.
• Identifies barriers to optimal care, e.g. physical, cognitive, language, literacy, socioeconomic, cultural, and or behavioral
• Assesses & identifies learning needs; documents and updates accordingly.
• Develop patient-centered plans of care that prescribe interventions to attain expected outcomes, and partner with patients to set individualized goals.
• Educates patients and families to facilitate and promote healthy adjustment to new or changed health patterns.
• Implements interventions identified in the plan of care.
• Evaluates patient progress toward attainment of expected outcomes.

Patient Experience

• Serves as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision, and values and promoting excellence in the patient experience, during every encounter.

•   Drives consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign)
•   Greets patients warmly and professionally, stating name and role, and communicates each step of the care/interaction as appropriate.
•    Works collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone, or via electronic messaging.  
•    Proactively anticipates patient needs, and participates in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate.
•    Shares ideas or any observed areas of opportunity, to improve patient experience and patient access, with appropriate leadership. (i.e. ways to optimize provider schedules, how to minimize delays, increase employee engagement, etc.)
•    Partners with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience.
•    Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles.

Minimum Qualifications:
To qualify you must have a Baccalaureate degree in Nursing is highly preferred; a Diploma or Associates Degree in Nursing requires a minimum of one year of experience in conjunction with plans to earn a baccalaureate degree required. Currently registered Professional Nurse in New York, Bachelor’s degree in Nursing required, Basic Life Support Certification through the American Heart Association, Fluent written and spoken English language skills.

Required Licenses: Registered Nurse License-NYS, Basic Life Support Cert

Preferred Qualifications:
ACLS certification. Membership in pertinent professional organizations.

Qualified candidates must be able to effectively communicate with all levels of the organization.

NYU Grossman School of Medicine provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you’ll feel good about devoting your time and your talents.

NYU Grossman School of Medicine is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military and veteran status, marital or parental status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision. We require applications to be completed online.
If you wish to view NYU Grossman School of Medicine’s EEO policies, please click here. Please click here to view the Federal “EEO is the law” poster or visit https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm for more information.

NYU Langone Health provides a salary range to comply with the New York State Law on Salary Transparency in Job Advertisements. The salary range for the role is $105,999.99 – $132,500.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital needs. The salary range or contractual rate listed does not include bonuses/incentives, differential pay, or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here.