Registered Nurse - Urgent Care

CareMount Medical, P.C. is the largest independent multispecialty medical group in New York State, providing comprehensive medical care of the highest quality to over 640,000 patients in more than 45 locations throughout Westchester, Putnam, Dutchess, Columbia, and Ulster counties and New York City. Founded in 1946 as Mount Kisco Medical Group, CareMount has grown to over 600 physicians and advanced practice professionals representing more than 40 different medical specialties. CareMount is affiliated with world-class organizations including Massachusetts General Hospital, Mount Sinai Health System, and Memorial Sloan Kettering Cancer Center. CareMount offers on-site laboratory and radiology services, endoscopy and infusion suites, and operates eight urgent-care centers. Our physicians are frequently recognized as best doctors in respected publications and have been featured in lists including New York Magazine’s “Best Doctors,” Westchester and Hudson Valley Magazine’s “Top Doctors” as well as in Castle Connolly Medical’s “Top Doctors.” For additional information about CareMount Medical and its specialties, please visit: www.caremountmedical.com.

The group has always maintained a firm commitment to each of our patients...to provide high quality medical and surgical care in a warm, friendly setting, and in a caring manner. Each and every member of our professional and support staff is dedicated to this ideal - physicians, nurses, technicians and support personnel.

The commitment to deliver services that revolve around our patients is central to our care practices and philosophies. Integrated care teams focus their efforts to ensure that evidence-based, patient-centered approaches are consistently implemented to maximize patient health, self-efficacy, and self-management.

The Registered Nurse or RN provides professional nursing care to patients/significant others via direct and/or telephone contact, following established standards and practices. S/he coordinates with other members of the care team to ensure seamless care delivery, maximal coordination of efforts, and active patient participation in planning and care. Assists physician or other provider with clinical procedures, performs telephone triage as needed, and participates in patient teaching.

Provides Direction To: Licensed Practical Nurses, clerical assistants, medical assistants, and other non-licensed personnel.

• Sets priorities effectively to ensure timely completion of assigned work
• Provides accurate, up-to-date clinical information to patients consistent with professional nursing scope of practice and accepted CareMount Medical practice standards, policies, and protocols
• Takes complete messages for all telephone calls, including but not limited to: correctly spelled full name and current telephone number(s) of caller, date, time, and reason for the call; signs full surname on all messages
• Participates, as requested, in the development of patient-teaching tools/programs for assigned department
• Integrates patient and family education, including health promotion/wellness, into the delivery of care
• Demonstrates self-direction, accountability, sound judgment, and ethical behavior in all activities
• Functions effectively with other healthcare providers during emergency situations
• Addresses all patient requests/concerns before end of shift (or notifies patient/significant other of additional time needed to complete request)
• Uses discretion and sensitivity during all phone conversations
• Demonstrates a proactive approach to patient care, focusing on addressing each patient’s individual and family needs at the time of service; communicates identified needs in a timely manner
• Transfers telephone calls only when necessary and as per CareMount Medical policy
• Demonstrates effective communication strategies reflective of the needs of all patients, including those from vulnerable populations
• Maintains legible log or documentation of all telephone calls received, including but not limited to: date and approximate time of call, full name, date of birth (if applicable), and telephone number of caller, as well as reason for call
• Maintains an acceptable attendance record as per CareMount Medical policies and procedures
• Suggests and/or facilitates referrals (e.g., to Department of Social Services, dietitian, hospice) as applicable
• Demonstrates knowledge, skills, and technical ability in medication/treatment administration; administers prescribed medications correctly, with knowledge of proper dosage, route, site, and possible side effects
• Serves as an effective role model for professional conduct and professional practice (e.g., maintaining composure during times of increased stress)
• Directs and coordinates the work of LPNs, medical assistants, and other assistive personnel to meet identified patient care needs
• Provides direction and support, and delegates tasks to professional and non-professional staff
• Uses a non-judgmental approach when talking with patients and coworkers
• Uses available electronic mail/computer systems to communicate inter- and intra departmentally as per departmental and/or CareMount Medical protocol(s)
• Attends all mandatory CareMount Medical programs and in-services
• Actively participates in departmental staff meetings
• Demonstrates clinical competence in the direct care of patients/significant others in established area of practice, considering developmental differences among patients
• Records the full surname of physician or other providers in EHR when documenting information or advice as directed by that physician or other provider
• Clinical Knowledge and Skills
• Communication
• Demonstrates effective problem-solving skills, particularly when urgent/emergent or unexpected clinical or administrative events arise in order to maintain both the smooth functioning of the department and patient/personnel safety
• Utilizes evidence-based approaches with patients/families/caregivers to support self-management, self-efficacy, and health-promoting behavior change
• Ensures that all clinical equipment is maintained in clean, working order
• Other Specific Responsibilities/Duties
• Leadership
• Work area reflects neat and organized work habits
• Performs telephone triage with particular emphasis on assessment, problem/priority identification, and decision-making
• Uses the nursing process for problem-solving/decision-making
• Maintains open lines of communication with physicians and other CareMount Medical personnel, within and between departments-even during periods of heightened stress
• Maintains open lines of communication with non-CareMount Medical physicians, pharmacies, and other community agencies and services
• Organizational Skills
• Effectively performs the duties of charge nurses as needed
• Documents in EHR all pertinent clinical observations, medications/ immunizations/treatments given, allergies, etc.
• Arrives to work on time or notifies Patient Care Manager or designee as soon as employee becomes aware that s/he will be absent or tardy, and/or as per individual department protocol
• Assumes responsibility for reading, understanding, and complying with information contained in the current CareMount Medical Employee Handbook, CareMount Medical Clinical and/or Administrative Policy & Procedure Manuals, as applicable
• Maintains a commitment to the spirit of inquiry as evidenced by a clinical knowledge base that remains current and reflects understanding of relevant clinical research findings
• Documents pertinent telephone calls and significant nurse-patient interactions in patients’ EHR, including but not limited to: nursing advise or information provided to patients/guardians/significant others (on behalf of patient), medical advice or information provided to patients as directed by physician or other provider, communication with pharmacies, managed care companies, etc.
• Serves as an effective preceptor to new staff as needed
• Requests assistance as appropriate in order to complete assigned work and offers to assist others when work load permits
• Professionalism
• Demonstrates basic knowledge of common disease processes and treatments, including pertinent diagnostic/laboratory testing and medical/nursing interventions; familiar with preventative health measures related to population served
• Reads current, clinically applicable professional journals
• Signs all entries in medical record according to CareMount Medical policy
• Effectively and efficiently triages patient phone calls and schedules same-day (work-in) appointments as per departmental or individual physician guidelines
• Collaborates with patients/significant others and other members of the healthcare team to establish goals and priorities to meet patients’ immediate and future needs; Actively participates in the care team to ensure that patient needs and preferences are incorporated into the comprehensive plan of care
• Provides reassurance to patients who are upset and/or in need of assistance or additional information
• Assists patients with referrals and pre-certifications as needed for managed care insurance plans with which CareMount Medical participates; communicates potential for additional care coordination with outside organizations and/or providers when identified
• Designs and implements educational activities that are culturally appropriate (and consistent with individual physicians’ practice) and are tailored to the patient’s/significant other’s ability to comprehend and participate
• Continuously evaluates the results of patient education and modifies the teaching plan based on patient outcomes
• Dresses according to CareMount Medical dress code
• Notifies Patient Care Manager or designee whenever leaving CareMount Medical premises during scheduled work hours
• Using population-specific knowledge and clinical expertise, contributes to the continual assessment and effective management of the health needs of assigned patient populations
• Documentation
• Notifies patients of amount of time needed to address or answer their requests or questions; completes such requests as promptly as possible and/or notifies patient/significant others of anticipated (or unanticipated) delays
• Demonstrates patient advocacy
• Participates in professional conferences, workshops, continuing education programs, and/or pertinent professional organizations (e.g., American Association of Office Nurses, American Nurses Association/New York State Nurses Association, Sigma Theta Tau, American Academy of Ambulatory Care Nursing, National Association of Pediatric Nurse Associates and Practitioners [NAPNAP], etc.)
• Offers clinical advice to CareMount Medical patients according to departmental protocols, individual physician’s or other provider’s instructions, and/or accepted nursing practice
• Seeks validation/guidance from physician or other provider and nurse colleagues when necessary
• Assists Patient Care Manager and/or designee, and/or other administrative personnel when possible by taking on alternate assignments or other responsibilities, working additional hours, or altering regularly scheduled hours, when necessary, for the efficient operation of CareMount Medical
• Maintains patient confidentiality under all circumstances, and follows all CareMount Medical policies regarding confidentiality
• Notifies patients/significant others and/or reception staff promptly of unanticipated MD/other provider delays or scheduling changes
• Demonstrates leadership skills through the ability to set and attain goals
• Uses time, supplies, and human resources effectively and efficiently.
• Attends mandatory conferences/in-services in order to maintain (active) NYS registration, in good standing with the NY State Education Department
• Serves as a catalyst for improving standards of nursing practice
• Understands and practices universal precautions correctly and consistently and complies with all applicable OSHA guidelines
• Demonstrates clinical competence when assisting MD or other provider with procedures
• Maintains confidentiality of all information obtained from patient records and conversations with patients/significant others, physicians, and other CareMount Medical personnel
• Answers telephone promptly (within three rings) and courteously and identifies self by name and department (and physician’s office by physician’s name, if appropriate)
• Prepares and leaves complete, concise messages/instructions for others as needed
• Performs authorized technical procedures competently (e.g., EKG, phlebotomy, starting/ monitoring IVs, selected laboratory tests, etc.) as may be required in clinical practice area
• Uses clinical knowledge and skills to teach patients/significant others effectively (e.g., via written information, face-to-face communication, phone communication)
• Teaching/Education of Patients/Significant Others

Required Qualifications:

• Registered Nurse licensed to practice in New York State (NYS) with current NYS registration and in good standing
• Graduate of an accredited school of nursing

Preferred Qualifications:

• 2+ years of recent pertinent professional nursing experience in a hospital, medical office, or other clinical setting
• Current BLS certification
• Bachelor of Science in Nursing (B.S.N.)
• 1+ years of experience as a registered nurse or 2+ years as a licensed practical nurse in a pertinent practice area