1150370_RR00109741 Job ID: 1150370_RR00109741

NYU Grossman School of Medicine is one of 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 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 inclusion and individual skills, ideas, and knowledge.

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Position Summary

We have an exciting opportunity to join our team as a Ambulatory Care Nurse (37.5) - Manhattan - OB/GYN.

The Ambulatory Care Nurse 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 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: 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.

Job Responsibilities

Performs physical examinations and diagnostic tests
Collects patient health history
Records information in electronic health record
Provides information, counsel, and education to patients and families regarding test results and treatment plans as directed
Administers medications (including vaccination, IV therapy, 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
Consults with clinical supervisors and licensed providers to determine 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 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 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 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 midwife, physician assistants, podiatrists)
Assessment: Assess patients, identify unmet patient needs and plan comprehensive care to meet those needs in relation to the patients 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.
Co-ordination: 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 patients 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 in accordance with 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, 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 order for provider (prospective) authorization in EMR.
Administers IV therapy: including blood, blood products, IV fluids, chemotherapy (with proper certification), 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 in a timely manner.
Receives, documents, and reports critical lab values as indicated
Relays normal and abnormal clinical results, follow up, and explanation to patients, as directed by 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 provider.
Performs Care/Case management of a defined population via 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 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 patients 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.
Develops patient centered plans of care that prescribe interventions to attain expected outcomes, and partners 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-Off)
Greets patients warmly and professionally, stating name and role, and clearly 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.

Additional Position Specific Responsibilities

May be responsible for the precertification and preauthorization of medications/services

May be required to reach out to referring physicians and promote new or additional referrals.

Provides patient assessment and fetal status evaluation through Fetal Heart Rate (FHR)

Demonstrates the ability to recognize non-reassuring FHR patterns.

Demonstrates the ability to notify appropriate medical staff of patient conditions based on nursing assessment and testing results.

Capable of identifying high-risk factors for patients

Provides patient education and monitors testing plan.

Documents assessment, implementation, and evaluation of the patient care process.

Collaborates with the patient and other health team members to establish and achieve patient goals.

Provide necessary psychosocial support to aid patients in the clinical visit.

Accepts direction and assistance appropriately in completing assessments.

Provide Non-Stress Test to patients on site.

Provider coverage for the fetal care coordinator

In the absence or in junction with the fetal care coordinator, duties include;

Addressing calls from the fetal care line

Meet once a week with Fetal Care Coordinator to discuss/coordinate patient care

Participate in unit meetings (Fetal Care Multidisciplinary Care Meeting, Nursing Staff Meeting )

Assist with the coordination of care for high risk patients

Assist with the coordination of GDM consultation appointments and supplies.

Managing the Maternal Fetal Medicine (MFM) Inbasket

Minimum Qualifications

To qualify you must have a Current Registered Professional Nurse in New York. If hired after 9/1/25: Baccalaureate degree in Nursing required; Associate Degree in Nursing may be approved contingent upon approval from Nursing Leadership, with a minimum of two years nursing experience in applicable area and enrollment in a baccalaureate nursing program to be completed within 2 years of hire. Basic Life Support Certification through the American Heart Association..

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

Preferred Qualifications

ACLS certification. Maternal Fetal Medicine and/or high risk OB experience. Preferably 1-2 years experience with assistance in high-risk pregnancy.

Depending on assignment, staff may be required to possess and maintain specific certificates of competency or complete designated education as a condition of employment.

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. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.

NYU Grossman School of Medicine is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.

View Know Your Rights: Workplace discrimination is illegal.

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 $112,360.00 - $120,000.00 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.

To view the Pay Transparency Notice, please click here

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