Columbia Primary Care at Columbia University Irving Medical Center (CUIMC) is seeking a Primary Care Nurse III (RN) to join our Westchester team. The Primary Care Nurse III will report directly to the Practice Manager or Director of Nursing, Columbia Primary Care. This ambulatory nursing position will serve as a key member of the patient care team to support the pediatric and/or adult populations we serve. The Primary Care Nurse III performs nursing duties consistent with NYS nursing scope of practice related to the support of the day-to-day clinical operations of the assigned practice. These duties include, but are not limited to, medication/immunization administration, point of care testing (POCT), clinical information abstraction, oversight of the practice(s)' infection prevention and control procedures, and patient education that can be in person, via our patient portal, or by phone. This experienced RN will perform telephonic, electronic, and in-person nursing assessments consistent with the NYS nursing scope of practice. The Primary Care Nurse III will participate in or lead population health initiatives within Columbia Primary Care and the wider ColumbiaDoctors organization to address health care gaps and promote positive health outcomes for patients. At this senior level, the Primary Care Nurse III may be asked to travel to all Columbia Primary Care sites to train staff or review processes with staff, providers, and managers. This position will work closely with multiple providers as well as other clinical and administrative staff to deliver an excellent patient experience that contributes to positive health outcomes for patients and a work culture of kindness, collaboration, integrity, accountability, and excellence.
Responsibilities
Administrative/Operations
Executes nursing interventions by collaborating with the care team and following the standards of care established by Columbia Primary Care
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
Assumes responsibility and accountability for effectively managing nursing care of individual patients
Documents nursing assessment and interventions to reflect a comprehensive and integrated approach to patient care
Identifies learning needs of the patient and families, educates by adapting to patient and family learning style utilizing the teach-back method
Provides care that is safe, ethical, patient- and family-centered, culturally congruent and evidence-based
There are skills and responsibilities that are common across Columbia Primary Care. The Registered Nurse (RN) may perform any or all of these skills and responsibilities:
Telephone, My Chart, and in-person triage (for symptom management)
Review and act on test results (lab, x-ray)
Review and manage communications from internal and external “customers” that require the education and training of an RN
Providing patient education through multiple avenues inclusive of in-person, by telephone, or video
Execute delegation protocols
Assist with medication management (e.g. medication renewals)
Complete accurate and timely documentation in the electronic medical record
Assist with management of urgent and emergent patient care situations
Participate in care coordination and population health activities in collaboration with the central teams and related to any current initiatives within Columbia Primary Care.
Utilize data to continuously meet care coordination needs across settings in conjunction with the patient, family, and/or other care providers
Assist with the management of patients with multiple chronic health conditions, acute episodes of care, behavioral health challenges while promoting and supporting prevention and wellness
Establish standard clinical supply storage in collaboration with other clinical staff and audit that standards are being maintained. Establish standard protocols for medication/immunization inventory management and storage
May float to other clinics as needed for operations need.
Serve on relevant committees, task forces, and workgroups within Columbia Primary Care and the Organization
Other duties as assigned appropriate to scope, education, and/or training
People
Participate in the recruitment of clinical staff
Precept clinical staff (medical assistants, licensed practical nurses, and RNs and perform competency testing for new and established clinical staff.
Serve as a mentor and resource to others
Minimum Qualifications
Requires a bachelor's degree in Nursing or equivalent in education, training, and experience, plus four years of related experience.
An equivalent combination of education, training, and experience may be considered.
Current and unrestricted New York State RN license.
BLS certified
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, bodily fluid, and tissue. The incumbent is expected to perform and/or/assist in emergency care and/or first aid as needed
Ability to work collaboratively with a culturally diverse staff and patient/family population demonstrating tact, respect, and sensitivity.
Must have excellent communication skills and the ability to communicate effectively with a diverse audience of peers, management, and other stakeholders. Must have highly developed interpersonal skills and the ability to deescalate stressful situations.
Must be an engaged and positive team member demonstrating collaboration, inclusion, reliability, punctuality, and adaptability to new and changing situations including helping peers adapt to new situations.
Strong proficiency in computer skills including, but not limited to, Electronic Health Systems, Microsoft Excel, Microsoft Word, Email systems, etc.
Must be a motivated individual with a positive mindset and exceptional work ethic.
Must successfully complete systems training requirements.
Competencies
Accountability & Self Management
Level 3 - Intermediate
Adaptability to Change
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 & Compliance Focused
Level 3 - Intermediate
Business Acumen & Vision Driver
Level 1 - Introductory
Performance Management
Level 2 - Basic
Innovation & Organizational Development
Level 1 - Introductory
Job Type: Full-time
Pay: $98,000.00 - $107,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Physical setting:
Standard shift:
Weekly schedule:
Education:
Experience:
- Nursing: 3 years (Required)
License/Certification:
- BLS Certification (Required)
- RN (Required)
Work Location: In person