• Job Type: Officer of Administration
• Regular/Temporary: Regular
• Hours Per Week: 35
• Standard Work Schedule: M-F, 9AM-5PM
• Building: Riverdale, Bronx, NY
• Salary Range: 92,000 - 99,500

Position Summary

Columbia Primary Care at Columbia University Irving Medical Center (CIUMC) is seeking a Registered Nurse (RN) to join our team. The Primary Care Nurse II will report directly to the 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 II performs nursing duties consistent with the 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, maintenance of 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 II will also work on population health initiatives within Columbia Primary Care to address healthcare gaps and promote positive health outcomes for the patients of the assigned practice(s). The Primary Care Nurse II 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 the 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) under minimal supervision as appropriate
  • Review and act on test results (lab, x-ray).
  • Review and manage communications from internal and external customers inclusive of in-basket messages, updating immunizations, and updating health maintenance items.
  • Provide patient education through multiple avenues inclusive of in-person, by telephone, or video.
  • Execute delegation protocols.
  • Assist with medication management (e.g., medication renewals) inclusive of medication prior authorizations as needed. Administer immunizations as an adjunct to LPN staff.
  • Complete accurate and timely documentation in the electronic medical record.
  • Assist with the management of urgent and emergent patient care situations.
  • Assist with the coordination of care across the continuum (e.g., inpatient, outpatient, home, skilled nursing facility, schools).
  • Assist with the management of patients with multiple chronic health conditions, acute episodes of care, and behavioral health challenges while promoting and supporting prevention and wellness. Perform patient outreach related to gaps in care.
  • Establish standard clinical supply storage in collaboration with other clinical staff and audit that standards are being maintained.
  • May float to other clinics as needed for business continuity. Occasionally assist in the clinical duties of LPN staff in the interest of patient care.
• 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

• Precept clinical staff (primarily medical assistants and Licensed practical nurses) and perform competency testing for new and established staff as appropriate.

Compliance

• Maintain patient privacy and confidentiality according to HIPAA requirements at all times.
• Keep current on all organizational and practice policies (e.g., infection control, HIPAA), goals, initiatives, and required trainings
• Ensure that University and Department policies and procedures are followed.
• Complete all required university, hospital, and department trainings.
• Other duties as assigned within professional scope of practice/training/education.

Minimum Qualifications

• Bachelor of Science degree in Nursing or the equivalent of education, training, and experience.
• A minimum of 3 years of related experience. 
• An equivalent combination of education and experience may be considered.
• Current and unrestricted New York State RN license.
• Basic Life Support 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 the need.
• Duties performed routinely require exposure to blood, bodily fluid, and tissue. 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 ability to de-escalate 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.

Preferred Qualifications

• Physician practice experience preferred.

Competencies

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

About Columbia University

Columbia University is one of the world's most important centers of research and at the same time a distinctive and distinguished learning environment for undergraduates and graduate students in many scholarly and professional fields. The University recognizes the importance of its location in New York City and seeks to link its research and teaching to the vast resources of a great metropolis. It seeks to attract a diverse and international faculty and student body, to support research and teaching on global issues, and to create academic relationships with many countries and regions. It expects all areas of the university to advance knowledge and learning at the highest level and to convey the products of its efforts to the world.

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