About The Position

The Nurse Practitioner (NP) is an advanced-practice registered nurse certified in a distinct specialty area. NPs independently diagnose, treat, and prescribe for conditions within their specialty. In this outpatient oncology role in the Oncology Care Unit at Mount Sinai Hospital, the NP assesses patients and families, develops and coordinates individualized plans of care, orders diagnostic and therapeutic services, prescribes medication, interprets findings, and provides education and counseling. Medical orders, progress notes, and treatment plans do not require physician countersignature. The NP practices as a member of the allied health staff and health care team, consulting with physicians and working under a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as applicable. The position also includes professional development activities such as peer review, research participation and application, education, committee work, and support of nursing practice standards. This is a full-time position with flex day/night scheduling.

Requirements

  • New York State registered nurse license with current registration.
  • New York State Nurse Practitioner certification with current registration; eligibility must meet the state’s education or national-examination certification pathway and pharmacy education and prescribing-law requirements.
  • A Collaborative Practice Agreement with a physician and designated protocols if the applicant has fewer than 3,600 hours of NP practice experience; a Collaborative Relationship may apply for applicants with more than 3,600 hours of NP practice at Mount Sinai Hospital.
  • Master’s degree program preparing the applicant to diagnose, treat, and prescribe within the NP specialty, or successful completion of an approved supplemental education program such as a post-master’s NP certificate.
  • Previous progressive experience relevant to the area of clinical practice.
  • National Board Certification in Advanced Practice Nursing for NPs hired effective June 1, 2019, and for NPs who bill for professional services; deferral of up to one year may be approved by the Chief Nursing Officer or designee.
  • Credentialing through the Credentialing Committee of the Medical Board, with approved Delineation of Privileges.
  • Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification.
  • Specialty-required certifications as applicable: Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Neonatal Advanced Life Support (NALS), or Neonatal Resuscitation Program (NRP).
  • Ability to take histories and perform physical assessment techniques.
  • Ability to demonstrate and document competency in specialty-specific procedures during initial orientation and annual performance review.
  • Ability to interpret and apply principles of nursing research utilization and manage and coordinate a patient caseload.
  • Ability to work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as part of the health care team.
  • Physical stamina and manual dexterity to perform tasks and skills in the assigned area.
  • Excellent interpersonal and communication skills, creative problem-solving ability, critical thinking, and leadership.

Responsibilities

  • Assess patients’ and families’ health status through comprehensive health histories and physical examinations.
  • Initiate and order selected therapeutic and diagnostic procedures, consultations, and laboratory examinations; prescribe medication regimens; interpret findings; and adjust plans of care according to accepted standards and guidelines.
  • Educate and counsel patients on health promotion, maintenance, disease prevention, and management of acute and chronic illnesses.
  • Document findings and plans of care in patients’ medical records.
  • Consult with physicians according to established standards, policies, procedures, and protocols.
  • Provide age-appropriate care based on patients’ physical, psychosocial, educational, safety, and related needs.
  • Initiate referrals to specialty services and promote continuity of care.
  • Participate in team meetings and conferences to support interdisciplinary care delivery.
  • Maintain patient and employee confidentiality in managing information.
  • Develop plans of care based on diagnoses and individual patient needs, and record, report, and interpret patients’ responses to those plans.
  • Review patient records with the collaborating physician in a timely manner and at least every three months when using a Collaborative Practice Agreement.
  • Complete required Focused Professional Practice Proctoring Evaluation (FPPE) or Ongoing Professional Practice Proctoring Evaluation (OPPE) for continued credentialing.
  • Practice according to Medical Staff rules and regulations and Hospital Staff bylaws.
  • Support the mission, vision, philosophy, and goals of the Department of Nursing and Mount Sinai Health System; demonstrate accountability and uphold nursing ethics.
  • Serve as a resource to nurses and other health team members; participate in peer review and approved nursing and medical research; and apply research findings in clinical practice.
  • Maintain professional knowledge through self-directed learning, literature review, and educational programs; participate in defining and maintaining nursing practice standards.
  • Participate in departmental and interdisciplinary committees that influence policies affecting nursing practice and patient care.
  • Promote advanced-practice nursing and treat co-workers, patients, and families with dignity and respect.
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