Nurse Practitioner - Palliative Care - Mount Sinai Hospital - Full Time - Day - 3 (12hr shifts)

Mount Sinai Health System•New York, NY

2d•Onsite

About The Position

The Nurse Practitioner (NP) is an independently practicing registered nurse with advanced clinical nursing education and certification in a distinct specialty area. The NP diagnoses, treats, and prescribes for conditions within the specialty area of practice. Medical orders, progress notes, and treatment plans do not require physician countersignature. This position provides palliative care at Mount Sinai Hospital. The NP assesses patients and families, develops and documents individualized plans of care, initiates and interprets diagnostic and therapeutic interventions, prescribes medication regimens, and coordinates referrals and continuity of care. The NP collaborates with physicians and the interdisciplinary care team in accordance with applicable practice agreements, hospital policies, and credentialing requirements. The role also includes professional development and participation in peer review, research, education, committees, and activities that support nursing practice and patient care. The position is full-time, day schedule, working three 12-hour shifts. The listed compensation is $84.59 per hour; actual salary may depend on experience, education, operational need, and other factors.

Requirements

Current New York State registered nurse license and registration.
New York State Nurse Practitioner certification with current registration; eligibility requires graduation from a New York State-registered NP program or equivalent, or national NP certification by examination.
Completion of the required pharmacy component and instruction in New York State and federal laws concerning prescriptions and recordkeeping, including the required three-hour course.
A Collaborative Practice Agreement with a physician and designated protocols if the NP has fewer than 3,600 hours of NP practice experience; alternatively, a Collaborative Relationship with a physician based on employment in the NP role at Mount Sinai Hospital for NPs with more than 3,600 practice hours.
Master’s degree program preparing an NP to diagnose, treat, and prescribe within the 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 billing for professional services, regardless of hire date; deferral of up to one year may be approved by the Chief Nursing Officer or designee.
Credentialing through the Medical Board’s Credentialing Committee with approved Delineation of Privileges.
Drug Enforcement Administration (DEA) certificate and Basic Life Support (BLS) certification.
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 to manage and coordinate a patient caseload.
Ability to work within a Collaborative Practice Agreement or Collaborative Practice Relationship Attestation as part of the healthcare team.
Physical stamina and manual dexterity to perform assigned tasks and skills.
Excellent interpersonal and communication skills, creative problem-solving ability, critical thinking, and leadership.

Responsibilities

Assess patients’ and families’ health status through comprehensive histories and physical examinations.
Initiate and order selected therapeutic and diagnostic procedures, consultations, and laboratory examinations; prescribe medication regimens; interpret findings; and modify plans of care according to accepted standards and practice guidelines.
Educate and counsel patients on health promotion, maintenance, disease prevention, and management of acute and chronic illness.
Document clinical findings and plans of care in the patient’s medical record.
Consult with physicians in accordance with established standards, policies, procedures, and protocols.
Provide care appropriate to the physical, psychosocial, educational, and safety needs of patients served in the assigned area.
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; record, report, and interpret patients’ responses to those plans.
Review patient records with a collaborating physician in a timely manner and at least every three months when using a Collaborative Practice Agreement.
Complete FPPE or OPPE evaluations as required for continued Medical Staff credentialing.
Practice as a member of the allied health staff in accordance with 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 adhere to professional nursing ethics.
Serve as a resource to nurses and other health team members, participate in peer review, and incorporate research findings into clinical practice.
Participate in approved nursing and medical research studies and keep professional knowledge current through self-directed learning, literature review, and educational programs.
Participate in defining, maintaining, and interpreting nursing practice standards and in departmental and interdisciplinary committees affecting practice and patient care.
Promote advanced practice nursing and seek opportunities to improve professional practice and outcomes.
Treat coworkers, patients, and families with dignity and respect.