Virtual Acute Care Registered Nurse - Per Diem

Guthrie Enterprise•Horseheads, NY
•Onsite

About The Position

The Virtual Registered Nurse provides professional nursing care to patients in an acute care environment using telecommunication technology. The nurse works from the Big Flats, New York office and provides virtual support to bedside nurses in Guthrie Hospital inpatient acute care units, excluding critical care. In collaboration with bedside nurses, the Virtual RN helps deliver coordinated, safe, compassionate, therapeutic, evidence-based care tailored to patients’ and families’ physical, emotional, and spiritual needs throughout the lifespan. The role follows the Nurse Practice Act in the state of employment, the American Nurses Association Code of Ethics, and the ANA scope and standards of practice. The Virtual RN uses clinical assessment, electronic health records, specialized monitoring software, videoconferencing, chart review, and clinical alarms to monitor patients, identify signs of deterioration, coordinate care plans, and communicate patient condition. The role also involves patient advocacy and education, coaching and mentoring onsite nurses, supporting interdisciplinary teamwork, contributing to safety and quality, and promoting evidence-based practice and professional development. Additional duties may be assigned as necessary.

Requirements

  • Graduate from an accredited School of Nursing.
  • Registered Nurse licensed in both New York and Pennsylvania.
  • Five years of acute care bedside nursing experience.
  • Current BLS and ACLS; the posting states these are required within six months and must be maintained.
  • Proficiency with Windows-based computer skills and operation.
  • Proficiency with EPIC documentation.
  • Ability to use independent, critical judgment in patient care delivery.
  • Demonstrated interpersonal skills that convey a positive and supportive attitude.
  • Ability to manage multiple responsibilities, urgent responses, and challenging situations effectively.
  • Sufficient English speaking, reading, and writing proficiency to perform the job’s essential functions, particularly those affecting patient or employee safety or security.
  • Ability to meet individual nursing unit educational requirements during employment.
  • Hearing and visual capability as required for the role.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Specialty certification; the posting also states specialty certification is required within one year.

Responsibilities

  • Monitor patients in collaboration with their primary bedside nurses, using clinical assessment skills, EPIC, Sickbay functionality, or designated software.
  • Use critical thinking and specialized software to assess patients and preemptively address signs of clinical deterioration or changes in status.
  • Develop, update, and coordinate patient plans of care to achieve goals and optimize outcomes and transitions across the continuum.
  • Monitor, record, and communicate patient condition as appropriate.
  • Advocate for ethical, holistic care that supports patients’ autonomy, dignity, rights, values, and beliefs.
  • Inform, coach, and support onsite nurses and clinicians to foster a therapeutic team approach.
  • Support learning for patients, families, nurses, healthcare team members, students, and the community.
  • Serve as a clinical resource and coach or mentor clinical nurses in clinical and professional practice.
  • Manage assignments of complex patients and other unit demands.
  • Recognize routine, urgent, and emergent patient situations; determine and implement a plan of action using videoconferencing, physiological trend surveillance, medical chart review, and clinical alarms.
  • Follow up to ensure patient-care problems are resolved.
  • Engage in ongoing professional development and promote inquiry, research, and evidence-based practice.
  • Demonstrate collaborative leadership through advocacy, influence, innovation, and contributions to onsite nurses’ clinical knowledge.
  • Work effectively with physicians, nurses, ancillary staff, and other interdisciplinary team members.
  • Perform other duties as necessary.

Benefits

  • Newly increased RN rates.
  • Stable, predictable scheduling compared with inpatient bedside roles.
  • Supportive, team-focused culture.
  • Free on-site parking.
  • Flexibility with self-scheduling.
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