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Pediatric RN

New Alternatives for Children, Inc. (NAC) is an award-winning health care and social service agency in Midtown Manhattan, with a satellite Bronx office, which serves children living with medical complexity, disabilities or serious emotional or psychiatric disturbance and their families. We are currently seeking a Pediatric Registered Nurse to work in the communities of families enrolled in our Prevention and Foster Care programs and in our clinics. This position offers highly rewarding experience for nursing professionals who welcome the opportunity to build strong relationships with at- risk families within their communities. It’s an exciting opportunity to be a part of multidisciplinary teams of professionals at an innovative agency serving the needs of some of the most vulnerable children and families in New York City.

Classification Exempt

Reports to Director of Nursing

Date 04/19/2019

JOB DESCRIPTION

Summary/Objective 

As a member of NAC’s nursing team, the Pediatric Registered Nurse (hereafter referred to as, “nurse”) is responsible for a caseload of children and youth (hereafter referred to as, “children”) and families. The nurse makes clinical assessments during visits in the community and the clinics; provides anticipatory guidance and health-related education to children and families; and helps coordinate care for children living with medical complexity, disabilities or serious emotional or psychiatric disturbance and their families. The nurse provides these services during regularly scheduled visits to families' homes and other community sites, and on-site in our Article 28 and 31 clinics. Care is delivered in collaboration with NAC’s outstanding teams of social workers, behavior specialists, mental health professionals, education specialists, physicians, nurse practitioners, and other staff.

In addition, the nurse helps staff NAC’s Article 28 Clinic on a scheduled basis and, when possible, during scheduled appointments with children on the nurse’s caseload.

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

Competencies in the community:

Make home visits to children in the Prevention and Foster Care Programs, according to program guidelines. 

Accompany children and families to selected primary care and pediatric and surgical subspecialty visits, as needed.

Attend selected multidisciplinary conferences held in community settings around the health care needs of children and families.

Competencies in the clinics:

Help oversee clinic activities to ensure that encounters occur in a timely fashion.

Obtain and document vital signs, perform venipuncture and collect specimens for various labs on children and adults served in the clinics.

Perform vision and hearing screening and administer immunizations for children served in the clinics, as ordered by MD/PNP.

Assess and triage children and families presenting with concerns for acute illness.

Provide direct care to patients that includes (but is not limited to) providing treatment for asthma, conducting physical assessment in cases of suspected child maltreatment, and delivering emergency care.

Other care coordination activities:

Assess the medical needs of each child by reviewing diagnoses, birth history, and inpatient and outpatient records.

Provide education for families on how to optimally care for their children in their home settings, particularly around the children’s special health care needs, with reinforcement as needed.

Collaborate with social workers, education specialists, recreation staff, mental health and other medical professionals to assess each child’s health care needs and problems and implement health care plans. Maintain and update those plans as needed, assuring optimal quality of care.

Participate actively in multidisciplinary Clinical Care Conferences and Family Team Conferences convened at NAC and selected interagency case conferences held at NAC and in the community.

Make referrals for community-based care and provide follow-up as needed.

Provide follow-up to all children taking psychotropic medications. Serve as liaison to mental health professionals at NAC.

Other duties:

Ensure accurate and timely documentation of all patient care and community based activities.

Provide telephone triage and advice to parents.

Assist in administrative duties, when needed.

Assist in quality improvement activities involving services provided to children in assigned caseload, including maintaining up-to-date medical record documentation.

Supervisory Responsibility

None

Work Environment

The nurse’s office space is located in NAC’s main site in the Chelsea neighborhood of Manhattan and situated within the Patricia S. Levinson Nursing Center of NAC’s recently renovated comprehensive health clinics.

Physical Demands

Travel throughout the NYC metropolitan area is required in the course of visits to the homes of children and families and to selected appointments in the community. Occasionally, visits are required to homes and other sites in counties in NY that lie within a 40 mile range of NYC.

Position Type/Expected Hours of Work

Part-time: 20 to 25 hours per week, with a flexible schedule.

Full-time: 35 hours per week, with a flexible schedule.

Shifts are generally Monday through Friday and range from 9 am to 5 pm to 11:30 am to 7:30 pm.   

One Saturday shift is required approximately every 8 weeks, 9 am to 4 pm.

Travel

Travel expenses to visits to the homes of children and families and selected appointments in the community are fully reimbursed.

Required Education and Experience

Current New York RN license (in good standing) required.

Must be a graduate of an accredited school of nursing. Bachelor of Science in Nursing (BSN) preferred. 

At least one year of post graduate experience in pediatrics, maternal child health, and/or home care preferred.

Bilingual (English / Spanish) a plus.

Computer Literacy required.

Experience with using electronic health records required.

Additional Eligibility Qualifications

None

EEO Statement

NAC is an equal opportunity employer, committed to diversity, equity and inclusion.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Signatures

This job description has been approved by all levels of management:

Manager_______________________________________________

HR___________________ ________________________________

Employee signature below constitutes employee's understanding of the requirements, essential functions and duties of the position.

Employee__________________________________ Date_____________

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