Ambulatory Care Nurse (FGP) Manhattan, Orthopedic Center

Position Summary We have an exciting opportunity to join our team as an Ambulatory Care Nurse. In this role, the successful candidate will support the coordination, integration, communication, implementation, and evaluation of nursing practice and clinical policies and procedures. They will participate in site and organizational quality and performance improvement activities, collect patient healthcare data systematically using appropriate assessment techniques and instruments, and collaborate with licensed providers to develop patient‑centered plans of care that prescribe interventions to attain expected outcomes. The Ambulatory Care Nurse provides comprehensive care in support of all patients, including administration of treatments and medication, acting as a sentinel for untoward events or symptoms, disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling. Job Responsibilities Perform physical examinations and diagnostic tests. Collect patient health history. Record information in the electronic health record. Provide information, counsel, and education to patients and families regarding test results and treatment plans as directed. Administer medications (including vaccination, IV therapy, oxygen administration), provide comprehensive wound care, and perform phone and in‑person patient triage for clinical concerns. Assess and monitor patient responses to various treatments, procedures, and anesthesia. Assess and interpret patient information, making treatment decisions as appropriate. Consult with clinical supervisors and licensed providers to determine best treatment plans for patients. Direct, supervise, and delegate to licensed practical nurses, medical assistants, and technicians as needed to support patient flow and efficiency. Perform other duties as needed. Clinical Responsibilities Support the coordination, integration, communication, implementation and performance evaluation of nursing practice and clinical policies and procedures. Ensure clinical compliance with Patient Safety initiatives and reporting. Support key quality initiatives (e.g., MIPS, Care gap management) to impact clinical outcome measures. Demonstrate knowledge of the NYULH Service Standards and incorporate them into the performance of responsibilities. Participate in designated activities related to NYULH clinical standards and regulations of relevant outside agencies. Support the missions, philosophy, standards, goals and objectives of NYULH, Departments of Nursing, and FGP. Participate in coordination of on‑site activities to provide patient care in a healing, humane and caring environment. Collaborate with members of the interdisciplinary team and promote collegial relationships. Serve as a support and resource for nursing, other clinical staff and providers. Participate in clinical inquiry and activities to foster evidence‑based practice. Embrace fundamental values and obligations beyond that of a private citizen, including ethical obligations and recognition of patients’ rights to confidentiality. Provide emergency care in accordance with organizational policy. Function as a respectful member of the health care team. Delegate and oversee specific nursing interventions to implement patient care plans to members of the health care team as deemed appropriate by job description and license/certification. Professional Engage in self‑assessment and participate in activities to promote own professional growth and development. Seek, acquire and maintain current nursing knowledge and competence to fulfill responsibilities as FGP Ambulatory Nurse. Procure and apply new knowledge related to medical treatment and technology. Utilize resources to meet individual learning needs and promote professional development in clinical practice. Maintain awareness of current patient‑centered, evidence‑based practice and consider applicable research data to patient care delivery. Act as a mentor to peers and colleagues. Fulfill obligation to identify and report professional misconduct appropriately. Implementation / Provision of Care Execute medical regimens as prescribed by licensed providers (physicians, dentists, nurse practitioners, certified midwife, physician assistants, podiatrists). Assess patients, identify unmet patient needs and plan comprehensive care to meet those needs in relation to the patient’s illness, condition or disability. Identify unidentified comorbidities or emergent complications and report to the provider so that an intervention may be ordered. Coordinate integration of care with other health care providers such as respiratory therapists, physical therapists, social workers, physicians, nurse practitioners, dieticians, navigators, and discharge planners. Provide direct care services: administer treatments and medication, act as sentinel for untoward events or symptoms, provide disease prevention guidance, rehabilitation care, public health care, and supportive care for symptom relief including health teaching and health counseling.

TASK/PROCEDURE

Collect and document patient clinical historical and assessment data. Perform onsite testing (POC lab testing, EKG, specimen collection, auditory and visual tests, psychiatric and physical risk screening, fetal monitoring, spirometry, allergy skin testing, bladder, TB skin testing and result evaluation). Perform medical and nursing treatments in accordance with plan of care, provider orders, and NYSBON scope of practice. Perform procedures such as hot and cold applications, placement/removal of orthopedic appliances, casts, splints, suture and staple removal, urinary bladder irrigation, catheter care, ear irrigation. Apply and remove dressings, perform wound care, assist with minor and major procedures. Perform patient monitoring including pre, intra, post procedure, testing, medication administration, medical/surgical treatment and/or sedation. Provide medication administration (IM, PO, SQ, ID, IV topical, inhalation, ocular, vaginal, rectal) as per provider orders or protocols to patients in practice, following nursing rights of medication administration and organizational policies, including oxygen therapy. Facilitate medication refills by reviewing clinical information and preparing order for provider authorization in EMR. Administer IV therapy (including blood, blood products, IV fluids, chemotherapy with proper certification, IV medications via peripheral or central venous devices). Start and discontinue peripheral IV lines. Maintain peripheral and central IV lines and manage complications with appropriate certification. Communication and Message Management Ensure clinical in‑baskets are managed and encounters closed in a timely manner. Receive, document, and report critical lab values as indicated. Relay normal and abnormal clinical results, follow up, and explanation to patients, as directed by provider. Perform preliminary review of results for prioritization of urgent findings, then notify provider for final verification. Perform in‑person and phone triage for patient clinical concerns with appropriate escalation; provide clinical advice as within RN scope and/or direction from provider. Perform care and case management of a defined population via multidisciplinary plan to coordinate/facilitate patient care as needed. Health Promotion & Education Identify, through case‑finding and critical analysis, patient, family and/or community deviations from health and wellbeing; advocate for, initiate and/or recommend appropriate actions including the establishment of safe environments. Collect patient healthcare data systematically and continuously, using appropriate assessment techniques and instruments. Analyze assessment data to determine health status and nursing diagnoses. Report deviations requiring medical diagnosis and/or treatment to provider. Escalate urgent or emergent deviations to medical provider and/or emergency care. Identify expected outcomes and anticipate unexpected or adverse outcomes as individualized to the patient. Consider patient and cultural group needs in all patient care activities. Assess patient’s ability to adapt to new situations and circumstances created by changes in health status and/or environment. Identify barriers to optimal care (physical, cognitive, language, literacy, socioeconomic, cultural, behavioral). Assess and identify learning needs; document and update accordingly. Develop patient‑centered plans of care that prescribe interventions to attain expected outcomes, and partner with patients to set individualized goals. Educate patients and families to facilitate and promote healthy adjustment to new or changed health patterns. Implement interventions identified in the plan of care. Evaluate patient progress toward attainment of expected outcomes. Patient Experience Serve as NYU Langone Health Faculty Group Practice Brand Ambassador by upholding the NYULH Mission, vision and values and promoting excellence in the patient experience, during every encounter. Drive consistency in every patient and colleague encounter by embodying the core principles of our FGP Service Strategy CARES (Connect, Align, Respond, Ensure, and Sign‑Off). Greet patients warmly and professionally, stating name and role, and clearly communicate each step of the care/interaction as appropriate. Work collaboratively with colleagues and site management to ensure a positive experience and timely resolution for all patient interactions and inquiries whether in person, by phone or via electronic messaging. Proactively anticipate patient needs, participate in service recovery by applying the LEARN model (Listen, Empathize, Apologize, Resolve, Notify), and escalates to leadership as appropriate. Share ideas or any observed areas of opportunity to improve patient experience and patient access with appropriate leadership. Partner with Patient Access Center and Central Billing Office team members to support collaboration and promote a positive patient experience. Takes a proactive approach in ensuring that practice staff are fully versed in the Access Agreement gold standard principles. Minimum Qualifications To qualify you must have a Current Registered Professional Nurse in New York. If hired after 9/1/25: a Bachelors degree in Nursing from an accredited institution is required; an Associate Degree in Nursing may be approved contingent upon approval from Nursing Leadership, with a minimum of two years nursing experience in an applicable area and enrollment in a baccalaureate nursing program to be completed within two years of hire. Basic Life Support Certification through the American Heart Association is required. Required Licenses Registered Nurse License – NYS Basic Life Support Certificate Preferred Qualifications ACLS certification Membership in pertinent professional organizations Bilingual in Spanish Equal Opportunity Employer NYU Grossman School of Medicine is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. Salary Salary range for the role is $117,978.00 – $117,978.00 annually. #J-18808-Ljbffr NYU Langone Hospitals