Clinical Nurse Associate 8 west / 7 west

Overview St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state‑of‑the‑art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings‑on‑Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations. St. John’s has been an integral part of the community since the 1890s and its commitment to provide the community with the most advanced medical services available continues to be the hospital’s vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital‑based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family‑focused nursing care. St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care. St. John’s Riverside Hospital is an equal opportunity employer. We maintain a policy of non‑discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law. Personalized care together with advanced technology is what it means to be Community Strong Responsibilities The Clinical Nurse Associate provides 24/7 operational and clinical leadership to ensure safe, efficient, and patient‑centered care delivery across assigned units. The Clinical Nurse Associate is directly accountable for the execution, validation, and reliability of care processes impacting patient experience, quality outcomes, safety, staffing effectiveness, throughput, regulatory compliance, and staff readiness. This role maintains a visible, hands‑on leadership presence across all shifts and serves as an operational authority during assigned coverage. The Clinical Nurse Associate partners closely with Nurse Leaders, Nursing Professional Development, Quality, Risk/Performance Improvement, and interdepartmental leaders to translate organizational priorities into consistent frontline practice. The role supports the American Nurses Credentialing Center (ANCC) principles through staff engagement, accountability, shared governance, and continuous improvement. Scope of Accountability Accountable for unit operations and performance across all shifts Responsible for execution, validation, follow‑through, and escalation of operational, quality, and patient experience standards Serves as clinical and operational leader during assigned shifts The position has supervisory authority including responsibility to assist the Nurse Manager to hire, assign, direct, evaluate, discipline, and recommend termination of employees, using independent judgment and discretion. Recommendations regarding personnel actions are given significant weight by senior leadership. Works closely with direct report to review operation, patient experience, and quality outcomes and adjusts to the needs of the unit accordingly Builds strong working relationships across all service lines, including but not limited to Critical Care, Medical Surgical, Telemetry, Maternal Child, and Surgical Services Does not independently perform hiring, termination, or formal disciplinary duties Staffing Coordination & Assignment Support Collaborates with Nursing Leadership to ensure safe staffing, skill mix, and equitable assignments Manages real‑time staffing challenges including unplanned absences Ensures appropriate coverage for high‑risk patients, including constant observation (1:1) Communicates staffing updates and escalates trends using data‑supported recommendations Responds timely to Protests of Assignment (POA) utilizing the Management Response form as outlined per policy Patient Experience & Service Recovery Conducts patient experience rounds during assigned coverage Assesses responsiveness, communication, comfort, pain management, and understanding of care Initiates real‑time service recovery and documents interventions Reviews patient experience data and addresses unit‑level trends Validates patient experience tactics (i.e. Bedside Shift Report, Hourly Rounding) through direct observation Provides real‑time coaching and reinforcement of best practices Escalates repeated non‑compliance patterns through appropriate channels Throughput, Patient Flow & Length of Stay Supports real‑time patient flow from admission through discharge or transfer Identifies and removes barriers related to diagnostics, bed availability, transport, and discharge readiness Collaborates with physicians, case management, ancillary services, and receiving units to reduce delays Balances throughput decisions with patient safety, staffing capacity, and patient experience Responds to patient surges, emergencies, staffing shortages, and system disruptions Participates in and supports Multidisciplinary Rounds (MDRs) Ensures clarity of daily care plans, discharge goals, and barriers For critical care service lines, ensure timely downgrades and proper utilization of critical care services Tracks unresolved issues and escalates delays impacting safety or length of stay Quality, Patient Safety & Performance Improvement Monitors key performance indicators including medication scanning, hand hygiene, restraints, falls, and observation compliance Collaborates with Risk/PI on occurrence reviews and follow‑up actions Identifies trends, near misses, and opportunities for improvement Conduct real‑time Root Cause Analysis in response to unexpected patient safety events as needed Hospital Acquired Conditions & Harm Prevention Supports prevention strategies for all Hospital Acquired Conditions and patient safety outcomes Validates prevention practices and timely interventions related to patient quality and safety outcomes Partners with Infection Prevention, Wound Care, Pharmacy, and Quality teams Environment of Care & Regulatory Readiness Conducts routine environment of care and safety rounds and documents accordingly Maintains continuous readiness for regulatory and accreditation standards Works with Emergency Management and Environment of Care team to develop attainable action plans for environmental risks Identifies and escalates environmental, equipment, and safety risks Staff Engagement Conducts employee rounding across all shifts Provides real‑time coaching, feedback, and support Facilitates safety huddles and reinforces quality and safety priorities Escalates recurring performance or operational concerns Leads or supports pre‑shift huddles and unit communication Encourages staff participation in shared governance councils Supports ANCC initiatives Collaboration with NPD, HR & Employee Health Supports compliance with mandatory education, competencies, and certifications Collaborates with Nursing Professional Development, Human Resources, and Employee Health on annual employee requirements Tracks compliance and escalates gaps for remediation Qualifications Minimum of 3–5 years of acute care clinical experience Prior charge nurse, coordinator, or leadership experience preferred Strong communication, critical thinking, and operational leadership skills Registered Nurse (RN), active and in good standing Bachelor of Science in Nursing (BSN) required; Master’s degree preferred National Certification in Nursing Leadership or clinical specialty preferred #J-18808-Ljbffr St. Johns Riverside Hospital