Job Description

1. Under general supervision and in accordance with New York State requirements for written practice protocols and written agreements or for collaborative relationships with qualified physician(s) serves as a licensed practitioner responsible for planning, coordinating, delivering and managing comprehensive health care services in a health care setting.
2. Ensures patient and family-centered quality care to improve outcomes and patient experience, in accordance with applicable NYC Health Hospitals policies and procedures, state and federal rules and regulations and nursing standards of care.
3. Responsible for clinical functions to ensure continuity of care, patient satisfaction and compliance with nationally recognized NYSDOH and TJC standards as well as an evaluation and improvement of systems designated to evaluate the effectiveness and quality of neurological care including evidence- based stroke care delivered to patients at NYC Health Hospitals - Queens. Participates in the planning, provision, coordination and evaluation of patients who received stroke care. Participates in the revision, implementation and evaluation of Standards of Care, Performance Improvement (PI) plan, and policies and procedures. Facilitates interdisciplinary processes to achieve positive patient outcomes and efficient delivery of care.
4. Serves as a resource person for the professional and allied personnel in the clinical area as it relates to the Stroke program.

Responsibilities

1. Patient Care
   1. Manages patient care as outlined in practice protocols.
   2. Participates in the planning, coordination and evaluation of the practice in caring for patient's receiving interventions for acute Stroke.
   3. Obtains thorough histories, and performs physical exams in order to Assess the physical and psychosocial health status of patients.
   4. Provides routine health care maintenance services to patients.
   5. Assesses and manages acute and chronic neurologic illnesses in collaboration with a physician.
   6. Performs therapeutic measures and diagnostic tests as credentialed.
   7. Prescribes medications as part of the patient's treatment regimen. The prescribing of medications is to be restricted to the practitioner's specialty as required by law.
   8. Establishes medical diagnosis.
   9. Records and documents data necessary to maintain and coordinate health care.
   10. Initiates referrals/consultations to other health care providers and/or consult with the attending physician.
   11. Promotes safe quality patient care through intra/interdepartmental cooperation and collaboration.
   12. Communicates patient's plan of care with appropriate disciplines.
   13. Participates in Stroke Teams and evaluates Team Performance and outcomes.
   14. Administers NIH stroke scales.
   15. Sees stroke patients anywhere in the organization.
   16. Contributes to the success of the stroke center by participating in call schedule that includes coverage for nights and weekends on an ongoing basis
2. Professional Practice
   1. Follows stroke patients ensuring adherence to guidelines for antiplatelet meds, DVT prophylaxis, anticoagulant for atrial fibrillation, lipid measurement, dysphagia screening, use of NIH Stroke Scale on admission and discharge, stroke education and referral to Rehabilitation.
   2. Trains professional nurses and other staff in areas related to the clinical requirements and educational efforts of the Stroke Center.
   3. Makes follow-up calls to patients and arranges appropriate outpatient follow-up.
   4. Initiates and participates in studies and research.
   5. Participates in hospital committees.
   6. Serves as a clinical/educational resource person for the clinical personnel.
   7. Continually reviews new guidelines and incorporates latest information into clinical practice guidelines and policies.
   8. Participates with all staff to achieve zero defects goal for Hospital.
   9. Seeks constructive feedback and acts to achieve goals identified in performance appraisal.
   10. Rounds with the clinical team and functions as a resource to clinical professionals and ancillary staff. Helps to ensure compliance with mandated parameters of care.
   11. Participates in achieving TJC Certification as a Primary Stroke Center.
3. Governance
   1. Champions patient- centered care and the culture of safety.
   2. Demonstrates fiscal responsibility in the use of resources in the provision of patient care.
   3. Facilitates system changes to support the use of evidence.
   4. Participates in peer review process.
   5. Participates in the achievement of Hospital's Strategic Goals.
4. Self-Development
   1. Evaluates own practice in relation to professional standards, and regulatory requirements.
   2. Maintains clinical competency by keeping abreast of current trends in health care, legislation, regulatory requirements and nursing practice.
   3. Develops, organizes and participates in health-related research projects and performance improvement studies.
   4. Serves as a coach and mentor in evidence-based medicine.
   5. Attends national and regional Conferences and meetings.
5. Patient and Staff Satisfaction
   1. Anticipates patients' needs and within scope and authority, takes initiative to meet those needs, keeps patients informed of actions taken.
   2. Provides consistent and timely follow-through which ensures that all patient requests are addressed in a prompt and courteous manner.
   3. Makes every attempt to defuse potentially volatile situation.
   4. Resolves differences in a spirit of cooperation; creates solutions that benefit all parties.
   5. Maintains composure, efficiency and positive customer service-oriented manner during periods of peak workload.
   6. Adheres to the ICARE standards of Customer Service.

Qualifications

1. Required minimum of 2 years' experience as a licensed independent practitioner.
2. Required current New York State registration as a licensed independent practitioner.
3. Required certification by a national certifying body in her/his specialty are.

About Us
Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

We work hard to acquire and retain the best people and to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to professional advance. We share the belief that all employees, regardless of job title or expertise contribute to the patient experience and quality of patient care.

Explore more about this opportunity and how you can help us write a new chapter in our history!

"About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism."

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