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Lead Licensed Practical Nurse- Ryan Health / Washington Heights

May 13, 2020

Position Overview:

The Lead Licensed Practical Nurse (LPN) functions under the supervision of the Clinical Manager. The Lead LPN is responsible for the direct supervision of Licensed Practical Nursing and Medical Assistant staff in providing nursing patient care services and clinical support. The Lead LPN, as part of the care-giving team, is expected to maintain a high degree of professional competence, the highest possible ethical standards, and patient confidentiality. This work is carried out in support of the mission and goals of Ryan Health.

Essential Functions:

  • Serves as a role model for Licensed Practical Nursing and Medical Assistant staff by ensuring consistent nursing practices and continuity of medical/nursing care.
  • Serves as a bridge between providers and nursing staff by monitoring patient appointment flow to ensure timely patient-centered nursing/medical treatments.
  • Obtains/monitors vital signs performed by LPN/MA staff (e.g. height, weight, temperature, pulse, respiration and blood pressure) as appropriate for the type of visit and obtain initial information about reason for visit.
  • Performs/monitors clinical tests as ordered by a medical provider or standing orders (e.g. dipstick urinalysis, peak flow measurement, finger stick for glucose/hemoglobin, urine pregnancy test, finger stick for rapid HIV testing, Mantoux skin test interpretation, rapid strep test, fecal occult blood test, visual acuity, pulse oximetry, EKG, nebulizer treatment and phlebotomy according to established CLCHC protocols; process specimens of urine, stool, blood, sputum, tissue, and smears for culture and other tests as per laboratory guidelines).
  • Provides results to patients of all CLIA-waived tests.
  • Trains LPNs and MAs in accurate performance of vital signs, tests, procedures, and the like, and monitors their ability to consistently perform them as required.
  • Engages in pre- visit planning and assure that all LPNs/MAs are consistently engaged in pre-visit planning.
  • Assures that they and all LPNs/MAs, on every patient, are measuring and charting the quality indicators specified by the organization (e.g. BMI, tobacco use and cessation, vaccines, etc.)
  • Assists/monitors LPN/MA staff preparation and documentation of patient and materials for various procedures/treatments (e.g. pap smears, biopsies, STD screening, colposcopy, I.&D, etc.) including consents and patient educational material.
  • Performs/monitors LPN staff documentation of patient education on health maintenance, preventive health, and medication adherence.
  • Works collaboratively with site leaders and staff to optimize patient flow and nursing/practitioner workloads during daily operations to ensure efficiency, patient satisfaction and quality of care.
  • Administers prescribed medications and treatments
  • Performs/monitors LPN/MA staff reporting, documentation, and follow up on patient laboratory/diagnostic tests results as instructed by medical providers according while maintaining patient confidentiality policy.
  • Maintains medication inventory and orders medical equipment/supplies under the direction of the Nurse Manager as needed.
  • Participates/monitors Quality Improvement activities as directed by Director/or the Nurse Manager (e.g. quality control measures, outreach/recall efforts, peer chart review, patient satisfaction surveys, etc.) to ensure the provision of quality nursing services to William F. Ryan Community Health Community Health Network population.
  • Promotes nursing professional development and clinical excellence through supervision, mentoring, training and orientation of LPN/MA nursing staff.
  • Ensures the stocking and maintenance of medical supplies/equipment are completed in preparation for patient medical care visits.
  • Care coordination, such as assisting with refill requests, prior authorizations, form completion, appointment scheduling and internal and external referrals as needed.
  • Identifies/reports/reassigns nursing staffing needs to the Nurse Manager to meet the clinical needs of patients.
  • Provides on-going feedback regarding nursing staff performance and time/attendance issues to the Nurse Manager.
  • Practices accepted infection control measures in accordance with the OSHA Bloodborne Pathogens standards and Center policies and procedures.
  • Executes corrective action plans under the direction of the Nurse Manager.
  • Performs other duties as assigned by the Nurse Manager to maintain a high level of patient-centered care.
  • Attends all meeting and/or training sessions as required.
  • Immediately reports any problems or unusual occurrences to supervisor.
  • Other special projects/assignments as needed.


Minimum Experience and Skills Required:

  • Three years of LPN experience.
  • Two plus years of experience in an out-patient clinical setting.
  • Proficiency in working with pediatric population.
  • Demonstrated track record of organization, focus, and ability to work in a fast-paced clinic.
  • Working experience with electronic medical records software.
  • Computer literacy in a Microsoft environment: MS Outlook, Word and Excel.

Education, Licenses and/or Certifications Required:

  • High school diploma.
  • Completion of an accredited LPN program.
  • New York State LPN license.
  • Current CPR certification.

Preferred Qualifications:

  • Two years of supervisory experience.
  • Bilingual (Spanish/English).

Competencies Required:

Customer Service:

  • Professional, courteous and respectful attitude in dealing with patients.
  • Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patient served (if applicable).
  • Commits to exceeding expectations of the patient.


  • Works well with others.
  • Contributes input to improve outcomes.
  • Asks others for opinions and feedback; provides feedback in a tactful respectful way;

Minimal Training Time:

180-day introductory period.
Working Conditions:

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is frequently required to sit, talk and hear.

This position requires moderate physical effort, involving transporting medical equipment, assisting in ambulatory procedures, and lifting patients. This position requires standing 75% of the time. Sight and hearing are essential.

Specific vision abilities required by this job include close vision and the ability to adjust focus.

Work Environment

The work is primarily in a mental health clinic and/or general primary care setting which includes the unpredictability in behaviors of individuals and acute and chronic infectious diseases which may be contagious. Adequate preparation and precaution is necessary.

Environmental conditions include exposure to airborne infection associated with health care settings; exposure to blood borne pathogens and biologicals; possible exposure to laboratory chemicals and diagnostic radiology materials.


The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position. This position may be required to perform other duties. If such work becomes a permanent and regular part of the job, a new description will be prepared.

Equal Opportunity Employer

Ryan Health is an Equal Opportunity / Affirmative Action Employer and does not discriminate because of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law. We are committed to attracting, retaining and maximizing the performance of a diverse and inclusive workforce.

How To Apply