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Temporary Registered Nurse - Ryan Chelsea-Clinton

October 11, 2020

Position Overview:

The registered nurse is a member of the Center’s primary care practice teams and is responsible for providing care coordination and care management services to patients who are at risk for poor outcomes, health deterioration, co-morbidities and preventable hospitalizations.

This work is carried out in support of the mission and goals of the Ryan Health.

Essential Functions:

The Staff RN as an integral part of the primary care team is responsible for supporting the primary care physician (PCP) and practice team by coordinating and managing the care of chronically ill patients, and on ensuring that the patients receive optimal care including acute illness management, chronic disease management, and preventive care across multiple health settings and with various multiple physicians/providers.

The Staff RN is responsible for the following:

  • Patient care coordination and care management, including: care transitions; referrals; report management; and two-way communication between the Primary Care Physician (PCP), specialists, and other providers.
  • Focus on care management of patients identified by the PCP team who are at highest risk to decrease hospital and emergency room (ER) utilization and improve health outcomes.
  • Integrate the patient/family into care coordination and care management planning and communications, assuring that the patient/family are informed and supported in decision-making.
  • Ensure transition of care for patients discharged from the hospital or ER within 24 – 48 hours to prevent readmission and related complications. Evaluate and provide appropriate follow-up care for recently discharged patients to prevent further disease exacerbation, complications, or additional ER or hospital utilization.
  • Use data from the electronic health record to determine patients at highest risk for health deterioration, sentinel events, and/or poor outcomes.
  • Provide timely and ongoing communication with the PCP and practice team regarding their highest risk patients to maximize the management of patient needs and ensure that risk reduction activities are incorporated into the care plan.
  • Coordinate care with other care managers (home health care, case managers, etc.) and with specialists to maximize care and promote patient safety.
  • Assist with day-to-day patient care activities and tasks as needed. These will include but are not limited to: processing PCP forms such as prior authorization (PA), M11Q, home care orders, transportation and durable medical equipment (DME) device requests; patient education (focus on Diabetes and Hypertension teaching); pre-visit planning; post-visit planning; pre-natal follow-up; medication administration; redirecting patients to appropriate services such as patient navigation and attend daily huddles.
  • Triage patients by conducting appropriate assessments within scope of practice in person and over the phone.
  • Participate in Quality Improvement (QI) and Performance Improvement (PI) initiatives, including attendance at meetings, data input, and organization of project data and development of reports.
  • Ordering of patient medical equipment, emergency equipment, code cart & 02 tank upkeep, adherence to OSHA guidelines, availability of patient educational materials, etc.
  • Work as part of Care Teams to ensure that:
  • Immediately report any problems or unusual occurrences to supervisor.
  • Must demonstrate a professional, courteous and respectful attitude in dealing with
    patients, immediate supervisor and other employees.
  • Must demonstrate the knowledge and skills necessary to provide care appropriate to
    the age of the patient served.
  • Patients are screened and ready for Practitioner.
  • Patients are treated and receive immunizations as ordered by the Practitioner.
  • Patients are discharged with appropriate education and follow information.


Minimum Experience and Skills Required:

  • Three years of clinical experience in ambulatory setting (clinic or community health center).
  • Demonstrated track record of organization, focus, and ability to work in a fast-paced clinic.
  • Computer literacy in a Microsoft environment: MS Outlook, Word and Excel.

Education, Licenses, and/or Skills Required:

  • Associates degree in Nursing.
  • Bachelor’s Degree preferred (BSN)
  • Valid Registered Nurse License in New York State.

Preferred Qualifications:

  • Bilingual Spanish/English strongly preferred.
  • Bachelors’ degree in Nursing.
  • Experience with eClinicalWorks.

Competencies Required:

Customer Service:

  • Professional, courteous and respectful attitude in dealing with patients.
  • Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served.
  • Commit to exceeding expectations of the patient.


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


Three months’ probation

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.

The employee is occasionally required to move about the office; use hands and fingers to feel, handle, or operate office equipment.

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.


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