NYC Health + Hospitals/Bellevue is America’s oldest public hospital, established in 1736. Affiliated with the NYU School of Medicine, the 844-bed hospital is a major referral center for highly complex cases, with its 6,000 employees including highly skilled, interdisciplinary clinical staff. It sees more than 110,000 emergency room visits and 500,000 outpatient visits annually. Bellevue is an academic medical institution of international renown. We have served as an incubator for major innovations in public health, medical science, and medical education. Bellevue is a Level I Trauma Center delivering around-the-clock care in adult, pediatric, psychiatric and pediatric psychiatric emergencies as well as in the nationally-designated categories of cardiology, neurology, toxicology, and neonatology. In addition to providing comprehensive inpatient and outpatient state-of-the-art care Bellevue is a city-wide medical specialty referral source. Bellevue’s clinical centers of excellence include: Emergency Medicine and Trauma Care; Cardiovascular Services; Designated Regional Perinatal Center and Neonatal Intensive Care Unit (ICU); Comprehensive Children’s Psychiatric Emergency Program; and Cancer Services.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

About Bridge to Home
Bridge to Home (BTH) is a new innovative program developed by NYC Health + Hospitals that will provide treatment, social and professional skill building, and temporary housing to patients with serious mental illness (SMI) who are ready for discharge from the hospital but do not have immediate access to stable housing.

In this voluntary program, BTH will offer its guests onsite ambulatory behavioral health treatment and comprehensive support in a home-like environment. The program aims to keep individuals discharged from the hospital on a path towards sustained success, with the goal of reducing emergency room visits and inpatient hospitalizations, decreasing street homelessness and reliance on shelters, and ultimately moving into permanent housing. Program guests will stay at the home-like environment until they can be transitioned to permanent supportive housing and treatment for a period of up to 12 months.

Summary of Duties and Responsibilities

• Assumes 24/7 nursing responsibility
• Supervises nursing staff at Bridge to Home
• Ensures staffing plans meet daily operational needs and coordinates work schedules
• Provides performance appraisal, and approves timesheet for nursing staff (direct reports)
• Interprets and implements policies and procedures
• Attends meetings, keeps records and provides in-service to nursing staff onsite
• Offers limited medical services
• Assess patients based on interviews, chart reviews, and/or referrals
• Meet with patients onsite and throughout the building
• Educate and teach patients based on diagnosis and need
• Administers medication as needed
• Initiates appropriate nursing interventions based upon assessment and/or clinical guidance, which may include:
• Instructing patients and/or family members regarding treatment, medication, diagnostic procedures, follow-up appointments
• Observing and identifying underlying/contributing factors, especially socio-economic, cultural, physical and language barriers
• Assist in obtaining and maintaining an accurate list of medications and ensuring patients’ understanding of those prescriptions
• Follows protocols for securing emergency equipment and medication
• Coordinates response to medical and psychiatric emergencies.
• Schedules appointments for nurse follow-up visits (e.g., wound care, medication education) and assists with accessing specialty services as appropriate
• Triage patients as needed
• Perform vital sign checks
• Documents all observations, evaluations and interventions in the indicated forms or electronic medal records system.
• Escalates to emergency services, and follows chain of command reporting
• Investigates and follows up with complaints provides report of findings
• Schedules and manages both nurses and ancillary nursing staff
• Other duties as determined by the BTH Psychiatrist or other equivalent manager

1. Licensed and currently registered to practice as a professional nurse in New York State, plus (2) or (3), below.

2. Masters Degree in Nursing Administration, Education, Clinical Specialty or equivalent field and five years of satisfactory nursing experience, of which three years shall have been in a supervisory or teaching capacity; or a Baccalaureate Degree in Nursing and six years of satisfactory nursing experience, four years of which shall have been in a supervisory or teaching capacity.

3. A satisfactory equivalent of education and experience. However, all candidates must be licensed and currently registered to practice as a Professional Nurse in New York State.