Registered Nurse (RN) - ICU - Intensive Care Unit - $75 per hour

About the role

Montefiore Medical Center is seeking a Registered Nurse (RN) for the ICU – Intensive Care Unit float pool. This is a staff position based at the Weiler Critical Care unit in the Bronx, New York, with a night shift schedule (7 PM–7:30 AM, 11.5‑hour shifts, Monday–Friday plus alternating weekends and holidays). The role requires a two‑year commitment. RNs in the NYSNA float pool are assigned to units across the organization based on need and competency, maintaining Montefiore’s nursing standards as defined by the ANA Code of Ethics, Scope and Standards of Practice, and Nursing’s Social Policy Statement. The RN participates in performance improvement, maintains clinical expertise, demonstrates leadership, and ensures core and unit‑specific competencies for the patient population served.

Metadata: Job ID JR234408 | Department: NUR – FP Weiler Critical Care | Bargaining Unit: NYSNA | Grant Funded: No | Start Date: ASAP | Duration: Ongoing

Responsibilities

• Demonstrates leadership in coordination and delivery of patient care: coordinates interdisciplinary plan of care, ensures 100% of assigned patients have a documented plan, completes patient care assignments, aligns plan with accepted length‑of‑stay parameters, delegates appropriately, ensures delegated care meets standards, negotiates/escalates per policy, establishes therapeutic relationships, assumes charge nurse duties, mentors and precepts staff, assesses and documents patient/family wishes.
• Systematically assesses health status and responses to care: completes admission assessment within 8 hours, documents interdisciplinary approach, reflects continuous data collection, documents teaching/learning needs prior to discharge, evaluates and documents response to interventions, initiates teaching/discharge plan within 24 hours, modifies plan through prioritization of needs and interdisciplinary orders.
• Applies critical thinking to problem‑solve and make clinical decisions: optimizes patient outcomes, participates in risk management/quality/ethical issue resolution, incorporates problem‑solving, conflict resolution, and consensus building into daily practice.
• Evaluates patient progress and modifies plan of care: identifies variances, initiates interventions to address variances, documents patient/family response and updates plan, reviews/updates plan daily, participates in daily interdisciplinary rounds.
• Develops, coordinates, and provides direct care: delivers patient‑focused care, incorporates standards, critical pathways, age‑specific guidelines, assesses changes in level of care, develops plan within 24 hours, includes patient/family in planning.
• Provides a safe environment: orients patient/family, administers medications per policy, responds to urgent/emergent situations, uses restraints per guidelines, operates equipment per MMC policies.
• Delivers comprehensive direct patient care: applies nursing knowledge, research, and evidence‑based practice; adheres to MMC standards of care; addresses biopsychosocial and spiritual needs.
• Communicates effectively with patients, families, and healthcare team: defends patient rights, respects cultural diversity, incorporates patient‑focused care principles, recognizes patient‑defined family, communicates plan to 100% of assigned patients, identifies and resolves dissatisfaction, assesses/documents advance directives, establishes collaborative relationships, documents legibly.
• Maintains competencies and contributes to professional growth: provides two examples of ongoing development, participates in peer review/mentorship/education, supports team members beyond own assignment, attends at least one hospital committee meeting or in‑service annually, actively engages in unit‑based performance improvement.

Qualifications

• Associate’s degree in nursing required; BSN preferred.
• Valid New York State Registered Professional Nurse license and registration.
• Two years of ICU RN experience required.
• Basic Life Support (BLS) certification required.
• Infection Control Training required.
• Specialty certification preferred.
• Effective English communication skills (written and oral).
• Ability to use basic data entry and retrieval systems.

Pay

Hourly rate: $75.15 (hiring rate; subject to change based on shift differential, experience, education, or other relevant factors).

Schedule

• Shift: Night (7 PM–7:30 AM)
• Days: Monday–Friday with alternating weekends and holidays
• Daily hours: 11.5 hours