Clinical Nurse Associate 8 west/ 7 west

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.St. John’s Riverside Hospital is an equal opportunity employer. We maintain a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law.Personalized care together with advanced technology is what it means to be Community StrongThe Clinical Nurse Associate provides 24/7 operational and clinical leadership to ensure safe, efficient, and patient-centered care delivery across assigned units. The Clinical Nurse Associate is directly accountable for the execution, validation, and reliability of care processes impacting patient experience, quality outcomes, safety, staffing effectiveness, throughput, regulatory compliance, and staff readiness.This role maintains a visible, hands-on leadership presence across all shifts and serves as an operational authority during assigned coverage. The Clinical Nurse Associate partners closely with Nurse Leaders, Nursing Professional Development, Quality, Risk/Performance Improvement, and interdepartmental leaders to translate organizational priorities into consistent frontline practice. The role supports the American Nurses Credentialing Center (ANCC) principles through staff engagement, accountability, shared governance, and continuous improvement.Scope of AccountabilityAccountable for unit operations and performance across all shiftsResponsible for execution, validation, follow-through, and escalation of operational, quality, and patient experience standardsServes as clinical and operational leader during assigned shiftsThe position has supervisory authority including responsibility to assist the Nurse Manager to hire, assign, direct, evaluate, discipline, and recommend termination of employees, using independent judgment and discretion. Recommendations regarding personnel actions are given significant weight by senior leadership.Works closely with direct report to review operation, patient experience, and quality outcomes and adjusts to the needs of the unit accordinglyBuilds strong working relationships across all service lines, including but not limited to Critical Care, Medical Surgical, Telemetry, Maternal Child, and Surgical ServicesDoes not independently perform hiring, termination, or formal disciplinary dutiesStaffing Coordination & Assignment SupportCollaborates with Nursing Leadership to ensure safe staffing, skill mix, and equitable assignmentsManages real-time staffing challenges including unplanned absencesEnsures appropriate coverage for high-risk patients, including constant observation (1:1)Communicates staffing updates and escalates trends using data-supported recommendationsResponds timely to Protests of Assignment (POA) utilizing the Management Response form as outlined per policyPatient Experience & Service RecoveryConducts patient experience rounds during assigned coverageAssesses responsiveness, communication, comfort, pain management, and understanding of careInitiates real-time service recovery and documents interventionsReviews patient experience data and addresses unit-level trendsValidates patient experience tactics (i.e. Bedside Shift Report, Hourly Rounding) through direct observationProvides real-time coaching and reinforcement of best practicesEscalates repeated non-compliance patterns through appropriate channels Throughput, Patient Flow & Length of StaySupports real-time patient flow from admission through discharge or transferIdentifies and removes barriers related to diagnostics, bed availability, transport, and discharge readinessCollaborates with physicians, case management, ancillary services, and receiving units to reduce delaysBalances throughput decisions with patient safety, staffing capacity, and patient experienceResponds to patient surges, emergencies, staffing shortages, and system disruptionsParticipates in and supports Multidisciplinary Rounds (MDRs)Ensures clarity of daily care plans, discharge goals, and barriersFor critical care service lines, ensure timely downgrades and proper utilization of critical care servicesTracks unresolved issues and escalates delays impacting safety or length of stay Quality, Patient Safety & Performance ImprovementMonitors key performance indicators including medication scanning, hand hygiene, restraints, falls, and observation complianceCollaborates with Risk/PI on occurrence reviews and follow-up actionsIdentifies trends, near misses, and opportunities for improvementConduct real-time Root Cause Analysis in response to unexpected patient safety events as needed Hospital Acquired Conditions & Harm PreventionSupports prevention strategies for all Hospital Acquired Conditions and patient safety outcomesValidates prevention practices and timely interventions related to patient quality and safety outcomesPartners with Infection Prevention, Wound Care, Pharmacy, and Quality teams Environment of Care & Regulatory ReadinessConducts routine environment of care and safety rounds and documents accordinglyMaintains continuous readiness for regulatory and accreditation standardsWorks with Emergency Management and Environment of Care team to develop attainable action plans for environmental risks Identifies and escalates environmental, equipment, and safety risks Staff EngagementConducts employee rounding across all shiftsProvides real-time coaching, feedback, and supportFacilitates safety huddles and reinforces quality and safety prioritiesEscalates recurring performance or operational concernsLeads or supports pre-shift huddles and unit communicationEncourages staff participation in shared governance councilsSupports ANCC initiatives Collaboration with NPD, HR & Employee HealthSupports compliance with mandatory education, competencies, and certificationsCollaborates with Nursing Professional Development, Human Resources, and Employee Health on annual employee requirementsTracks compliance and escalates gaps for remediationMinimum of 3-5 years of acute care clinical experiencePrior charge nurse, coordinator, or leadership experience preferredStrong communication, critical thinking, and operational leadership skillsRegistered Nurse (RN), active and in good standingBachelor of Science in Nursing (BSN) required; Master’s degree preferredNational Certification in Nursing Leadership or clinical specialty preferred

Created: 2026-01-19