Nurse Case Manager - San Francisco

apartment Paradigm location_onDaly City, CA, US

We are seeking a Field Nurse Case Manager to cover the San Francisco, Daly City, CA, and surrounding areas. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way, to doctors’ offices, hospitals, and various other locations. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.

We have been recognized, again! This is Paradigm’s third time in a row being certified as Great Place to Work® reflecting our ongoing commitment to a positive, diverse, and supportive employee-centric culture.

Watch this 5-minute video for a brief introduction to the role of a nurse case manager at Paradigm.

At Paradigm, People Come First
It's more than a job. It's a passion. Work at Paradigm, and you’ll find deep satisfaction knowing you’re making a profound difference in people’s lives.

Meaningful work: better outcomes for all isn’t just our tagline. It’s what guides us to do our best—every day. At Paradigm, you’ll find an authentic connection between the work you do and your passion for making a difference in the world.
Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives.
Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.

Qualifications:

Current, unencumbered Registered Nurse (RN) license in California
Experience in case management of workers comp cases, preferred
Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date
Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal)
Ability to operate autonomously with minimal oversight
Skilled at patient education
Valid driver’s license, and good driving history

Paradigm Benefits:

Health and wellness: We want our people to be and stay healthy, so we offer a wide variety of value-added HMO, PPO, and HDHP health insurance options with both Cigna and Kaiser Health.
Financial incentives: Paradigm’s financial benefits also help prepare you for the future: competitive salaries, 5% premium bonus paid over productivity requirements, premium pay for catastrophic files, cell phone and internet reimbursement, mileage reimbursement (federal rate), flexible spending, paid life insurance, employer HSA, and 401(k) with company match.
Vacation: We believe strongly that work-life balance is good for you and for our company. We offer paid time off, paid holidays and a floating holiday.
Learning and development: One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways from our Dedicated Training Department that offers an 8 to 12-week new hire onboarding program

Share this job

Related Jobs

Full-time

Case Manager (RN) - Timely Discharge

apartment Stanford Health Care location_onPalo Alto, CA

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) Why work at Stanford Medicine | Stanford Health Care (SHC)? Are you a seasoned RN Case Manager? Here is your opportunity to work with the Timely Discharge Department at its inception. You can put your bedside RN experience to great use in case management working in conjunction with the medical teams, third-party companies, and patients with the goal of best outcomes for continuity of care. This is a Stanford Health Care job. A Brief Overview Case Managers are licensed nursing professionals responsible for coordinating continuum of care and discharge planning activities for a caseload of assigned patients. Major responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient charts for timeliness of services as well as appropriate utilization of services; and ensuring optimum use of resources, service delivery, and compliance with external review agencies' requirements. Case Managers act as consultants to the clinical team, service lines, and other departments regarding patient assessment and patient care and participate in program development and quality improvement initiatives. In their role, Case Managers, by applying guidelines and collaborating with multidisciplinary teams, influence and direct the delivery and quality of patient care. A hospital-based case management system has as its primary goal to ensure the most appropriate use of services by patients and, toward that end, to avoid duplication and misuse of medical services, control costs by reducing inefficient services, and improve the effectiveness of care delivery. Objectives are to facilitate timely discharge; prompt, efficient use of resources; achievement of expected outcomes; collaborative practice; coordination of care across the continuum; and performance/quality improvement activities that lead to optimal patient outcomes. A Case Manager differs from other roles in professional nursing/health care practice in that it is not intended to provide direct patient care; rather, a Case Manager will be assigned to specific patients to ensure that the medical services and treatments required are accomplished in the most financially and clinically efficient manner. This job description covers all classifications for Case Managers within the organization. All Case Managers must meet all elements of the Essential Functions, and Qualifications. There is a Voluntary professional development program designed to recognize and reward professional excellence in the role of Case Manager. Promotion is determined based on the Case Manager Professional Development Program. Here is a description of the various levels: Level I: Case Manager Level II: Advanced Case Manager Level III: Expert Case Manager Locations Stanford Health Care What you will do Coordination of Care -- Manages each patient's transition through the system and transfers accountability to the appropriate person upon entry into another clinical service or discharge. Discharge Planning -- Coordinates and facilitates timely implementation of discharge plans for assigned patients with complex needs in collaboration with other interdisciplinary team members; arranges followup care as appropriate. Utilization Review -- Reviews prospectively, concurrently and retrospectively all inpatients for appropriateness of admission, level of care, and determines appropriate length of stay. Monitors patients' length of stay and collaborates with physicians to ensure resource utilization remains within covered benefits and are appropriate in relationship to the patient's clinical and psychosocial needs; plans and implements (through multi-disciplinary meetings or rounds) strategies to reduce length of stay, reduce resource consumption, and achieve positive patient outcomes analyzes and addresses aggregate variances as well as variances from individual patients and shares this information with staff, physicians, and administration. Education/Consultation -- Acts as an educational resource and provides consultation to patients and their families, hospital medical personnel regarding the discharge planning process and applicable regulatory requirements; educates the staff on case management; and provides specific information related to case types. Lead Work -- May lead the work of administrative/clinical support staff responsible for assisting with case management for an assigned patient caseload. Other -- Participates in department program planning, goal setting, systems development and process improvement; participates in department and hospital committees and task forces; develops and maintains documentation of findings, discharge arrangements, and actions taken according to departmental guidelines; prepares and maintains records as required; collects, analyzes and reports on data for utilization, quality improvement, compliance, and other areas as assigned. Patient Assessment/Plan of Care -- Functions as a resource to and collaborates with physicians, social workers, nurses, and other interdisciplinary team members to assess, plan, and coordinate patient care needs and/or performs patient assessment and develops a plan of care to assure consistent, timely, and appropriate care is provided in a patient-focused manner. Quality Improvement -- Participates in quality improvement activities by identifying opportunities for improvement in such areas as clinical outcomes, utilization of resources and concurrent data collection; participates in clinical process improvement teams within the department, service lines, and hospital. Third-Party Reimbursement -- Collects, analyzes reports and reviews patient information with third-party payers to assure reimbursement for patient services/procedures. Communicates with review organizations/payers to provide requested clinical and psychosocial information to assure reimbursement. Education Qualifications Bachelor's Degree from an accredited college or university required Master’s Degree preferred Experience Qualifications Three (3) years of progressively responsible and directly related work experience Required Knowledge, Skills and Abilities Ability to collect and record data, evaluate data and statistics, and maintain effective reporting systems Ability to develop and perform patient assessment and plan of care Ability to monitor and assure the patient's access to the appropriate level of care; the right health care providers; and the correct setting and services to meet the patient's needs; promote coordination and continuity in patient health care Ability to provide age-appropriate assessments, interpretation of data, and delivery of interventions Ability to provide appropriate patient care and clinical information when patients are admitted, referred, transferred, or discharged Ability to remain knowledgeable regarding available treatments and services Ability to resolve conflicts and/or negotiate with others to achieve positive results; establish and maintain effective interpersonal relationships Ability to understand, interpret and apply complex federal and state hospital compliance laws, rules, regulations and guidelines Ability to work effectively with individuals at all levels of the organization Knowledge of available patient services and treatment Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice Knowledge of evaluation and assessment techniques Knowledge of financial processes of various private and public funding sources for health care services/procedures Knowledge of hospital operations, organization, systems and procedures and laws and regulations pertaining to the operation of hospitals in California Knowledge of medical terminology and related levels of care and treatment Knowledge of the full continuum of care available to patients, interrelationships of the care components, and their effective integration Knowledge of the models of case management, including the principles and practices of discharge planning, utilization review, and quality assurance/improvement Knowledge of the variables that affect the processes and outcomes of patient health care Licenses and Certifications Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $74.73 - $99.04 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Full-time

Clinical Nurse (RN) - Byers Eye Surgery Center - Operating Room (Full-Time, 8-Hour Rotating Shifts)

apartment Stanford Health Care location_onPalo Alto, CA

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Rotating - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Clinical Nurse (CN) is an RN who provides hands-on care to patients, practicing in an evidence-based manner, within the Scope of Practice of the California Nursing Practice Act, regulatory requirements, standards of care, and hospital policies. Within that role, the CN performs all steps of the nursing process, including assessing patients; interpreting data; planning, implementing, and evaluating care; coordinating care with other providers; and teaching the patient and family the knowledge and skills needed to manage their care and prevent complications. The CN partners with the patient's family wherever possible, considering all aspects of care, to deliver family centered care. As a professional, monitors the quality of nursing care provided. The Clinical Nurse is responsible for his/her own professional development, including licensure, Basic Life Support (BLS) certification, and maintaining current knowledge regarding the assigned patient population. As a member of the nursing profession, the Clinical Nurse contributes to the profession of nursing through such activities as teaching others, sharing expertise In unit or hospital. Locations Stanford Health Care What you will do The Helping Role Establishes Therapeutic Relationships: Creates and maintains a climate conducive to healing through being present to the patient and family, identifying and managing discomforts; providing emotional support and information; guiding the patient and family through phases of illness and recovery/passage to death and in accordance with the patient's goals and culture. Mobilizes the patient's strengths and abilities towards participation in recovery and control over plan of care. Diagnostic and Monitoring Functions: Obtains accurate and relevant assessment data and interprets the data as normal vs abnormal. Determines nursing diagnosis. Monitors and evaluates data as frequently as needed based on stability. Plans and Implements Therapeutic Interventions: Collaborates with the patient, family and members of health care team to develop an individualized plan of care. Implements nursing and medical interventions safely. Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects. Teaching and Coaching, Patient and Staff Teaching: Assesses a patient's and family's learning needs and readiness to learn. Teaches needed information for self-care and illness prevention. Adjusts information and expectations based on responses from patient, developmental levels, physiological and psychological condition, and cultural variations. Teaches other staff members both incidentally and/or through formal roles such as preceptor or super-user. Effective Management of Rapidly Changing Situations: Ability to rapidly grasp problem situations and respond quickly and appropriately. Identifies the need for and activates emergency protocols. Monitors and Ensures Quality Healthcare Practices: Monitors own practices and assists in monitoring others for practices related to patient and employee safety and compliance to standards and policies. Looks for opportunities for continual improvement in patient care and the work environment. Organization and Work Role Functions: Integrates multiple requests and work expectations by setting priorities, delegating tasks appropriately, and seeking assistance as needed. Priorities: Contributes to team building through participation in unit programs and meetings; contributes to positive morale, using constructive and effective conflict resolution skills. Management and Delegation: Learns and utilizes the available technology for communication, documentation, and locating information regarding unusual clinical situations, diagnosis, and treatments. Contributes to the knowledge and skill of other members of the nursing staff through one or more activities such as formal or informal teaching, participation on Shared Governance groups, professional publications and/or presentations. Education: Attains knowledge and competence that reflects current nursing practice. Demonstrates commitment to lifelong learning. Communication: Communicates effectively in a variety of formats in all areas of practice. Leadership: Demonstrates leadership in the professional practice setting and the profession. Professional Practice Evaluation: Evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations. Education Qualifications Bachelor of Science in Nursing (BSN) from an accredited college or university preferred. Required Knowledge, Skills and Abilities Able to communicate effectively in English. Licenses and Certifications BLS - Basic Life Support and RN - Registered Nurse - State Licensure And/Or Compact State Licensure These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $92.64 - $106.87 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Full-time

Patient Care Manager (RN) - Endocriniology Multi Site

apartment Stanford Health Care location_onPalo Alto, CA

$89 - $117 / HOUR

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America)Changing the Future of Endocrinology Care. As the Patient Care Manager in the Medical Specialty Clinic, you’ll be at the forefront of supporting and delivering care to patients with complex endocrine disorders, including diabetes, thyroid conditions, and adrenal and pituitary disorders. This position offers the opportunity to help shape and improve the clinic’s operations, enabling the team to increase patient access and impact. Our focus is on providing high-quality, comprehensive care with the resources needed to excel. This clinic is uniquely positioned as a center of excellence within Stanford Health Care, known for its collaborative, high-performing team and a strong foundation of support. Who You’ll Be Working With: In this role, you’ll oversee a dynamic team of healthcare professionals, including Staff RNs, Patient Care Coordinators (PCCs), and Advanced Practice Nurses. Your direct reports will include Staff RNs, while you’ll work closely with the Supervisor for PCCs and Advanced Practice Nurses to ensure smooth clinic operations and optimal patient outcomes. This supportive environment, full of skilled providers and clinical staff, enables excellent interdisciplinary collaboration and a shared dedication to delivering exceptional patient care. Opportunities to Grow and Develop: Stanford Health Care is dedicated to continuous professional growth. In this role, you’ll have access to: • Continuing Education Funds: Support for certifications, courses, and additional training to enhance skills and expertise. • Career Ladder: Clear pathways for career progression within the clinic and broader health system. • Leadership Development: Opportunities to expand access and improve all facets of clinic operations, shaping the future of care for complex endocrine patients. This role offers a unique chance to be part of an innovative, growing clinic with robust support and the resources needed to drive meaningful improvements in patient care. In addition, the flexibility of ambulatory settings in the use of telehealth technologies allows consultations and surveillance of patients to be optimally conducted. High-quality ambulatory care nursing has been shown to reduce readmissions and emergency visits from patients. This is a Stanford Health Care job. A Brief Overview The Patient Care Manager is a Registered Nurse who provides unit leadership and works in partnership with nursing, the healthcare team, hospital/system leaders to develop a quality practice setting that support professional nursing and quality patient care. The Nurse Manager is accountable for the effective delivery of competent, compassionate, and efficient patient care. Responsibilities include coordination of patient care; supervision of a professional team that includes multiple nursing and other staff as appropriate; administrative and budget management; troubleshooting of problem areas; organizational change management; ensuring compliance with accreditation and regulatory standards; quality assurance/quality improvement; safety and risk management requirements as well as actualization of hospital and unit policies, goals and objectives. Further, improving unit operations, enhancing communication and feedback, customizing education and staff roles, and accepting organizational accountability for services provided to recipients are critical outcomes expected of this role. The Nurse Manager role is critical to hospital operations and minimally accomplishes the following essential duties. Patient Care Manager I vs. II designation is based on span of control, hours of operation, and level of unit complexity. Locations Stanford Health Care What you will do Clinical Practice: Ensures the effective delivery of competent, compassionate, and efficient patient care by planning, organizing, and directing the nursing services of unit(s), including the assessment of patients, implementation of physicians' orders, treatment plans and medical procedures, administration of medication and record keeping of same as well as by monitoring and evaluating patient care processes and outcomes for the patient care unit(s); coordinates nursing activities with those of other services or disciplines. Demonstrates clinical competency in assigned specialty area role models nursing practice consistent with the organizational and department mission, vision and values. Communication: Communicates in a clear and effective manner to enhance team effectiveness, manage conflicts, engage employees and interdisciplinary colleagues in unit activities and performance changes. Collaborates with others within the unit and with all hospital departments and disciplines to enhance problem solving, decision making and performance improvement. Fiscal Accountability: Plans and forecasts the department budget by calculating required FTES, planning annual budgets, interpreting payroll and other key fiscal reports, projecting workload as well as monitoring and enhancing productivity. Performs variance analysis by interpreting financial performance and identifying key drivers. Identifies unit/capital budget needs in collaboration with physician and nursing colleagues. Plans and implements staff scheduling, position controls and attendance control procedures. Human Resources: Directs the personnel management of the employees assigned to the department consistent with state and federal labor laws, collective bargaining agreements, and nursing service and hospital philosophy, goals and policy. Ensures that new staff is interviewed, hired, trained, oriented, precepted and evaluated. Prepares and conducts employee performance appraisals. Approves transfers, promotions and other decisions affecting employee pay and status. Participates in initiating and documenting disciplinary actions and responding to grievances. Leadership: Assumes twenty four (24) hour responsibility and accountability for the operation of the assigned patient care unit(s), service(s), staff, and facilities. Plans, organizes and directs short and long term departmental activities in accordance with hospital goals and accrediting organization standards. Provides leadership and direction for the staff in the patient care unit(s) while supporting and actualizing the goals of the department, division, service, and hospital. Functions as a resource to staff and interdisciplinary team members and interdepartmentally, consults on nursing care and professional nursing practice. Performance Improvement: Assumes responsibility for accessing and utilizing appropriate date in order to monitor unit operations. Accountable for achieving patient and staff satisfaction targets for the organization and unit of responsibility. Develops, implements and evaluates process improvement projects/process in order to continually monitor and improve patient care. Professional Development: Facilitates professional development and clinical growth of nursing staff through implementation and maintenance of unit specific competencies. Promotes and facilitates educational opportunities based on assessment of staff needs. Quality Management: Supports the quality framework, which includes both clinical and service quality indicators. Creates an environment of patient care that is safe, effective, patient centered, timely, efficient and equitable. Clinical Practice: Ensures the effective delivery of competent, compassionate, and efficient patient care by planning, organizing, and directing the nursing services of unit(s), including the assessment of patients, implementation of physicians' orders, treatment plans and medical procedures, administration of medication and record keeping of same as well as by monitoring and evaluating patient care processes and outcomes for the patient care unit(s); coordinates nursing activities with those of other services or disciplines. Demonstrates clinical competency in assigned specialty area role models nursing practice consistent with the organizational and department mission, vision and values. Quality Management: Supports the quality framework, which includes both clinical and service quality indicators. Creates an environment of patient care that is safe, effective, patient centered, timely, efficient and equitable. Education Qualifications Bachelors and/or Masters in Nursing from an accredited college or university. Experience Qualifications Three (3) years of progressively responsible and directly related work experience. Required Knowledge, Skills and Abilities Ability to contribute to health care policy formulation when working in partnership with a multidisciplinary team of health care providers. Ability to delegate responsibly to others, activities according to ability, level of preparation, the standards of practice and regulatory guidelines. Ability to develop programs and lead process improvement projects. Ability to establish the strategic direction and business plans for a functional group. Ability to initiate and implement change conducive to the improvement of the quality and safety of patient care delivery. Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor. Ability to supervise, coach, mentor, train, and evaluate work results. Ability to use information and keep abreast of developments in technology to communicate, manage knowledge, mitigate error, and support decision-making in patient care. Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care in the area of assignment. Knowledge of principles and practices of organization, administration, fiscal and personnel management essential to the practice of nursing in the larger context of health care. Knowledge of principles, practices and current trends in health care and hospital system organization and administration sufficient to provide clinical management, leadership, coordination, and operational direction for assigned areas of responsibility. Ability to contribute to health care policy formulation when working in partnership with a multidisciplinary team of health care providers Licenses and Certifications RN - Registered Nurse - State Licensure And/Or Compact State Licensure These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination inall ofits policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Home Health

Full-time

Home Health Field Registered Nurse (RN)

apartment 21st Century Home Health Services location_onHercules, CA

At 21st Century Home Health Services (21HHS) , we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties. Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%. We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities. Key achievements include: San Francisco Chronicle Top Workplaces in the Bay Area : Ranked 3rd among all medium-sized companies and 1st among home health agencies. National Recognition : Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies. Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health. Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted. This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management. This position works under an Case Manager Registered Nurse position. Anticipated Coverage Area: Pinole, Hercules, Rodeo, Crockett, Port Costa \n What you will do as a Field Nurse: Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, JP, Biliary, Nephrostomy, ,Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage system ,Trach care, Blood draws, Ostomy management ,SQ and IM injections, IV antibiotic/TPN administration and Compression wraps. Provides direct patient care as defined in the state Nurse Practice Act Implements a plan of care initiated and directed by the Case Management Registered Nurse Provides accurate and timely documentation within 24-48 hours consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines Uses equipment and supplies effectively and efficiently Participates in personal and professional growth and development Performs other duties as assigned by the Case Management Registered Nurse Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care Gives a timely and pertinent report to the Case Manager Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions Entries will accurately record any incident that has a bearing on the patient. Reports pertinent information timely to the Case Management Registered Nurse and to Provider Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment Ensures patient privacy in maintaining medical records and when providing care. Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills Maintains productivity standards as directed by the Case Management Registered Nurse . Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed. Participates in on-call duties as required by weekend rotation To be a succuess as a Field Nurse: One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting. One year of home health care experience is preferred. Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Graduate of an accredited school of nursing (Bachelor's degree) Current CA Registered Nurse License (RN) Current Basic Life Support (BLS) Card Valid CA Drivers License with acceptable driving record All license and certifications must be current at time of hire and sustained throughout employment Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Must maintain current with annual compliance training and certifications \n $130,000 - $160,000 a year Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match. \n 21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.

Full-time

Clinical Nurse II, Operating Room

apartment Lucile Packard Children's Hospital Stanford location_onPalo Alto, CA

Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P139177-1383 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Clinical Nurse II is an RN that practices as a full partner on the health care team and consistently demonstrates safe practice within the organizational professional practice model. The Clinical Nurse II possesses the knowledge, skills and the attitude to effectively meet standards for competent professional nursing practice as specified in the Clinical Nurse II job description and exhibits organizational core values which reflect its mission. The Clinical Nurse II independently provides patient care through the application of the nursing process and accepts accountability for the nursing care of assigned patients. Assigned patients may range in age from infancy to the adult. The Clinical Nurse II demonstrates within the competency domains of Patient and Family Centered Care, Evidence Based Practice and Research, Safety, Continuous Quality Improvement, Teamwork, Technology/Informatics, Professionalism, and Leadership. The Clinical Nurse II works closely with the inter-professional health care team to facilitate the coordination of care across the continuum. The nurse focuses on expanding the knowledge and skills necessary to provide individualized care based on physical, psychosocial, cultural, educational, safety, and age appropriate considerations of assigned patients. The Clinical Nurse II seeks feedback in assuming leadership roles and provides feedback for improved clinical practice. The nurse demonstrates how nursing practice impacts the organizational vision, mission, and goals and the care delivery system. The nurse complies with all regulations and standards of regulatory and accrediting bodies. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Performs all the functions of Clinical Nurse I PATIENT AND FAMILY CENTERED CARE: Recognizes the patient (or the patient's designee) as the source of control and full partner in providing compassionate and coordinated care based on respect for the patient's preferences, values, and needs. Manages more complex patient care assignments appropriate to skill level Participates in building consensus and resolving conflict in the context of patient care Demonstrates the ability to see the "big picture" Uses clinical experience and historical patient responses as a way to develop and refine practice Is able to speak to the patient about advanced care planning, values and end- of- life care before the need for an acute decision arises Evaluates and considers the implementation of alternative approaches to establishing a healing environment Engages in problem solving to address complex issues regarding the delivery of safer, high-quality, patient-and family- centered care Ensures the systems within the area of practice support patient- centered care. EVIDENCE BASED PRACTICE AND RESEARCH: Evaluates and integrates best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care and system effectiveness. Utilizes the EBP process: generates clinical questions, searches and evaluates the quality of evidence, considers expert clinical knowledge and patient preferences and values, and applies it to practice Questions current practice and develops a sense of clinical inquiry Recognizes and communicates the need for revision of hospital and departmental policies, procedures, practice guidelines, and /or measures for clinical practice evaluation. Locates current evidence and resources related to clinical practice SAFETY: Minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. Serves as resource person for safety concerns Demonstrates skills in problem solving, conflict resolution, and negotiation Participates appropriately in analyzing errors and designing system improvements CONTINUOUS QUALITY IMPROVEMENT: Utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. Participates in the design, review, and evaluation of QI data and initiatives at the unit level Integrates QI initiatives into individual plan of care Links initiatives or projects to PQMS Focuses efforts to improve the quality of health care Identifies QI tools, methods, and mindset TEAMWORK: Effectively engages in the process of cooperation, coordination, and collaboration in their efforts to provide for safe, quality outcomes for patients within an inter and intra-professional teams, including virtual teams. Continuously plans for improvement in effective team development Asserts his or her own position or perspective, and supports discussions about patient care and the work environment Initiates a plan for self-development as team member Applies leadership skills that support collaborative practice and team effectiveness Demonstrates team values that orient people to care about performance and the success of others and the organization Describes the roles and scopes of practice of inter-professional team members, as well as his or her own role within the team TECHNOLOGY/INFORMATICS: Utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. Serves as a resource for other nurses in for how to document and plan nursing care utilizing technology Models behaviors that support the implementation and appropriate use of clinical systems and technology in providing safe patient care Promotes communication technologies that support clinical decision making, error prevention, care coordination and, protection of patient privacy Searches, retrieves, and manages data needed to make decisions, using information and knowledge management systems Evaluates information and its source critically, and incorporates selected information into his or her own knowledge base and value system With nursing colleagues, acts as a champion for clear, concise, and timely documentation Anticipates unintended consequences of new technology and responds proactively Demonstrates an understanding of the principles upon which organizational and professional health care information systems are based Integrates the use of clinical information systems to coordinate and anticipate care across the continuum Stays knowledgeable about technology on the horizon PROFESSIONALISM: Demonstrates a commitment to the nursing profession through life-long learning, adherence to the ANA Code of Ethics for Nurses, participation in a professional organization, and advancing community outreach. Promotes identification and discussion of ethical concerns Prepares for certification in a specialty Fosters and supports the development of others through precepting Identifies opportunities for improved processes related to moral and ethical dilemmas Promotes the ANA's Code of Ethics for Nurses and professional nursing and organizational standards Actively delivers constructive feedback to peers with the purpose of fostering development and improving performance Obtains membership and participates in professional organizations LEADERSHIP: Effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem-solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital/Stanford Children's Health. Communicates confidently with team members, adapting one's own style of communicating to meet the needs of the team and situation Identifies and embraces the need for change and new approaches to care when supported by evidence Demonstrates appropriate use and allocation of resources Establishes oneself as a credible health care provider and resource Identifies diverse viewpoints and manages conflict Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Graduate from an accredited nursing program. BSN preferred. Experience: 1-5 years general OR experience- Pediatric OR skills highly preferred. Candidate must be experienced in at least basic cases in the following services: general surgery, ENT, GYN, Urology, Neuro and Ortho. Familiarity with cases such as ENT airway emergencies, VP shunts, lap appys and ECMO a plus. For Cardiac Services, pediatric CVOR experience is greatly preferred. Must be able to work with a minimum of supervision and support on the off-shift. License/Certification Pediatric Advanced Life Support by American Heart Association (AHA) within 90 days or RQI Healthcare Provider Pediatric Advanced Life Support Registered Nurse by California Board of Registered Nursing Basic Life Support by American Heart Association (AHA) or RQI Healthcare Provider Basic Life Support KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. SKILL REQUIREMENTS-Ability to perform functions as described in the position description addendum according to the clinical level. MACHINE, TOOLS, AND EQUIPMENT OPERATED: Must be proficient in the operation of clinical equipment/machines, computers and technology within the nurse's practice setting. FISCAL ACCOUNTABILITY AND RESOURCE STEWARDSHIP: Judicious use of materials and supplies in the provision of direct and indirect patient care. Prevention of damage, misuse or loss of equipment in the provision of direct patient care. SUPERVISION: The Clinical Nurse may be responsible for guiding, assisting and directing unlicensed assistive personnel as defined by the California Nurse Practice Act and/or the organization's policies and procedures. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information PERSON AND FAMILY CENTERED CARE: The nurse places the patient and the family at the heart of every decision and empowers them to be partners in their care. The nurse delivers compassionate and coordinated care based on the patient/family perspective incorporating preferences, values and needs in the plan of care. Evidence Based Practice and Research: The nurse evaluates and integrates best current evidence with clinical expertise and patient and family preferences and values for the delivery of optimal health care and system effectiveness. SAFETY: The nurse minimizes risk of harm to patients, families, providers and self through system effectiveness and individual performance. CONTINUOUS QUALITY IMPROVEMENT (CQI): The nurse utilizes data and QI methods to identify potential and actual problems and opportunities to provide care that is safe, timely, efficient, effective, and equitable. TEAMWORK: The effectively engages in the process of cooperation, coordination, and collaboration in an effort to provide for safe, quality outcomes for patients within inter and intra-professional teams, including virtual teams. TECHNOLOGY/ INFORMATICS: The nurse utilizes appropriate information and technology to communicate, manage knowledge, mitigate error, and support decision making across the continuum. PROFESSIONALISM: The nurse demonstrates a commitment to the nursing profession through lifelong learning, adherence to ANA's Code of Ethics for Nurses, participation in a professional organization and advancing community outreach. LEADERSHIP: The nurse effectively collaborates and applies innovative, systems thinking to engage in systematic, evidence-based problem solving and decision making to promote effective changes within a complex care delivery system supporting the vision of Lucile Packard Children's Hospital, Stanford Children's Health. REFERENCES: The following Competencies and subsequent Knowledge, Skills and Attitudes are based on the latest evidence and recommendations in nursing. Identification of key competencies originated from the Institute of Medicine and expanded to formal use through the Quality Safety Education for Nurses (QSEN) Institute. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $92.64 to $106.87 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.