Nursing Jobs in Encinitas, CA
$114,400 - $146,441.67 / year
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region. Responsibilities Assists providers in meeting productivity standards through development of efficient patient flow systems that ensure optimal patient flow with patients processed efficiently and walk-ins triaged expediently. In cooperation with LHFHC Charge Nurses, coordinates orientation and training of all nursing personnel at the Logan Heights Family Health Center. Assists Clinic Director, LVN Charge Nurses and/or Nursing Director in the development of training for the nursing staff to include patient education, sharpening of nursing skills, emergency procedures, etc. Works with LHFHC Charge Nurses ensuring that patients receive quality care in an effective and timely manner. Ensures nursing staff provide appropriate and complete documentation in all patient records and in all provider/nurse communications. Works with LHFHC Charge Nurses ensuring that the crash cart/crash box is checked per policy and that medications and supplies are checked monthly for expiration. Remains in close contact with Clinic Director and/or Nursing Director for information exchange, problem resolution, scheduling, staffing and other related issues. Participates with management in organizational long-term planning and the development of strategic initiatives. Provides effective counseling/guidance to employees. Administers corrective action promptly when needed. Fosters an environment that promotes development and professional growth of employees. Maximizes output from subordinates through an effective, supportive management style. Provides leadership and nurse supervision to Charge and Assistant Charge Nurses at the LHFHC. Ensures all regulatory standards are met or exceeded and adhered to on an on-going basis (JCAHO, CLIA, DHS – Licensing & Certification, OSHA, etc.) Works with LHFHC Charge Nurses performing orientation and annual performance evaluations. Works with LHFHC Charge Nurses ensuring that Mock Codes are conducted according to the annual calendar. Works with LHFHC Charge Nurses ensuring that logs are completed appropriately, including temperature logs, autoclave logs, etc. Works cooperatively with other team members in activities related to ensuring health center implementation of all quality concepts, including infection control program, patient satisfaction, etc. Recruits, trains, develops, engages and retains an accountable workforce. Ensures applicable regulatory and department standards are adhered to on an on-going basis (The Joint Commission, OSHA, etc.). Leads, educates, coaches and mentors others on LEAN continuous process improvement philosophy, tools and application to accomplish organizational goals. Performs other duties as assigned. Requirements: Current California RN license required. Current CPR certification. RN/BSN degree. Cultural and linguistic sensitivity to populations served. Bilingual (English/Spanish) preferred. 3 years minimum experience of progressively responsible positions as a supervisor. 3 years minimum experience in community-based clinics, out-patient medical clinics, or work in a hospital setting with indigent care patients. Knowledge of supervisory practices and techniques, including performance management and employee development. Strong analytical and problem solving skills. Successful track record of leading and driving positive change through others. Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy. Rewards Job type: Regular Full Time M-F. 8am-5pm or 8:30-5:30pm. Location: Logan Heights. San Diego, CA. Schedule: Monday-Friday, Rotating Saturdays as needed. Department(s): All departments in clinic. Competitive Salary with Excellent Benefits Retirement Plan with Employer Match Paid Time Off, Extended Sick Leave and Paid Holidays Medical/Dental/Vision/FSA/Life Insurance Employee Discounts and Wellness Programs #IndNurse The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved. We are excited to share that the salary range for this position is: $114,400.00 - $146,441.67 Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net) FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training. 
$155,000 - $185,000 / year
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region. General Job Description: Under the direction of the Assistant Medical Director of Psychiatry, the Adult Nurse Practitioner offers and provides direct patient care as appropriate through individual psychiatric and medical care. Provides high quality, evidence-based patient care through the utilization of education preparation and specialized clinical expertise. Care is provided utilizing knowledge of the patient's age, gender, culture, special populations, and learning capabilities. Works in collaboration with the mental health treatment team on patient care, clinical and administrative issues. Communicates needs, issues, and concerns as necessary to the supervising psychiatrist. Job Roles Core functions include diagnosing and treating acute and chronic health/mental health care problems, performing adult care check-ups and/or follow-up as indicated per treatment plan, prescribing medication when indicated, creating and updating treatment plans, acting as the Mental Health Treatment Coordinator when appropriate, and teaching health promotion and disease prevention to patients and/or family members. Performs general evaluation for mental and medical health status, including but not limited to, completing full intake mental health evaluations, ordering of diagnostic procedures/labs/medical supplies, formulating plans of care, prescribing medication, making appropriate consults to specialty areas and ensuring that immunizations and PPD's are current as required or needed. Maintains satisfactory peer reviews: able to assess medical information including pathophysiology, patient presentation, differential diagnosis, etc, in order to facilitate health promotion and disease prevention. Completes all required documentation accurately, timely and thoroughly in accordance with department standards and to comply with electronic medical record requirements, including medication reconciliation, finalizing notes, clearing out personal pool, and participating in clinic pool. Meets clinic site and organization needs in a reliable and flexible manner; prioritizes work and makes an effort to adhere to schedule. Participates in administrative duties, including lab reports, charts, and medication refills reviewed and managed appropriately. Participate in Clinical Outcomes Program and work towards meeting organizational targets for all metrics. Maintain FHCSD behavioral standards, including (but not limited to), effective listening and communication skills and respectful interactions with colleagues and patients. Assesses and intervenes for urgent and/or emergent mental health problems. Provides nurse practitioner support and consultation to other outpatient clinics in area of expertise when available and appropriate. Seeks physician consultation during scheduled supervision meetings or as needed when managing a medical or mental health condition that is not resolving as anticipated, feels adjustments in medication/therapy have not brought about the expected improvements, or any time the nurse practitioner seeks additional expertise on providing appropriate treatment for a specific condition. Electronic progress notes will be in problem-oriented format and sufficiently detailed to obtain a clear picture of the patient's current health status. In addition, all patient contacts and visits with physician involvement must include the name of the physician in the progress notes. Performs duties relying, as needed, on standardized procedures that allow for the collaborating physician to be available to the NP by phone or in person Performs other duties as assigned. Education/Certifications/Licenses/Registrations Ability and means to travel as needed in a timely manner within San Diego County. DRIVER REQUIREMENTS: Requires an active Class C California driver's license, proof of liability insurance at $100,000, on vehicle used. No more than 2 points in past 12 months; No suspensions in last 2 years for moving violations; No DUI, reckless or felony Driving within 5 years. No license revocation in 7 years. Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training. Current Nurse Practitioner Certification and Nurse Practitioner Furnishing Permit required. Current State License and national certification required from one of the following National certifying bodies: 1. The American Academy of Nurse Practitioner 2. Nurse Credentialing Center 3. National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties 4. National Certification Board of Pediatrics Nurse Practitioners & Nurses 5. Oncology Nurse Certification Corporation & Critical Care Certification Corp. DEA license Master's degree required. Experience/Specialized skills (including Language) 2 years of experience working in an outpatient mental health setting. Bilingual (English/Spanish) capabilities desired. Cultural and linguistic sensitivity to populations served required. Must possess a demonstrated commitment to community medicine and to serve homeless and medically underserved families. Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation). Ability to work effectively with patients from diverse social, cultural and economic groups. Knowledge of, and ability to take a detailed medical history, to conduct a physical examination, to follow observation procedures, to order and perform diagnostic and therapeutic tasks, and to exercise a degree of judgment in integrating and interpreting findings on the basis of general medical knowledge. Knowledge of medical terminology, anatomy, physiology, and concepts of disease. Knowledge of patient care activities, the clinic environment, and how the services and functions interact. Physical Requirements/Working Environment Lifting 0 - 10 lbs: FREQUENTLY (3 - 6 HRS) Lifting 11 - 25 lbs: NEVER Lifting 25 - 50 lbs: NEVER Lifting 51 - 75 lbs: NEVER Lifting over 75 lbs: NEVER Bending (neck): FREQUENTLY (3 - 6 HRS) Bending (waist): OCCASIONALLY (1 - 3 HRS) Climbing (ladder): NEVER Climbing (stairs): RARELY (0-1 HRS) Driving: To drive from one clinic or another, or in the community: FREQUENTLY (3 - 6 HRS) Exposure to blood borne pathogens and biohazards: YES Exposure risk to aerosol-transmitted diseases-YES Exposure to dust, gas, fumes, or chemicals: Office and medical supplies. Fine manipulation: OCCASIONALLY (1 - 3 HRS) Repetitive use of hand: OCCASIONALLY (1 - 3 HRS) Kneeling: RARELY (0-1 HRS) Power Grasping: RARELY (0-1 HRS) Pushing 0 - 10 lbs: NEVER Pushing 11 - 25 lbs: NEVER Pushing 25 - 50 lbs: NEVER Pushing 51 - 75 lbs: NEVER Pushing over 75 lbs: NEVER Pulling 0 - 10 lbs: NEVER Pulling 11 - 25 lbs: NEVER Pulling 25 - 50 lbs: NEVER Pulling 51 - 75 lbs: NEVER Pulling over 75 lbs: NEVER Carrying 0 - 10 lbs: FREQUENTLY (3 - 6 HRS) Carrying 11 - 25 lbs: NEVER Carrying 25 - 50 lbs: NEVER Carrying 51 - 75 lbs: NEVER Carrying 75 lbs: NEVER Reaching (above shoulder level): RARELY (0-1 HRS) Reaching (below shoulder level): OCCASIONALLY (1 - 3 HRS) Simple Grasping: OCCASIONALLY (1 - 3 HRS) Sitting: FREQUENTLY (3 - 6 HRS) Standing: FREQUENTLY (3 - 6 HRS) Twisting: RARELY (0-1 HRS) Use of Personal Protective Equipment: Face Shield, goggles, masks, gloves, lab coats, and safety needles. Walking: FREQUENTLY (3 - 6 HRS) Working around equipment and machinery: Office equipment Exposure to blood borne pathogens and biohazards: YES We are excited to share that the salary range for this position is: $155,000 - $185,000 Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net) FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training. 