Nursing Jobs in Exeter, CA

Job Description Centrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region. There are a variety of opportunities for all-season outdoor recreation such as camping, hiking, water and snow skiing, fishing and boating. It is also within an hour's travel time to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Department Specific License/Certifications ACLS (Advanced Cardiovascular Life Support): Required within 6 months of hire or transfer: Required Pediatric Advanced Life Support (PALS) or Healthstream Pediatric Advanced Life Support (HS-PALS) or RQIPALS: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

CNA

Certified Nursing Assistant-M/S Cardiac

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6150 M/S Cardiac-2N Under the direction of the registered nurse, the purpose of this position is to provide holistic care for patients and families served. QUALIFICATIONS License /Certification Required: Current CA Certified Nursing Assistant certification HeartSaver AED Kaweah Health approved crisis intervention training within 60 days of hire/transfer. JOB RESPONSIBILITIES Essential Reports any variance in the patient's condition, to licensed staff. Reports specific patient or family needs, concerns, and changes in activity to licensed staff. Refers complaints and problems to licensed staff or department manager immediately. Answers patient call lights within two minutes as assigned. Greets patient and family members in friendly professional manner. Identifies self by name and job category. As assigned, assists patient with their needs. Is an active participant in achieving quality patient care. Maintains confidentiality with all patient care issues. Complies with current policies and procedures including safety and infection control. Must keep all required certifications current. Performs tasks safely. Assists the Nursing staff in performing tasks as delegated by the Registered Nurse. Provides for the toilet needs of patients by emptying bedpans and drainage container. Reports any variation in amount, color, consistency, and odor of output to the RN. Provides assistance with the admission, transfer, and discharge of patients. Orients patients to room (call light, storage of belongings, etc.). Assists patients with meals, snacks, and with water pitchers. Assists with activities of daily living: bath, ambulation oral care, etc. Collects and records intake and output, weight, height, and vital signs as delegated by the Registered Nurse. Collects respiratory rate by direct observation of the patient. Collects, labels, and delivers specimens. Provides post-mortem care and assists in transporting the body to the morgue. Assists with emergency care by participating in crash cart checks, providing cardio-pulmonary resuscitation, and responding to Code Blue. Handles the personal property of the patient with great care. Personal appearance shall reflect a well groomed, professional appearance as outlined in HR.107, Professional Appearance Guidelines. Watches with timing capabilities, i.e. seconds hand or stopwatch, are required uniform components. Maintains a clean, safe, and neat patient environment. Documents all care provided in the EMR as soon after the care occurs as possible. Addendum (essential for specific dept) TRANSITIONAL CARE UNIT OR SUBACUTE: When assigned to work as a Restorative Nurse Assistant: Assists residents to achieve their highest level of physical functioning in ADL activities such as mobility training, range of motion and splinting skills. Functions under the supervision of the Registered Nurse. PEDIATRICS ALSO RESPONSIBILE FOR: Performs Unit Secretary duties for the unit. CARDIOVASCULAR CENTER-CVC, CVICU AND CVICCU ALSO RESPONSIBLE FOR: May handle syringes/needles for the purpose of restocking such items in appropriately secured areas. May check and document medication storage temperatures in accordance with hospital policy. Reports any temperatures that are outside of the recommended storage range immediately to the Nurse Manager (or designee) for their follow-up. May access the medication room for the purpose of accessing needed supplies and equipment. Maintains medication room security and fully understands and complies with ensuring proper security of medications in accordance with hospital policy. Reports any concerns immediately to the Nurse Manager (or designee). OBSTETRICS ALSO RESPONSIBLE FOR: May stock IV fluids and Irrigation fluids in locked supply drawers on mother/baby unit. CVICU ALSO RESPONSIBLE FOR: May perform phlebotomy duties if certified. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $20.38 -$30.57 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

CNA

Certified Nursing Assistant-M/S Clinical Decision Unit

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6181 M/S CDU-2S Under the direction of the registered nurse, the purpose of this position is to provide holistic care for patients and families served. QUALIFICATIONS License /Certification Required: Current CA Certified Nursing Assistant certification HeartSaver AED Kaweah Health approved crisis intervention training within 60 days of hire/transfer. JOB RESPONSIBILITIES Essential Reports any variance in the patient's condition, to licensed staff. Reports specific patient or family needs, concerns, and changes in activity to licensed staff. Refers complaints and problems to licensed staff or department manager immediately. Answers patient call lights within two minutes as assigned. Greets patient and family members in friendly professional manner. Identifies self by name and job category. As assigned, assists patient with their needs. Is an active participant in achieving quality patient care. Maintains confidentiality with all patient care issues. Complies with current policies and procedures including safety and infection control. Must keep all required certifications current. Performs tasks safely. Assists the Nursing staff in performing tasks as delegated by the Registered Nurse. Provides for the toilet needs of patients by emptying bedpans and drainage container. Reports any variation in amount, color, consistency, and odor of output to the RN. Provides assistance with the admission, transfer, and discharge of patients. Orients patients to room (call light, storage of belongings, etc.). Assists patients with meals, snacks, and with water pitchers. Assists with activities of daily living: bath, ambulation oral care, etc. Collects and records intake and output, weight, height, and vital signs as delegated by the Registered Nurse. Collects respiratory rate by direct observation of the patient. Collects, labels, and delivers specimens. Provides post-mortem care and assists in transporting the body to the morgue. Assists with emergency care by participating in crash cart checks, providing cardio-pulmonary resuscitation, and responding to Code Blue. Handles the personal property of the patient with great care. Personal appearance shall reflect a well groomed, professional appearance as outlined in HR.107, Professional Appearance Guidelines. Watches with timing capabilities, i.e. seconds hand or stopwatch, are required uniform components. Maintains a clean, safe, and neat patient environment. Documents all care provided in the EMR as soon after the care occurs as possible. Addendum (essential for specific dept) TRANSITIONAL CARE UNIT OR SUBACUTE: When assigned to work as a Restorative Nurse Assistant: Assists residents to achieve their highest level of physical functioning in ADL activities such as mobility training, range of motion and splinting skills. Functions under the supervision of the Registered Nurse. PEDIATRICS ALSO RESPONSIBILE FOR: Performs Unit Secretary duties for the unit. CARDIOVASCULAR CENTER-CVC, CVICU AND CVICCU ALSO RESPONSIBLE FOR: May handle syringes/needles for the purpose of restocking such items in appropriately secured areas. May check and document medication storage temperatures in accordance with hospital policy. Reports any temperatures that are outside of the recommended storage range immediately to the Nurse Manager (or designee) for their follow-up. May access the medication room for the purpose of accessing needed supplies and equipment. Maintains medication room security and fully understands and complies with ensuring proper security of medications in accordance with hospital policy. Reports any concerns immediately to the Nurse Manager (or designee). OBSTETRICS ALSO RESPONSIBLE FOR: May stock IV fluids and Irrigation fluids in locked supply drawers on mother/baby unit. CVICU ALSO RESPONSIBLE FOR: May perform phlebotomy duties if certified. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $20.38 -$30.57 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Surgical Tech

Part-time

Surgical Tech

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Part-Time Benefit Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 7400 Labor Delivery Displays understanding and function of all instrumentation used in the surgical and procedural areas. Applies the principles of asepsis knowledge and technique to provide optimum patient care 100% of the time. QUALIFICATIONS License /Certification Required: BLS Preferred: National certification as Certified Scrub Technologist Education Required: Graduate of a Surgical Technology program Preferred: High school graduate or equivalent JOB RESPONSIBILITIES Essential Displays understanding and skill in use of all instrumentation utilized during surgical procedures 100% of the time. Applies the principles of asepsis in a knowledgeable manner to provide optimum patient care 100% of the time. Demonstrates awareness of responsibility to provide optimum patient safety during surgical intervention 100% of the time. Displays a commitment to professional growth and teamwork within the department. Addendum (essential for specific dept) LABOR & DELIVERY/OB OR: Fully understands and complies with ensuring proper security of medications and secured supplies during distribution and replenishment activities. Reports any concerns immediately to manager. May have access to the following for the purpose of replenishment, stock rotation and expiration checks: Unit specific, commercially prepared kits (medication and non-medication containing); Epidural trays; Syringes/needles; Plain IV/Irrigation Solutions. May be required to Stock Fluid Warmers in OB OR and on 2 East with IV Fluids and irrigation fluids and check temperatures according to policy. Responsible for maintaining PAR Levels and currency of dates on supplies that they stock. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $28.44 -$42.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Charge Nurse- ICCU-3W

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6151 ICCU-3W Under the direction of the Nurse Manager and Assistant Nurse Manager, the purpose of this position is to assist with oversight of efficient operations to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates high-level leadership accountability in the professional practice setting through oversight of the interdisciplinary healthcare team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Kaweah Health approved crisis intervention training within 60 days of hire/transfer. ACLS within one year of hire/transfer. Preferred: Nationally recognized certification per specialty Core Curriculum Pathway. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Preferred: Minimum of two years RN experience in specialty area. JOB RESPONSIBILITIES Essential Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Represents the leadership of the unit in the absence of the Assistant Nurse Manager, Nurse Manager, or Director. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff in the following areas: Clinical assessment and decisions. Provides leadership and clinical, professional support. Advocacy for patients and line staff. Provides opportunity for participation in shared decision making. Supports nurse preceptors and new employees during orientation. Assures float staff receive orientation to the floor and feel welcome. Provides input on employee evaluations. Manages Staff and Patient flow: Prepares and adjusts staff assignments based on the abilities of staff and needs of the patient population. Prioritizes care based on the needs and acuity of patients on the unit. Assigns admissions and arranges transfers in coordination with House Supervisor, Bed Coordinator, or Manager as appropriate. Assures that shift report starts on time utilizing beside handoff process. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Sets clear expectations and communicates those expectations with the team during the shift in accordance with unit goals. Has authority to make decisions that are aligned with team goals for the shift. Practices collaboration within and across units to ensure patient and fiscal outcomes in line with unit goals including appropriate flexing of staff according to patient census. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Facilitates nurse/physician collaboration by modeling professional communication (e.g SBAR and rounding). Provides support, oversight, and coaches team members related to work environment, patient care and physician relations. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Promotes positive and professional environment for internal and external customers. Actively supports the leadership of the Kaweah Health through professional behavior. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed/requested. Meets the requirements and performs the duties of a Registered Nurse. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Maintains an awareness of regulatory compliance. Performs audits and reports as assigned. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $50.24 -$75.36 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Registered Nurse- OB Postpartum

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6380 OB Postpartum The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Neonatal Resuscitation Program (NRP) Provider within six months of hire/transfer. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process-assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

CMA

Medical Assistant

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 10 Hour Shift (United States of America) Department 7088 KH Cardiology Center - Visalia Under the direction of an LVN/RN and/or licensed medical professional, the Medical Assistant performs a variety of patient care activities to assist medical providers and support the delivery of patient care in the medical office. QUALIFICATIONS License /Certification Required: Heartsaver AED Education Required: Completion of a Medical Assistant training program or proof of training under a licensed physician. Knowledge/Skills/Abilities For Rural Health Clinics and GME-Family Medicine Center: prefer bilingual in Spanish, need to be determined by hiring leader at time of job opening based on clinic needs. Testing For Rural Health Clinics and GME-Family Medicine Center: when testing required, includes successful completion of the Language Resource Assistant (LRA) test at a Clinical level. LRA is a language assessment test that demonstrates written and oral interpretation/translation technique skills. Test will be administered if selected. Department Specific Requirements For SRCC: Prefer 1-2 years of experience. JOB RESPONSIBILITIES Essential Prepares exam rooms for patient visit. Stocks and orders supplies as needed. Arranges for sterilization of instruments and makes sure equipment is clean and in good repair and in proper place before each patient visit. Escorts patients to exam rooms. May take and record vital signs. Makes sure all paperwork is completed. Assists with patient flow. Assists care givers with procedures and treatments as directed and allowed by scope of care practices. May be assigned to perform, label, and record venipuncture and capillary puncture according to written procedures. Labels and maintains proper storage for specimens and tests. Delivers tests and obtains results. Enters appropriate information into medical record, adhering to medical record guidelines. Ensures that lab reports, X-rays and other information are in patient's records. May be required to obtain pre-certification for procedures. Assures correct coding for filling and forms are in proper place in record. May monitor and record quality checks for lab tests and equipment. Uses department computer systems to enter and obtain information/documentation. Maintains quality control and participates in performance improvement projects. Attends required meetings, and in-services. Provides instructions to patient as required. Distributes out-patient education materials as directed. Schedules patients for testing procedures. Conducts all aspects of patient problem follow-up in coordination with the medical provider. Answers telephone, refers calls, makes appointments, and provides appropriate information and referrals, as needed. May be assigned to transport patients. Addendum (essential for specific dept) SRCC MEDICAL ONCOLOGY ALSO RESPONSIBLE FOR: ALL SRCC employees may be required to work at any of the offices- Radiation Oncology, Medical Oncology both in Visalia and in Hanford. MEDICAL OFFICE ASSISTANT DUTIES ALSO RESPONSIBLE FOR: Performs standard clerical duties, including sorting of mail, answering telephones, returning calls, maintaining files, copying and mailing correspondence. Able to operate all office equipment. May also be responsible for taking meeting minutes and scheduling appointments for the department. May order supplies and handle related paperwork. Schedules appointments following department procedures. Answers telephone, screens and refers calls, takes messages. Responds to routine requests for information. Greets patients and visitors in a prompt, courteous and helpful manner. Checks-in patients, verifies and updates necessary information in the medical record or computer system. Ensures proper client intake at front desk. May be required to research information needed to complete billing process. May be assigned to key charge information into computer systems for billing purposes. May determine client payment status, i.e., Medi-Cal, Insurance, Cash, etc. When necessary makes referral to benefit counselor. May collect copays, deductibles, etc. Provides receipts as required. May be assigned to complete charge postings. May obtain, maintain and file medical record, coordinate lab work, physicians reports, x-rays, etc. Distributes medical reports as assigned. May enter appropriate information into medical record, adhering to medical record guidelines. May ensures that all documents have been reviewed and filed in medical record according to procedure. Complies with confidentiality policies. URGENT CARE ALSO RESPONSIBLE FOR: Participates in the initial and ongoing assessment of the patient. Takes initial and serial vital signs as required. Properly attaches cardiac monitor and records rhythm strip as directed. Applies the SaO2 sensor as directed. Reports pertinent findings or changes in patient condition to licensed personnel. Accurately enters vital signs into patient management computer system. Transports patients during the admission and discharge process using the appropriate mode as indicated based on the patient complaint or condition. Performs 12 Lead Electrocardiograms as directed by provider or designee. Performs phlebotomies for the purpose of obtaining specimens for diagnostic evaluation. Following procedure, prepares wounds and lacerations for closure. Correctly sets up exam room for pelvic exam. When requested, assists physicians or midlevel providers with exam and specimen collection. Prepares and administers medications as directed by physician. Enters orders into electronic medical record as directed by physician. SEQUOIA INTEGRATED HEALTH ALSO RESPONSIBLE FOR: Assists with delivery and administration of medications per provider direction. Calls in prescription refills as directed. Applies simple dressings as directed. Assists practitioner with more complex dressings or other treatments. Completes well-being checks per phone as directed by providers. Relays pertinent information between physicians and other team members. Reports any abnormal conditions or results of testing to MD or mid-level practitioner in a timely manner. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $20.00 -$30.00 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

NP

Physician Assistant or Nurse Practitioner

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7390 Professional Services-APP The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. Sign on Bonus & Relocation Assistance Available QUALIFICATIONS License /Certification Required: CA Physician Assistant or CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. Department Specific Requirements If assigned to Throughput: requires ACLS within one year of hire/transfer. If assigned to Surgery, or Throughput and working in Surgery-Cardiac: requires ACLS and completion of a recognized RNFA training program within one year of hire/transfer. JOB RESPONSIBILITIES Essential Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Addendum (essential for specific dept) SURGERY/CARDIOVASCULAR SERVICES ALSO RESPONSIBLE FOR: IF PERFORMING RN-FIRST ASSIST DUTIES: Assists on all cardiovascular surgical procedures as directed by the surgeon. Functions as the ﬁrst assistant at surgery in the general and obstetric surgical suites. Assists the surgeon by providing intraoperative tissue retraction. Assists with intraoperative hemostasis. Assists with intraoperative tissue manipulation. Uses surgical instruments and suture material to manipulate tissue as directed by the surgeon. Assists with intraoperative wound closure. Sutures tissue, using instruments and suture material as directed by the surgeon. Preoperative- assists with: review of procedure prior to the case; opening and set up of the operating room suite; either preoperative counts or patient assessment as coordinated with the circulating RN; transfer of the patient to the OR bed; anesthesia induction if requested to do so by the circulating RN; and positioning the patient for the surgical procedure. Interoperative- scrub in and assist in the draping of the patient; assist the surgeon within the parameters of standardized procedures; and assist in counts as needed. Postoperative- assists with: the application of the patient's dressings; transfer from the OR bed; accompany the patient to the PACU if required; and clean up and turn over of the operating room. May assist with specialty procedures including minimally invasive vein/arterial harvesting, closure of deep fascia layer, insertion of invasive monitoring lines and cardiac sternal wound closure. IF PERFORMING RN CIRCULATOR DUTIES: Assesses basic patient needs, including recognition of abnormal diagnostic data, and potential problems related to the proposed surgical intervention and communicates appropriate information to the physician and other members of the surgical team. Provides the ability to modify assessment criteria based on the age of the patient, psychosocial and physical needs. Implements patient's plan of care by evaluating patient's response to care. Organizes and adjusts assignments according to patient's needs. Facilitates patient transfer to appropriate postoperative unit, ensuring patient safety and communication with receiving patient care staﬀ. Demonstrates understanding in use of patient care equipment and instrumentation. Responsible for knowledge of emergency equipment and supplies, including the crash cart, airway management cart, and the malignant hypothermia cart. Timely written referral of any malfunctioning or defective equipment. Assures that all medications are administered properly 100% of the time, including IV's as prescribed by physician; knows actions, indications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to the patient. Maintains clear communication and rapport with patient/family as appropriate for setting. Gives and documents emotional support and keeps patient/family informed of progress. Assures that patient's personal hygiene needs are met, immediate environment is clean and safe. Maintains a current and complete medical record. Coordinates admission, transfer and discharge of patient with appropriate personnel and documents observations, assessment treatments and outcome as necessary. CARDIAC CATH LAB ALSO RESPONSIBLE FOR: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient ﬂow for the clinical activities of cardiology services speciﬁc to heart valve devices (TAVR). Develops and implements required elements of an eﬀective clinical program such as: Develops methods to ensure prompt access to care. Ensures processes are in place to provide coordinated patient ﬂow across Physicians clinical sites. Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device. Develops & implements clinical guidelines. Aligns EMR to support care delivery. Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium. Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date. Practice Development: Develops & provides oversight of clinical program at aﬃliated hospitals. Directs development of education materials. Develops educational materials and training program for all patient care staﬀ (inpatient and outpatient) who will participate in the clinical trial. Helps develop valve program at aﬃliated hospitals that provide a referral base of patients. Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date. Demonstrates ability to provide care or service adjusting approaches to reﬂect developmental level of population served: Communicates in a respectful manner. Ensures a safe, secure environment. Partners with patient/care-giver/management in care/decision making. Individualizes care/service plan to meet patient/customer needs. Modiﬁes interventions/service based on population served. Provides patient/employee education based on assessment of learning needs of learner. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $72.90 -$109.36 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Utilization Review

RN Peer Review Coordinator

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8710 Medical Staff Services A team-oriented and quality focused professional who is responsible for overseeing the Medical Staff Peer Review process. QUALIFICATIONS License /Certification Required: Current California Registered Nurse License BLS Education Preferred: Bachelor's degree Experience Required: Three years clinical experience in an acute care setting. Experience with Cerner EMR. Preferred: Quality management experience. Knowledge/Skills/Abilities Strong computer skills to include Microsoft Office, Word, and Excel. Exceptionally strong interdisciplinary collaboration skills. Knowledge of peer review concepts and process and risk management principles preferred. Knowledge of guidelines, healthcare standards, and regulations, (i.e.: evidence-based, CMS, TJC, AHRQ Patient Safety Indicators, Hospital Acquired Conditions) preferred. Knowledge of quality improvement methodologies and analytic tools and methods preferred. Strong communication skills, both written and verbal preferred. JOB RESPONSIBILITIES Essential Supports and coordinates the Medical Staff Peer Review committees and activities as outlined in the Peer Review and Code of Conduct policy including but not limited to: Maintains the confidentiality of patients, practitioners, and the organization. Identifies cases which meet the criteria for preliminary clinical or behavioral case review. Assists peer reviewers in obtaining or provide a complete medical record, imaging studies and other documentation reasonably required to perform Peer Review. Coordinates and communicates with physicians and/or their offices in regard to screening, scoring and assist with their presentation of select cases for peer review or unprofessional behavior review. Attends the medical staff peer review behavior meetings and other related ad hoc meetings. Provides full administrative support which includes preparation of agendas, material gathering, speaker scheduling, chair preparation, recording minutes, and coordinating follow up processes and activities. Provides data identifying the relevant practice patterns and trends of the Practitioner related to defined departmental outcomes. Maintains positive working relationships with medical staff, nursing, and ancillary services as it relates to peer review processes. Performs preliminary (RN level) case review and highlight the potentially relevant issues. Provides relevant benchmark comparisons of the Practitioner under review. Identifies instances of clinical performance and/or unprofessional conduct regarding non-Practitioner staff. Facilitates timely and accurate triage of Medical Staff related Risk Events. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

CMA

apartment Kaweah Health location_onExeter, CA

Medical Assistant

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7183 RHC-Exeter Health Clinic Under the direction of an LVN/RN and/or licensed medical professional, the Medical Assistant performs a variety of patient care activities to assist medical providers and support the delivery of patient care in the medical office. QUALIFICATIONS License /Certification Required: Heartsaver AED Education Required: Completion of a Medical Assistant training program or proof of training under a licensed physician. Knowledge/Skills/Abilities For Rural Health Clinics and GME-Family Medicine Center: prefer bilingual in Spanish, need to be determined by hiring leader at time of job opening based on clinic needs. Testing For Rural Health Clinics and GME-Family Medicine Center: when testing required, includes successful completion of the Language Resource Assistant (LRA) test at a Clinical level. LRA is a language assessment test that demonstrates written and oral interpretation/translation technique skills. Test will be administered if selected. Department Specific Requirements For SRCC: Prefer 1-2 years of experience. JOB RESPONSIBILITIES Essential Prepares exam rooms for patient visit. Stocks and orders supplies as needed. Arranges for sterilization of instruments and makes sure equipment is clean and in good repair and in proper place before each patient visit. Escorts patients to exam rooms. May take and record vital signs. Makes sure all paperwork is completed. Assists with patient flow. Assists care givers with procedures and treatments as directed and allowed by scope of care practices. May be assigned to perform, label, and record venipuncture and capillary puncture according to written procedures. Labels and maintains proper storage for specimens and tests. Delivers tests and obtains results. Enters appropriate information into medical record, adhering to medical record guidelines. Ensures that lab reports, X-rays and other information are in patient's records. May be required to obtain pre-certification for procedures. Assures correct coding for filling and forms are in proper place in record. May monitor and record quality checks for lab tests and equipment. Uses department computer systems to enter and obtain information/documentation. Maintains quality control and participates in performance improvement projects. Attends required meetings, and in-services. Provides instructions to patient as required. Distributes out-patient education materials as directed. Schedules patients for testing procedures. Conducts all aspects of patient problem follow-up in coordination with the medical provider. Answers telephone, refers calls, makes appointments, and provides appropriate information and referrals, as needed. May be assigned to transport patients. Addendum (essential for specific dept) SRCC MEDICAL ONCOLOGY ALSO RESPONSIBLE FOR: ALL SRCC employees may be required to work at any of the offices- Radiation Oncology, Medical Oncology both in Visalia and in Hanford. MEDICAL OFFICE ASSISTANT DUTIES ALSO RESPONSIBLE FOR: Performs standard clerical duties, including sorting of mail, answering telephones, returning calls, maintaining files, copying and mailing correspondence. Able to operate all office equipment. May also be responsible for taking meeting minutes and scheduling appointments for the department. May order supplies and handle related paperwork. Schedules appointments following department procedures. Answers telephone, screens and refers calls, takes messages. Responds to routine requests for information. Greets patients and visitors in a prompt, courteous and helpful manner. Checks-in patients, verifies and updates necessary information in the medical record or computer system. Ensures proper client intake at front desk. May be required to research information needed to complete billing process. May be assigned to key charge information into computer systems for billing purposes. May determine client payment status, i.e., Medi-Cal, Insurance, Cash, etc. When necessary makes referral to benefit counselor. May collect copays, deductibles, etc. Provides receipts as required. May be assigned to complete charge postings. May obtain, maintain and file medical record, coordinate lab work, physicians reports, x-rays, etc. Distributes medical reports as assigned. May enter appropriate information into medical record, adhering to medical record guidelines. May ensures that all documents have been reviewed and filed in medical record according to procedure. Complies with confidentiality policies. URGENT CARE ALSO RESPONSIBLE FOR: Participates in the initial and ongoing assessment of the patient. Takes initial and serial vital signs as required. Properly attaches cardiac monitor and records rhythm strip as directed. Applies the SaO2 sensor as directed. Reports pertinent findings or changes in patient condition to licensed personnel. Accurately enters vital signs into patient management computer system. Transports patients during the admission and discharge process using the appropriate mode as indicated based on the patient complaint or condition. Performs 12 Lead Electrocardiograms as directed by provider or designee. Performs phlebotomies for the purpose of obtaining specimens for diagnostic evaluation. Following procedure, prepares wounds and lacerations for closure. Correctly sets up exam room for pelvic exam. When requested, assists physicians or midlevel providers with exam and specimen collection. Prepares and administers medications as directed by physician. Enters orders into electronic medical record as directed by physician. SEQUOIA INTEGRATED HEALTH ALSO RESPONSIBLE FOR: Assists with delivery and administration of medications per provider direction. Calls in prescription refills as directed. Applies simple dressings as directed. Assists practitioner with more complex dressings or other treatments. Completes well-being checks per phone as directed by providers. Relays pertinent information between physicians and other team members. Reports any abnormal conditions or results of testing to MD or mid-level practitioner in a timely manner. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $20.00 -$30.00 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

RN, Full Time, Variable Shift, Tulare Cath Lab

Job Description Centrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region. There are a variety of opportunities for all-season outdoor recreation such as camping, hiking, water and snow skiing, fishing and boating. It is also within an hour's travel time to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary Observes, evaluates, and coordinates the care given to patients in the Cardiac Catheterization Lab. Participates in direct and indirect care of all related activities according to the policies, procedures, philosophy and mission of the organization. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Registered Nurse experience with critical care experience or medical-surgical or experience in a Cardiac Cath Lab/Special Procedure department: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Advanced Cardiac Life Support (ACLS OR HS-ACLS OR RQIACLS) certification: Required Advanced Electrocardiogram (EKG) certification: Preferred Basic Life Support (BLS or HS-BLS or RQI BLS) certification: Required Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions Collects relevant data pertinent to the patient's health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient's situation. Connect electrocardiogram (EKG) leads and alerts doctor of any changes in patient condition. Records analyzes hemodynamic parameters and calculates shunt and valves and other data. Monitors patient, analyzes electrocardiogram (EKG) and hemodynamic parameter and reports to physician any changes in patient's condition. Operates computerized system with accuracy and evaluates and reports significant data and findings throughout all procedures for all patients of various age groups. Operates other specialized equipment that applies to facility as needed. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Manager/Supervisor

Charge Nurse- M/S Broderick Pavillion-3E

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6175 M/S Broderick Pavillion-3E Under the direction of the nurse manager and assistant nurse manager, the purpose of this position is to assist with oversight of efficient operations to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates high-level leadership accountability in the professional practice setting through oversight of the interdisciplinary healthcare team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Kaweah Health approved crisis intervention training within 60 days of hire/transfer. Preferred: Nationally recognized certification per specialty Core Curriculum Pathway. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Preferred: Minimum of two years RN experience in specialty area Department Specific Requirements If assigned to Emergency Dept, ICU, ICCU, CVICU, Cardiac Services, Medical Telemetry 4T, PACU, ASC, Cath Lab: requires ACLS within one year of hire/transfer. If assigned to NICU, Obstetrics, Labor-Delivery: requires Neonatal Resuscitation Program (NRP) Provider within six months of hire/transfer. If assigned to Pediatrics: requires PALS within six months of hire/transfer. JOB RESPONSIBILITIES Essential Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Represents the leadership of the unit in the absence of the Assistant Nurse Manager, Nurse Manager, or Director. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff in the following areas:Clinical assessment and decisions. Provides leadership and clinical, professional support. Advocacy for patients and line staff. Provides opportunity for participation in shared decision making. Supports nurse preceptors and new employees during orientation. Assures float staff receive orientation to the floor and feel welcome. Provides input on employee evaluations. Manages Staff and Patient flow:Prepares and adjusts staff assignments based on the abilities of staff and needs of the patient population. Prioritizes care based on the needs and acuity of patients on the unit. Assigns admissions and arranges transfers in coordination with House Supervisor, Bed Coordinator, or Manager as appropriate. Assures that shift report starts on time utilizing beside handoff process. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Sets clear expectations and communicates those expectations with the team during the shift in accordance with unit goals. Has authority to make decisions that are aligned with team goals for the shift. Practices collaboration within and across units to ensure patient and fiscal outcomes in line with unit goals including appropriate flexing of staff according to patient census. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Facilitates nurse/physician collaboration by modeling professional communication (e.g SBAR and rounding). Provides support, oversight, and coaches team members related to work environment, patient care and physician relations. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Promotes positive and professional environment for internal and external customers. Actively supports the leadership of the Kaweah Health through professional behavior. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed/requested. Meets the requirements and performs the duties of a Registered Nurse (job code 7020339). Makes fiscally responsible decisions regarding staffing and use of patient supplies. Maintains an awareness of regulatory compliance. Performs audits and reports as assigned. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $50.24 -$75.36 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

CMA

Outpatient

apartment Adventist Health location_onVisalia, CA

Medical Assistant (Outpatient) - Full Time, VMC Prompt Care, Visalia

Job Description Located in a tight-knit community in Kings County, Adventist Health Hanford has been serving the Central Valley since 1965. We are comprised of a 173-bed hospital and many outpatient clinics with primary and specialty care services. Hanford residents are proud of their city's historic charm and family-friendly atmosphere. Within an hour's travel time, Yosemite, Sequoia and Kings Canyon National Parks can be enjoyed. Job Summary Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Required Licenses/Certifications Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) or equivalent combination of licensure and experience: Preferred Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred Phlebotomy certificate: Preferred Essential Functions Sets up exam rooms and checks in patients. Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers. Obtains vital signs. Reports significant findings and pertinent patient observations to clinic physician. Performs venipunctures as ordered. Performs audiometry and vision testing. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Home Health

Registered Nurse- Home Health

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7290 Home Health Agency The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. JOB RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

CNA

Certified Nursing Assistant, Tulare, Full Time, 12-Hour Night Shift

Job Description Centrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region. There are a variety of opportunities for all-season outdoor recreation such as camping, hiking, water and snow skiing, fishing and boating. It is also within an hour's travel time to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients’ status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Med-Surg

Registered Nurse- Medical/Surgical-3N

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6172 Medical/Surgical-3N The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. JOB RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Assistant Nurse Manager-Intensive Care-ICU-2W

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Evening - 10 Hour Shift (United States of America) Department 6010 Intensive Care-ICU-2W The purpose of this position is to provide 24/7 oversight of efficient operations to meet the holistic needs of the patients and families served. Demonstrates high-level leadership accountability in assuring staff competency, financial responsibility, and enhancing Kaweah Health's mission and vision to achieve strategic priorities. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer Kaweah Health approved crisis intervention training within 60 days of hire/transfer. Education Preferred: Bachelor's degree in relevant field Experience Preferred: Clinical area expertise Supervisory experience Knowledge/Skills/Abilities Excellent written and oral communication skills. Effective interpersonal skills, critical thinking and creative problem solving. JOB RESPONSIBILITIES Essential Demonstrates a knowledge and understanding of Joint Commission standards California's Nursing Practice Act Applicable sections of Title 22 and 17 Applicable Federal guidelines and regulations including HIPPA Policies and procedures for areas supervised National standards for areas supervised Has 24-hour responsibility for the quality of care and performance improvement activities in area of supervision: Organizes patient care and service in areas supervised. In collaboration with the Director and in congruence with the Kaweah Health and unit plan for patient care, based on available staff and the needs of the patient. Demonstrates and utilizes expert knowledge and skills in the area(s) of practice. Assists staff with clinical assessment and decision-making. Responds to unexpected staff shortages by maximizing available resources and assisting staff in the prioritization of patient care needs. Understands the principles of utilization and case management. Ensures that patient care needs are met in a timely manner and that patient care is coordinated across the continuum of services and sites. Coordinates and participates in patient discharge and planning rounds. Demonstrates awareness of the needs and preferences of the medical care providers and provides excellent service. Monitors patients daily through rounds and feedback. Monitors patient care documentation to ensure the adequacy of patient information and compliance with regulatory standards. Uses the Statement of Concern process to report patient care issues. Uses patient satisfaction data to improve care and service. Knows and utilizes the Medical Staff and Kaweah Health chains-of-command. Assesses and documents the competency of each staff member hired for the areas supervised. Collaborates with the Educator on the orientation plan for new staff. Evaluates staff annually. Completes the performance appraisals within 30 days of the due date. Identifies performance or education issues through observation, monitoring patient care outcomes and processes, and promptly communicates concerns to the staff member/s. Uses research findings in the development of policies, procedures, and practice guidelines for patient/resident care. Shares research information with others. Assesses float staff and determines the minimal competencies for staff floated into areas supervised. Utilizes HR policies and procedures to ensure Kaweah Health employment standards are met. Provides adequate staff resources for carrying out the unit plan of care: Demonstrates knowledge of patient classification tools and Title 22 requirements related to patient classification. Uses the patient classification tool to direct staffing. Holds staff accountable for knowledge of and use of patient classification. Responsible for preparing staff schedules that meet the needs of the patient population and average daily census. Interviews and hires new employees. Accountable for attraction and appreciation of staff. Contributes to staff development by assuring continuing education and in-services are available to staff. Communicates effectively with key constituencies: Seeks and listens to feedback from key stakeholders: patients, physicians, staff, and other departments/units. Communicates effectively with other patient care leaders. Communicates and cooperates with other Nurse Managers, Bed Manager and Staffing Facilitators to ensure patient care and staffing resources are coordinated. Actively participates in assigned meetings and projects. Responds promptly to communication from others. Uses e-mail responsibly. Coordinates patient care and service between departments and disciplines. Practice is guided by the Code for Nurses: Decisions and actions on behalf of patients/residents and staff are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient advocate and coaches/mentors staff in advocating for patients. Role models the delivery of patient care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity, and rights. Pay Range $59.92 -$89.88 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

RN-Admissions/Transfer Center

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 8755 Bed Allocation In collaboration with multidisciplinary team determines appropriate placement using clinical data and utilization admission guidelines. Coordinates patient transfers, authorizations and transportations to and from other facilities for higher level of care. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Required: Three years of med/surg experience in an acute care setting as an RN. Preferred: Case Management, ER, or ICU experience. Extensive clinical experience in patient physical assessment. Knowledge/Skills/Abilities Must have at least basic understanding and skills related to use of computers pertinent to the needs and requirements of the department. JOB RESPONSIBILITIES Essential ADMISSIONS COORDINATOR FUNCTIONS Determines placement of patient to a bed utilizing utilization guidelines/criteria, diagnosis, and physician preference, unit activity, and staffing factors. Attends a.m. and p.m. housewide report. Assists to ensure admission/UR criteria are consistent with reimbursement objectives. Identifies potentially inappropriate admissions, working with physician and physician office staff for correct classification of patient. When an admission designation cannot be made or agreed upon, utilizes Physician Advisor in making a determination. Notifies attending physician and Case Manager on patient care unit of pending problems and UR issues. Initiates unit assignment for appropriate level of care, i.e., based upon patient status and previous admission activity. Communicates pertinent information, such as infections, diseases. Acts as a liaison with physician office staff for the purpose of promoting the KH concept of continuity of care by supporting the ADT based process. (Acts as a patient advocate in determining that the level/classification of care is correct and appropriate.) Attends Physician Office Staff meeting. Educates physician and office staff on admitting process, required information, etc. Communicates with appropriate physicians, nursing managers, house supervisor and staffing facilitators when a shortage of available beds or staffing occurs. Works with the nursing staff and physicians to transfer or discharge patients if appropriate, during bed shortage. Follows disaster plan as appropriate. Accepts and records physician orders when necessary and is responsible for the delivery of orders to the appropriate nursing unit. Completes order communication before the patient has arrived. Ensures patients are assigned rooms in an expedient manner utilizing all critical resources within the organization. Assists as needed with coordination of patients entering and leaving via the transfer center. TRANSFER CENTER FUNCTIONS Triages and prioritizes calls based upon patient needs including level of care and bed availability. Asks appropriate questions and clinical decisions made are based upon utilization guidelines, diagnosis, level of care and bed availability. Coordinates the transfer, authorization and transportation of inpatients transferred to and from other facilities for higher level of care and tests (i.e. PET scans, ERCP procedures) not available at KH. Collaborates with Physicians, Admitting, House Supervisors, Case Management and Bed Allocation to prioritize patient needs by diagnosis and level of care to facilitate transfer. Works with the transferring facility to ensure all necessary paperwork, studies are sent with the patient. Makes alternate recommendations for patients when transferring to KH is not an option. Documents all calls in the electronic documentation system and accurately enters data into the transfer center database including but not limited to medical, demographic, and insurance information. Coordinates with Bed Allocation and physician offices and other transfer centers to facilitate efficient bed management and appropriate bed placement. Maintains physician on-call list and uses list to communicate with the on-call physicians regarding patient and bed status. Has knowledge of overall hospital policies, services at KH, surrounding hospitals and tertiary facilities in California. Utilizes knowledge and understanding of EMTALA / Compliance issues to coordinate transfers. Starts transfer process by clarifying correct patient status, level of care and availability and service required by patient. Assures transfer agreements are signed by outlying facilities transferring patients to KH for higher level of care. Gathers accurate information from referring facility and communicates to all involved KH personnel, including accepting physicians and staff. Coordinates the successful transfer and placement of patients entering and leaving via the Transfer Center. CONTINUUM OF CARE Starts admission process by clarifying correct patient status. Assures transfer agreements are signed by outlying facilities that are transferring patients to Kaweah Health for higher level of care. Has knowledge of bed availability via the electronic bed monitoring system. Additional TEAM MEMBER OF PATIENT ACCESS Facilitates and enhances communication, displaying honesty and respect. No complaints received. Promotes a cooperative working relationship with the patient care areas, physician/clinic office staff, physicians, other disciplines and public. Maintains focus on patient. No complaints received. Assists with training of other staff members on electronic bed monitoring system and job functions, attaining correct admission orders and diagnosis. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Caregiver

apartment Nurse Next Door Fresno North location_onVisalia, CA

Caregivers

Do you want to make lives better and have the ability to drive your career? Do you love working with seniors? Nurse Next Door has the perfect opportunity for you! At Nurse Next Door, we truly believe that Caregivers are at the heart of what we do. Our focus on care-giving as a career makes Nurse Next Door different from other home care companies. We believe in shifting the mindset in the industry. As a Nurse Next Door employee, you receive: Flexible schedules: Work when and where you want – with longer visits in the same place One-on-one care: Work directly with the client to provide the best care possible Support: 24-hour access to the Nurse Next Door Care Services Center On-boarding and training: eLearning, Shadow Shifts, mentoring Caregiving as a career: Growth and development opportunities are awarded to support our team in achieving your professional goals and dreams Duties Meal preparation, light housekeeping, and/or provide companionship and personal care Execute on the client’s care plan as outlined by the Care Designer Help clients with their ADL's (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide Assist clients with transfers, ambulation and exercises Meet the safety needs of the client and use equipment safely and properly Function within the limits of your own experience and knowledge, while practicing safely and competently within the job description Complete records and documentation accurately and thoroughly Requirements for position: Home Care Aide certified (Employer can also assist with getting HCA certified) Background or Criminal Record Check (less than 1 year old) Negative TB skin test (less than 2 years old) 2 Professional references We Make Lives Better – so let’s start with yours! Job Types: Full-time, Part-time Salary : From $17.00 per hour Benefits : Flexible schedule Schedule : 4 hour shift 8 hour shift Choose your own hours Day shift Evening shift Monday to Friday On call Overnight shift Weekend availability Work Location: In person

Manager/Supervisor

RN, Full Time, House Supervisor Night Shift, Tulare

Job Description Centrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region. There are a variety of opportunities for all-season outdoor recreation such as camping, hiking, water and snow skiing, fishing and boating. It is also within an hour's travel time to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary Provides unit-based leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff. Supervises and directs the activities of various levels of assigned nursing and ancillary personnel using both professional and supervisory discretion and independent judgment. Ensures that all patients on the unit receive cost effective, professional care that results in positive outcomes and high patient satisfaction while maintaining the highest level of patient safety. Assesses and takes steps to improve quality of patient experience. Job Requirements Education and Work Experience: Bachelor’s Degree in nursing or equivalent combination of education/related experience: Required Master's Degree: Preferred Five years' technical experience: Preferred Supervisory experience or demonstrated supervisory skills: Required Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Preferred Clinical specialty and/or nursing administration certification: Preferred Facility Specific License/Certifications Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Essential Functions Provides unit-based leadership in the development and provision of clinical services. Supervises and directs unit personnel. Initiates and coordinates individual and team conferences with health team members, patients, and/or families to initiate and revise care plans for optimal, individualized patient care. Directs and monitors personnel in the performance of patient care activities to ensure adequate patient care and quality of work. Participates in patient care as needed. Fosters an environment of patient and family centered care with special attention to cultural diversity and personal needs. Makes rounds to have an overview of patient care needs and to introduce self to patient and families. Solicits feedback on quality of nursing services and any other concerns. Provides interventions and/or develops systems to address the care of patients throughout the continuum of care. Develops strategies with Nurse Manager/Director to improve customer satisfaction for patients, families, and physicians. Investigates and resolves patient care and operational issues as needed. Recommends policy/procedure changes based upon the standards, in collaboration with the Nurse Manager/Director. Ensures compliance with Patient Safety Goals as identified by The Joint Commission, hospital policy, Quality Measures, and Patient Safety initiatives through unit management and participation in hospital Performance Improvement (PI) Teams. Works closely with the clinical team members to implement systems/programs or staff development activities to facilitate staff members’ ability to meet patient/family/physician needs. Provides ongoing assessment of department operations and patient care processes for opportunities to improve. Facilitates data collection by staff members and participates in unit quality activities to improve care. Assesses the staffing requirements of the unit on an ongoing basis. Manages the number of assigned personnel based on determination of patient acuity and needs, and available skills. Assigns staff to particular patients and patient care activities according to independent professional and supervisory analysis/assessment of the most effective utilization of skills and abilities, patient needs, and to equalize work loads of assigned personnel. Arranges for staff relief for meals and breaks. Reviews and takes action on requests to adjust schedules, including requests to come in late, leave early, or utilize sick time. Plays a significant role in evaluation of performance of unit employees. Coaches and disciplines personnel, when deems appropriate, including oral and written warnings, and suspension. Directly involved in decisions to hire and terminate unit personnel. Instructs new professional and ancillary personnel on job duties and assignments. Works with facility services to assure that the department and equipment is maintained in a safe and operational state. Facilitates the repair of any broken or malfunctioning equipment. Ensures the cleanliness of the department. Keeps the Director informed of the unit’s activities, incidents, and special needs in a timely manner, documenting pertinent information. Keeping staffing costs within targeted budget, minimizing use of overtime. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

RN Resident (Tulare) Med Surg Full Time Day

Job Description Centrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region. There are a variety of opportunities for all-season outdoor recreation such as camping, hiking, water and snow skiing, fishing and boating. It is also within an hour's travel time to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Department Specific License/Certifications Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

NP

apartment Molina Healthcare location_onTulare, CA

Nurse Practitioner (Tulare, CA)

$101,721 - $198,356 / YEAR

JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric. • Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments. • Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. • Establishes and documents reasonable medical diagnoses. • Seeks specialty consultation as appropriate. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately. • Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed. • Creates and implements a medical plan of care. • Schedules appointments for visits when appropriate. • Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization. • Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations. • Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations. • Orders bulk laboratory orders to target specific member populations. • Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care. • Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care. • Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay. • Obtains and maintains cross-state license in other states besides home state based on business need. • Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively. • Actively participates in regional meetings. • May prescribe medications and perform procedures as appropriate. • Performs timely medical records documentation in electronic medical record (EMR) computer system. • On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment. • Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws. • Local travel required (based upon state/contractual requirements). Required Qualifications • At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience. • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC). • Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice. • Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice. • Current Basic Life Support (BLS) certification. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication. • Ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience. Preferred Qualifications • Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting. • Experience in home health as a licensed clinician, especially in management of chronic conditions. • Experience with underserved populations facing socioeconomic barriers to health care. • Immunization and point of care testing skills. • Bilingual. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $101,721 - $198,356 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

NP

RN-Nurse Practitioner - Skilled Nursing

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 6587 Skilled Nursing-Short Stay-W The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. Department Specific Requirements If assigned to Throughput: requires ACLS within one year of hire/transfer. If assigned to Surgery, or Throughput and working in Surgery-Cardiac: requires ACLS and completion of a recognized RNFA training program within one year of hire/transfer. JOB RESPONSIBILITIES Essential Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Addendum (essential for specific dept) SURGERY/CARDIOVASCULAR SERVICES ALSO RESPONSIBLE FOR: IF PERFORMING RN-FIRST ASSIST DUTIES: Assists on all cardiovascular surgical procedures as directed by the surgeon. Functions as the ﬁrst assistant at surgery in the general and obstetric surgical suites. Assists the surgeon by providing intraoperative tissue retraction. Assists with intraoperative hemostasis. Assists with intraoperative tissue manipulation. Uses surgical instruments and suture material to manipulate tissue as directed by the surgeon. Assists with intraoperative wound closure. Sutures tissue, using instruments and suture material as directed by the surgeon. Preoperative- assists with: review of procedure prior to the case; opening and set up of the operating room suite; either preoperative counts or patient assessment as coordinated with the circulating RN; transfer of the patient to the OR bed; anesthesia induction if requested to do so by the circulating RN; and positioning the patient for the surgical procedure. Interoperative- scrub in and assist in the draping of the patient; assist the surgeon within the parameters of standardized procedures; and assist in counts as needed. Postoperative- assists with: the application of the patient's dressings; transfer from the OR bed; accompany the patient to the PACU if required; and clean up and turn over of the operating room. May assist with specialty procedures including minimally invasive vein/arterial harvesting, closure of deep fascia layer, insertion of invasive monitoring lines and cardiac sternal wound closure. IF PERFORMING RN CIRCULATOR DUTIES: Assesses basic patient needs, including recognition of abnormal diagnostic data, and potential problems related to the proposed surgical intervention and communicates appropriate information to the physician and other members of the surgical team. Provides the ability to modify assessment criteria based on the age of the patient, psychosocial and physical needs. Implements patient's plan of care by evaluating patient's response to care. Organizes and adjusts assignments according to patient's needs. Facilitates patient transfer to appropriate postoperative unit, ensuring patient safety and communication with receiving patient care staﬀ. Demonstrates understanding in use of patient care equipment and instrumentation. Responsible for knowledge of emergency equipment and supplies, including the crash cart, airway management cart, and the malignant hypothermia cart. Timely written referral of any malfunctioning or defective equipment. Assures that all medications are administered properly 100% of the time, including IV's as prescribed by physician; knows actions, indications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to the patient. Maintains clear communication and rapport with patient/family as appropriate for setting. Gives and documents emotional support and keeps patient/family informed of progress. Assures that patient's personal hygiene needs are met, immediate environment is clean and safe. Maintains a current and complete medical record. Coordinates admission, transfer and discharge of patient with appropriate personnel and documents observations, assessment treatments and outcome as necessary. CARDIAC CATH LAB ALSO RESPONSIBLE FOR: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient ﬂow for the clinical activities of cardiology services speciﬁc to heart valve devices (TAVR). Develops and implements required elements of an eﬀective clinical program such as: Develops methods to ensure prompt access to care. Ensures processes are in place to provide coordinated patient ﬂow across Physicians clinical sites. Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device. Develops & implements clinical guidelines. Aligns EMR to support care delivery. Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium. Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date. Practice Development: Develops & provides oversight of clinical program at aﬃliated hospitals. Directs development of education materials. Develops educational materials and training program for all patient care staﬀ (inpatient and outpatient) who will participate in the clinical trial. Helps develop valve program at aﬃliated hospitals that provide a referral base of patients. Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date. Demonstrates ability to provide care or service adjusting approaches to reﬂect developmental level of population served: Communicates in a respectful manner. Ensures a safe, secure environment. Partners with patient/care-giver/management in care/decision making. Individualizes care/service plan to meet patient/customer needs. Modiﬁes interventions/service based on population served. Provides patient/employee education based on assessment of learning needs of learner. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $72.90 -$109.36 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Med-Surg

RN- Lead Mentor- Medical/ Surgical

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 10 Hour Shift (United States of America) Department 8741 Clinical Inservice Education To serve as a primary mentor in the learning continuum for oversight and clinical development of newly hired staff members in the unit. Job Description QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN Experience Required: Minimum of two years recent clinical experience and experience as an RN preceptor. Preferred: Experience in shared governance process and/or unit quality/safety improvement processes. Knowledge/Skills/Abilities Advanced Fetal Monitoring completed within the past year. Effective critical clinical decision-making skill. Knowledge and expertise in performance of clinical procedures in the assigned clinical setting. Strong interpersonal skills and ability to interface effectively with all members of the interdisciplinary team, including the ability to maintain confidentiality. The ability to promote a healthy work environment conducive to professional growth and development. JOB RESPONSIBILITIES Essential Collaborates with the unit Management Team and Clinical Educator(s) in identification and need for modification of orientation pathway and individual clinical competence of the orientee. Assists the unit Clinical Educator through utilization of adult learning principles in evaluating barriers to progression of clinical skill of the orientee. Utilizes skills checklists, orientation plan, and weekly goal review as primary pathway for assisting development progression. Ability to utilize a variety of learning methods to facilitate skill development and competency in the unit setting. Provides concise written and verbal feedback regarding orientee’s performance at defined intervals, and other nurses identified as needing additional support or remediation. Facilitates communication between multiple preceptors of orientee to maintain consistency during the orientation process. Promotes orientee's induction in the social environment of the department. Serves as a role-model and utilizes constructive feedback in a supportive manner and promotes individual personal accountability. Mentors new nurses in their early transition to the unit with a focus on safety and developing confidence in providing safe patient care. Mentors and regularly follows up with preceptors and assists them in developing strong clinical and precepting skills. Takes the lead in problem solving any issues that arise including a mismatch of preceptor and preceptee. Partners with unit Educator(s) in weekly debriefing with preceptees, preceptor follow up, and evaluations. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan of Provision of Care. Performs other duties as assigned. Pay Range $47.35 -$71.03 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

ICU

RN-Lead Mentor- Critical Care