Nursing Jobs in Porterville, CA

Licensed Vocational Nurse

apartment Valley View Care Center location_onDelano, CA

$29 - $35 / HOUR

Our family owned and operated long term, 53 bed facility is searching for LVNs to join our fantastic team! The leaders at Valley View Care Center hope to attract the best team members to care for our beloved residents. The ideal canidate must be licensed in the State or California as a LVN, current on CPR certification or willing to gain certification prior to hire, open to new experiences and aquiring inovative skill sets, and have a passion to care for those we have been entrusted to steward. Valley View Care Center has excellent survey outcomes and a solid clinical management team who welcome new graduates or experienced nurses to their fold with open arms. Apply today! Immedite openings available. Pay ranges from $29 to $35 based on experience PRN, AM 6-2:30, PM 2-10:30 Scope of Position includes: PTO Dental , Vision and Health Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN/ LVN in state

RN

ER

Full-time

RN, Emergency Department, Full-Time, Nights, 15K Hiring Incentive

apartment Adventist Health location_onDelano, CA

Job Description Focused on growth and technological expertise since 1974, Adventist Health Delano is a full-service community and regional teaching hospital. We are comprised of a 156-bed medical center serving 10 rural Central California cities with primary and specialty care services. Delano is central to all that California has to offer and is the second-largest city in Kern County. A nice balance of small-town community and cultural diversity, Delano offers vitality and energy to our community. 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 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. Show more Show less

RN

ER

Full-time

RN, Emergency Department, Days, Full Time, 15K Hiring Incentive Available

apartment Adventist Health location_onDelano, CA

Job Description Focused on growth and technological expertise since 1974, Adventist Health Delano is a full-service community and regional teaching hospital. We are comprised of a 156-bed medical center serving 10 rural Central California cities with primary and specialty care services. Delano is central to all that California has to offer and is the second-largest city in Kern County. A nice balance of small-town community and cultural diversity, Delano offers vitality and energy to our community. 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 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. Show more Show less

RN

ER

Full-time

Registered Nurse, Emergency Department, Nights, Per Diem

apartment Adventist Health location_onDelano, CA

Job Description Focused on growth and technological expertise since 1974, Adventist Health Delano is a full-service community and regional teaching hospital. We are comprised of a 156-bed medical center serving 10 rural Central California cities with primary and specialty care services. Delano is central to all that California has to offer and is the second-largest city in Kern County. A nice balance of small-town community and cultural diversity, Delano offers vitality and energy to our community. 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 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. Show more Show less

RN

OB/GYN

Full-time

RN, Nurse Lead, Obstetrics Acute, Nights, Full Time

apartment Adventist Health location_onDelano, CA

Job Description Focused on growth and technological expertise since 1974, Adventist Health Delano is a full-service community and regional teaching hospital. We are comprised of a 156-bed medical center serving 10 rural Central California cities with primary and specialty care services. Delano is central to all that California has to offer and is the second-largest city in Kern County. A nice balance of small-town community and cultural diversity, Delano offers vitality and energy to our community. 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 Department Specific License/Certifications Neonatal Resuscitation (NRP): Required S.T.A.B.L.E Certification (STABLE): 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

Full-time

RN-Cardiovascular Quality & Data Coordinator

apartment Kaweah Health location_onVisalia, CA

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 7021 Co-Mgmt Program-CardiovascularThe RN-Cardiovascular Quality & Data Coordinator is responsible for supporting quality improvement initiatives across the cardiovascular service line by collecting, extracting, and analyzing clinical data to ensure compliance with national standards, regulatory requirements, and hospital performance goals. This role collaborates with physicians, nursing staff, administrators, and quality teams to drive excellence in patient outcomes, safety, and care delivery. QUALIFICATIONS License /Certification Required: CA RN license Preferred: Certification in Quality, Cardiac Nursing, or related specialty preferred (e.g., CPHQ, CVRN). Education Required: Bachelor's degree Preferred: Master’s degree in nursing, Healthcare Administration, Public Health, or related field. Experience Required: Minimum of two years of clinical experience in cardiac or cardiovascular. Preferred: Experience in quality management, clinical data analysis, or registry data submission. Knowledge/Skills/Abilities Strong analytical and critical thinking skills with the ability to interpret complex data. Proficiency in Microsoft Excel, databases, and electronic health record (EHR) systems. Excellent written and verbal communication skills. Ability to collaborate effectively with multidisciplinary teams. Knowledge of national cardiovascular quality programs, measures, and registries. JOB RESPONSIBILITIES Essential Collects, extracts, validates, and analyzes cardiovascular clinical data from electronic health records and other reporting systems. Prepares and submits data to national registries (e.g., ACC, STS, CDR, AHA, CMS quality measures) and internal stakeholders. Identifies trends, variances, and opportunities for improvement related to patient safety, clinical outcomes, and process measures. Partners with leadership, physicians, and frontline staff to implement evidence-based best practices and performance improvement initiatives. Assists in the development of action plans and track progress toward quality goals. Monitors compliance with accreditation standards, regulatory requirements, and organizational policies. Develops and delivers quality and performance improvement reports, dashboards, and presentations. Participates in multidisciplinary committees, workgroups, and service line planning meetings. Educates staff on documentation requirements, quality metrics, and improvement initiatives. Evaluates processes and apply appropriate tools to current projects. Serves as a subject matter expert for cardiovascular quality improvement activities within the service line. Additional 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 $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.

RN

OR

Full-time

RN- Cardiac First Assist- Cardiac Surgery

apartment Kaweah Health location_onVisalia, CA

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 7570 Cardiac Cath LabTo assist on all surgical procedures under the direction of the surgeon as stated in the essential functions granted to the RNFA. QUALIFICATIONS License /Certification Required: CA RN License CNOR BLS ACLS within one year of hire/transfer. Education Required: Completion of recognized RNFA training program. Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Required: At least two years of perioperative RN experience, preferably in the scrub as well as the circulating role. JOB RESPONSIBILITIES Essential RN Cardiac First Assistant 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. RN Circulator 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 assignment according to patient 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. 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 $57.61 -$86.42 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

Per Diem

Per Diem Registered Nurse- Acute Rehab

apartment Kaweah Health location_onVisalia, CA

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 Not Benefits Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6440 Acute RehabThe 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 $53.41 -$80.12 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-Labor Delivery

apartment Kaweah Health location_onVisalia, CA

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 7400 Labor DeliveryUnder the direction of the nurse manager, the purpose of this position is to assist with 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. You will lead an active and progressive antepartum/ intrapartum unit that consists of 21 labor beds, 7 triage beds, 3 NST beds, 3 Operating Rooms and 3 PACU rooms. Average monthly deliveries are 350 - 400 with a 32% cesarean section rate. Triage sees an average of 700 patients per month. Nights position 4 - 10 hour shifts per week Special Services/Programs/Projects: 24 hour Obstetrician/Laborist available. Onsite coverage 12 hrs night shift every day and 24hr weekends, and off site coverage 12 hr day shift Monday – Friday. 24 hour OB Anesthesia On site 24 hour Neonatologist and Pediatric Hospitalist on site 24 hour Maternal Fetal Medicine Physician available by telephone. Physicians make rounds on antepartum patients daily for consults. QUALIFICATIONS License /Certification Required: CA RN license BLS Kaweah Health approved crisis intervention training within 60 days of hire/transfer Neonatal Resuscitation Program (NRP) Provider within six months of hire Education Preferred: Bachelor's degree in relevant field within three years of hire/transfer Experience Preferred: Expertise in clinical area Supervisory experience or training Knowledge/Skills/Abilities Excellent written and oral communication skills Effective interpersonal skills, critical thinking and creative problem solving skills JOB RESPONSIBILITIES Essential 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. 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. Collaborates with the Nurse Manager/ Educator on the orientation plan for new staff. Identifies performance or education issues through observation, monitoring patient care outcomes and processes, and promptly communicates concerns to appropriate Nurse Manager and Educator. 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. Participates in interviewing new employees. Assists in recruitment and retention 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 Nurse Managers, Directors, Nursing Supervisor, 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 Units and KH departments/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. 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. Pay Range $53.27 -$79.91 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

Part-time

Nurse Practitioner-Clinics

apartment Kaweah Health location_onVisalia, CA

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 Day - 8 Hour or less Shift (United States of America) Department 7024 KH Medical Clinic - Ben MaddoxTo function as a member of a health care team to deliver quality health care while working alongside and under the supervision of a physician. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS NP Certification by national certification board and Master’s degree in Nursing or Doctor of Nursing Practice degree; or obtained Medicare billing privileges as an NP before Jan 1, 2003 and NP Certification by national certification board; or obtained Medicare billing privileges prior to Jan 1, 2001. Knowledge/Skills/Abilities Prior to hire, HR must receive clearance from KH Medical Staff office that the medical staff credentialing process is complete. Bilingual preferred. JOB RESPONSIBILITIES Essential Secures a complete health history, including but not limited to, obstetric, gynecologic, contraceptive, medical, surgical, family health and psychosocial aspects, and records findings accurately and succinctly. Performs appropriate general examinations, diagnostic tests, and other types of more specialized procedures as may be indicated by patient history and complaints, according to protocol. Provides specialized and or advanced practice services within the scope of training. Provides relevant patient instruction and education. This may include medication information, disease education, health promotion, care instructions, etc. Follows up on all abnormal findings within a timely manner, responds to patient clinical needs, and refers to other providers as appropriate. Charts all information with regard to the client's examination and plans for treatment within the electronic medical record. Chart review meets quality improvement standards. Completes timely chart documentation. Consults with assigned supervising physician when necessary. Reviews complex cases with the supervising physician in accordance with appropriate protocols (e.g. NP protocols or PA service agreement) as indicated. Pursues and completes ongoing, high-level continuing medical education activities. Shares new clinical practice updates or information with the APP team and clinical leadership. Attends APP and clinical site meetings to keep current with organization communication and priorities. Participates and engages in organizational quality improvement initiatives. Provides feedback and input on clinical processes. Coordinates clinic coverage with other providers. Provide backup coverage as needed. Provides care delivery within a team-based, patient-centered approach. Engages the patient and their family in the decision-making process regarding their care. Utilizes care team members appropriately (e.g. pharmacy, care coordinators, dieticians, etc.). Utilizes evidence-based practice guidelines and resources for clinical practice. Additional Works collaboratively with all members of the care team and support staff. Acts as a clinical team leader for safety, training, and support of staff as indicated. 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 $70.09 -$105.14 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

Per Diem

Per Diem RN-Nurse Practitioner

apartment Kaweah Health location_onVisalia, CA

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 Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7391 Professional Svcs-PalliativeThe 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.License /Certification Required:CA RN license CA Nurse Practitioner (NP) and CA Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration BLS Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. 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 Required:N/A 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 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 Hospice: requires two or more years of palliative care experience with patients at end of life; current California Drivers License and current proof of automobile insurance policy and California state required minimum coverage levels. If assigned to Throughput: requires ACLS within one year of hire/transfer. If assigned to Throughput and working in Surgery-Cardiac: requires ACLS and completion of a recognized RNFA training program within one year of hire/transfer. Testing N/A Essential 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). Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Addendum (essential for specific dept) HOSPICE ALSO RESPONSIBLE FOR:Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations. Performs timely Hospice face-to-face visits including timely, accurate documentation. CARDIOVASCULAR SERVICES ALSO RESPONSIBLE FOR:IF PERFORMING RN-FIRST ASSIST DUTIES: IF PERFORMING RN CIRCULATOR DUTIES: CARDIAC CATH LAB RESPONSIBLE FOR:Develops and implements required elements of an effective clinical program such as: Practice Development: Demonstrates ability to provide care or service adjusting approaches to reflect developmental level of population served: 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). Additional 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. 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. Pay Range $73.59 -$110.39 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 Clinical Educator - Post Surgical Med/Surg

apartment Kaweah Health location_onVisalia, CA

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 8741 Clinical Inservice EducationThe purpose of the position is to provide ongoing assessment of staff member educational needs. Through utilization of adult learning principles, to strategically design, implement and evaluate educational offerings that meet the needs of care providers. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Required: BSN Preferred: Master's degree Experience Required: Minimum of two years recent clinical experience and/or experience as an RN educator. Preferred: Experience in nursing education, staff development, curriculum development and implementation of multifaceted teaching interventions to varying adult learning styles. Knowledge/Skills/Abilities Ability to present formal and informal educational offerings. Department Specific Requirements If assigned to Administration-APN: The two years of recent clinical experience must be as a Registered Nurse in acute care setting. CA Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP) within three years of date of hire/transfer. If assigned to Skilled Nursing: Must meet the state and federal requirements for designation as a State of California Director of Staff Development (DSD) within two years of hire/transfer. Minimum of one year experience as a licensed nurse in providing direct patient care in a long term care/skilled nursing facility (SNF) and must also possess a minimum of one year experience in planning and successfully orchestrating and evaluating educational programs for nursing; or must have two years experience as a licensed nurse, with a minimum of at least one year which must be in the clinical setting providing direct patient care. JOB RESPONSIBILITIES Essential Collaborates with department leadership and Director of Clinical Education to ensure competency of staff. Provides ongoing assessment of learning needs for all staff members. Plans, coordinates and evaluates the education programs provided and conducts annual needs assessment. Develops and implements department orientation for all staff members. Provides a written orientation plan and skills checklist for each new employee. Collaborates with management to schedule new staff with mentor/preceptor, communicating learner's needs and goals. Provides input to manager for employee's introductory and/or annual review. Identifies the need for in-service training and continuing education through annual needs assessment, observation, Performance Improvement (PI), Risk Management reports, professional practice trends and patient population. Training programs are developed to ensure staff competence when procedures or practices are changed or new ones are developed. Monitors competence of staff. Provides competency assessment records and educational calendar to Human Resources as appropriate. Maintains records, file and statistics as appropriate. Submits information to Director of Clinical Education as requested. Reviews and updates reference materials for staff, patients and physicians as appropriate. Coordinates the development and/or revision of new standards/policies/procedures. Conducts Annual Educational Needs Assessment for assigned unit(s). Provides a monthly in-service topic and as needed additional Kaweah Health educational training to department staff. Maintains clinical competence in area of specialty. Provides direct patient care as assigned. Promotes a positive working relationship with physicians, colleagues, vendors, guests and others. Collaborates with Director of Clinical Education and/or area Director and managers as appropriate. Participates in assigned intradepartmental and Kaweah Health wide committees. Coordinates department meetings as appropriate. Actively participates in planning and implementation of annual competency fair. Participates/coordinates PI projects as directed. 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 $51.22 -$76.84 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.