Nursing Jobs in Quincy, WA

Caregiver Home Health Per Diem
Family Resource Home Care

In Home Caregiver

Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to thrive. Our Wenatchee branch is looking for caregivers willing to work in the Greater Wenatchee Area including Quincy, Leavenworth, Sunnyslope, Monitor, Malaga and Rock Island. We offer Home Care Aide Training for those who do not currently have a CNA or HCA in Washington State. Shifts range from 2 to 8 hour shifts. Pay rate $20.00-$21.00 hr depending on the clients care level and length of the shift. Why Family Resource Home Care? Flexible Scheduling . We work with your availability. Work as little or as much as you want. Weekly Pay ! Receive a paycheck weekly. Consistent Hours & Pay . You will enter your preferred weekly hours each week and we will work to get you the hours and paycheck you expect! 24/7 Caregiver Support . You will never work without having someone available to answer the phone should you need something. Our caregivers are never alone – we are a team! Hands-on Training . No experience? No problem. We train new caregivers to provide the level of care our clients expect. Client Matching . We consider your experience, availability, and preferences to match you with the perfect clients. Paid Travel Time. We pay you for your travel time in-between clients. Paid Orientation & Training . You will be paid for the time you spend at orientation and any additional online training that is required. Generous Referral Program . Employee Referral Program- Earn up to $478 per Referral! Continuing Education . Access to online training and continuing education courses. We value YOU ! We proudly recognize our caregivers through weekly emails and monthly newsletters. Caregiver Job Duties Our caregivers support their clients in activities of daily living such as (but not limited to): Household chores (cleaning, laundry, dishes, etc.) Cooking and/or serving meals Helping clients bathe, dress, and groom Providing companionship through daily activities and hobbies Driving clients (as needed) to the store or appointments Monitoring and reporting on their condition Current Needs: Caregiver with personals care skill set – Such are Toileting, Bathing and dressing Caregivers with heavy Care Experience Preferred – Such personal care (showering and Toileting), Heavy lifting and Cognitive Disorders At this time we are looking for caregiver to work in Wenatchee, East Wenatchee, Eniate and Leavenworth. Hour range Mon- Sun 8am – 12pm, 9 am – 4 pm, 10 am – 12 pm, 12pm – 4 pm Additional Information Our hiring process is fast and simple! Apply and the recruiter in your region will connect with you to schedule a phone interview. If hired, you will be scheduled for orientation at your branch. Once you have completed onboarding, orientation, and training, you can start working with clients! Washington only – If you do not have a current HCA or CNA license, you will be required to enroll in our HCA training program we offer (due to state requirements). You will be able to complete the training while working and will have 120 days to complete it. Requirements 18 years+ Ability to pass a state and national background check Valid driver’s license, auto insurance and clean driving record Ability to complete state-required caregiver/HCA training as needed Family Resource Home Care is an equal opportunity employer.
CNA PCU Full-time
Confluence Health

Certified Nursing Assistant - Progressive Care Unit CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To : Nursing Manager Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation -
NP Full-time
Confluence Health

Nurse Practitioner - Orthopedics

Salary Range $66.83 - $80.77 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on call pay and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Also provides surgical assistance as needed. Participates in shared department call schedule as needed. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; performs in office procedures within the scope of their licensure, instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide specialized health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Provides surgical assistance as needed. Provides surgical assistance as needed. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities, community events, and committees as needed. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Physician Assistant licensure with prescriptive authority in the state of Wash-ington, required by start date. Desired: Related Experience Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing – F Reaching: Shoulder height – F Reaching: Above shoulder height – O Reaching: Below shoulder height – O Climbing – O Pulling/Pushing: 25 pounds or less – O Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – O Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – O Twisting/Turning – O Repetitive Movement – O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances –Yes Blood Borne Pathogens Exposure Potential – Yes Lighting – No Noise – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes
LPN Per Diem
Confluence Health

Inpatient Licensed Practical Nurse - Surgical Unit

Salary Range $26.29 - $41.01 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position. A clinically competent, licensed, practical nurse who delivers care as a team member to the acutely ill patient under the direction of an RN. Is knowledgeable in the nursing process of assessment, nursing diagnosis, outcome identification, planning, implementation and evaluation. Effectively interacts with patients, significant others, and other health team members, while maintaining standards of professional nursing. Essential Functions Provides care to acutely ill patients, the LPN is knowledgeable of care goals and objectives. Utilizes a Team approach. Follows the plans of care as developed by the RN and contributes data to the RN in the development of the plan of care. Develops and maintains effective communications with the primary nurse, physician, patient, family and others members of the health care team. Seeks direction in the delivery of patient care and informs designated RN of current developments and problems, utilizing proper communication system. Assist in assessment of patient's condition, reactions, and in planning individual care. Review transfer and admission information, daily progress and HCT notes. Assist, as necessary, in the initial nursing assessment of patient (History & Physical). Provide information for establishing and re-evaluating nursing goals and Nursing Care Plans. Documents and reports pertinent information. Medications; aware of potential side effects Uses Nursing Care Plans as guides (present status, new problems, education). Orders, per physician; requests, per therapies (include response of patient) Measures and records vital signs, I & O's, weights, and administers treatments, including sterile procedures. Assists other disciplinaries in evaluation and implementation of specific goals for the patient (physical, occupational, speech and recreational therapy and dietary). Participates in patient education (and family education, when indicated). ADL's Skin Care Medication Disease process (CVA, diabetes, UTI, etc.) Reviews and implements physician's orders under direction of the primary RN. Administers medication, IV's if certified in-house. Document (including response and/or side effects) Knows unit dose procedures Renders basic nursing care, accurately charting same. Provides care for patients including: Demonstrates necessary skills and knowledge to provide care for patients according to Nursing policy and procedure. Demonstrates necessary skills and knowledge to provide care for patients according to unit specific competencies and Standards of Care, i.e., glucometer, telemetry, scanners and pulse oximeter, etc. Demonstrates ability to handle and assist in emergency situations in a prompt, precise and professional manner. Compassionately gives personal patient care to provide comfort and well being to the patient, acknowledging physiological and psychosocial needs. Administers medications according to Nursing policy and procedure. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and Nursing policy and procedure. (Done in a timely manner). Exhibits interpersonal skills that promote a positive functioning department. Communicates effectively with peers, health team members, management and physicians. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Interacts effectively with patients families and/or significant others. Always greets patients in a courteous and respectful manner; responds to patients with empathy and positive interpersonal skills. Consistently handles all request in a positive manner. Adapts to changes in a positive, professional manner. Supports problem solving approach to both department and patient needs. Follows through on problems that may compromise patient care by using the appropriate chain of command.. Accurately and concisely processes information. Communicates appropriate information to Primary Nurse as appropriate. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to form guidelines. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to department policies. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Collaborates with hospital personnel and physicians. Communicates effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to assure the patient's well being. Adheres to Hospital/Nursing Policy. Observes departmental guidelines concerning unscheduled absences, overtime and tardiness. Dresses according to CWH dress code for nursing. Is conscientious in regard to personal hygiene. Complies with specific hospital policy and procedure concerning infection control. Assumes responsibility for self-evaluation/self improvement. Has 100% attendance at mandatory inservices, including CPR certification meeting, and annual safety inservice... Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an approved LPN program or in an RN program. Current nursing license in the state of Washington. Completion of hospital orientation program. Must be currently certified in CPR, and recertify annually. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - Not specified Carrying: 25 pounds to 50 pounds - Not specified Carrying: Over 50 pounds - Not specified Crawling/Kneeling - Not specified Bending/Stooping/Crouching - F Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Applies principles of safety in daily work. Service requires patient care 24 hours a day, seven days a week, therefore, scheduling calls for rotation of days with possible rotation of shifts for vacation, illness, etc. occasional overtime as needed. May be asked to float to other units to provide balanced staffing or assist as needed. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified
LPN Oncology Per Diem
Confluence Health

Inpatient Licensed Practical Nurse - Medical/Oncology

Salary Range $26.29 - $41.01 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position with no guarantee of hours. A hospital competent, licensed, practical nurse who delivers care to the acutely ill, as a team member under the direction of a RN. Is knowledgeable in the nursing process of assessment, nursing diagnosis, outcome identification, planning, implementation and evaluation. Effectively interacts with patients, significant others, and other health team members, while maintaining standards of professional nursing. Position Reports To : Nurse Clinical Supervisor-RN, Medical/Oncology Essential Functions Provides care to acutely ill patients, the LPN is knowledgeable of care goals and objectives. Utilizes a Team approach. Follows the plans of care as developed by the RN and contributes data to the RN in the development of the plan of care. Develops and maintains effective communications with the primary nurse, physician, patient, family and other. Seeks direction in the delivery of patient care and informs designated RN of current developments and problems, utilizing proper communication system. Assist in assessment of patient's condition, reactions, and in planning individual care. Review transfer and admission information, daily progress, and team notes. Assist, as necessary, in the initial nursing assessment of patient (History & Physical). Provide information for establishing and re-evaluating nursing goals (Nursing Care Plans). Documents and reports pertinent information. Medications; aware of potential side effects. Uses Nursing Care Plans as guides (present status, new problems, education). Orders, per physician; requests, per therapies (include response of patient). Measures and records vital signs, I & O's, weights, and administers treatments, including sterile procedures. Assists other disciplinaries in evaluation and implementation of specific goals for the patient (physical, occupational, speech and recreational therapy and dietary). Participates in patient education (and family education, when indicated). ADL's Skin Care Medication Disease process (CVA, diabetes, UTI, etc) Receives and implements physician's orders. Administers medication, IV's if certified in-house. Document (including response and/or side effects). Knows unit dose procedures. Renders total nursing care, accurately charting same. Provides care for patients including: Demonstrates necessary skills and knowledge to provide care for patients according to Nursing policy and procedure. Demonstrates necessary skills and knowledge to provide care for patients according to unit specific competencies, i.e., glucometer, telemetry, scanners and pulse oximeter, etc. Demonstrates ability to handle and assist in emergency situations in a prompt, precise and professional manner Compassionately gives personal patient care to provide comfort and well being to the patient, acknowledging physiological and psychosocial needs. Administers medications according to Nursing policy and procedure. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and Nursing policy and procedure. (Done in a timely manner). Exhibits interpersonal skills that promote a positive functioning department. Communicates effectively with peers, health team members, management and physicians. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Interacts effectively with patients' families and/or significant others. Always greets patients in a courteous and respectful manner; responds to patients with empathy and positive interpersonal skills. Consistently handles all request in a positive manner. Adapts to changes in a positive, professional manner. Supports problem solving approach to both department and patient needs. Follows through on problems that may compromise patient care by using the appropriate chain of command. Accurately and concisely processes information. Communicates appropriate information to Primary Nurse as appropriate. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to form guidelines. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to department policies. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Collaborates with hospital personnel and physicians. Communicates effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to assure the patient's well being. Adheres to Hospital/Nursing Policy. Observes departmental guidelines concerning unscheduled absences, overtime and tardiness. Dresses according to CWH dress code for nursing. Is conscientious in regard to personal hygiene. Complies with specific hospital policy and procedure concerning infection control. Assumes responsibility for self-evaluation/self-improvement. Has 100% attendance at mandatory inservices, including CPR certification meeting, and annual safety inservice. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an approved LPN program or in an RN program. Current nursing license in the state of Washington. Completion of hospital orientation program. Must be currently certified in CPR, and recertify annually. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - O Repetitive Movement - O Working Conditions: Applies principles of safety in daily work. Service requires patient care 24 hours a day, seven days a week, therefore, scheduling calls for rotation of days with possible rotation of shifts for vacation, illness, etc. occasional overtime as needed. May be asked to float to other units to provide balanced staffing or assist as needed. Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
NP Full-time
Confluence Health

Nurse Practitioner - Ephrata Family Practice

Salary Range $60.10 - $69.23 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides primary health care services to hospital and clinic patients. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide primary health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. Desired : Related experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
NP Full-time
Confluence Health

Nurse Practitioner - Internal Medicine (Mares Campus)

Salary Range $60.10 - $69.71 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Advanced Practice Provider shall devote exclusive efforts to the practice of medicine as an employee of the Hospital by providing professional medical services within the scope of APP’s training and responsibility, in compliance with applicable laws, regulations, and Hospital policies, procedures and protocols, within a chosen medical specialty. Position Reports To: Practice Manager Essential Functions Sees patients in the clinics for examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Confers with attending physicians as needed. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete outpatient records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Serves as a member of committees as assigned. Maintains hospital privileges as Limited Health Practitioner. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : Appropriate certification. Ability to obtain an active license in the state of WA. Deals with confidential medical information and problems in a discreet manner. Coordinates with all staff to resolve problems. Consistent focus on maintaining accuracy of accounts and confidentiality of patient information. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Not Specified Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Not specified Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
NP Full-time
Confluence Health

ARNP - Cardiology

Salary Range $64.90 - $78.37 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager. Essential Functions Outpatient Practice Duties Staff outpatient office clinic in Wenatchee Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) 1-4 days per month Provide comprehensive history and physical examinations on new cardiology patients Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure Provide post-operative evaluation (i.e after cardiac operations/procedures) Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc Evaluate cardiac patient’s medical history, physical exam findings and diagnostic/laboratory data Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic) Act as preceptor for physician assistant/nurse practitioner students Actively recruit patients for cardiology-oriented research studies Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc Educate Cardiac Rehab participants on cardiovascular disease and prevention Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible Inpatient Practice Duties Staff hospital services as assigned, 4–10-hour shift rotation, including weekends Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc Perform cardiac patient’s medical history, physical exam findings, and evaluate diagnostic/ laboratory data Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED Generate daily progress notes to be used as shared-visits with on-call cardiologist Notify on-call cardiologist of any change in patient condition Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients Admit and perform History and Physical on Antiarrhythmic therapy patients Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis Assist on-call cardiologist with triage of patients consults and needs Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700 Assist in ACLS/BLS codes, as directed by supervising physician(s) Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s) Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s) Stress Testing Practice Duties Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing Possess knowledge/competency of appropriate contraindications, risk assessment of testing Possess knowledge/competency of BLS/ACLS on an annual basis Possess knowledge/competency of Cardiovascular and Exercise Physiology Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. CPR/ACLS Certification. Desired: Related experience. Cardiology Specialty Certification. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes
NP Outpatient Full-time
Confluence Health

Nurse Practitioner - Family Medicine 2nd Floor

Salary Range $62.98 - $73.08 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides primary and appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide primary and specialized health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities. Participates in decisions, planning, and policies related to clinical care. Maintains accurate and complete patient records in compliance with organizational policy. Refers patients to specialty services when appropriate. Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies. Support physicians with on-call responsibilities as required. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. Desired: Related experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes