RN Jobs in East Los Angeles, CA
$94,000 - $158,000 / year
Works alongside the Facility Administrator to manage nursing staff and schedule. Hours Monday through Friday with one Saturday per month. Typical shifts are 8 hours, but must be flexible with start/ end times. On the week you work a Saturday, you will have one day off during the week. 4 days week on the floor, one day per week administrative Quarterly Bonus Oportunities! Excellent benefits: Medical, dental, vision, prescription, paid maternity & paternity leave, 401K w/ match, PTO, tuition assistance, life insurance, Long Term and Short Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter Expenses ** We also have an opening for a ASC Registered Charge Nuse / DON in our Garden Grove, CA office as well. The hours of this center are Monday through Friday. PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily basis in accordance with organization policies, procedures and training. Provides nursing support to patients and staff. Assist with staffing, staff training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal compliance. PRINCIPAL DUTIES AND RESPONSIBILITIES: Responsible for supporting and driving Organization quality standards through meeting regulatory requirements and the practice of Continuous Quality Improvement (CQI), including use of Organization CQI tools. Accountable for outstanding quality of patient care, as defined by the organization quality goals, by working with the Vice President of Quality and other organization management to ensure that organization/ASC policies and procedures are followed. Responsible for aggressively addressing and acting on adverse events and action thresholds. Complies with all data collections and auditing activities and maintains integrity of medical records and other organization administrative and operational records. Supervises and directs facility staff in providing safe and effective vascular access procedures to patients in compliance with standards outlined in the facility policy and procedures manuals, as well as regulations set forth by the company, federal and state agencies. Assigns and delegates tasks to all direct patient care staff, including Staff RNs, Radiology Technologists, Front Desk Coordinator. Ensures adequate staffing through daily management of staff's schedule, including breaks. Assess daily patient needs and develop/distribute patient care assignments appropriately. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures and assist as necessary. Recommends and initiates disciplinary action in conjunction with the Facility Manager. Assists Facility Manager with staff performance evaluations. Participates in selection, orientation and training of staff as assigned. Performs and sets-up in-services regarding equipment, supplies and clinical for all staff. Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge. Ensures patients and patient's families are educated regarding pre and post procedure care of vascular access. Ensures patient's procedures are scheduled in a timely manner and the facility capacity is utilized efficiently. As needed, assist with patient workflow, including providing direct patient care and monitoring pre, intra and post procedure. Oversees and ensures accurate and complete documentation of patient treatments from admission to discharge. Confirms written orders, consents and lab work are completed and documented in accordance with facility policies. This includes appropriate preparation of lab requisitions, delivery to appropriate labs, reporting and forwarding of lab results to appropriate physician. Assumes primary responsibility in an emergency situation and must maintain competency with all emergency operational procedures, and initiate CPR and emergency measures as needed. Administers medications and IV conscious sedation to patients as directed per physician's orders, and in compliance with company, federal, state and local regulations. Attends and participates in Governing Body and CQI meetings with physicians, assisting with meeting agenda and gathering of data/material for meetings and reporting on assigned topics. Ensures appropriate operation of facility equipment and technology, including but not limited, patient monitors, defibrillators, medical recording devices and computers. Maintains a clean, safe and sanitary environment in the entire vascular access facility at all times through regular inspection of facility equipment and operation systems, reporting any malfunctions or maintenance issues. Ensures all blood spills are immediately addressed according to the organization Bloodborne Pathogen Control Policies. Participates in cost control initiatives. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the organization formularies. Assists in the development and revision of any applicable policies and procedures for the facility as directed to ensure continuous process improvement. Initiates, documents and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports and attend meetings as required. Manages medications, including ordering, receiving, and inventory control and checking for expired medications, including appropriate recording of controlled substances as required by law. Oversees maintenance of usage logs for all medications with appropriate documentation, as well as, records of drug disposal. Communicates with the pharmacist to assure medication accuracy, including appropriate recording of controlled substances as required by law. Ensures medical records are accurate, complete and in compliance with organization policies and procedures prior to discharge of the patient. Performs chart audits on a regular basis. Participates in all facility regulatory and accreditation surveys and action plans to address any deficiencies identified. Verifies records for all implanted devices are completed accurately, timely and maintained according to records management guidelines. Acts as the Facility Manager in the absence of the manager or at the direction of organization management. Appointed Governing Body positions, takes on primary role of certain position or oversees staff delegated to positions. Complies with HIPPA policies and standards regarding patient information and medical records. Maintain CLIA license with Facility Administrator. Other duties as assigned, within the scope of practice and state regulations. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: Facility direct patient care staff (Staff RNs, LPNs, Radiology Technologist, Surgical , Front Desk Coordinator) EDUCATION: Graduate of an accredited School of Nursing (R.N.) Current appropriate state licensure and ACLS certification. ASC certification preferred EXPERIENCE AND REQUIRED SKILLS: Minimum of three years' experience preferred in an Ambulatory Surgical Center/Vascular Access Lab, or a combination of ASC, surgical, Interventional Radiology and ICU/CCU experience. Minimum of three years of Interventional Radiology, scrub experience preferred. Supervisory or management experience within a medical or vascular access environment preferred. Proficiency with the Microsoft office suite is necessary. Experience with Medical database software. Demonstrated management skills necessary to provide leadership and supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. Good communication skills - verbal and written. Certified in BLS & ACLS successfully completed course certifications. The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $94,000.00 - $158,000.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors 
$202,000 - $239,000 / year
Position Summary: The Director of Nursing – Nursing Administration provides centralized operational leadership for hospital-wide nursing administrative functions. This role oversees House Supervision, staffing infrastructure, centralized nursing resources, specialty programs, and education services to ensure safe, efficient, and compliant operations across all shifts. This position functions as the system-level operational extension of the CNO, ensuring continuity of leadership, real-time decision-making authority, patient flow optimization, regulatory compliance, and nursing workforce strategy. CORE ACCOUNTABILITIES 1. House Supervision & Hospital Command Structure Direct oversight of Administrative Nursing Supervisors (House Supervisors). Establishes operational authority and escalation pathways for: Bed control and patient placement Capacity management Emergency response coordination Rapid operational decision-making Ensures consistent application of: Title 22 staffing ratios EMTALA compliance Regulatory standards Oversees after-hours administrative decision-making structure. Develops standardized shift command protocols. 2. Staffing Operations & Workforce Optimization Oversees centralized staffing office. Directs float pool resource allocation and productivity monitoring. Ensures staffing aligns with: Census Acuity Budget targets Regulatory ratios Monitors labor cost drivers including: Overtime Registry/agency utilization Premium pay Implements predictive staffing strategies. 3. Throughput & Capacity Management Oversees Discharge Lounge operations to improve bed turnover. Collaborates with: ED leadership Case Management Hospitalists Leads initiatives to improve: Length of stay Admission delays Transfer efficiency Bed turnaround time 4. Specialty Nursing Programs Oversight Provides executive-level oversight for: Wound Care Program Dialysis services (in collaboration with Medical Director/vendor) Line Team ARU nursing (if applicable) Ensures: Documentation compliance Performance metrics tracking Regulatory readiness 5. Nursing Education & Professional Practice Oversees Nursing Education department. Ensures compliance with: Annual competencies Skills validation Mandatory certifications Develops workforce pipeline strategies. Supports leadership development pathways. Aligns education initiatives with strategic growth plans. 6. Regulatory & Survey Readiness Maintains system-level survey readiness. Ensures policies and procedures reflect current regulations. Oversees hospital-wide compliance related to nursing operations. Partners with Quality and Risk on corrective action plans. 7. Financial Stewardship Develops and manages budgets for administrative nursing services. Analyzes productivity benchmarks. Leads cost containment strategies. Participates in capital planning for centralized nursing resources. 8. Executive Collaboration Serves as operational partner to: CNO/ACNO COO ED Medical Director/ Hospitalist Lead Case Management Therapy leadership Participates in hospital command during emergencies. Represents Nursing Administration in executive forums. JOB QUALIFICATIONS Minimum Education MSN, MHA, or MBA required BSN degree required if graduate degree is MHA or MBA Graduate of an accredited RN Nursing Program. Preferred Education Advanced degree (DNP, FNP, DHA) strongly preferred Minimum Work Experience and Qualifications Minimum 7 years acute care RN experience Minimum 5 years progressive nursing leadership experience Prior House Supervisor leadership strongly preferred Experience managing centralized staffing operations required Preferred Work Experience and Qualifications NE-BC, NEA-BC, CNL, FACHE or equivalent Professional Nursing Leadership Certification from a nationally recognized organization upon hire preferred Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.) Current CA Registered Nurse license American Heart Association BLS Card American Heart Association ACLS Card NIH Stroke Certification within 30 days of hire Current Los Angeles County Fire Card (or must be obtained within 30 days of employment) Assault Response Competency (ARC) required (within 30 days of hire) NE-BC, NEA-BC, CNL, or FACHE required within 6 months of hire Full-Time Exempt 