RN Jobs in Sonoma, CA

RN Director of Nursing Full-time
Anchor Health

Director of Nursing

Director of Nursing (Hospice) Job Type: Full-time | Work Setting: In-person Schedule: Monday to Friday Pay: Competitive salary, based on experience About Anchor Health Anchor Health has proudly served Northern California communities for years, offering compassionate and high-quality hospice and pediatric care. Our mission is to support not only our patients and families but also the dedicated professionals who make our work possible. Position Overview We are seeking a compassionate and experienced Director of Nursing to lead our hospice clinical operations. This key leadership role is ideal for a Registered Nurse with strong hospice or palliative care experience and a heart for end-of-life care. The DPCS ensures exceptional care quality, regulatory compliance, and team coordination while supporting patients, families, and staff in a meaningful way. Key Responsibilities Clinical Leadership: Direct the delivery of hospice services in compliance with state, federal, and internal standards. Team Management: Recruit, train, supervise, and mentor clinical staff including RNs, LVNs, social workers, and home health aides. Care Coordination: Guide the interdisciplinary team in developing and executing personalized care plans. Regulatory Compliance: Ensure adherence to Medicare/Medicaid requirements and accreditation standards; manage audits and documentation. Quality Improvement: Drive initiatives to enhance patient outcomes and care quality. Budget Oversight: Manage clinical budgets and monitor resource utilization effectively. Family Support: Serve as a compassionate liaison for patients’ families, offering clear communication and emotional support. Cross-Department Collaboration: Partner with social services, spiritual care, and admin teams to provide holistic care. After-Hours Protocol: Develop and maintain readiness protocols for emergencies and after-hours needs. Qualifications Education: BSN required; MSN or advanced degree preferred. Licensure: Active Registered Nurse (RN) license in the state of California (required) . Experience: Minimum of 2 years in hospice or palliative care leadership. Key Skills Strong clinical leadership and staff development abilities Deep knowledge of hospice regulations and standards Excellent communication with patients, families, and interdisciplinary teams Strategic thinker with a collaborative, empathetic approach Physical & Travel Requirements Must be able to travel to patient homes, nursing facilities, and hospitals. Comfortable working in varied patient care settings. Benefits Medical: Health, dental, and vision insurance Financial: 401(k) retirement plan Time Off: Paid time off (PTO) Supportive, mission-driven team environment Medical Specialty Geriatrics Hospice & Palliative Care If you're a passionate leader looking to make a meaningful difference in end-of-life care, we invite you to apply and join the Anchor Health family.
RN ER Other
Sonoma Valley Hospital

RN - Emergency (Per Diem)

Overview The Emergency Nurse is responsible for high quality individualized patient care in the Emergency Department requiring a broad range of knowledge and expertise in the treatment of patients experiencing medical emergencies ranging from low acuity (earaches) to full blown resuscitative encounters (acute stroke, cardiac arrest). Practices within the scope of RN licensure as defined by California Board of Registered Nursing, the Nurse Practice Act and Emergency Nurses Association standards of practice. Advocates for and participates in high quality patient care and patient experience. Responsibilities Ability to perform critical care nursing role in emergency resuscitative efforts. Knows well and implements ACLS and PALS Algorhythms effectively and understands appropriate dosages, routes, expected responses as well as side effects and toxicity indicators. Primary member of Code Blue, Rapid Response and Code Stroke teams. Performs accurate nursing assessments on all patients to include accurate triage with appropriate level assignment, home medication interrogation, psychiatric history, drug history and domestic safety. Performs targeted clinical assessment including vital signs and discharge assessment in the Electronic Health Record. Mandated reporter. Accurately and safely administers medications utilizing medication administration scanning protocols for the Electronic Health Record. Assesses and documents patient response to medication according to organizational policy. Administers vasoactive intravenous infusions. Models professional behaviors consistent with Service Excellence standards: AIDET, white boards, hourly rounding, patient call backs. Adheres to organizational dress code policy and Code of Conduct. Performs the following procedures: Foley catheter insertion; nasogastric tube insertion; peripheral intravenous line insertion; feeding tube insertion; management of central lines, chest tubes, endotracheal tubes and respiratory ventilators. Performs Phlebotomy as needed to include proper asceptic technique, blood tube order of draw and protocol for blood culture sampling. Recognizes abnormal lab values, reports to MD and implements orders to correct abnormalities. Adheres to and demonstrates personal accountability in implementing and maintaining the most current clinical and service standards. Maintains mandated professional certifications and annual educational requirements. Consistently meets all attendance and tardiness standards. Adheres to all established break and meal period protocols. Plans PTO as indicated and per departmental policy. Is accountable to knowledge of posted schedule and makes changes to schedule per department policy. Participates in quality protocols: sepsis, stroke, myocardial infarction and assists in data collection and chart review as assigned. Actively participates in performance improvement activities to mitigate identified issues. Attends departmental staff meetings and Administrative forums. Qualifications Education: Graduate of accredited RN program. BSN preferredExperience: Minimum of one year emergency room experience in acute care facilityLicenses & Certifications: California Registered Nurse, BLS, ACLS, PALS, CEN preferredRequired Skills & Knowledge: Proficiency in advanced resuscitative measures for patients experiencing acute stroke, cardiac arrest, severe sepsis and other emergency presentations. Knowledge of medications, indications, dosage ranges & side effects/toxicity used in emergency interventions. Ability to work accurately, quickly and under pressure while remaining highly professional. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $68.93 Maximum: USD $94.78
RN Director of Nursing Full-time
Suncrest Hospice

Assistant Director of Nursing - Registered Nurse (RN)

Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits $120,000-135,000 annually Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Assistant Director of Clinical Services works under the Director to provide overall direction to the hospice clinical team. They are responsible for hiring of qualified hospice personnel: the provision of hospice services, directly, and the delegation to and coordination of hospice personnel evaluations; and establishing standards of care to comply with federal and state regulations and guide­lines. The duties include but are not limited to: Implement policies, procedures, and best practices for operations. Monitoring nursing staff performance and addressing any QA issues Clinical policy and procedure support Assisting the Director in identifying & resolving nursing department deficiencies Monitoring implementation of correction plans Qualifications A strong leader with impeccable organizational, strategic, analytical and project management skills. A solid communicator with exceptional interpersonal skills and a proven ability to motivate, mentor, and influence others. 5 years in healthcare industry preferred At least 1 year in hospice 2 years of experience working in Leadership Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice Reliable transportation, driver's license and vehicle insurance
RN Telemetry Full-time
Adventist Health

RN, Tele/HVU, Full Time, Night Shift, Up to 10k Hiring Incentive, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Department Specific License/Certifications Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Show more Show less
RN Full-time
Adventist Health

RN, Nurse Lead, Part Time, Cardiac Rehab, Saint Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. 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 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, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply. 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 Telemetry Full-time
Adventist Health

RN, Tele/HVU, Full Time, Day Shift, Up to 10k Hiring Incentive, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Department Specific License/Certifications Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. Show more Show less
RN Educator ICU CVICU Full-time
Adventist Health

RN, Specialty Clinical Practice Educator, CVICU, Full Time, Day Shift, Up to 10k Hiring Incentive, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Deploys staff education within defined specialty in alignment with system initiatives, regulatory requirements, evidence-based best practices and employee needs. Optimizes performance for frontline staff through didactic, elbow side support, and just-in-time educational opportunities inclusive of clinical performance and documentation. Collaborates with subject matter experts in defined specialty at system and site level to facilitate alignment of specialty care delivered with current evidence and system standards. Job Requirements Education and Work Experience: Bachelor's Degree in nursing or equivalent combination of education/related experience: Preferred Three years of recent experience as a clinical nurse / area of specialty ie. perinatal, critical care, emergency, perioperative, or medical surgical: Preferred Experience in education: Preferred Proficiency in Electronic Health Records software: Required Licenses/Certifications Registered Nurse (RN) licensure: Required Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Current Advanced Life Saving â€" as appropriate for area of specialty: Required Certification in Specialty Area: Preferred Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Essential Functions Facilitates deployment and validates adoption of system programs and initiatives within defined specialty. Delivers staff education or resources for specialty specific needs inclusive of just-in-time training, elbow side support, coordination of education opportunities and coaching to staff on designated units. Partners with specialty department leadership and system subject matter experts to identify educational needs and achieve desired organizational outcomes. Provides specialty feedback to assist in system wide development and growth for clinical best practices and EHR optimization opportunities. Supports specialty onboarding process inclusive of clinical performance and EHR documentation. Participates on assigned hospital committees to represent defined specialty (ie. perinatal, critical care, emergency, perioperative, or medical surgical). 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 Full-time
Sonoma Valley Hospital

Inpatient Clinical Coordinator (RN)

Overview This position is responsible for the daily work and work-flow within the inpatient units (Medical/Surgical and ICU). The Inpatient Clinical Coordinator (ICC) is a Registered Nurse who works with the Director of Patient Care Services to ensure operational and hospital standards are upheld. The ICC is integrally involved in ensuring that staff, patients, and other department services come together seamlessly to advance patients through their admitted stay and ensure that the patients/caregivers have adequate knowledge of goals of care and discharge plans. Contributes to a nurturing and healthy work environment for all team members, ensuring the highest quality of care is delivered. Responsibilities Daily Operations: Oversees the day-to-day overall function of the inpatient units by ensuring appropriate staffing is in place and assignments are made thoughtfully and strategically, monitors bed management/throughput to ensure timely transitions of care; provides clinical support and staff break relief as needed. Staffing: Ensures appropriate staffing in place each day, works closely with the Director in the development of staffing schedules, being mindful of staff competencies. Is able to step in to bedside care when needed in all areas, and when there are sick calls or emergencies. Works with the staffing office and Director to ensure appropriate staffing for oncoming shifts in compliance with Title 22 regulations and hospital policy. Quality: Collaborates with Director of Patient Care Services in order to assess current practices and develop, implement and monitor practice, processes, programs and services that ensure adherence to Quality Assurance/Process Improvement initiatives. Is an active participant in data collection and interpretation. Seeks new approaches to care delivery and current workflows. Supports change initiatives and is able to navigate change and encourage others to remain focused in the face of obstacles. Interdisciplinary Collaboration: Influences the delivery of high quality care by supporting and encouraging staff input during rounds. Maintains good working relationships with other departments and encourages staff to do same. Collaborates with the Clinical Coordinators of the ED, OR, and SCU in the coordination of care for all patients admitting to the inpatient units, to ensure timely and safe transfers and smooth transitions of care. Maintains basic knowledge of regulatory requirements and standards and helps to ensure a continuous "survey readiness" environment. Assists in the review and investigation of unfavorable events reported via the MIDAS reporting system. Patient Relations: Is committed to outstanding customer service and is able to facilitate a pleasant patient experience. Responds to patient or family concerns in a compassionate and appropriate manner. Seeks innovative ways to address patient concerns and shares all feedback from patients with team. Escalates issues to Director as appropriate.Work Environment: Ensures a safe and healthy work environment for all staff. Strives to support team morale. Assists the Director in providing ongoing training and collecting performance improvement data. Communications: Attends interdisciplinary rounds, daily huddles and staff meetings; updates personnel with pertinent information regarding changes/updates and other relevant information across all shifts. Leadership: Provides feedback to the director and participates in the interview and hiring process; provides input for staff performance evaluations. Provides leadership when the Director is unavailable; acts as a role model to all staff. Regulatory: Maintains accurate daily and monthly checks for department: assigns daily check-offs including glucometer, crash cart, and others per unit policy. Responsible for overseeing the maintenance, restocking as needed, and outdates for crash carts. Collaboration: Participates on a variety of teams and/or committees; provides recommendations based on clinical expertise; may be responsible for review and collaboration of certain policies and procedures. Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years experience in the Acute Care Hospital setting; Previous Lead/Charge Nurse experience preferred. Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : This position requires basic knowledge of inpatient regulatory requirements and standards; strong written and verbal communication skills; ability to multi-task with strong organization and coordination skills; strong aptitude for using/understanding computer applications with a proficiency in Excel, Word, and Outlook. Experience utilizing and managing data within an electronic health record (EHR), EPIC preferred. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $62.94 Maximum: USD $86.54
RN Home Health Full-time
21st Century Home Health Services

Home Health Field Registered Nurse (RN)

At 21st Century Home Health Services (21HHS) , we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties. Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%. We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities. Key achievements include: San Francisco Chronicle Top Workplaces in the Bay Area : Ranked 3rd among all medium-sized companies and 1st among home health agencies. National Recognition : Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies. Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health. Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted. This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management. This position works under an Case Manager Registered Nurse position. Anticipated Coverage Area: Vallejo and surrounding communities \n What you will do as a Field Nurse: Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, JP, Biliary, Nephrostomy, ,Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage system ,Trach care, Blood draws, Ostomy management ,SQ and IM injections, IV antibiotic/TPN administration and Compression wraps. Provides direct patient care as defined in the state Nurse Practice Act Implements a plan of care initiated and directed by the Case Management Registered Nurse Provides accurate and timely documentation within 24-48 hours consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines Uses equipment and supplies effectively and efficiently Participates in personal and professional growth and development Performs other duties as assigned by the Case Management Registered Nurse Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care Gives a timely and pertinent report to the Case Manager Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions Entries will accurately record any incident that has a bearing on the patient. Reports pertinent information timely to the Case Management Registered Nurse and to Provider Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment Ensures patient privacy in maintaining medical records and when providing care. Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills Maintains productivity standards as directed by the Case Management Registered Nurse . Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed. Participates in on-call duties as required by weekend rotation To be a succuess as a Field Nurse: One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting. One year of home health care experience is preferred. Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Graduate of an accredited school of nursing (Bachelor's degree) Current CA Registered Nurse License (RN) Current Basic Life Support (BLS) Card Valid CA Drivers License with acceptable driving record All license and certifications must be current at time of hire and sustained throughout employment Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Must maintain current with annual compliance training and certifications \n $130,000 - $160,000 a year Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match. \n 21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.
RN ICU Full-time
Adventist Health

RN, ICU, Full Time, Night Shift, Hiring Incentives up to 20k, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Department Specific License/Certifications Advanced Cardiac Life Support (ACLS) or Healthstream Advanced Cardiac Life Support (HS-ACLS) or RQIACLS: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
TLC Nursing

Travel Registered Nurse Nurse Manager Job

Job Overview TLC Nursing Associates, Inc. is seeking an experienced RN – Nurse Manager for travel assignments in various healthcare settings. This leadership role involves supervising nursing staff, ensuring high-quality patient care, and managing daily operations . The ideal candidate will have strong leadership, organizational, and clinical skills to drive excellence in patient care. Responsibilities Oversee nursing staff, scheduling, and department operations . Ensure compliance with healthcare regulations and standards . Develop and implement policies to improve patient outcomes . Collaborate with physicians, administrators, and other healthcare professionals . Monitor staff performance, training, and development . Manage budgets, resources, and department efficiency . Address patient concerns and enhance care quality . Travel to various healthcare facilities as needed . Qualifications Education: Active Registered Nurse (RN) license . Experience: Minimum 3+ years in nursing leadership or management . Skills: Strong decision-making, communication, and problem-solving skills . Certifications: BLS required; leadership or management certifications preferred . Travel Readiness: Willingness to accept travel assignments . Benefits Competitive pay and travel stipends . Opportunities for leadership growth in healthcare management. Assignments in top healthcare facilities . Supportive team environment . Job Description Are you a seasoned Nurse Manager looking to elevate your career with a unique travel healthcare assignment in the picturesque town of Greenbrae, California? TLC Nursing is offering a 13-week opportunity that promises not just a job but an enriching experience in one of California's most charming locales. As a Registered Nurse (RN) specializing in Nurse Management, you'll be at the helm of ensuring exceptional patient care delivery, overseeing nursing staff, and coordinating various healthcare activities within our esteemed facility in Greenbrae. Your expertise will play a vital role in maintaining high standards of quality care and operational efficiency, making a lasting impact on both patients and staff. With a competitive weekly pay of $3695.0, this travel healthcare assignment provides the perfect balance of professional growth and financial stability. Plus, with a guaranteed 40.0 hours per week, you can focus on what you do best without worrying about fluctuations in your schedule. At TLC Nursing, we take pride in our nurse-founded roots and are dedicated to supporting our healthcare professionals every step of the way. From 24/7 recruiter assistance to personalized career guidance, and even aid with housing and licensing, we ensure that you have all the resources needed to thrive in your role. In addition to this unparalleled support, you'll also enjoy a range of benefits that are second to none in the industry. From a $25,000 Life Insurance Policy effective from day one to comprehensive medical, dental, and vision insurance available from the 1st of the month after hire, we've got you covered. Paid Time Off accrual from day one, eligibility for 401(k) after 1 year, and access to Aflac for additional coverage are just a few more reasons to consider this exciting opportunity. If you're ready to take the next step in your career as a Nurse Manager and embark on a rewarding travel healthcare assignment in Greenbrae, California, apply now and seize the chance to make a difference in the lives of others. Join TLC Nursing today and be part of a team that values your expertise and commitment to healthcare excellence.
RN PACU Full-time
Adventist Health

RN, Float, PACU, Full Time, Night Shift, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. 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 Full-time
Adventist Health

Registered Nurse, RN, Cath Lab, Full Time, Day Shift, Hiring Incentives up to $20k, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. 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 Telemetry Full-time
Adventist Health

RN, Tele/HVU, Part Time, Night Shift, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. 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 Crisis Prevention Intervention (CPI) or Techniques for Effective Aggression Management (TEAM): 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 Other
Sonoma Valley Hospital

RN - Surgical Care Unit (32 hours per week)

Overview SCU (Surgical Care Unit) RN is responsible for the preoperative preparation and recovering of all surgical patients. Responsible to act as an integral team member and keep patients moving through the unit in a safe, efficient, and timely manner. Able to apply critical thinking skills throughput the surgical continuum for each patient under their care. Skilled in post anesthesia recovery care of patient undergoing various types of procedures with different combinations of anesthesia. Responsibilities Opening and closing unit- turn lights on in Waiting Room, unlock front door, remove keys from Pyxis to unlock cabinets, prints daily schedule, gets charts out of cabinet and puts them in order. Checks each patient bay- Suction, airways, ambu bag, O2 tank. Performs QC glucometer. Assigns rooms for patient arrival. Prints H&P 's, orders labs and EKGs where appropriate. Proactively directs the patient plan of care from admission to discharge. Admits and assesses each patient in a timely manner. Follows hospital policies and procedures for patient and procedure verification including all necessary preoperative checks prior to patient going into surgery. Charts allergies and fall risk. Draws labs prn, starts IV prn, notes required documentation on chart and verifies accuracy and timeliness. Gives pre-op meds as ordered. Notes Physician's Orders. Records all medications given on the electronic health record. Provides comfort measures as needed. Safely logs patient belongings and whereabouts. Maintains good communication with patient and family, communicating wait times, delays, etc. Provides education to patients and family both pre-operatively and upon discharge in a manner that its easily understood. Ensures that case management referrals, if any, are completed prior to discharge. Works with Case Management and Social Services as necessary. Calls in prescriptions prn.Provides safe recovery from anesthesia and documents the recovery process. Demonstrates excellent patient assessment skills to initiate immediate post op plan of care. Notifies Anesthesia and the Surgeon of any untoward events during the recovery phase. Uses the Chain of Command as appropriate. Continually monitors patient condition. Asks for help when needed. Documents full assessment of patient according to procedure performed. Promotes a safe environment of care and culture of safety. Demonstrates an active commitment to continuous quality and performance improvement as well as own professional development. Participates in staff meetings and brings best practices to the unit for consideration. Participates in postop calls and communicates when follow-up is needed with Perioperative Coordinator SCU. Communicates patient and family concerns to Periop Coordinator SCU as needed Qualifications Education : Registered Nursing degree, BSN preferred Experience : 2 years experience in an acute Unit, 1 year critical care experience, preferably PACU related Licenses & Certifications : RN License, ACLS, BLS, PALS Required Skills & Knowledge : Strong organization, problem solving skills. Ability to manage priorities and workflow. Willingness to work within constantly changing priorities with enthusiasm and good will towards other team members. Computer literate. Effective communication skills. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $59.94 Maximum: USD $82.42
RN Director of Nursing Full-time
Suncrest Hospice

Assistant Director of Nursing - Registered Nurse (RN)

Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits $120,000-135,000 annually Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Assistant Director of Clinical Services works under the Director to provide overall direction to the hospice clinical team. They are responsible for hiring of qualified hospice personnel: the provision of hospice services, directly, and the delegation to and coordination of hospice personnel evaluations; and establishing standards of care to comply with federal and state regulations and guide­lines. The duties include but are not limited to: Implement policies, procedures, and best practices for operations. Monitoring nursing staff performance and addressing any QA issues Clinical policy and procedure support Assisting the Director in identifying & resolving nursing department deficiencies Monitoring implementation of correction plans Qualifications A strong leader with impeccable organizational, strategic, analytical and project management skills. A solid communicator with exceptional interpersonal skills and a proven ability to motivate, mentor, and influence others. 5 years in healthcare industry preferred At least 1 year in hospice 2 years of experience working in Leadership Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice Reliable transportation, driver's license and vehicle insurance
RN Hospice Full-time
Suncrest Hospice

Hospice Registered Nurse (RN)

Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits Actual Work/Life Balance $50-60/hour Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. This position is a contributing member of the interdisciplinary team, providing expertise regarding psych-social assessments, interventions, and knowledge of community sources. The Registered Nurse (RN) will work in either a Case Management, Admissions, or Resource role. Qualifications Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice Works well within a team environment to collaborate daily with nurses, social workers, chaplains, volunteers, and CNA leadership. Work closely with patients on a 1-1 level but get strong support from a patient care team. Can work independently and on your own from a day-to-day basis with activities which include: phone, email and written communication, meetings with a variety of healthcare professionals, and an understanding of hospice rules and regulations. Time management skills to manage visits, documentation, meetings (i.e.: to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns) Ability to learn an electronic medical records system. Must be willing to drive with reliable transportation, valid driver’s license, and auto insurance, to be able to travel across the service area
RN Hospice Full-time
Suncrest Hospice

Hospice Registered Nurse (RN)

Why Suncrest At Brighton/Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits Actual Work/Life Balance $50-60/hr Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. This position is a contributing member of the interdisciplinary team, providing expertise regarding psych-social assessments, interventions, and knowledge of community sources. The Registered Nurse (RN) will work in either a Case Management, Admissions, or Resource role. Qualifications Current Registered Nurse (RN) licensure (in good standing) in the state(s) of practice Works well within a team environment to collaborate daily with nurses, social workers, chaplains, volunteers, and CNA leadership. Work closely with patients on a 1-1 level but get strong support from a patient care team. Can work independently and on your own from a day-to-day basis with activities which include: phone, email and written communication, meetings with a variety of healthcare professionals, and an understanding of hospice rules and regulations. Time management skills to manage visits, documentation, meetings (i.e.: to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns) Ability to learn an electronic medical records system. Must be willing to drive with reliable transportation, valid driver’s license, and auto insurance, to be able to travel across the service area
RN Telemetry Full-time
Adventist Health

RN, Tele/HVU, Full Time, Day Shift, Up to 10k Hiring Incentive, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. 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.
RN Per Diem
Sonoma Valley Hospital

RN - Surgical Care Unit (Per Diem)

Overview SCU (Surgical Care Unit) RN is responsible for the preoperative preparation and recovering of all surgical patients. Responsible to act as an integral team member and keep patients moving through the unit in a safe, efficient, and timely manner. Able to apply critical thinking skills throughput the surgical continuum for each patient under their care. Skilled in post anesthesia recovery care of patient undergoing various types of procedures with different combinations of anesthesia. Responsibilities Opening and closing unit- turn lights on in Waiting Room, unlock front door, remove keys from Pyxis to unlock cabinets, prints daily schedule, gets charts out of cabinet and puts them in order. Checks each patient bay- Suction, airways, ambu bag, O2 tank. Performs QC glucometer. Assigns rooms for patient arrival. Prints H&P 's, orders labs and EKGs where appropriate. Proactively directs the patient plan of care from admission to discharge. Admits and assesses each patient in a timely manner. Follows hospital policies and procedures for patient and procedure verification including all necessary preoperative checks prior to patient going into surgery. Charts allergies and fall risk. Draws labs prn, starts IV prn, notes required documentation on chart and verifies accuracy and timeliness. Gives pre-op meds as ordered. Notes Physician's Orders. Records all medications given on the electronic health record. Provides comfort measures as needed. Safely logs patient belongings and whereabouts. Maintains good communication with patient and family, communicating wait times, delays, etc. Provides education to patients and family both pre-operatively and upon discharge in a manner that its easily understood. Ensures that case management referrals, if any, are completed prior to discharge. Works with Case Management and Social Services as necessary. Calls in prescriptions prn.Provides safe recovery from anesthesia and documents the recovery process. Demonstrates excellent patient assessment skills to initiate immediate post op plan of care. Notifies Anesthesia and the Surgeon of any untoward events during the recovery phase. Uses the Chain of Command as appropriate. Continually monitors patient condition. Asks for help when needed. Documents full assessment of patient according to procedure performed. Promotes a safe environment of care and culture of safety. Demonstrates an active commitment to continuous quality and performance improvement as well as own professional development. Participates in staff meetings and brings best practices to the unit for consideration. Participates in postop calls and communicates when follow-up is needed with Perioperative Coordinator SCU. Communicates patient and family concerns to Periop Coordinator SCU as needed Qualifications Education : Registered Nursing degree, BSN preferred Experience : 2 years experience in an acute Unit, 1 year critical care experience, preferably PACU related Licenses & Certifications : RN License, ACLS, BLS, PALS Required Skills & Knowledge : Strong organization, problem solving skills. Ability to manage priorities and workflow. Willingness to work within constantly changing priorities with enthusiasm and good will towards other team members. Computer literate. Effective communication skills. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $68.93 Maximum: USD $94.78
RN School Full-time
Gravenstein Union School District

Certificated School Nurse

DISTRICT NURSE:1 day per week.Primary Function: Under the direction of the Superintendent or his/her designee, the Credentialed School Nurse develops and maintains a broad program of health services designed to protect, maintain and enhance the health of students. The School Nurse will identify and assist in the removal or modification of health-related barriers to learning. The major focus of school health services is the prevention of illness and disability, and the early detection and correction of health problems.Duties include but are not limited to:Maintain and review student health record to identify and interpret present and potential health problems to staffCoordinate and monitor student medication and treatmentDesign, implement and monitor individualized health care plans for students with health conditions to assure that their health needs are being met in the school setting.Serve as a contributing member to student support programs such as Student Study Team, Student Attendance Review Team, 504 Plan Team and/or IEP Team to report results of student health assessments and pertinent health information.Conduct state mandated health screenings (e.g. vision and hearing). Provide the appropriate follow-up.Act as liaison between families, staff, health care providers, and community agencies regarding students' health needs.Assist in planning and providing emergency health care for illness or injury of students/staff on school premises.Assist in the control and prevention of communicable disease by coordinating with community public health agencies and providing information to staff, students and parents about protective measures against communicable diseases.Fulfill the mandated responsibilities related to child abuse and neglect.
RN Med-Surg Per Diem
Sonoma Valley Hospital

RN - Med/Surg (Per Diem)

Overview The Registered Nurse (RN) is an integral part of the patient care team. The RN assists in the delivery of high quality, individualized patient care. The RN autonomously practices within the scope of RN licensure as defined by the California Board of Registered Nursing, and the Nurse Practice Act. The RN advocates for patients and their families, the care team and the organization. The RN designs and carries out the plan of care utilizing the nursing process of assessment, diagnosing, planning, implementing and evaluation. Responsibilities Is aware of patient presenting problem, and past medical history. Completes head-to-toe assessment and gathers relevant patient data (vital signs, labs, etc.) to gain clear understanding of patient status. Monitors for improvement or deterioration of status and intervenes as appropriate. Notifies MD of changes in status. Accurately and safely administers medications per orders; scans 90% or more of all administered medications. Titrates infusions per organizational protocols. Assesses and documents patient response per policy. Functions as part of an interdisciplinary team by working collaboratively with physical therapy, case management, respiratory therapy, nutrition, pharmacy and the MD; attends interdisciplinary rounds and reports nursing specific knowledge and assessment data to the team. Advocates for the patient and family. Facilitates communication between disciplines, the patient and family; utilizes the patient white board as a communication tool and ensures it is complete and up to date at the start of each shift. Provides a hand-off that is concise and accurate, and utilizes an SBAR format. Ensures hand-offs include a bedside check for safety and patient belongings, chart check for new orders and results, and items needing follow-up Is familiar with organizational goals relating to patient 5 Star experience, and has a basic grasp of HCAHPS scores and Service Excellence. Models professional behaviors Supports a safe and healing environment for each patient by keeping rooms neat and tidy, and free from clutter. Ensures all patient safety interventions are in place at all times - such as keeping the call light and patient belongings within reach of the patient; bed/chair alarms are on and functioning; and/or all other patient specific safety interventions are in place. Recognizes importance of customer service, is welcoming and friendly. Assists and guides visitors as needed, answers the phone with a professional manner and tone. Is sensitive to cultural differences and treats all people with respect and compassion. Maintains a professional personal appearance and manner at all times, in accordance with SVH policy. Supports a healthy working environment by volunteering discretionary effort constantly, is curious and not judgmental, maintains a positive attitude and fosters a spirit of teamwork among all disciplines. Seeks solutions and engages in problem-solving, avoiding gossip and negativity. Offers expert teaching and advice to all members of the team. Supports a safe working environment by keeping hallways and workstations free of equipment and clutter. Puts equipment and unused supplies away when no longer needed. Submits work orders for faulty or broken equipment to appropriate team (Biomed, Engineering, IT). Cleans and disinfects equipment per SVH Infection Prevention policy. Performs hand hygiene before and after every patient interaction and when hands are visibly soiled. Reports unanticipated events as appropriate via the Midas System Has basic understanding of the impact of healthcare reimbursement on revenue; practices financial stewardship by not overusing or wasting supplies; practices good time management to avoid incidental overtime; completes accurate documentation in a timely manner, particularly as it pertains to the discharge process, to ensure appropriate charges are captured as needed. Supports throughput efforts for timely transitions of care Maintains personal responsibility for keeping all employment requirements in good standing, including but not limited to California license to practice, BLS certification, annual employee health requirements and annual employee education requirements (i.e.Healthstreams, skills lab.) Qualifications Education : Graduate of an accredited nursing program. BSN preferred. Experience : Minimum of 2 years of Acute Care experience, with additional experience in telemetry Licenses & Certifications : Current RN license by the State of California; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) by an American Heart Association approved provider. Required Skills & Knowledge : Proficient computer skills, strong critical thinking and analytical skills, multi-tasking and time management skills. Ability to provide care that is thorough, compassionate, and non-judgmental. Compensation Actual compensation is influenced by a wide array of factors including but not limited to level of experience, education, special skills and/or certifications. Minimum: USD $65.65 Maximum: USD $90.27
RN Manager/Supervisor Part-time
Sonoma Valley Hospital

Nursing Supervisor (Night Shift, Part Time, 24 hrs per week)

Overview The Nursing Supervisor has 24/7 Administrative and Operational responsibility for the organization. They perform under the authority of executive leadership. Operationally, they are responsible for patient safety, quality, staff education and service excellence. The Nursing Supervisor is a fiscal steward for the organization collaborating with nursing and ancillary leaders in problem solving staffing roles and responsibilities. The Nursing Supervisor is able to cover nurse staffing in ICU, ED and Med/Surg. Responsibilities 24/7 operational and administrative oversight for the organization. The Nursing Supervisor acts independently in the absence of leadership and collaborates with the Administrator on Call, Nursing and Ancillary leaders as appropriate. Knows hospital strategic plan and aligns resources and objectives to achieve. Exhibits confidence in self and others; inspires respect and trust. Holds employees accountable to values, clinical standards, accepted behaviors and confronts unsatisfactory performance promptly and fairly. Provides developmental opportunities for continuous learning and skill building. Collaborates with leaders for education training initiatives for staff. Provides for safe and effective staffing of all nursing departments and respiratory therapy. Seeks to fill unplanned vacancies in staffing through collaboration with off duty staff and professional registries. Facilitates break relief and can relieve nursing personnel in ICU, M/S and the ED. Responds to Code Blue, RRT and Code Stroke Attends to plant operational issues (fire alarms, oxygen alarms, etc.) in timely manner and collaborates with engineer on call. Resets alarms and/or performs fire watch if indicated. Retrieves equipment and/or supplies as needed by nursing and/or ancillary departments Documents Nurse, RT and Hospitalist staffing in hospital computer system. Uploads nursing acuities in hospital computer system and determines appropriate staffing based on Title 22 staffing ratios and/or acuity calculation; whichever is greater. Knowledge of Title 22, CIHQ and CMS standards and conditions of participation. Emails End of Shift Report to Leadership Participates in performance improvement activities as it pertains to nursing department with focus on patient flow, staffing efficiency and resource utilization. Assures timely transfer of admissions from the Emergency Department to patient care areas. Assists Employee Health in determining compliance of, and administration of, seasonal flu vaccinations, mask fit testing , TB screening & questionnaire compliance. Role models service excellence behaviors: AIDET, rounding, monitors employee compliance to white boards and holds staff accountable to service excellence standards. Maintains certifications, provides staffing availability according to department policy, completes annual educational requirements During off hours, immediately assumes role of Incident Commander during identified disaster responses. Contacts Administrator on Call for further instruction. Maintains role until handed off to more senior administrator. Qualifications Education : Graduate of accredited RN program BSN or MS preferred Experience : 5 years acute care nursing experience. Critical Care/ED preferred 1 year or more Nursing Supervisor experience preferred Licenses & Certifications : California RN license, BLS, ACLS, PALS Required Skills & Knowledge : Able to assess, plan, implement and act independently in the day to day operations of the facility. This includes nursing and ancillary services and plant operations as well. The Nursing Supervisor is the eyes and ears of Administration and have demonstrated strong leadership and managerial ability. They maintain basic nursing skills in ICU, ED and Med/Surg. Compensation Actual compensation is influenced by a wide array of factors including but not limited to level of experience, education, special skills and/or certifications. Minimum: USD $62.94 Maximum: USD $86.54
RN Full-time
Wellpath

Registered Nurse (RN)

You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference As a Registered Nurse (RN), your primary responsibility is to provide patient care using the nursing process of assessment, planning, implementation, and evaluation. You will work under the supervision of Charge Nurse(s) to provide patient education and activities in accordance with your competencies and education. This role requires excellent communication and critical thinking skills to ensure optimal patient outcomes. Key Responsibilities Assist in assessing and planning individual treatment programs, consulting with Charge Nurse(s) and other staff as necessary. Implement medical plans by administering medications, obtaining diagnostic tests, and assisting with medical or minor surgical procedures as needed. Count controlled substances and implement clinical and technical aspects of care in accordance with established policies, procedures, and protocols. Document nursing encounters using the SOAP form of charting as required by policy and attend mandatory staff meetings and training. Communicate information to nursing staff, physician, health care unit supervisory personnel or other staff as necessary. Qualifications & Requirements Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Registered Nurse within the state of employment. Must be able to obtain and maintain CPR certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
RN Full-time
Wellpath

Registered Nurse (RN) - Nights

Why Wellpath Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. About this role As a Registered Nurse (RN), your primary responsibility is to provide patient care using the nursing process of assessment, planning, implementation, and evaluation. You will work under the supervision of Charge Nurse(s) to provide patient education and activities in accordance with your competencies and education. This role requires excellent communication and critical thinking skills to ensure optimal patient outcomes. What you bring to the table Education Graduate from an accredited school of nursing. Experience Prefer a minimum of one (1) year clinic experience Licenses/Certifications Have and maintain current licensure as a Registered Nurse within the state of employment. Must be able to obtain and maintain CPR certification. What you will do Assist in assessing and planning individual treatment programs, consulting with Charge Nurse(s) and other staff as necessary. Implement medical plans by administering medications, obtaining diagnostic tests, and assisting with medical or minor surgical procedures as needed. Count controlled substances and implement clinical and technical aspects of care in accordance with established policies, procedures, and protocols. Document nursing encounters using the SOAP form of charting as required by policy and attend mandatory staff meetings and training. Communicate information to nursing staff, physician, health care unit supervisory personnel or other staff as necessary. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.