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

CNA

Certified Nursing Assistant-M/S Clinical Decision Unit

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

Surgical Tech

Part-time

Surgical Tech

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

Charge Nurse- ICCU-3W

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

Registered Nurse- OB Postpartum

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

CMA

Medical Assistant

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

NP

Physician Assistant or Nurse Practitioner

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

Utilization Review

RN Peer Review Coordinator

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

CMA

apartment Kaweah Health location_onExeter, CA

Medical Assistant

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

Manager/Supervisor

Charge Nurse- M/S Broderick Pavillion-3E

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

Home Health

Registered Nurse- Home Health

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

Med-Surg

Registered Nurse- Medical/Surgical-3N

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

Assistant Nurse Manager-Intensive Care-ICU-2W

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

RN-Admissions/Transfer Center

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

NP

RN-Nurse Practitioner - Skilled Nursing

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

Med-Surg

RN- Lead Mentor- Medical/ Surgical

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

ICU

RN-Lead Mentor- Critical Care

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

Nurse Manager Acute Psych - Nights

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 10 Hour Shift (United States of America) Department 6341 Acute Psych The purpose of this position is to provide 24/7 oversight of efficient operations to meet the holistic needs of the patients and families served. Demonstrates high-level leadership accountability in assuring staff competency, financial responsibility, and enhancing Kaweah Health's mission and vision to achieve strategic priorities. QUALIFICATIONS License /Certification Required: CA RN license BLS Kaweah Health approved crisis intervention training within 60 days of hire/transfer. Education Preferred: Bachelor's degree in relevant field Experience Preferred: Clinical area expertise Supervisory experience Knowledge/Skills/Abilities Excellent written and oral communication skills. Effective interpersonal skills, critical thinking and creative problem solving. JOB RESPONSIBILITIES Essential Demonstrates a knowledge and understanding of Joint Commission standards California's Nursing Practice Act Applicable sections of Title 22 and 17 Applicable Federal guidelines and regulations including HIPPA Policies and procedures for areas supervised National standards for areas supervised Has 24-hour responsibility for the quality of care and performance improvement activities in area of supervision. Organizes patient care and service in areas supervised. In collaboration with the Director and in congruence with the Kaweah Health and unit plan for patient care, based on available staff and the needs of the patient. Demonstrates and utilizes expert knowledge and skills in the area(s) of practice. Assists staff with clinical assessment and decision-making. Responds to unexpected staff shortages by maximizing available resources and assisting staff in the prioritization of patient care needs. Understands the principles of utilization and case management. Ensures that patient care needs are met in a timely manner and that patient care is coordinated across the continuum of services and sites. Coordinates and participates in patient discharge and planning rounds. Demonstrates awareness of the needs and preferences of the medical care providers and provides excellent service. Monitors patients daily through rounds and feedback. Monitors patient care documentation to ensure the adequacy of patient information and compliance with regulatory standards. Uses the Statement of Concern process to report patient care issues. Uses patient satisfaction data to improve care and service. Knows and utilizes the Medical Staff and Kaweah Health chains-of-command. Assesses and documents the competency of each staff member hired for the areas supervised. Collaborates with the Educator on the orientation plan for new staff. Evaluates staff annually. Completes the performance appraisals within 30 days of the due date. Identifies performance or education issues through observation, monitoring patient care outcomes and processes, and promptly communicates concerns to the staff member/s. Uses research findings in the development of policies, procedures, and practice guidelines for patient/resident care. Shares research information with others. Assesses float staff and determines the minimal competencies for staff floated into areas supervised. Utilizes HR policies and procedures to ensure Kaweah Health employment standards are met. Provides adequate staff resources for carrying out the unit plan of care: Demonstrates knowledge of patient classification tools and Title 22 requirements related to patient classification. Uses the patient classification tool to direct staffing. Holds staff accountable for knowledge of and use of patient classification. Responsible for preparing staff schedules that meet the needs of the patient population and average daily census. Interviews and hires new employees. Accountable for attraction and appreciation of staff. Contributes to staff development by assuring continuing education and in-services are available to staff. Communicates effectively with key constituencies: Seeks and listens to feedback from key stakeholders: patients, physicians, staff, and other departments/units. Communicates effectively with other patient care leaders. Communicates and cooperates with other Nurse Managers, Bed Manager and Staffing Facilitators to ensure patient care and staffing resources are coordinated. Actively participates in assigned meetings and projects. Responds promptly to communication from others. Uses e-mail responsibly. Coordinates patient care and service between departments and disciplines. Practice is guided by the Code for Nurses: Decisions and actions on behalf of patients/residents and staff are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient advocate and coaches/mentors staff in advocating for patients. Role models the delivery of patient care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity, and rights. Pay Range $59.92 -$89.88 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

RN-Nurse Liaison

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 6441 Administration-KHRH The RN Nurse Liaison is involved in assessment and evaluation of patient referrals to health care services. Works in collaboration with Case Management and multidisciplinary team to assist with coordination of admission process for services. QUALIFICATIONS License /Certification Required: Current California RN license BLS Preferred: Completion of specialty certification Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Preferred: Two years of patient care experience in appropriate service area. Department Specific Requirements If assigned to Administration-KDMHH: requires Crisis Prevention Institute (CPI) certification in Nonviolent Crisis Intervention within 60 days of hire. If assigned to Home Health: prefer five years of home health experience as well as a Bachelor's degree in Nursing, Business or healthcare. JOB RESPONSIBILITIES Essential Responds to inquiries about services within one working day. Provides program information in a professional and thorough manner. Develops a positive working relationship with all physicians and staff involved in the referral and patient transfer process. Upon receiving patient referrals, performs a site visit within 24 hours (M-F). Reviews medical information, and assesses patient based on relevant program admission criteria. Provides agency/facility choice and documents choice and assessment on appropriate forms. Discusses program and patient needs with patient, family, physicians and staff to obtain a complete patient profile. Involves all parties, but particularly the patient and/or family in the decision making process regarding transfer. Communicates with Medical Director to make final determination regarding appropriateness of admission if applicable. Establishes the availability of funds for the services required. Communicates with patient and appropriate administrative and patient accounting personnel throughout the process. Communicates with patient, family, referral source, physician, and/or others as appropriate regarding admission process and date. Provides information regarding other options if admission is not possible. Communicates with unit staff and leadership concerning the admission date, bed needs, and special needs/equipment of patient to be admitted. Represents and markets the program(s) to the community. Maintains monthly statistics through referral log. Addendum (essential for specific dept) RH LIAISON: Determines placement of patient to a bed utilizing utilization guidelines/criteria, diagnosis, and physician preference, unit activity, and staffing factors. Attends admission meetings. Assists to ensure admission/UR criteria are consistent with reimbursement objectives. Identifies potentially inappropriate admissions, working with physician and physician office staff for correct classification of patient. When an admission designation cannot be made or agreed upon, utilizes Case Management and Medical Director in making a determination. Notifies attending physician and Case Manager on unit of pending problems and UR issues. Acute to acute transfers with accepting MD, obtains patient condition report (VS, H&P, Treatment Plan, Level of Care) and authorization for ambulance/acute care from transferring facility. Verifies MD acceptance of patient. Gives transfer facility number/name of accepting unit. Initiates unit assignment for appropriate level of care, i.e., based upon patient status and previous admission activity. Communicates pertinent information, such as infections, diseases. Acts as a liaison with physician office staff for the purpose of promoting the KH concept of continuity of care by supporting the ADT based process. (Acts as a patient advocate in determining that the level/classification of care is correct and appropriate.) Attends Physician Office Staff meeting. Educates physician and office staff on admitting process, required information, etc. Communicates with appropriate physicians, nursing managers, house supervisor and staffing facilitators when a shortage of available beds or staffing occurs. Works with the nursing staff and physicians to transfer or discharge patients if appropriate, during bed shortage. Follows disaster plan as appropriate. Accepts and records physician orders when necessary and is responsible for the delivery of orders to the appropriate nursing unit. Completes order communication before the patient has arrived. Has knowledge base of skilled nursing admission criteria verses acute rehab and assessment. Assures all intake information is complete and accurate including patient information (phone number and address) physician information (name, address, phone number, fax number) and insurance information. Responsible for securing and documenting all insurance authorizations and reauthorizations on assigned cases working closely with agency case managers to assure all visits are authorized. CONTINUUM OF CARE: starts admission process by clarifying correct patient status. TEAM MEMBER OF PATIENT ACCESS: Facilitates and enhances communication, displaying honesty and respect. No complaints received. Promotes a cooperative working relationship with the patient care areas, physician/clinic office staff, physicians, other disciplines and public. Maintains focus on patient. No complaints received. Assists with training of other staff members on electronic bed monitoring system and job functions, attaining correct admission orders and diagnosis. HH LIAISON: Assures all intake information is complete and accurate including patient information (phone numbers and address) physician information (name, address, phone number, fax number and insurance information). Manages all outside referrals and accepts referrals based on policy assuring that outside hospital referrals have a local physician that has agreed to follow the patient. Obtains physician orders on all new referrals and resumes. Initiates face to face form, filling out the patient and physician name puts together with the referral packet. HOSPICE LIAISON: Coordinates with Hospice Medical Director and Palliative Care Coordinator to provide patients and/or families with all necessary information on services in order to make an informed decision on Hospice vs. Palliative Care. Evaluates Inpatient Hospice and/or Palliative care referrals medically in order to provide Hospice Medical Director with the necessary assessment data to determine hospice eligibility. Consults on Inpatient Palliative and Comfort Care patients as requested by the Hospice Medical Director. Coordinates with hospital and hospice staff to facilitate discharge with hospice to include; discharge orders, DME, transportation and discharge time/admit time. Meets with Inpatient Unit managers, attend staff meetings and provide information/inservices to hospital clinicians regarding Hospice services. Evaluates potential patients for hospice eligibility at other hospitals, facilities and in private homes as needed. Participates in community outreach and marketing to physicians, long term care facilities and assisted living facilities. Provides in-services to care facilities as needed. Participates as Administrator On Call. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

LVN

LVN- Skilled Nursing

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6562 Subacute Carries a full patient assignment in the skilled nursing or acute rehabilitation environment. Has overall responsibility for the patient care needs of each assigned patient during their shift. QUALIFICATIONS License /Certification Required: CA Licensed Vocational Nurse BLS Intravenous therapy certification and blood withdrawal certification within six months of hire/transfer. Experience Preferred: Experience in a skilled nursing or acute rehabilitation settings. Department Specific Requirements For Sub Acute: requires six months experience within the past two years working in a general acute care facility, or an acquired equivalent experience appropriate to the type of subacute patient the facility provides care for. JOB RESPONSIBILITIES Essential Practice is guided by the practice outlined by the LVN Board for State of California and is provided under the direction of physician or RN. Uses and practices basic assessment (data collection). Observes assigned patients, charting and reporting changes in patients’ conditions and taking any necessary action. Measures and records vital signs, intake and output. Performs point of care testing, etc. Provides basic patient care and treatments. Assists patients with activities of daily living and mobility needs. Administers prescribed medications or start intravenous fluids and administer blood products. Collects samples, administers skin tests and vaccinations. Participates in planning, executes interventions in accordance with the treatment plan and contributes to the evaluation of nursing intervention outcomes, conferring with other health care team members as necessary. Collaborates and communicates with the patient/resident, family, and other health care providers. Contributes to the development and implementation of a teaching plan related to self care for the patient. Acts as a patient/resident advocate under the direction of the RN. Makes referrals, including provisions for continuity of care, as needed. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams. Actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality and privacy within legal and regulatory parameters. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $30.17 -$45.26 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Oncology

Part-time

Per Diem RN-Oncology Office

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7641 SRCC Medical Oncology-Visalia To provide cancer patients with the continuum of nursing care that is required in Medical Oncology. The primary purpose is to provide chemotherapy infusion and related treatment. QUALIFICATIONS License /Certification Required: CA RN license BLS Preferred: National certification as Oncology Certified Nurse Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program Experience Required: One year RN experience or LVN IV experience JOB RESPONSIBILITIES Essential Mixes chemotherapy drugs as prescribed by physician after passing competency test. Provides chemotherapy administration in a manner that is consistent with Oncology Nursing Society standards. Provides appropriate functions prior to administration of chemotherapy including consent, insurance approval, and verification of dosage. Accurately provides patient and family education on chemotherapy, side effects, symptom management, and community resources i.e.: American Cancer Society, support groups. Provides appropriate telephone triage for patients and families. Answers telephone in a courteous, professional manner. Accurately inputs patient charges and credits into billing systems as instructed. Inspects and documents medication inventory according to procedures. Maintains competency in the use and care of all venous access devices, central lines. Oversees and directs the work of all staff involved with blood sampling, performing CBC test in addition to performing quality controls for the SYSMEX-KX21. Participates in quality improvement activities as assigned. Documents the orientation and training related to blood sampling and related testing for all staff. Assists in maintaining a clean and orderly work environment. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $53.41 -$80.12 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

RN- Rapid Response Nurse

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6193 Rapid Response Team The Rapid Response Nurse utilizes the nursing process (assessment, planning, implementation and evaluation) to delegate, coordinate, collaborate and provide safe therapeutic nursing care to at-risk non-critical care patients early in their course and rapidly mobilize appropriate multidisciplinary resources. The Rapid Response Nurse will also respond to the patient in crisis. Once an RRT has been activated, the Rapid Response Nurse, acts as the leader of the multidisciplinary team, to assess the patient, make judgments/decisions, notifies the attending Physician/Intensivist and takes action regarding a wide range of routine and complex patient issues, operating under guidelines of the Rapid Response Team Standardized Procedures. In addition to assessment and treatment, the Rapid Response Nurse is responsible for documenting the interventions employed and providing a debriefing session for the bedside nursing staff as an educational opportunity QUALIFICATIONS License /Certification Required: CA RN License BLS ACLS NIHSS stroke certification from American Stroke Association within 60 days of hire/transfer. Kaweah Health approved crisis intervention training within 60 days of hire/transfer. CCRN from American Association of Critical-Care Nurses within one year of hire/transfer. Preferred: Trauma Nursing Core Course (TNCC) provider card PALS Education Preferred: BSN, MSN or currently enrolled in RN-BSN program Experience Required: Minimum of two years RN experience in Critical Care. Knowledge/Skills/Abilities Critical Care clinical knowledge and experience of managing patients in crisis. Skills in handling emergency and life-threatening situations. Effective communicator in a multidisciplinary setting. Teamwork oriented. Positive, caring and customer service oriented attitude. JOB RESPONSIBILITIES Essential The nurse’s practice is guided by the Code of Ethics. Professional Behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patient/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient advocate and assists patient in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes the nursing process – assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome Identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collections clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice and/or patient outcomes. Assists in development and implementation of policies, procedures and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient care. Participates in QI studies; involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies the problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Collaborates and communicates with the patient, family and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patients in decisions related to care and the delivery of services. Makes referrals, including provisions for continuity of care, as needed. Demonstrates the ability to assess and interpret diagnostic data relative to patient age and condition, including, but not limited to lab results, non-invasive and invasive monitoring data and interdisciplinary team notes. Nursing practice reflects the application of knowledge and skills pertaining to all diagnoses, procedures, medications, complications and equipment associated with unit patient population. Responds to all Code Blue, RRT, Sepsis Alert, Trauma Alert and Stroke Alert pages. Directs care of the patient using advanced critical care assessment skills and standardized procedures for the stabilization of the medically compromised patient. Communicates critical information with the primary care physician using SBAR format. Ensures orders are carried out. Uses Medical Staff chain of command when necessary. Uses excellent communication and teamwork skills with the primary nursing team of the medically compromised patient. Directs the team in the care of the patient until transfer or stabilization. Communicates clearly with the Intensivist in-house when needed, using SBAR format. Follows recommendations and ensures that orders are carried out. Assists the primary nursing team in transport of the patient when ordered using appropriate emergency medical equipment and personnel. Assists the primary nursing team in the hand off of the patient in the care of transfer. Assists with the care of the patient until successful hand off has occurred and adequate resources to attend to the patient are available. Conducts debriefings with nurses involved in RRTs to evaluate the process and provide feedback and education. Provides positive feedback or constructive criticism, in an appropriate manner, to all involved in the event. Functions as a resource for all RNs on duty. Performs daily rounds for at-risk patients on in-patient units. Serves as an “impact” nurse, assisting with patient care duties in all critical care areas (ICU, CVICU, ED, ICCU) as requested by team leads or house supervisor. Provides bedside care and may be assigned patients in times of census need. Attends 75% of RRT Quality Focus Team committee meetings and RRT staff meetings. Assists with data collection and process improvement initiatives as needed. Reports data to appropriate committees as needed. Conducts in-services to promote staff nurse education related to emergency situations including mock codes for in-patient units. Attends quarterly departmental (for assigned in-patient departments) staff meetings to convey feedback from STARRS University and recent debriefings. Maintains ongoing RRT education to continue to grow in the RRT field. Addendum IF ACTING AS LEAD ALSO RESPONSIBLE FOR Serves as a Rapid Response Nurse, responding swiftly to emergency situations within the healthcare facility. Leads and coordinates the Rapid Response Team, ensuring efficient deployment and optimal patient outcomes. Drives quality improvement initiatives and participates in performance improvement projects and committees. Facilitates observation shift scheduling for residents and RNs to optimize patient monitoring and care. Assists with scheduling and coordination of RRT shifts to maintain coverage and support team efficiency. Promotes and facilitates educational opportunities for staff development and competency enhancement. Collaborates with multidisciplinary teams to enhance patient care protocols and outcomes. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan of Provision of Care. Performs other duties as assigned. Pay Range $47.35 -$71.03 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

CVICU

Registered Nurse-Cardiovascular ICU-CVICU

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6030 Cardiovascular ICU-CVICU The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process-assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

CVICU

Registered Nurse- Cardiovascular-ICU-CVICU

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 12.5 Hour Shift (United States of America) Department 6030 Cardiovascular ICU-CVICU The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process-assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Utilization Review

RN Case Manager (Utilization Review Experience Preferred)