All jobs

Nurse Manager - Medical/Surgical 3N

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 6172 Medical/Surgical-3NThe 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 3 North is a 37 bed medical surgical unit specializing in general and traumatic surgical patients. GSW, stabbings, BKAs, AKAs, MVC victims, wounds, uncontrolled diabetes, pneumonia, cholecystectomy patients, bowel resections, I & D’s and just about anything else that you can think of!\ Unit details: Number of total positions on Unit : 110 Average patient ratio : 1:5 Planned expansion (and timeframe): Total number of beds in the unit : 37 Average census, census range : 34-37 Length of Patient Stay : 4.5 days 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.

Nurse Manager - Medical/Surgical 3N

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 6172 Medical/Surgical-3N 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 3 North is a 37 bed medical surgical unit specializing in general and traumatic surgical patients. GSW, stabbings, BKAs, AKAs, MVC victims, wounds, uncontrolled diabetes, pneumonia, cholecystectomy patients, bowel resections, I & D’s and just about anything else that you can think of!\ Unit details: Number of total positions on Unit : 110 Average patient ratio : 1:5 Planned expansion (and timeframe): Total number of beds in the unit : 37 Average census, census range : 34-37 Length of Patient Stay : 4.5 days 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

Full-time

RN-Cardiovascular Quality & Data Coordinator

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7021 Co-Mgmt Program-CardiovascularThe RN-Cardiovascular Quality & Data Coordinator is responsible for supporting quality improvement initiatives across the cardiovascular service line by collecting, extracting, and analyzing clinical data to ensure compliance with national standards, regulatory requirements, and hospital performance goals. This role collaborates with physicians, nursing staff, administrators, and quality teams to drive excellence in patient outcomes, safety, and care delivery. QUALIFICATIONS License /Certification Required: CA RN license Preferred: Certification in Quality, Cardiac Nursing, or related specialty preferred (e.g., CPHQ, CVRN). Education Required: Bachelor's degree Preferred: Master’s degree in nursing, Healthcare Administration, Public Health, or related field. Experience Required: Minimum of two years of clinical experience in cardiac or cardiovascular. Preferred: Experience in quality management, clinical data analysis, or registry data submission. Knowledge/Skills/Abilities Strong analytical and critical thinking skills with the ability to interpret complex data. Proficiency in Microsoft Excel, databases, and electronic health record (EHR) systems. Excellent written and verbal communication skills. Ability to collaborate effectively with multidisciplinary teams. Knowledge of national cardiovascular quality programs, measures, and registries. JOB RESPONSIBILITIES Essential Collects, extracts, validates, and analyzes cardiovascular clinical data from electronic health records and other reporting systems. Prepares and submits data to national registries (e.g., ACC, STS, CDR, AHA, CMS quality measures) and internal stakeholders. Identifies trends, variances, and opportunities for improvement related to patient safety, clinical outcomes, and process measures. Partners with leadership, physicians, and frontline staff to implement evidence-based best practices and performance improvement initiatives. Assists in the development of action plans and track progress toward quality goals. Monitors compliance with accreditation standards, regulatory requirements, and organizational policies. Develops and delivers quality and performance improvement reports, dashboards, and presentations. Participates in multidisciplinary committees, workgroups, and service line planning meetings. Educates staff on documentation requirements, quality metrics, and improvement initiatives. Evaluates processes and apply appropriate tools to current projects. Serves as a subject matter expert for cardiovascular quality improvement activities within the service line. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Performs other duties as assigned. Pay Range $47.35 -$71.03 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

RN

OR

Full-time

RN- Cardiac First Assist- Cardiac Surgery

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7570 Cardiac Cath LabTo assist on all surgical procedures under the direction of the surgeon as stated in the essential functions granted to the RNFA. QUALIFICATIONS License /Certification Required: CA RN License CNOR BLS ACLS within one year of hire/transfer. Education Required: Completion of recognized RNFA training program. Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Required: At least two years of perioperative RN experience, preferably in the scrub as well as the circulating role. JOB RESPONSIBILITIES Essential RN Cardiac First Assistant Assists on all cardiovascular surgical procedures as directed by the surgeon. Functions as the first assistant at surgery in the general and obstetric surgical suites. Assists the surgeon by providing intraoperative tissue retraction. Assists with intraoperative hemostasis. Assists with intraoperative tissue manipulation. Uses surgical instruments and suture material to manipulate tissue as directed by the surgeon. Assists with intraoperative wound closure. Sutures tissue, using instruments and suture material as directed by the surgeon. Preoperative- assists with: review of procedure prior to the case; opening and set up of the operating room suite; either preoperative counts or patient assessment as coordinated with the circulating RN; transfer of the patient to the OR bed; anesthesia induction if requested to do so by the circulating RN; and positioning the patient for the surgical procedure. Interoperative- scrub in and assist in the draping of the patient; assist the surgeon within the parameters of standardized procedures; and assist in counts as needed. Postoperative- assists with: the application of the patient's dressings; transfer from the OR bed; accompany the patient to the PACU if required; and clean up and turn over of the operating room. May assist with specialty procedures including minimally invasive vein/arterial harvesting, closure of deep fascia layer, insertion of invasive monitoring lines and cardiac sternal wound closure. RN Circulator Assesses basic patient needs, including recognition of abnormal diagnostic data, and potential problems related to the proposed surgical intervention and communicates appropriate information to the physician and other members of the surgical team. Provides the ability to modify assessment criteria based on the age of the patient, psychosocial and physical needs. Implements patient's plan of care by evaluating patient's response to care, organizes and adjusts assignment according to patient needs. Facilitates patient transfer to appropriate postoperative unit, ensuring patient safety and communication with receiving patient care staff. Demonstrates understanding in use of patient care equipment and instrumentation. Responsible for knowledge of emergency equipment and supplies, including the crash cart, airway management cart, and the malignant hypothermia cart. Timely written referral of any malfunctioning or defective equipment. Assures that all medications are administered properly 100% of the time, including IV's as prescribed by physician; knows actions, indications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to the patient. Maintains clear communication and rapport with patient/family as appropriate for setting. Gives and documents emotional support and keeps patient/family informed of progress. Assures that patient's personal hygiene needs are met, immediate environment is clean and safe. Maintains a current and complete medical record. Coordinates admission, transfer and discharge of patient with appropriate personnel and documents observations, assessment treatments and outcome as necessary. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $57.61 -$86.42 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

RN

Per Diem

Per Diem Registered Nurse- Acute Rehab

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6440 Acute RehabThe purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Job Responsibilities Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $53.41 -$80.12 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Assistant Nurse Manager-Labor Delivery

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 10 Hour Shift (United States of America) Department 7400 Labor DeliveryUnder the direction of the nurse manager, the purpose of this position is to assist with oversight of efficient operations to meet the holistic needs of the patients and families served. Demonstrates high-level leadership accountability in assuring staff competency, financial responsibility, and enhancing Kaweah Health's mission and vision to achieve strategic priorities. You will lead an active and progressive antepartum/ intrapartum unit that consists of 21 labor beds, 7 triage beds, 3 NST beds, 3 Operating Rooms and 3 PACU rooms. Average monthly deliveries are 350 - 400 with a 32% cesarean section rate. Triage sees an average of 700 patients per month. Nights position 4 - 10 hour shifts per week Special Services/Programs/Projects: 24 hour Obstetrician/Laborist available. Onsite coverage 12 hrs night shift every day and 24hr weekends, and off site coverage 12 hr day shift Monday – Friday. 24 hour OB Anesthesia On site 24 hour Neonatologist and Pediatric Hospitalist on site 24 hour Maternal Fetal Medicine Physician available by telephone. Physicians make rounds on antepartum patients daily for consults. QUALIFICATIONS License /Certification Required: CA RN license BLS Kaweah Health approved crisis intervention training within 60 days of hire/transfer Neonatal Resuscitation Program (NRP) Provider within six months of hire Education Preferred: Bachelor's degree in relevant field within three years of hire/transfer Experience Preferred: Expertise in clinical area Supervisory experience or training Knowledge/Skills/Abilities Excellent written and oral communication skills Effective interpersonal skills, critical thinking and creative problem solving skills JOB RESPONSIBILITIES Essential Understands the principles of utilization and case management. Ensures that patient care needs are met in a timely manner and that patient care is coordinated across the continuum of services and sites. Demonstrates awareness of the needs and preferences of the medical care providers and provides excellent service. Monitors patients daily through rounds and feedback. Monitors patient care documentation to ensure the adequacy of patient information and compliance with regulatory standards. Uses the Statement of Concern process to report patient care issues. Uses patient satisfaction data to improve care and service. Knows and utilizes the Medical Staff and Kaweah Health chains-of-command. Collaborates with the Nurse Manager/ Educator on the orientation plan for new staff. Identifies performance or education issues through observation, monitoring patient care outcomes and processes, and promptly communicates concerns to appropriate Nurse Manager and Educator. Assesses float staff and determines the minimal competencies for staff floated into areas supervised. Utilizes HR policies and procedures to ensure Kaweah Health employment standards are met. Provides adequate staff resources for carrying out the unit plan of care: Demonstrates knowledge of patient classification tools and Title 22 requirements related to patient classification. Uses the patient classification tool to direct staffing. Holds staff accountable for knowledge of and use of patient classification. Participates in interviewing new employees. Assists in recruitment and retention of staff. Contributes to staff development by assuring continuing education and in-services are available to staff. Communicates effectively with key constituencies: Seeks and listens to feedback from key stakeholders: patients, physicians, staff, and other departments/units. Communicates effectively with other patient care leaders. Communicates and cooperates with Nurse Managers, Directors, Nursing Supervisor, and Staffing Facilitators to ensure patient care and staffing resources are coordinated. Actively participates in assigned meetings and projects. Responds promptly to communication from others. Uses e-mail responsibly. Coordinates patient care and service between Units and KH departments/disciplines. Practice is guided by the Code for Nurses: Decisions and actions on behalf of patients/residents and staff are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient advocate and coaches/mentors staff in advocating for patients. Role models the delivery of patient care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity, and rights. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Pay Range $53.27 -$79.91 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

NP

Part-time

Nurse Practitioner-Clinics

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Part-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7024 KH Medical Clinic - Ben MaddoxTo function as a member of a health care team to deliver quality health care while working alongside and under the supervision of a physician. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS NP Certification by national certification board and Master’s degree in Nursing or Doctor of Nursing Practice degree; or obtained Medicare billing privileges as an NP before Jan 1, 2003 and NP Certification by national certification board; or obtained Medicare billing privileges prior to Jan 1, 2001. Knowledge/Skills/Abilities Prior to hire, HR must receive clearance from KH Medical Staff office that the medical staff credentialing process is complete. Bilingual preferred. JOB RESPONSIBILITIES Essential Secures a complete health history, including but not limited to, obstetric, gynecologic, contraceptive, medical, surgical, family health and psychosocial aspects, and records findings accurately and succinctly. Performs appropriate general examinations, diagnostic tests, and other types of more specialized procedures as may be indicated by patient history and complaints, according to protocol. Provides specialized and or advanced practice services within the scope of training. Provides relevant patient instruction and education. This may include medication information, disease education, health promotion, care instructions, etc. Follows up on all abnormal findings within a timely manner, responds to patient clinical needs, and refers to other providers as appropriate. Charts all information with regard to the client's examination and plans for treatment within the electronic medical record. Chart review meets quality improvement standards. Completes timely chart documentation. Consults with assigned supervising physician when necessary. Reviews complex cases with the supervising physician in accordance with appropriate protocols (e.g. NP protocols or PA service agreement) as indicated. Pursues and completes ongoing, high-level continuing medical education activities. Shares new clinical practice updates or information with the APP team and clinical leadership. Attends APP and clinical site meetings to keep current with organization communication and priorities. Participates and engages in organizational quality improvement initiatives. Provides feedback and input on clinical processes. Coordinates clinic coverage with other providers. Provide backup coverage as needed. Provides care delivery within a team-based, patient-centered approach. Engages the patient and their family in the decision-making process regarding their care. Utilizes care team members appropriately (e.g. pharmacy, care coordinators, dieticians, etc.). Utilizes evidence-based practice guidelines and resources for clinical practice. Additional Works collaboratively with all members of the care team and support staff. Acts as a clinical team leader for safety, training, and support of staff as indicated. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $70.09 -$105.14 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

NP

Per Diem

Per Diem RN-Nurse Practitioner

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7391 Professional Svcs-PalliativeThe Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring.License /Certification Required:CA RN license CA Nurse Practitioner (NP) and CA Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration BLS Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Preferred:National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Required:N/A Preferred:MSN or DNP Experience Required:One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. Preferred:One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. Department Specific Requirements If assigned to Hospice: requires two or more years of palliative care experience with patients at end of life; current California Drivers License and current proof of automobile insurance policy and California state required minimum coverage levels. If assigned to Throughput: requires ACLS within one year of hire/transfer. If assigned to Throughput and working in Surgery-Cardiac: requires ACLS and completion of a recognized RNFA training program within one year of hire/transfer. Testing N/A Essential Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment.Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes.Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes.Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area.Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care.Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Addendum (essential for specific dept) HOSPICE ALSO RESPONSIBLE FOR:Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations. Performs timely Hospice face-to-face visits including timely, accurate documentation. CARDIOVASCULAR SERVICES ALSO RESPONSIBLE FOR:IF PERFORMING RN-FIRST ASSIST DUTIES: IF PERFORMING RN CIRCULATOR DUTIES: CARDIAC CATH LAB RESPONSIBLE FOR:Develops and implements required elements of an effective clinical program such as: Practice Development: Demonstrates ability to provide care or service adjusting approaches to reflect developmental level of population served: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient flow for the clinical activities of cardiology services specific to heart valve devices (TAVR). Additional Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Demonstrates a knowledge and understanding of:Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Pay Range $73.59 -$110.39 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

RN Clinical Educator - Post Surgical Med/Surg

apartment Kaweah Health location_onVisalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8741 Clinical Inservice EducationThe purpose of the position is to provide ongoing assessment of staff member educational needs. Through utilization of adult learning principles, to strategically design, implement and evaluate educational offerings that meet the needs of care providers. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Required: BSN Preferred: Master's degree Experience Required: Minimum of two years recent clinical experience and/or experience as an RN educator. Preferred: Experience in nursing education, staff development, curriculum development and implementation of multifaceted teaching interventions to varying adult learning styles. Knowledge/Skills/Abilities Ability to present formal and informal educational offerings. Department Specific Requirements If assigned to Administration-APN: The two years of recent clinical experience must be as a Registered Nurse in acute care setting. CA Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP) within three years of date of hire/transfer. If assigned to Skilled Nursing: Must meet the state and federal requirements for designation as a State of California Director of Staff Development (DSD) within two years of hire/transfer. Minimum of one year experience as a licensed nurse in providing direct patient care in a long term care/skilled nursing facility (SNF) and must also possess a minimum of one year experience in planning and successfully orchestrating and evaluating educational programs for nursing; or must have two years experience as a licensed nurse, with a minimum of at least one year which must be in the clinical setting providing direct patient care. JOB RESPONSIBILITIES Essential Collaborates with department leadership and Director of Clinical Education to ensure competency of staff. Provides ongoing assessment of learning needs for all staff members. Plans, coordinates and evaluates the education programs provided and conducts annual needs assessment. Develops and implements department orientation for all staff members. Provides a written orientation plan and skills checklist for each new employee. Collaborates with management to schedule new staff with mentor/preceptor, communicating learner's needs and goals. Provides input to manager for employee's introductory and/or annual review. Identifies the need for in-service training and continuing education through annual needs assessment, observation, Performance Improvement (PI), Risk Management reports, professional practice trends and patient population. Training programs are developed to ensure staff competence when procedures or practices are changed or new ones are developed. Monitors competence of staff. Provides competency assessment records and educational calendar to Human Resources as appropriate. Maintains records, file and statistics as appropriate. Submits information to Director of Clinical Education as requested. Reviews and updates reference materials for staff, patients and physicians as appropriate. Coordinates the development and/or revision of new standards/policies/procedures. Conducts Annual Educational Needs Assessment for assigned unit(s). Provides a monthly in-service topic and as needed additional Kaweah Health educational training to department staff. Maintains clinical competence in area of specialty. Provides direct patient care as assigned. Promotes a positive working relationship with physicians, colleagues, vendors, guests and others. Collaborates with Director of Clinical Education and/or area Director and managers as appropriate. Participates in assigned intradepartmental and Kaweah Health wide committees. Coordinates department meetings as appropriate. Actively participates in planning and implementation of annual competency fair. Participates/coordinates PI projects as directed. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $51.22 -$76.84 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.