RN Full-time
Tahoe Forest Health System

Current Department Employees: Lead Staff Nurse - Women & Family

Bargaining Unit: EAP Rate of Pay: Summary Under the general direction of the Women and Family Nurse Manager, coordinates and delivers comprehensive care to obstetric patients and newborns throughout the antepartum, intrapartum, and postpartum periods. Assists patients with admission, labor and delivery, postpartum recovery, and discharge processes. Utilizes the nursing process to develop and implement individualized plans of care for mothers and newborns. The RN assumes responsibility for assessing, planning, implementing, and evaluating both direct and indirect nursing care, and for identifying outcomes that promote safe, evidence-based maternal and neonatal care within the obstetric setting. Essential Duties and Responsibilities Performs all aspects in the job description of Women and Family Staff Nurse. Oversees daily clinical operations in Labor & Delivery, Postpartum, and Nursery ensuring the delivery of the highest levels of clinical quality, patient safety, and family-centered care in a cost effective manner. Communicates throughout the day with obstetricians, anesthesiologists, pediatricians, and nursing staff to ensure optimal coordination of maternal and neonatal care. Assists with interviews, orientation, and training of new staff. Ensures adequate staffing levels for labor, delivery, recovery, and postpartum, based on patient acuity and census. Participates in departmental growth and quality improvement programs. Serves as a clinical resource and mentor for other nurses, promoting professional growth and evidence-based practice. Implements operational changes and new clinical initiatives as directed by the Women and Family Nurse Manager. Ensures regulatory compliance with maternal and newborn care standards, including readiness for surveys and audits (e.g., Joint Commission, Baby-Friendly, perinatal safety initiatives). Coordinates with Techs, Nurse Manager and Billing department to ensure accurate and complete documentation, billing, and charge capture for obstetric procedures and services. Addresses patient, family, or staff concerns in a timely and professional manner, or escalates to the Nurse Manager as appropriate. Educates staff on optimal use of electronic medical record (EMR) and perinatal monitoring systems, and troubleshoots issues in coordination with IT support. Coordinates departmental stocking, audits, and outdates. Monitors unit staffing patterns, overtime, and expenditures for budgetary compliance, providing justification for variances to the Obstetrics Nurse Manager. Attends perinatal and interdepartmental meetings as needed. Participates in data collection, perinatal quality improvement programs, and performance improvement initiatives. Monitors and maintains department records, logs, and documentation in accordance with hospital policy and regulatory requirements. Participates in developing and updating policies and procedures to reflect current obstetric standards of care and department workflow. Demonstrates system values in all professional interactions and behavior. Complies with all system policies, procedures, and safety standards. Performs other related duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibilities No supervisory responsibilities. Minimum Education/Experience Associate's Degree Degree from college or vocational school from a National League of Nursing (NLN), Commission on Collegiate Nursing Education (CCNE) or equivalent accredited school of nursing. The nurse shall have completed a nursing education program that included clinical experiences with actual patients under the supervision of qualified faculty. 1-2 years relevant experience Required Licenses/Certifications California Registered Nurse (RN) Upon hire Basic Life Support (BLS) for Healthcare Providers Upon hire BLS/ACLS: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support (BLS) and Advanced Life Support (ALS). Entry or Prep Curriculum (depending on their previous BLS and ACLS certification). Within 6 months of hire into job Neonatal Resuscitation Program (NRP) Upon hire STABLE Within 6 months of hire into job Other Experience/Qualifications Required: One to two years in labor and delivery unit with adequate number of deliveries to ensure competence in all areas of labor, delivery, postpartum and newborn care. Must complete Baby Friendly coursework (Ten Steps to Successful Breastfeeding) within 6 months of hire. Must complete Relias Fetal monitoring within 3 months of hire. Additional Coursework: GE Health Systems, AWHONN Basic, Intermediate or Advanced Fetal Monitoring. Preferred: Familiar with fetal monitoring high-risk labor/delivery, neonatal and postpartum Internmanagement.
RN Med-Surg Part-time
Tahoe Forest Health System

Med/Surg Staff Nurse - Temporary

This position is a part time nights opportunity Bargaining Unit: EAP Rate of Pay: $68.46/hour + DOE + Shift Differential Summary Performs the nursing process through assessment, planning, implementation and evaluation of safe therapeutic care to patients in hospital by performing the following duties. Essential Duties and Responsibilities Assesses physical and psychosocial needs of patients. Plans individual care of patient and documents care plan. Implements and evaluates individual plan of care. Evaluates effectiveness of interventions. Identifies and provides education to patient and/or significant other. Coordinates resources for complete and effective patient care. Possesses effective communication, interpersonal and teamwork skills. Utilizes equipment properly. Participates in departmental growth and development. Pursues professional growth. Follows patient care standards. Explains procedures and treatments to patient to gain cooperation, understanding, an allay apprehension. Administers prescribed medications and treatments in accordance with approved nursing techniques. Prepares equipment and aids physician during treatment and examination of patient, as appropriate. Maintains awareness of comfort and safety needs of patient. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient’s condition and reaction to drugs, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of patient. Responds to life saving situations based upon nursing standards, policies, procedures, and protocol. Documents nursing history and physical assessment for assigned patients. Initiates a patient education plan according to the individualized needs of the patient, as prescribed by physician and/or hospital policy including patient and family instruction. Makes beds, bathes and feeds patients. Participates in department or unit quality improvement activities. Ability to work standby. Demonstrates System Values in performance and behavior. Complies with System policies and procedures. Other duties as may be assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibilities No supervisory responsibilities. Education and Experience: Associate's degree Graduation from a National League of Nursing (NLN), Commission on Collegiate Nursing Education (CCNE) or equivalent accredited school of nursing. The nurse shall have completed a nursing education program that included clinical experiences with actual patients under the supervision of qualified faculty. 6 months to 1 year of relevant experience Required Licenses and Certifications: California Registered Nurse Licensure - Upon hire Nevada Registered Nurse Licensure - Upon hire New employees hired into the District after September 1, 2012 must have California and Nevada RN licenses. If hired as a temporary or seasonal RN, must have current CA RN license only. Employees in this job classification on 1/1/2023 have until June 1, 2023 to obtain a Nevada RN license, unless hired prior to 9/1/2012. Basic Life Support (BLS) for Healthcare Providers Certificate - Upon hire ACLS: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Advanced Life Support (ALS) Entry or Prep Curriculum (depending on their previous ACLS certification). - Within 3 months of hire into job Pediatric Advanced Life Support (PALS): Employees that have never been certified must take a live initial AHA certification class. Employees with recently expired certifications will be enrolled in Resuscitation Quality Improvement (RQI). Certification must be completed within specified time frame. - Within 6 months of hire into job Other Experience and Qualifications: Preferred: One year experience in Acute Care nursing as a registered nurse. ICU experience is preferred to provide additional staffing coverage in the ICU as needed.
NP Full-time
Tahoe Forest Health System

Advanced Practice Provider - Cardiology (NP/PA)

Bargaining Unit: Outpatient Clinics - EAP Rate of Pay: $80.87/hour + DOE Summary The clinic Advanced Practice Provider is responsible for the specialty care of those individuals directed to the cardiology clinic via hospital-based programs and primary care. Essential Duties and Responsibilities Demonstrates clinical competence to provide adult cardiology care. Performs health assessments through collection of a complete health history, performing physical exams and utilizing basic laboratory tests. Orders, interprets and evaluates diagnostic tests to identify and access patient's clinical problems and healthcare needs. Maintains precise and complete records of patients with clinical findings. Distinguishes between normal and abnormal findings. Makes appropriate referrals to physicians and community agencies. Provides and promotes preventative health maintenance services. Provides all primary, secondary, and tertiary care within the protocols developed in collaboration with the supervising physicians. Assists with Electronic Health Record (EHR) in basket coverage and patient triage. Provides additional clinical support for patients with an out of office provider. Works with supervising Cardiologist(s) and the associated service line to provide coordinated care in all of Tahoe Forest’s Cardiology offices (Truckee, Incline Village), in addition to working with strategic partners to provide Cardiology access and care for the region. Maintains positive, caring and supportive relationships with patients and care team. Demonstrates System Values in performance and behavior. Complies with System policies and procedures. Other duties as may be assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibilities No supervisory responsibilities. Education and Experience Required: Nurse Practitioner: Bachelor’s degree (B.S.) from four-year college or university; Graduation from a National League of Nursing (NLN), Commission on Collegiate Nursing Education (CCNE) or equivalent accredited school of nursing. The nurse shall have completed a nursing education program that included clinical experiences with actual patients under the supervision of qualified faculty. Must be certified by the American Academy of Nurse Practitioners (AANP) or the American Nurses credentialing Center (ANCC). or Physician Assistant: Completion of a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant. Licenses/Certifications Required: Nurse Practitioner: Current Advance Practice RN (APRN) licensure to practice in California (and/or NV, depending upon the position being sought); Current ANCC (American Nurses Credentialing Center) or AANP (American Academy of Nurse Practitioners) certification required. Current PNCB (Pediatric Nursing Certification Board) or current ANCC is required if requesting to work in pediatrics. Current BLS (Basic Life Support) and must maintain certification at all times. Must have a Collaborative Service Agreement (CA) or evidence of Supervising Physician Agreement (NV State Medical Board), as applicable, with a designated supervising physician member of the Hospital’s medical staff (upon hiring, manager will initiate). Current, unrestricted DEA certificate in CA and/or NV, as applicable (Schedules II-V). Nevada Pharmacy Board certificate, if applying to work in NV.; Ability to participate in a federally funded program (Medicare and Medicaid). Physician Assistant: Current CA and/or NV State license in good standing; Current NCCPA (National Commission on Certification of Physician Assistants) certified; Current BLS (Basic Life Support) and must maintain certification at all times; Must have a Collaborative Agreement (CA) or evidence of Supervising Physician Agreement (NV State Medical Board), as applicable, with a designated supervising physician member of the Hospital’s medical staff (upon hiring, manager will initiate). Current, unrestricted DEA certificate in CA and/or NV, as applicable (Schedules II-V). Nevada Pharmacy Board certificate, if applying to work in NV; Ability to participate in a federally funded program (Medicare and Medicaid); Physician Assistants must complete an educational course in controlled substances that meets the standards of practice by TFHD and the State of California. Other Experience/Qualifications Required: Ability to participate in a federally funded program (Medicare and Medicaid) upon hire. Physician Assistants must complete an educational course in controlled substances that meets the standards of practice by TFHD and the State of California within 6 months of hire into job. Preferred: Experience working in a Cardiology practice/service line is highly desirable.
RN ICU Per Diem
Tahoe Forest Health System

Staff Nurse - ICU - Per Diem

Bargaining Unit: EAP Rate of Pay: $77.01/hour + DOE + Shift Differential (Base Pay of $68.46 includes 12.5% per diem premium) Summary Provides nursing services to patients admitted to the hospital intensive care unit by performing the following duties. Essential Duties and Responsibilities Assesses physical and psychosocial needs of patients. Plans individual care of patient and documents care plan. Implements and evaluates individual plan of care. Evaluates effectiveness of interventions. Identifies and provides education to patient and/or significant other. Coordinates resources for complete and effective patient care. Possesses effective communication, interpersonal and teamwork skills. Utilizes equipment properly. Participates in departmental growth and development. Pursues professional growth. Follows patient care standards. Explains procedures and treatments to patient to gain cooperation, understanding, an allay apprehension. Administers prescribed medications and treatments in accordance with approved nursing techniques. Prepares equipment and aids physician during treatment and examination of patient, as appropriate. Maintains awareness of comfort and safety needs of patient. Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient’s condition and reaction to drugs, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of patient. Responds to life saving situations based upon nursing standards, policies, procedures, and protocol. Documents nursing history and physical assessment for assigned patients. Initiates a patient education plan according to the individualized needs of the patient, as prescribed by physician and/or hospital policy including patient and family instruction. Makes beds, bathes and feeds patients. Participates in department or unit quality improvement activities. Ability to work standby. Demonstrates System Values in performance and behavior. Complies with System policies and procedures. Other duties as may be assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Supervisory Responsibilities No supervisory responsibilities. Education and Experience: Graduation from a National League of Nursing (NLN), Commission on Collegiate Nursing Education (CCNE) or equivalent accredited school of nursing. The nurse shall have completed a nursing education program that included clinical experiences with actual patients under the supervision of qualified faculty. Required Licenses and Certifications: Current California Registered Nurse Licensure Upon hire Basic Life Support (BLS) for Healthcare Providers Certificate Upon hire Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support (BLS) Entry or Prep Curriculum (depending on their previous BLS certification) - Within 3 months of hire into job Pediatric Advanced Life Support (PALS): Employees that have never been certified must take a live initial AHA certification class. Employees with recently expired certifications will be enrolled in Resuscitation Quality Improvement (RQI) Within 3 months of hire into job Oncology Nursing Society (ONS) Bio-Chemo Within 6 months of hire into job Other Experience and Qualifications: One year full time ICU experience as an RN.
CNA Per Diem
Tahoe Forest Health System

Certified Nurses Aide - Per Diem

Bargaining Unit: EA Rate of pay: $32.81/hour + DOE + Shift Differential (Base Pay of $29.17/hour includes 12.5% per diem premium) Summary Performs various resident care activities and related non professional services necessary in caring for the personal needs and comforts of the residents; assists in maintenance of safe and clean environment. Essential Duties and Responsibilities Provides care to the residents of the ECC. Answers signal lights, bells, or intercom system to determine resident's needs. Bathes, dresses, and undresses residents. Provides dental care. Serves and collects food trays and feeds residents requiring help. Transports residents to multiple activities. Assists residents with activities of daily living and ROM. Turns and repositions bedfast residents, safely, to prevent bedsores. Changes bed linens and helps maintain resident's room. Directs visitors, and answers telephone. Documents all care and observations accurately and thoroughly. Possesses effective interpersonal and teamwork skills. Participates in departmental in-services and training, growth and development. Responsible for protecting self, facility, residents, and members of the staff by following security policies/procedures. Demonstrates System Values in performance and behavior. Complies with System policies and procedures. Other duties as may be assigned. Education and/or Experience High school diploma or GED. California State certification as CNA or completion of CNA class and certificate. Current CPR certification. Certificates, Licenses, Registrations California State Certification as Certified Nurses Aide required. CPR certification within six months of employment.