Confluence Health

Confluence Health Nursing Jobs

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Confluence Health

Registered Nurse - Charge (RN) - Surgery

Salary Range $44.26 - $83.17 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Charge RN promotes a professional team-based environment within and with other departments and ensures collaboration with department leadership that patients receive high quality, safe care. Position Reports To: Clinical Manager/Director Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Serves as a consultant, mentor and role model to staff. Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s). Active participation in problem-solving identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assists with the orientation of nursing personnel to the unit and contributes to the educational experience of students assigned to the unit. Coordinates and makes assignments for patient care taking into account patient needs, acuity, and skill mix of staff. Actively participates in quality improvement programs. Demonstrate ethical conduct and practices. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. May be assigned to respond/lead in a Code Blue or RRT depending on the department. Preforms/assist with duties outlined within the Inpatient Registered Nurse Job Description Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement – O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non- Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Pediatrics

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $6,000 in Bonuses! Applies to external candidates. *Requires one year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Nurse Consult RN - Rheumatology

Salary Range $39.33 - $61.57 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position. No guarantee of hours. Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Washington state Department of Health -RN license must be active by start date. Required to maintain active Basic Life Support (CPR) certification. Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Desired : Not specified. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Confluence Health

Nurse Assistant Resident

Salary Range $19.00 - $29.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Next Expected Start Date: March 16th, 2026 This position is for current or recently accepted nursing students. Minimum requirement of 72 hours per 3 months. Please Note: This is a pool, as needed position. A novice, new graduate of a nursing assistant training program or a nursing assistant who has less than 6 months experience as a CNA in a setting outside of acute care. The Nursing Assistant Resident will work with a CNA preceptor to deliver care and assist patients with activities of daily living, provide basic nursing care task to patients, and assists in maintaining a safe and clean environment. Effectively interacts with patient, significant others, and other health team members, while maintaining professionalism. Care provided is under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. The Residency Program includes classroom as well as direct clinical experiences. Position Reports To: Nurse Manager/Director of program Essential Functions Perform related assignments and tasks as requested to promote positive visitor, family, and staff relations. Collaboratively works with CNA preceptor and patients primary care RN to provide high quality care. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures are patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse and collaboration of CNA preceptor. Demonstrates competence in providing morning, evening, and general care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients' needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Maintains a safe and sanitary environment. Demonstrates knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills Actively participates in the learning process, able to incorporate learned tasks and experience to ensure high quality patient care. Participates in evaluation/improvement processes throughout the Residency. Assumes responsibility for own professional development and personal growth. Adheres to Confluence Health and Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : High School Diploma or GED Graduate of an accredited nursing assistant program Obtain Certified Nursing Assistant Licensure within 90 days of hire to the residency Successful completion of the Certified Nursing Assistant Exam within 14 days of Residency Program start date. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Completion of BLS certification within first 30 days of residency. Desired : Not Specified. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing – F Reaching: Shoulder Height – F Reaching: Above shoulder height – O Reaching: Below shoulder height – F Climbing – O Pulling/Pushing: 25 pounds or less – F Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – O Twisting/Turning – O Repetitive Movement – F Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – Yes Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly
Confluence Health

Nurse Assistant Resident

Salary Range $19.00 - $29.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Next Start Date: May 11th, 2026 A novice, new graduate of a nursing assistant training program or a nursing assistant who has less than 6 months experience as a CNA in a setting outside of acute care. The Nursing Assistant Resident will work with a CNA preceptor to deliver care and assist patients with activities of daily living, provide basic nursing care task to patients, and assists in maintaining a safe and clean environment. Effectively interacts with patient, significant others, and other health team members, while maintaining professionalism. Care provided is under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. The Residency Program includes classroom as well as direct clinical experiences. Position Reports To: Nurse Manager/Director of program Essential Functions Perform related assignments and tasks as requested to promote positive visitor, family, and staff relations. Collaboratively works with CNA preceptor and patients primary care RN to provide high quality care. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures are patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse and collaboration of CNA preceptor. Demonstrates competence in providing morning, evening, and general care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients' needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Maintains a safe and sanitary environment. Demonstrates knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills Actively participates in the learning process, able to incorporate learned tasks and experience to ensure high quality patient care Participates in evaluation/improvement processes throughout the Residency. Assumes responsibility for own professional development and personal growth. Adheres to Confluence Health and Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : High School Diploma or GED Graduate of an accredited nursing assistant program Obtain Certified Nursing Assistant Licensure within 90 days of hire to the residency Successful completion of the Certified Nursing Assistant Exam within 14 days of Residency Program start date. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Completion of BLS certification within first 30 days of residency. Desired : Not Specified. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing – F Reaching: Shoulder Height – F Reaching: Above shoulder height – O Reaching: Below shoulder height – F Climbing – O Pulling/Pushing: 25 pounds or less – F Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – O Twisting/Turning – O Repetitive Movement – F Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – Yes Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly
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