Sharp HealthCare

Sharp HealthCare Nursing Jobs

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Sharp HealthCare

Physician Assistant / Nurse Practitioner - Neuroscience - Sharp Grossmont Hospital - FT - 10H Days

Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 10/40 - 10 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $77.910 - $100.530 - $112.590 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Provides/enhances patient care based on advanced nursing practice principles in area of specialty and or scope of practice in the Physician's Assistant Role. Required Qualifications Master's Degree in Nursing or related Health Care degree or equivalent experience. California Registered Nurse (RN) - CA Board of Registered Nursing AND California Nurse Practitioner (NP) Certificate - CA Board of Registered Nursing; OR California Physician Assistant License - CA Physician Assistant Board. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association. ACLS Certification (Advanced Cardiac Life Support) - American Heart Association. Preferred Qualifications 1 Year experience. DEA Controlled Substance Registration - U.S. Department of Justice. Essential Functions Collaboration Demonstrates critical thinking and problem-solving skills in the area of specialty when consulted by interdisciplinary team members. Collaborates with members of health care team in planning, implementing, monitoring and evaluating comprehensive healthcare for patients and families. Improves outcomes due to interventions with others. Evaluation Method(s): O, D, QM, T, DR, TD, Other________________ Education patient and family Assesses the learning needs of patients/families in collaboration with members of the health care team. Plans, provides, and coordinates patient/family education. Participates in the evaluation of patient/family education outcomes. Evaluation Method(s): O, D, QM, T, DR, TD, Other________________ Patient care Assessment: Performs ongoing assessment based on advanced nursing practice principles and specialty knowledge of patient population within scope. Examination: Develops patient data base through a comprehensive health history, physical examination and laboratory studies/diagnostic tests as indicated. Patient database/documentation complete including history, physical assessment. Orders and interprets appropriate diagnostic testing. Identifies appropriate differential diagnoses. Plan: Plan of care promotes optimal health outcomes and development of goals incorporates interdisciplinary input. Intervention: Advanced nursing principles and practices applied per standardized procedures including furnishing medications as clinically indicated. Evaluation: Patient progress towards goals evaluated and plan of care altered based on evaluation. Documents care/services per guidelines and SHC compliance/billing policies (department specific). And chooses one or more of the following as negotiated with supervisor: Develops new area of expertise/skill acquisition applicable to role, includes specialty certification. Facilitates/provides opportunities for improving nurse practitioner sensitive outcome(s) in selected patient populations. Evaluation Method(s): O, D, QM, T, DR, TD, Other________________ Professional development Recognizes self-development needs and seeks out resources or experiences that promote professional growth. Member of professional organization related to specialty. Participates in community health event(s). Participates in activities that promote the nursing/physician's assistant professions, specialty area and advanced practice nursing. Evaluation Method(s): O, D, QM, T, DR, TD, Other________________ Research and development Remains current on evidence-based practice related to area of specialty and presents information to collaborating team members. And chooses one or more of the following as negotiated with supervisor: Evaluates existing framework to ensure practice is current and evidenced based. Conducts or provides leadership in clinically based, relevant research. Conducts or provides leadership in performance improvement activities. Evaluates efficacy, utilization and safety of products, devices, and technology. Evaluation Method(s): O, D, QM, T, DR, TD, Other________________ Training and education Educates staff on new or advanced application of skills. Precepts students and/or new staff. Provides community education e.g. local colleges, physician offices. Develops and maintains department specific competency program. Assists with the evaluation of educational activities to determine their impact on the quality of care. Evaluation Method(s): O, D, QM, T, DR, TD, Other________________ Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.
Sharp HealthCare

Per Diem RN - Case Manager - Sharp Memorial Hospital - PD - Days

$69.07 - $96.48 / hour
Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/80 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $69.070 - $75.080 - $96.480 The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience. What You Will Do The RN CM assesses, develops, implements, coordinates and monitors a comprehensive plan of care for each patient/family in collaboration with the physician, social worker and all members of the interdisciplinary team in the inpatient and emergency department patient care areas. This position requires the ability to combine clinical/quality considerations with regulatory/financial/utilization review demands to assure patients are receiving care in the appropriate setting and level of care. The position creates a balance between individual clinical needs with the efficient and cost effective utilization of resources while promoting quality outcomes. Required Qualifications 3 Years Recent acute care nursing experience or case management experience. California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED Preferred Qualifications Bachelor's Degree in Nursing Certified Case Manager (CCM) - Commission for Case Manager Certification -PREFERRED Essential Functions Professional development The RN CM will: Actively participates in the performance planning, competency and individual development planning process. Maintain current knowledge of case management, utilization management, and discharge planning, as specified by Sharp, federal, state, and private insurance guidelines. Core principles The RN CM will make timely referrals to ensure that the patient is receiving the appropriate care, in the appropriate setting and using the appropriate utilization standards as set by community and professional standard as adopted by the medical staff. The RN CM will assure that the patients from all age groups proceed efficiently through the course of hospitalization and beyond through the continuum of care. The RN CM will relate and communicate positively, effectively, and professionally with others; be assertive and consistent in following and/or enforcing policies; work calmly and respond courteously when under pressure; lead, supervise, teach, collaborate and accept direction. The RN CM performs other duties as needed. Organizational relationships The RN CM will work closely with the healthcare team in reaching unit, facility, and system/network organization goals including reductions in length of stay, decreasing denials, improvement of care transitions, and reduction in avoidable readmissions, improved patient experience, and other quality initiatives. In the emergency departments, the RN CM will work collaboratively with other members of the interdisciplinary team to develop relationships and provide pre admission status recommendations for admissions as well as implement a comprehensive, integrated discharge plan from the emergency department(ED) for patients who are being discharged to a lower level of care. The RN CM will recommend and document patient classification (status and level of care) for all admissions utilizing established criterion sets. The RN CM has accountability for maintaining compliance contractual and regulatory compliance with medical groups as applicable and the hospital. The RN CM will have excellent interpersonal skills demonstrated by the ability to work effectively with individuals and or teams across disciplines. Care coordination and discharge planning Within 24 hours of admission the RN CM will interview each patient/family for anticipated needs post hospitalization. The plan and interventions will be documented in the EMR (e.g., Cerner), and case management software (e.g., Allscripts Care Management). The RN CM will develop and document a plan for the day and plan for the stay with patient, family, providers, and nursing staff. The RN CM will be responsible for leading the daily care coordination (multidisciplinary) rounds, update the plan, and facilitate necessary coordination of services. The RN CM will document and initiate discharge plan including early referrals and authorization for LTAC, SNF, Rehab, homecare, DME and infusion services. The RN CM will prepare patient/family for discharge. Document expected discharge date per protocol and arrange discharge pick up appointment with family or significant other. In collaboration with SW partner, the RN CM will follow standards for routine patient/family conference. The RN CM will ensure effective and safe patient handovers to next level of care; work closely with ambulatory care manager (ACM) at the system level, in clinics, with SCMG and other complex care Case Managers as appropriate, and homecare and sub-acute liaisons. The RN CM will support the nursing Model of Care by working closely with nursing managers and staff to achieve Patient and Family Centered Care goals: respect and dignity, information sharing, participation and collaboration. The RN CM will facilitate increased volume of cases discharged early in the day to improve capacity management. The RN CM will collect and document avoidable days information in appropriate case management software, e.g., Allscripts Care Management. The RN CM will participate in venues to reduce barriers to discharge. The RN CM Collaborates with Clinical Resource Coordinators (CRCs/clinical assistants) to assure appropriate referrals for care and services are directed to appropriate network providers, and obtains prior authorization for in network and out of network services as appropriate. The RN CM provides timely delivery of regulatory and mandated patient communications and correspondence. The RN CM oversees preparation, delivery and documentation of non-coverage letters. The RN CM identifies and escalates potential quality variances to management and document per guidelines. The RN CM interview all patients with an admission within 30 days to determine what went wrong in the discharge. He/she documents as appropriate in Cerner and Allscripts Care Management and provides information to the department head as indicated. Utilization review and utilization management The RN CM will: Conduct initial review at POE or within 24 hours of admission utilizing appropriate care guidelines software. Document findings in CM software, e.g., Allscripts Care Management. Identify anticipated LOS and document in Allscripts Care Management, communicate to healthcare team. Conduct daily concurrent reviews per protocol/policy and payer request. Utilize appropriate care guideline software to identify the correct patient status and level of care. Work with attending provider to assure correct status, if status and order does not match; works with provider to resolve conflict and document interventions in Allscripts Care Management. Assure correct documentation is present for 2MN benchmark and presumption. Assure Medicare Inpatient to observation status changes follow Condition Code 44 requirements. Actively work observation patient list assuring transitions to next level of Care. Communicates as indicated with third party payers to obtain necessary authorization for reimbursement of services. Obtain approved days/LOS from provider and communicates this to the care team. Refer defined cases for medical secondary review and share findings with providers. Provide advice to Revenue Cycle/HIM regarding RAC decision to appeal, denials, input into appeals, share findings with providers. Review all cases with readmission within 30 days; report findings in Care Management software such as Allscripts. Identify opportunities for cost reduction and participate in appropriate utilization management venues. Escalate and refers cases for consultation with Physician Advisor or Medical Director as appropriate. Oversee preparation, delivery and documentation of non-coverage letters. Knowledge, Skills, and Abilities PC, data management and analysis skills required, (experience with InterQual, and or MCG and Allscripts Care Management an Asset). Excellent interpersonal skills, as demonstrated by the ability to work effectively with individuals and or teams, and across disciplines. Excellent communication and negotiation skills as demonstrated in oral and written forms. Ability to work in a collaborative partnership model with Social Workers and other members of the interdisciplinary team, both internal and external. Organizational and time management skills, as evidence by capacity to prioritize multiple tasks. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
Sharp HealthCare

SRS – Pediatric – LVN – Full Time – Day Shift

$30.37 - $42.51 / hour
Hours : Shift Start Time: 8 AM Shift End Time: 5 PM AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Variable start and end times based off department needs Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $30.370 - $37.950 - $42.510 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Assists patients (and parents/guardians), staff and physicians as needed to maintain a high level of efficiency of operations and customer service while providing quality care to the designated pediatric patient population. Required Qualifications Other : Successful completion of LVN/LPN program. California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians -REQUIRED AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED Preferred Qualifications 1 Year LVN experience in related clinical area. Experience as pediatric LVN highly preferred. Ambulatory care experience. Pediatric Advanced Life Support (PALS) - American Heart Association -PREFERRED Essential Functions Customer Service Smiles, makes eye contact, uses warm and professional tone of voice when calling patients and guardians and escorting them to the exam room. Addresses all patients by first and last name, unless otherwise requested by the patient or guardian. Checks for correct name pronunciation. Introduces self using first name and role/title. Wears name badge where it can be easily seen. Provides physical assistance to patients as indicated (e.g., getting onto exam table in exam rooms). Ensures patient is comfortable while waiting in exam room (offers blanket, magazines, etc.). Returns regularly and explains delays to patients/guardians waiting in exam rooms. Keeps PSR informed of back office events and status. Refrains from discussion of personal issues or patient related conditions where patients can overhear. Consistently monitors voice volume in patient care areas. Adheres to Sharp HealthCare policies and procedures regarding confidentiality. Maintains patient privacy, i.e., occupied exam room doors are kept shut, patient information is not discussed where it can be overheard or shared inappropriately. Follows all policies and procedures for telephone etiquette and protocol (i.e., answers phone within 3 rings, announces caller before transfer, answers all phones in area). Department Efficiency and Effectiveness Monitors patient flow, physician schedules and completes daily tasks to ensure quality and meet service standards. Completes work within assigned hours. Responds appropriately to changing circumstances and prioritize responsibilities. Maintains appropriate supply levels. Cost conscious in usage. Participates in and prepares for site inspections. Completes department inventories per guidelines. Enters authorizations in a timely and accurate manner, utilizing both SRS and Rady's authorization processes. Listens to patients and/or guardians, collects pertinent information, recognizes the urgency of the patient's problem and routes to physicians. Returns phone calls according to physician instruction. May schedule patient appointments. Participates in clinical projects as directed by the physician or manager. Human Resource Management Provides staff training, participates in technical and clinical in services, customer service training, and mock codes. Serves as preceptor for new staff. Consistently acts as a team player. Demonstrates willingness to help coworkers, recognizes others efforts. Uses positive communication skills, identifies issues, makes suggestions related to access, patient care and patient satisfaction to immediate supervisor and offers solutions for resolution in cooperation with other team members (Providers, PSRs, etc.). Accepts interpersonal cultural and ethnic differences and respects others' values and opinions. Gives and receives feedback about care and service delivery. Attends/participates in departmental/unit activities such as meetings and training. Nursing Competencies Successfully completes Nursing Competencies with a score of 90% or greater in each section = Great. Successfully completes Nursing Competencies with a score of 90% or greater on all but one section. Passed on retesting = Good. Unsuccessful in passing more than one section of Nursing Competency Testing and/or failed to pass testing on second attempt= Needs Improvement. Quality Initiatives Completes quality assurance assignments as directed and ensures overall department compliance with requirements. Completes related training as required. Technical Skills Infection Control: Uses Universal precautions and demonstrates knowledge of infection control policies and procedures. Provide direct patient care and successfully perform nursing tasks in assigned area and demonstrating technical expertise and competence, within the established scope of practice. Partners with physicians to continuously learn and expand clinical knowledge base. Maintains knowledge of signs and symptoms of child abuse, California law regarding treatment of minors, and custodial versus noncustodial parental medical decision making. Vaccinations for patients aged newborn - 18 years. Maintains knowledge of pediatric vaccine schedules, vaccination sites, recognizes and takes appropriate action for injection reactions. Assists provider with procedures to include: circumcisions, frenotomies, ear piercing, and catheterizations to obtain urine specimens on pediatric patients. Preps patient for procedure using sterile technique, ensures patient safety by utilizing appropriate restraints if required. Provide comfort measures during and after procedure; observe for bleeding and dress wound. Pediatric measurements: obtain height, weight, and head circumference for newborns to 18 years. Recognizes deficits in growth progression and/ or development and notifies provider. Screenings: Provides accurate screenings for vision, hearing, transcutaneous bilirubin, autism, etc. Utilizes equipment appropriately and according to age groups as appropriate. Patient/Guardian Education - Provide education as appropriate for: child development, asthma, autism, breastfeeding, healthy eating, use of medication equipment and/or medical equipment (i.e. Albueterol inhaler, crutches, etc.). Utilization of CAIR to obtain immunization history for new patients. Utilization application to obtain vital information for newborn patients. This would include bilirubin levels, vitamin K levels, and vaccines administered during hospitalization. Referral Entry: Utilize both SRS portal and related applications to enter referral for services and/or supplies not provided in clinic. Knowledge, Skills, and Abilities Skills as a Licensed Practical Nurse or Licensed Vocational Nurse. Demonstrated proficiency in clinical skill and nursing judgment. Ability to prepare patients for examinations, tests, or treatments and explain procedures. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
Sharp HealthCare

Surgical Tech I - Surgery - Sharp Grossmont Hospital - Variable Shift - Full Time - Eligible for New Hire Incentive

$32.73 - $45.81 / hour
Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 10/40 - 10 Hour Shift Additional Shift Information: Weekend Requirements: Every Other On-Call Required: Yes Hourly Pay Range (Minimum - Midpoint - Maximum): $32.730 - $40.910 - $45.810 This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement. In alignment with the SEIU CBA, this position will be posted for 7 days internally from 06/12/26 to 06/20/26 and available only to existing members of the ratified SEIU Bargaining Unit with a contract expiration date of 9/30/2027. What You Will Do Provides specific patient care duties and performs unit support activities in the operating room suite. Required Qualifications Experience as an operating room or surgical technician in a hospital or ambulatory setting within the last 12 months; or graduate of an accredited surgical technologist program (such as CAAHEP, ABHES, etc.) within the last 12 months. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED Preferred Qualifications H.S. Diploma or Equivalent Certified Surgical Technologists (CST) - National Board of Surgical Technology and Surgical Assisting (NBSTSA) -PREFERRED Essential Functions Communication Updates surgeon preference card per entity specific processes. Complies with all count policies and procedures. Appropriate report is given to relieving scrub personnel. Instruments, Equipment, and Supplies Accountable that instrument trays match the instrument list provided in tray. Need to escalate when incomplete. Provides appropriate care and handling of surgical instruments and equipment, including loss prevention. Assists in room preparation, obtains necessary supplies, and sets up cases per the preference card. Picks cases following physician preference card. Quality Care Adheres to National Patient Safety Goals, including, but not limited to surgical time-out, medication/fluid labeling on the sterile field, hand hygiene, and use of personal protective equipment. Demonstrates knowledge of procedures by anticipating needs prior and during each case. Identifies problems and takes appropriate action, without prompting, to accomplish department objectives and improved quality of care. Participates in teaching and mentoring new employees. Role models the Sharp Experience. Finance Assist in achieving department expense per unit of service through judicious use of supplies. Identifies opportunities for cost containment or improvement of patient care. General Support Works additional or different shifts as requested and where appropriate. Responsible for department tasks beyond routine responsibilities. Assists with new employee orientation and training of students. Consistently fulfills commitments for additional responsibilities. Does not require direction to use utilize down time effectively including, but not limited to assisting other staff, restocking of rooms, and instrument processing. Knowledge, Skills, and Abilities Solid understanding of anatomy, aseptic technique, surgical procedures, instruments, sterilization, and OR safety. Must have skills in setting up sterile fields, passing instruments, maintaining counts, and anticipating surgeon needs. Must be able to communicate clearly with the surgical team, respond quickly to changes, maintain strict attention to detail, and uphold infection prevention standards. $5,000 New Hire Sign-On Incentive Eligibility Requirements: *Must have at least one (1) year of surgical tech work experience to be eligible for the new hire incentive. The following are not eligible for hiring incentives: Current Sharp employees Rehires/Reinstates that are rejoining the organization less than 12 months from last date of employment with Sharp Healthcare Candidates with less than one (1) year of surgical tech work experience To remain eligible for your sign on incentive the following criteria must be met: Must remain in original hired FTE status and shift (if specified in offer letter) Must remain in original department/specialty. Must remain in original Job Title Transfers to a non-bonus eligible department or position may result in forfeiting remaining incentive bonus. $2,500 Employee Referral Incentive Eligibility: Referral must list the name of the Sharp employee that referred them on the job application. External referrals only If referring a former Sharp employee – must be more than 12 months since last date of employment with Sharp HealthCare at the time of the referral #signon #referral Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
Sharp HealthCare

Clinical RN - Sharp Memorial Hospital - Emergency Department - FT - NOC - May be eligible for 5k in relocation

$61.74 - $90.16 / hour
Hours : Shift Start Time: 7 PM Shift End Time: 7:30 AM AWS Hours Requirement: 12/36 - 12 Hour Shift Additional Shift Information: Weekend Requirements: Every Other On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $61.740 - $70.170 - $90.160 The stated pay scale reflects the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network, United Nurses Associations of California/Union of Health Care Professionals, NUHHCE, AFSME, AFL-CIO. Placement within the range is based on years of RN experience. Schedule: 12 hr. shifts/36 hrs. per week What You Will Do To provide direct and indirect nursing services to patients and families. Required Qualifications Graduate of nursing school. 1 Year clinical experience (RNs with less than 12 months experience will complete the new grad requirements). California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED ACLS Certification (Advanced Cardiac Life Support) - American Heart Association -REQUIRED NIH Stroke Scale (NIHSS) - Various-Employee provides certificate -REQUIRED Pediatric Advanced Life Support (PALS) - American Heart Association -REQUIRED Essential Functions Clinical advancement Uses systematic planning, appropriate methods and timely exchange of information with multidisciplinary team and patient/family to coordinate care. Demonstrates ability to focus on and manage multiple patient needs and aspects of care. Actively communicates with care team to plan patient care. Utilizes available resources to problem-solve and determine most effective approach to action. Clinical judgment and decision making Utilizes the nursing process and a critical thinking approach to provide patient care that incorporates the mind, body and spirit; is individualized, goal directed, and consistent with current standards of safety. Identifies actual/potential problems for which the patient is at risk. Continuously evaluates interventions and care, and adjusts the plan as patient and family needs change. Identifies need for referrals based on information obtained in initial and ongoing assessments and evaluation. Collaborates with patient, family and other team members to develop a comprehensive plan of care. Prioritizes demand for resources and collaborates with others to meet individualized patient needs. Acts as preceptor/teacher in guiding other nurses on how to apply the nursing process with a particular unit population. Makes appropriate referrals based on information obtained in initial and ongoing assessments and evaluation. Implements safe, therapeutic and efficient care for patients with complex needs due to multi-system disease and/or complications of treatment. Demonstrates accountability for achieving patient outcomes. Demonstrates an ability to quickly recognize a patient diagnosis even though presenting symptoms or situations may be dissimilar. Documents per department/entity guidelines of care and policies and procedures. Comprehensive; representing detailed, concise picture of patient's care. Serves as a resource for other staff in managing unit specific documentation issues. Charting reflects a critical thinking/problem oriented approach to patient issues. Clinical leadership Delegates/assigns and communicates expectations for care delivery processes to each member of the team. Knowledgeable about what can and cannot be delegated to each different health care team member. Responsible for delegation and follows through to ensure delegated task is complete. Before delegating, analyzes each situation, determines and consistently applies levels of supervision needed (unsupervised, initial direction and periodic inspection, continuous supervision, or should not be delegated). Assesses appropriateness of physician orders and to question physician when appropriate. Helps coworkers improve performance. Offers assistance and support to coworkers. Provides positive feedback to others. Provides unit specific information to students, floats, travelers/registry personnel and documents appropriately. Provides incidental teaching to members of the team. Looks for and applies ways to improve work processes and systems. Offers and accepts constructive feedback/criticism in a non-judgmental, positive and confidential manner. Seeks out opportunities to assist and support coworkers. Nurse-patient/family relationship Establishes a therapeutic relationship with patient and family. Anticipates problems to establishing/maintaining a therapeutic relationship with a specific patient and takes actions to enhance quality of nurse/patient/family interaction (problems may include: spiritual, cultural, language or other communication barriers; those imposed by nature of illness or health issue). Analyzes social/cultural variables and adapts nursing interventions to meet diverse needs. Serves as a patient advocate through actions such as: removing obstacles, identifying and supporting appropriate needs and wants; interpreting for patient to physician and visa/versa. Provides age appropriate patient education that facilitates recovery, self-care, end-of-life care and health maintenance, health promotion, and wellness. Coordinates transfer and discharge planning and teaching in collaboration with other members of the health care team. Collaborates with other team members to identify, develop and/or revise patient education materials. Demonstrates flexibility to teaching based on assessment of learner's needs and the integration of adult learning principles. Knowledge, Skills, and Abilities Independently performs the nursing process through individualized assessment, planning, implementation and evaluation of safe, therapeutic, efficient care for patients with overt and subtle needs throughout the continuum of care, and according to unit's standards of care. Performs safe nursing care for patients in more complex situations with some assistance and supervision. Demonstrates competency in all areas of the unit skills and some advanced skills. May teach some skills competencies. Coordinates patient care administered by other members of the care team. May assume the responsibility of relief charge nurse and may assist with preceptorship/professional development of new nurses and students. Uses common equipment and medications safely in the practice setting and consults others when unfamiliar. Recognizes inconsistencies in patient care and manages potential complications. Demonstrates consistent organization and prioritization of workload; confident management of emergency situations. Participates in quality improvement initiatives. Complies with all regulatory and accreditation standards. Demonstrates professional behavior through participation in unit activities and committees as appropriate. Delegates/assigns and communicates expectations for care delivery processes to each member of the team. Teaches skills as necessary. Coordinates patient care administered by other members of the nursing staff. Utilizes a variety of teaching/coaching strategies to assist family through disease process/experience. Promotes clinical effectiveness, efficient use of resources, and quality care in practice setting. Transfers knowledge and mentors others to improve clinical practice. Demonstrates complex problem solving and the use of critical thinking skills. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class New Hire Bonus Eligibility Relocation Assistance: $5000 Employee Referral Bonus: $2500 Relocation Assistance: Must be relocating from 100+ miles outside of San Diego to be eligible The following are not eligible for hiring incentives: Current Sharp employees Rehires/Reinstates that are rejoining the organization less than 12 months from last date of employment with Sharp Healthcare Employee referral incentive eligibility: Referral must list the name of the Sharp employee that referred them on the job application. External referrals only If referring a former Sharp employee – must be more than 12 months since last date of employment with Sharp Healthcare at the time of referral. #relocation #referral
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