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.
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 including patients undergoing obstetric operative or other invasive procedures. Scrubs, circulates and recovers for cesarean sections as needed. 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. 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. 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 - 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. AND 1-2 years of relevant experience Licenses, Certifications: Upon hire: California Registered Nurse (RN), Basic Life Support (BLS) for healthcare providers, Neonatal Resuscitation Program (NRP) Within 6 months of hire: BLS/ACLS: employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support and Advanced Life Support (ALS). Entry or Prep Curriculum (depending on their previous BLS and ACLS certification). Upon Hire: Neonatal Resuscitation Program (NRP) Within 6 months of hire: STABLE 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 new born 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. If hired without L&D experience, must complete and pass a L&D class approved by the Association of American Women’s Health, Obstetric & Neonatal Nurses (AWHONN) within 3 months of hire date. Temporary or seasonal staff may be hired with only postpartum experience per management discretion. Preferred: Familiar with fetal monitoring high-risk labor/delivery, neonatal and postpartum management.
The schedule is expected to be a part-time, variable shift. Bargaining Unit: EAP Rate of Pay: $71.88/hour + DOE (Base Pay of $68.46/hour include 5% temporary differential) Summary Functions independently in performing nursing process, various direct patient care activities and related clerical and non-technical duties necessary in caring for the needs and comforts of patient; assists in the maintenance of a safe environment; functions as a cooperative, active member of the Health Care Team. Essential Duties and Responsibilities Collects and documents data about patients seen on the unit. Interprets assessment data to prioritize treatment needs. Implements and evaluates individual plan of care. Prioritizes and assesses patient acuity and treatment modalities. Communicates discharge instructions and teaching. Possesses effective communication, interpersonal and teamwork skills. Utilizes equipment properly. Participates in departmental growth and development. Pursues professional growth. Follows patient care standards. Ability to work standby. May cover Medical Surgery Unit. May be the only Emergency Nurse on the unit 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 Minimum Education/Experience Associates 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. and 2 - 3 years or related experience Required Licenses/Certifications Nevada Registered Nurse (RN) - Upon Hire California Registered Nurse (RN) - Upon Hire Employees hired into the department after September 1, 2012 must have California and Nevada RN licenses. If hired as a temporary or seasonal RN, must have current RN license in either CA or NV based on work assignment. Current employees as of January 1, 2023 must obtain their CA RN license no later than June 1, 2023. Advanced Cardiovascular Life Support - Upon Hire Basic Life Support (BLS) for Healthcare Providers - Upon Hire 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. - Upon Hire BLS/ACLS/PALS: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Basic Life Support (BLS), Advanced Life Support (ALS) and Pediatric Advanced Life Support (PALS) Entry or Prep Curriculum (depending on their previous BLS, ACLS, and/or PALS certification). - Within 3 months of hire into job Other Experience/Qualifications Preferred: Trauma Nursing Core Course (TNCC)
Bargaining Unit: EAP Rate of Pay: $71.883/hour + DOE (Base Pay of $68.46 includes 5% temporary differential) Summary Performs the nursing process through assessment, planning, implementation and evaluation of safe therapeutic care to patients in the Cancer Center by performing the following duties. Essential Duties and Responsibilities Functions as the coordinator of patient care, collaborating with other providers and health team members to provide required care as effectively as possible. Responsible for delivering care within the framework of the nursing process. Administers antineoplastic, immunotherapy and non-oncology medications, including via intravenous, intramuscular, subcutaneous and intravesical routes. Recognizes and responds to infusion reactions, including hypersensitivity reactions and anaphylaxis. Assesses and manages medication side effects and oncologic emergencies. Uses assessment findings to prioritize patient problems according to their needs. Consistently demonstrates professional skills, utilizes his/her knowledge base to act as a collegial consultant and resource to other staff as assigned. Responsible to comply with all regulatory agency and accreditation standards and requirements. Maintains and demonstrates clinical competency/skills including the ability to provide safe and effective care to our special patient populations and to patients with diverse cultural backgrounds. Performs appropriate assessment, intervention and evaluation. Identifies safety concerns and institutes measures to provide a safe environment. Actively participates in professional role development activities including continuing education, continuous quality assessment and improvement as well as the review and clinical application of research findings. Provides ethically sound care. Coordinates care using a multi-disciplinary team approach. Delivers care within the framework of the ANA standards. Identifies safety concerns and institutes measures to provide a safe environment. Engages the patient in mutual goal setting and collaboration in developing the Nursing plan of care. Participates in development of and ensures compliance with the Cancer Centers’ policies and procedures. Ensures that confidentiality and patient information policies and guidelines are observed. Demonstrates leadership and professional growth. Develops and supports Quality Assessment and improvement plans in collaboration with the Nurse Case Manager and Director. Learns, uses and serves as a resource for the electronic medical record system. Navigates the pertinent information from the EMR system effectively. Accesses and extrapolates pertinent information in an appropriate and timely manner. Performs accurate and timely documentation within EMR System. Ensures that procedural charges are entered into the EMR accurately and timely. Participates in clinical audit trials. 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. Minimum Education/Experience Associate's 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 and 3 or more years relevant experience Required Licenses/Certifications California Registered Nurse (RN) Upon hire Basic Life Support (BLS) for Healthcare Provider Upon hire BLS: 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 Other Experience/Qualifications Required: Oncology Nursing Society (ONS) Chemo Immunotherapy Administration certification within one (1) month of hire into the position A minimum of one year experience as an oncology nurse. Expert IV therapy skills. Experience assessing critically ill patients in a high acuity oncology, critical care, emergency or equivalent setting. Preferred: Oncology experience within the last three (3) years. Oncology Certified Nurse (OCN) certification One year experience as an oncology infusion nurse in an outpatient infusion center.
Bargaining Unit: Outpatient Clinics - EAP Rate of Pay: $80.87/hour + DOE Summary The Clinics Nurse Practitioner/Physician Assistant is responsible for the primary care of those individuals directed to the clinics via hospital based programs. Essential Duties and Responsibilities Demonstrates clinical competence to provide adult or family primary care with or without subspecialty. Provides primary care medical services for assigned patients, including preventive physical examinations, evaluation and treatment of injuries and illnesses, chronic disease management and referrals to appropriate specialties or facilities Orders, performs, interprets diagnostic tests as appropriate Prescribes medication, therapy and other specialized medical care per standard of care Performs appropriate medical procedures within scope of practice as defined by licensing and the health system's credentialing and privileging processes. Considers thorough range of treatment/preventive options and arrives at a recommended course of action that is age appropriate, culturally appropriate, realistic and attainable. Appropriately manages patient care and health status following initiation of treatment/preventive plan and monitors and adjusts as warranted. Communicates effectively with patients and family so that they understand their diagnosis, treatment plans and need for follow-up care. Educates and encourages patients to become active participants in their own healthcare-related behavior and provides patient education materials when appropriate Documents within the electronic medical record system to facilitate ongoing quality of care in a timely manner Able to distinguish between normal and abnormal findings. Makes appropriate referrals to physicians and community agencies. Collaborates with and consults the supervising physician (s) when appropriate and required by policy and completes chart review as required by health system policies. Escalates care appropriately when cases exceed training or expertise. Assists with EHR in basket coverage and patient triage. Provides additional clinical support for patients with an out of office provider. Provides patient care for same day and urgent visits. Adheres to all relevant policies, procedures and practice guidelines. Supports appropriate billing for professional services through timely documentation and maintaining adequate knowledge of the practice's billing policies and procedures. Responds to telephone calls and EMR messages in a timely manner Reviews and follows up on complaints and concerns about medical care Regularly attends and actively participates in clinic staff meetings as requested, physician/NP/PA meetings and Primary Care Committee meetings. Participates in community education and other professional activities to promote practice growth and community wellness as requested Maintains positive, caring and supportive relationships with patients, care team and clinic staff 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 if working in departments 17092-MSC Urgent Care Truckee, 17093-MSC Urgent Care Tahoe City or 17094-MSC Urgent Care Squaw Valley and hired after 8/24/2020: Employee will be enrolled in the Resuscitation Quality Improvement (RQI) Advanced Cardiovascular Life Support (ACLS) Entry or Prep Curriculum (depending on their previous ACLS certification) which must be completed within three (3) months of hire. Anyone hired prior to 8/24/2020 will have three (3) months to obtain ACLS certificate. 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 None
