TriState Health Nursing Jobs and Careers

Registered Nurse First Assistant - OR

This position is eligible for $6/hr RNFA Differential premium pay in addition to hourly base rate. Job Summary: Works in collaboration with the surgeon and other health care team members to promote and restore optimal patient outcomes. Under the general direction of the Operating Room Supervisor; Peri-operative director; or designee, the RNFA remains responsible for the delivery of professional, safe, and quality patient care in the operative room suite. Functions as the assistant to the operating surgeon during the operative procedure and provides direction of care, under physician supervision, during the perioperative phase to surgical team members. Collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families; supervising assigned team members. Nursing care is rendered to all patients in accordance with the Nurse Practice Act, hospital, Nursing Department and regulatory standards. Responsible for care of patients in the operating room. Participates in 24-hour call coverage. Uses skills in nursing assessment to include recognizing post-anesthesia and post-operative complications. The job duties listed are essential functions of the position. For direct patient care roles: Performs and maintains current in essential competencies. Has completed and acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice; Completed necessary RNFA training course and required hours. Credentialing process is complete according to hospital policy. Supports the surgical team during all types of surgical procedures and intraoperatively practices at the direction of the surgeon Assesses the patient information preoperatively and directs team members on specific performance in each case; identifies the patient to ensure that the patient, procedure, and operative site all correspond. Follow any instruction provided by the surgeon. Create and maintain positive, personal, professional atmosphere around the patient and their family Assists staff in ensuring all equipment and supplies for surgical procedures are in the room or readily accessible Prepare the operating room for the procedure Preoperatively: communicates and collaborates with health care team regarding the patients plan of care Intraoperatively: performs surgical first assistant techniques such as: Establishes and maintains a surgically clean environment to reduce the potential for infection by applying the principles of asepsis, decontamination, disinfection, sanitation, sterilization, and environmental monitoring. Demonstrates a collaborative spirit by exhibiting collegiality and peer support, by mentoring and/or coaching, and by networking. Exhibits professional autonomy by accepting responsibility of one’s own actions and upholds professional goals. Collaborates with Registered Nurses, Surgical Technologists, and ancillary staff assigned to the OR for their assigned case in partnership with the surgeon. Provides leadership and guidance to other staff members in the OR. Pursues professional growth and development through active participation in educational opportunities. Knowledge of current departmental policies and standards. Ability to maintain confidentiality in all patient related information. Ability to act effectively in emergent, critical patient care situations. Education and Training: Bachelors degree in Nursing Certification in perioperative nursing (CNOR) and maintains CNOR status Graduate of an accredited RNFA program Compliance with all applicable statuses, regulations, and institutional policies relevant to RNFAs Licensures and Certifications: Current WA State or Multi-State RN license. Current American Heart Association BLS upon hire ACLS/PALS certification required within 6 months of hire CNOR certification RNFA certification Skills and Abilities: Strong communication skills Able to deal effectively with patients, family members and surgeons Able to work in a team environment while maintaining a highly professional and productive work environment Computer and electronic medical record proficiency Benefits Overview: Paid Time Off Paid Sick Leave Medical, Dental, and Vision Flexible Health Spending Account and Dependent Care Spending Account Retirement - 403(b) with matching contributions Employee Assistance Program Tuition Reimbursement Life Insurance Employee Wellness Program About TriState Health Learn more about TriState Health here. TriState Health is a not-for-profit, critical access hospital and medical campus, community owned and operated since 1955. As the largest employer in Asotin County, TriState remains committed to our mission of caring for the community and ensuring, “Your Health Is Our First Priority.” Serving an 8-county region in Washington, Idaho, and Oregon, TriState Health continues to receive awards for excellent service to the community such as “2025 Get with the Guidelines Gold in Rural Stroke” and “1 of 6 Top Recommended Hospitals in Washington State." TriState proudly promotes a 4:1 nurse to patient ratio, with an even lower ratio for critical care patients. L ocated in Clarkston, WA, and nestled within the Lewis Clark Valley - a hidden gem found at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley. Our Mission: Your Health Is Our First Priority! Our Vision: Empowered Employees. Compassionate Care. Patients First. Community Always. Our Values: Quality. Through teamwork, we strive to continuously improve our quality of care and service. Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care. Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families. Collaboration. We seek healthy partnerships – both within and outside our walls – to build teams that deliver the highest quality of care. Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.

Clinic Float RN

TriState Health Clarkston, WA

This position provides vital float coverage to our multiple clinics and may travel between Washington and Idaho. Eligible for $2.50/hr Float Differential premium pay! Job Summary: Performs various patient care activities and related services in caring for the needs and comfort of patients under the direction of the physician or midlevel provider. RN duties include (but not limited to) assessing patients physical, psychosocial and behavior health needs; advocating for patient; administering prescribed medications, including IV therapy in office (rheumatology); preparing exam room, procedure room, infusion room equipment and assisting providers; documenting in the EMR according to TSH policy and procedures. Each position has specific requirements with unique duties and responsibilities. This position may require travel between Tri-State locations in Lewiston and Clarkston. See Clinic Director for specific requirements. Education and Training: Associate's degree or Bachelors in nursing, required. Licensures/Certifications: Idaho and Washington State RN licenses or Multi-State license, required. Current American Heart Association's BLS/CPR certification card on hire or within orientation period. Experience: Previous clinic experience preferred Skills and Abilities: Familiarity with medical terminology Benefits Summary: Paid Time Off Paid Sick Leave Medical, Dental, and Vision Flexible Health Spending Account and Dependent Care Spending Account Retirement - 403(b) with matching contributions Employee Assistance Program Tuition Reimbursement Life Insurance Employee Wellness Program About TriState Health Learn more about TriState Health here. TriState Health is located in Clarkston, WA, which is nestled within the Lewis Clark Valley. The Lewis Clark Valley is a hidden gem, located at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley. Our Mission: Your Health Is Our First Priority! Our Vision: Empowered Employees. Compassionate Care. Patients First. Community Always. Our Values: Quality. Through teamwork, we strive to continuously improve our quality of care and service. Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care. Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families. Collaboration. We seek healthy partnerships – both within and outside our walls – to build teams that deliver the highest quality of care. Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.

Nurse Practitioner/Physician Assistant - Minor Care

TriState Health Clarkston, WA

TriState Health is seeking an experienced Nurse Practitioner or Physician Assistant to join our busy Minor Care clinic! This position will share weekend rotation. Weekend shifts (Sat/Sun) are 8-9 hours. Weekday shifts (Mon thru Friday) are 12 hours; 7am - 7pm. Located on the TriState Health Campus, this fast paced clinic is committed to providing the best possible care to their patients, using the most up-to-date information and state-of-the-art techniques. Providers must have the ability to work with a broad patient demographic. Our ideal candidate will bring and positive and caring attitude, excellent communication skills, and a passion for patient care and clinical experience. ESSENTIAL DUTIES AND JOB RESPONSIBILITIES The essential functions include, but are not limited to, the following: Provide comprehensive care to patients in the Minor Care clinic. Conduct physical examinations and assess patients' medical history. Diagnose and treat acute and chronic illnesses. Order and interpret diagnostic tests, such as laboratory work and imaging studies. Prescribe medications and other treatments. Collaborate with other healthcare professionals. Utilize evidence-based practice guidelines to provide high-quality care. Maintain accurate and up-to-date medical records. Share weekend schedule with other clinic providers. Other duties as assigned. EDUCATION REQUIREMENTS Graduate of an accredited Program. Active Washington State License. Benefits Summary: Paid Time Off Paid Sick Leave Medical, Dental, and Vision Flexible Health Spending Account and Dependent Care Spending Account Retirement - 403(b) with matching contributions Employee Assistance Program Tuition Reimbursement Life Insurance Employee Wellness Program About TriState Health Learn more about TriState Health here. TriState Health is located in Clarkston, WA, which is nestled within the Lewis Clark Valley. The Lewis Clark Valley is a hidden gem, located at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley. Our Mission: Your Health Is Our First Priority! Our Vision: Empowered Employees. Compassionate Care. Patients First. Community Always. Our Values: Quality. Through teamwork, we strive to continuously improve our quality of care and service. Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care. Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families. Collaboration. We seek healthy partnerships – both within and outside our walls – to build teams that deliver the highest quality of care. Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.

CNA

Part-time

1 week ago

CNA Inpatient Services - Part Time/Days

TriState Health Clarkston, WA

Job Summary: Performs various direct patient care activities under the supervision of a Registered Nurse. Assists patients in dressing or undressing, bathing, or eating. Collects non-invasive body fluid specimens or gathers vital signs. Aids physicians and nursing staff members with procedures if needed. Documents patient interactions as needed Coordinates the duties at the nurses' station under the supervision of the Charge Nurse. Responsible for routing information and communication to the appropriate places. Education and Training: High school diploma or GED required Licensures/ Certifications: Current Washington State Certified Nursing Assistant license required. Current American Heart Association’s BLS certification card on hire. Experience: Previous acute care experience preferred. Skills and Abilities: Excellent communication skills Ability to take direction and follow through Benefits Overview: Paid Time Off Medical, Dental and Vision Flexible Health Spending Account and Dependent Care Spending Account Retirement - 403(b) with matching contributions Employee Assistance Program Life Insurance Employee Wellness Program About TriState Health Learn more about TriState Health here. TriState Health is located in Clarkston, WA, which is nestled within the Lewis Clark Valley. The Lewis Clark Valley is a hidden gem, located at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley. Our Mission: Your Health Is Our First Priority! Our Vision: We place the healthcare needs of our community first by partnering to bring care beyond our walls through innovative technology and collaboration. We are a regional healthcare leader and employer of choice, delivering the highest quality of care to facilitate health, healing, and wellbeing throughout our community and those we touch. Our Values: Quality. Through teamwork, we strive to continuously improve our quality of care and service. Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care. Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families. Collaboration. We seek healthy partnerships – both within and outside our walls – to build teams that deliver the highest quality of care. Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.

CNA

Part-time

2 weeks ago

CNA Inpatient Services - Part Time/Nights

TriState Health Clarkston, WA

Job Summary: Performs various direct patient care activities under the supervision of a Registered Nurse. Assists patients in dressing or undressing, bathing, or eating. Collects non-invasive body fluid specimens or gathers vital signs. Aids physicians and nursing staff members with procedures if needed. Documents patient interactions as needed Coordinates the duties at the nurses' station under the supervision of the Charge Nurse. Responsible for routing information and communication to the appropriate places. Education and Training: High school diploma or GED required Licensures/ Certifications: Current Washington State Certified Nursing Assistant license required. Current American Heart Association’s BLS certification card on hire. Experience: Previous acute care experience preferred. Skills and Abilities: Excellent communication skills Ability to take direction and follow through Benefits Overview: Paid Time Off Medical, Dental and Vision Flexible Health Spending Account and Dependent Care Spending Account Retirement - 403(b) with matching contributions Employee Assistance Program Life Insurance Employee Wellness Program About TriState Health Learn more about TriState Health here. TriState Health is located in Clarkston, WA, which is nestled within the Lewis Clark Valley. The Lewis Clark Valley is a hidden gem, located at the confluence of the Snake and Clearwater Rivers and at the mouth of Hells Canyon, America’s deepest river gorge. With a mild climate and a four-seasons environment, the valley offers a wide variety of year-round family friendly happenings. Spend time boating on the river, hiking, skiing at nearby resorts, savoring delicious wines and cuisines, attending sporting events, and more! Enjoy life at your pace, your way, in the beautiful Lewis Clark Valley. Our Mission: Your Health Is Our First Priority! Our Vision: We place the healthcare needs of our community first by partnering to bring care beyond our walls through innovative technology and collaboration. We are a regional healthcare leader and employer of choice, delivering the highest quality of care to facilitate health, healing, and wellbeing throughout our community and those we touch. Our Values: Quality. Through teamwork, we strive to continuously improve our quality of care and service. Compassion. We are the caretakers of our community and we treat each patient, partner, and team member with a tender touch and an unparalleled level of care. Respect. We create a culture of respect by engaging professional staff who demonstrates respect for each other, our patients, and their families. Collaboration. We seek healthy partnerships – both within and outside our walls – to build teams that deliver the highest quality of care. Innovation. We embrace and integrate new ideas and technology to improve our community’s health and wellness.