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Family Health Centers of San Diego

Registered Nurse, Charge

$50 - $63.88 / hour
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region. Responsibilities: *Actively participates in LEAN/HONSHA trainings and serves as a member of the Core Team. Actively participates in other clinical initiatives, such as clinical quality outcomes, to achieve goals and metrics. *Builds positive relationships, inspires others to perform at a higher level, prepares career development plans and retains an accountable workforce. *Coaches and counsels staff and administers appropriate disciplinary action in a timely manner. *Communicates effectively with interdisciplinary care team and support services, including Physicians, PSRs, Medical Assistants, and others. Attends department meetings. *Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, ensures subordinate staff complete documentation per department standards. Includes documenting patient history. *Consistently follows Policies and Procedures to ensure positive patient outcomes. *Keeps clinic work-flow moving, focusing on productivity and efficiency, including assigning lunch times and breaks, ensuring exam room is set up, ordering supplies and vaccines to ensure correct supply is on hand, supporting provider productivity, reviewing patient problem list prior to visit with provider, and calling in refills to pharmacy. *Keeps site in compliance with TJC, DHS, CHDP, and Medi-Cal Managed Care requirements. *Participates in continuous improvement activities and ensures appropriate Lean tools (i.e., 5S, A3) are deployed and results are evaluated and/or measured. *Performs other duties as assigned. *Performs Waive Testing and Phlebotomy if appropriate training has been completed. *Provides/ensures staff receive all new hire and annual trainings on time. *Supervises assigned team, including hiring, and scheduling as needed. Provides clinic oversight in absence of the Clinic Director/Manager. Requirements: At least 3 years of experience in an ambulatory care setting or similar setting preferred. California State Board RN License required. Current American Heart Association healthcare provider CPR (BLS), or Advanced Cardiac Life Support, Advanced Trauma Life Support, or Advance Resuscitation Training. Graduation from a recognized RN/BSN program. High School Graduate (or GED equivalent). Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency. Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy. Ability to participate collaboratively with multi-disciplinary care team. Ability to work effectively with patients from diverse social, cultural and economic groups. Able to maintain good working relationships with employees, coworkers, and departments. Basic computer literacy ability to comply with department needs and expectations (i.e., electronic medical record documentation, obtaining background information and reports on patients, following up on appts, etc.). Bilingual (Read, Speak & Write) in English/ Spanish preferred. Effective training and coaching skills; ability to drive results and achieve objectives through others. Knowledge of child, adolescent, and adult health care issues. Knowledge of supervisory practices and techniques, including performance management and employee development. Knowledge of, and ability to perform, clinic-based nursing tasks. Rewards: Job type: Full-time, Monday -Friday 8am-5pm. Covering Saturdays 8am-12pm (Rotation every 3-6 weeks) Onsite Location: 525 E. Main Street El Cajon, CA 92020 Competitive Salary with Excellent Benefits Retirement Plan with Employer Match Paid Time Off, Extended Sick Leave and Paid Holidays Medical/Dental/Vision/FSA/Life Insurance Employee Discounts and Wellness Programs The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved. We are excited to share that the salary range for this position is: $50.00 - $63.88 Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net) FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.
Family Health Centers of San Diego

Nurse Manager- RN

$114,400 - $146,441.67 / year
For more than 55 years, Family Health Centers of San Diego’s (FHCSD) mission has been to provide caring, affordable, high-quality health care and supportive services to everyone, with a special commitment to uninsured, low-income and medically underserved persons. FHCSD is one of the top 10 largest federally qualified health centers (FQHCs) in the country. We operate more than 90 sites across San Diego County, including 29 primary care clinics, 23 behavioral health facilities, 10 physical rehabilitation clinics, nine dental clinics, five vision clinics, four outpatient substance use treatment programs, three mobile medical units, two mobile counseling centers, two urgent care centers, and a pharmacy. Our staff provides care to over 227,000 patients each year, of whom 91% are low-income and 29% are uninsured. FHCSD provides care to all. Services include, but are not limited to adult care, chronic disease management, pediatrics, comprehensive women’s care including obstetrics, dental, vision, case management, physical rehabilitation, speech therapy for children, vaccinations, infectious diseases, behavioral health, substance use counseling and a host of specialty services including cardiology, podiatry, endocrinology, dermatology, among others. FHCSD also offers supportive services to those who are unsheltered and in need of intensive case management. The breadth of our clinic locations, services and programs has grown over the last five decades, making us the largest community clinic provider of health care to the uninsured in the county and one of the top 10 largest community clinic organizations in the nation. We are also the largest health care safety-net provider, largest school-based health care provider and the largest mental health provider in the San Diego region. Job Roles Assist providers in meeting productivity standards through development of efficient patient flow systems that ensure optimal patient flow with patients processed efficiently and walk-ins triaged expediently. Coordinate orientation and training of all nursing personnel. Assist Clinic Director, and/or Nursing Director in the development of training for the nursing staff to include patient education, sharpening of nursing skills, emergency procedures, etc. Ensure patients receive quality care in an effective and timely manner. Ensure nursing staff provide appropriate and complete documentation in all patient records and in all provider/nurse communications. Ensure the crash cart/crash box is checked per policy and that medications and supplies are checked monthly for expiration. Remain in close contact with Clinic Director and/or Nursing Director for information exchange, problem resolution, scheduling, staffing, and other related issues. Participate with management in organizational long-term planning and the development of strategic initiatives. Recruit, train, develop, engage, and retain an accountable workforce. Provide effective counseling/guidance to employees. Administer corrective action promptly when needed. Foster an environment that promotes development and professional growth of employees. Maximize output from subordinates through an effective, supportive management style. Provide leadership and nurse supervision. Ensure all regulatory standards are met or exceeded and adhered to on an on-going basis (TJC, CLIA, DHS – Licensing & Certification, OSHA, etc.) Ensure Mock Codes are conducted according to the annual calendar. Ensure logs are completed appropriately, including temperature logs, autoclave logs, etc. Work cooperatively with other team members in activities related to ensuring health center implementation of all quality concepts, to include infection control program, patient satisfaction, etc. Ensure applicable regulatory and department standards are adhered to in an ongoing basis (The Joint Commission, OSHA, etc.). Lead, educate, coach and mentor others on LEAN continuous process improvement philosophy, tools and application to accomplish organizational goals. Perform other duties as assigned. Education/Certifications/Licenses/Registrations Current California RN license required. Current CPR certification. Ability and means to travel as needed in a timely manner within San Diego County, to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. DRIVER REQUIREMENTS: Licensed for a minimum of 3 years; No more than 2 violations and/or accidents within 3 years; No vehicle related suspensions/reinstatements; No DUI, reckless or felony Driving within 7 years. Experience/Specialized skills (including Language) Cultural and linguistic sensitivity to populations served. Bilingual (English/Spanish) preferred. 3 years minimum experience of progressively responsible positions as a supervisor. 3 years minimum experience in community-based clinics, out-patient medical clinics, or work in a hospital setting with indigent care patients. Knowledge of supervisory practices and techniques, including performance management and employee development. Strong analytical and problem solving skills. Successful track record of leading and driving positive change through others. We are excited to share that the salary range for this position is: $114,400.00 - $146,441.67 Information on our extensive benefits package can be found here: FHCSD Wellness – Employee Hub (gobenefits.net) FHCSD provides Equal Employment Opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, transfer, leave of absence, compensation, and training.
Sharp HealthCare

Clinical Nurse RN - Surgery - Sharp Grossmont Hospital – Variable Shift - Full Time – Eligible For New Hire Relocation

$61.74 - $90.16 / hour
Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 12/36 - 12 Hour Shift Additional Shift Information: Weekend Requirements: Every Other On-Call Required: Yes 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. 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 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. $5,000 New Hire Relocation Incentive: Qualified external new hire candidates may be eligible for a $5,000 relocation incentive. Must be relocating from 100+ miles outside of San Diego to be eligible. New Hire Incentive Eligibility Requirements: 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 In-state candidates 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. Sharp employees may be eligible for a $2,500 Employee Referral Bonus 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 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 Nurse RN - Surgery - Sharp Grossmont Hospital – Variable Shift - Full Time – Eligible For New Hire Relocation

$61.74 - $90.16 / hour
Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 12/36 - 12 Hour Shift Additional Shift Information: Weekend Requirements: Every Other On-Call Required: Yes 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. 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. California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - 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. $5,000 New Hire Relocation Incentive: Qualified external new hire candidates may be eligible for a $5,000 relocation incentive. Must be relocating from 100+ miles outside of San Diego to be eligible. New Hire Incentive Eligibility Requirements: 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 In-state candidates 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. Sharp employees may be eligible for a $2,500 Employee Referral Bonus 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 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