RN-Advanced Practice Nurse - ICU

$64.81 - $97.21 / hour

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8741 Nursing Professional Development Advanced Practice Nurses are dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence-based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. QUALIFICATIONS License /Certification Required: CA RN license CA licensure as an Advanced Practice Nurse such as Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP) BLS Experience Required: Three years of recent experience in specialty clinical area. Knowledge/Skills/Abilities Excellent written and oral communication skills and effective interpersonal relationships. Demonstrates critical thinking, creative thinking, and creative skill in problem solving. Department Specific Requirements If assigned to NICU: The three years of recent specialty experience must be in a neonatal nursing care unit, at least one year must have been in a facility with an NICU that is equivalent to a Regional (Level III) or Community (Level II) NICU. Recent level III experience required. Current certification in NICU from a nationally recognized accrediting organization preferred. JOB RESPONSIBILITIES Essential Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Assesses and intervenes in complex health care problems within a selected specialty area. Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Assists with and promotes staff development. Assists with formal and informal education classes. Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Mentors and coaches staff and students. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, facilitating goal setting and achievement, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence-based practice. Uses a PDSA performance improvement model as an avenue to improve advanced clinical practice and care. Evaluates policy and procedures for clinical practice in specialty area. Develops and reviews evidence-based policies and procedures. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Participates in organization and division journal club. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends specialty area staff meetings, Unit Based Council, and Nurse Practice Council meetings on an ad hoc basis and Professional Practice Council monthly. Attends appropriate Medical staff committees. Interprets the dimensions of nursing care requiring resources at the system level, and provides leadership to assure that the system adequately supports the delivery of nursing care: Selects, uses, and/or evaluates technology, products, and devices appropriate to the specialty area of practice. Expands the practice of nursing through ongoing generation and acquisition of scientific knowledge and skills to maintain expert clinical competences that leads to desired outcomes: Stays abreast of current literature in the specialty area of practice. Collaborates with Nursing Research consultant. Educates and promotes the organizational model of evidence-based practice to improve patient outcomes (Iowa Model). Follows Kaweah Health policies when conducting research (ie. Institutional Review Board). Submits data from research topics related to the specialty area of practice for publication. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Works in collaboration with the Nurse Manager, Nursing Director, Director of Nursing Practice, Clinical Education Department, and other Health Care Providers (HCP) to assess and coordinate education to assure the clinical competency of nursing staff: Ensures continued nursing competency through educational programs for both the newly-hired and experienced nursing staff. Consults with staff on complex nursing issues. Reviews education activities provided by the RN. Works in collaboration with the Medical Director in research and development of evidence based policies and protocols Addendum (essential for specific dept) SPECIALTY SERVICE LINE: In collaboration with the area Nursing Director, manages and monitors strategic direction for specialty to ensure optimal, efficient, cost-effective care. Works in partnership with HCPs and clinical staff to develop an internal marketing strategy for specialty. Identifies appropriate candidates for referral and facilitates referral relationships between HCPs. Collaborates with the Marketing Department to develop internal and external marketing strategies for specialty programs as appropriate. Assists in preparing, managing and monitoring operational and capital budget for specialty. Collaborates between the nursing unit and ancillary departments to facilitate problem-solving. Utilizes appropriate lines of communication within all departments. Utilizes resources available to report and track utilization and outcomes management as compared with regional, state and national benchmarking data. Enhances professional growth and development through participation in educational programs, professional affiliations, current literature, in-services, workshops and successful completion/maintenance of required certifications of specialty. Represents the service line/specialty at department, hospital and community events. NICU:The Community NICU CNS shall be responsible for: Directs the clinical nursing practice in the NICU. Coordinates and assesses critical care educational development and clinical competency of the nursing staff in the NICU. Ensures continued neonatal critical care nursing competency through educational programs for both the newly-hired and experienced nursing staff. Consults with staff on complex neonatal critical care nursing issues. Oversees comprehensive parent and or primary caretaker education activities. Ensures the implementation of a coordinated and effective discharge planning program. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $64.81 -$97.21 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

NP

Full-time

2 months ago

Clinical Informaticist

Kaweah Health Visalia, CA

$47.35 - $71.03 / hour

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8482 ISS Clinical Informatics Facilitates and provides support of clinical informatics processes through the effective use of available technologies; ensures that technology is implemented in a manner that supports the practice, optimizes workflow and provides decision support; ensures all related systems and work flows are properly integrated into the work environment. QUALIFICATIONS License /Certification Required: Licensure in clinical discipline such as nursing, clinical informatics field or equivalent combination of education and experience. Preferred: ANCC or CPHIMS certification Education Preferred: Bachelor’s degree Experience Required: Three years experience in a healthcare field. Experience supporting clinical operations in an electronic healthcare environment or may have equivalent combination of education and/or experience. Preferred:Cerner experience Knowledge/Skills/Abilities Knowledge and understanding of clinical protocols, hardware documentation and systems applications. Basic knowledge of principles of software design and modification, basic computer skills and knowledge of MS Office Suite and SharePoint. JOB RESPONSIBILITIES Essential Under minimal supervision, leads planning, design and implementation teams for applications to ensure that application design and build meets the needs of the staff for appropriate data capture and workflow process and help ensure adoption. Maintains and optimizes clinical content and decision support functions through all phases of the systems development life cycle, in both the hospital and ambulatory clinical information systems. Maintains current knowledge of legal and regulatory standards and standards of practice to ensure that the clinical systems support compliance with these standards. Maintains current knowledge of clinical practices to promote an evidence-based practice model for clinical systems throughout the organization; assisting the assigned application analyst and other clinical systems staff in build and maintenance as indicated; has/acquires and maintains a working knowledge of the clinical environment, workflow, job responsibilities and processes in assigned areas. Responsible for drafting, updating, and revising written recommendations for changes in policies and procedures for applicable clinical applications. Participates in the development of training and training materials by: collaborating with clinical education and clinical users; integrating workflow into the training of all system users; providing training. Effectively communicates by: interpreting and conveying information clearly, accurately and in a timely manner; establishing and maintaining open, effective communications between all teams of caregivers, vendors, etc.; utilizing correct channels of communication and recognized organization communication standard; keeping abreast of and complying with departmental and organizational changes and events through reading posted communications and attending assigned meetings. Ability to work non-standard and extended hours during project implementations. Ability to be on-call for education and workflow related questions. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Performs other duties as assigned. Pay Range $47.35 -$71.03 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

NP

Full-time

3 months ago

Physician Assistant or Nurse Practitioner

Kaweah Health Visalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7390 Professional Services-APP The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. Sign on Bonus & Relocation Assistance Available QUALIFICATIONS License /Certification Required: CA Physician Assistant or CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. Department Specific Requirements If assigned to Throughput: requires ACLS within one year of hire/transfer. If assigned to Surgery, or Throughput and working in Surgery-Cardiac: requires ACLS and completion of a recognized RNFA training program within one year of hire/transfer. JOB RESPONSIBILITIES Essential Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Addendum (essential for specific dept) SURGERY/CARDIOVASCULAR SERVICES ALSO RESPONSIBLE FOR: IF PERFORMING RN-FIRST ASSIST DUTIES: Assists on all cardiovascular surgical procedures as directed by the surgeon. Functions as the ﬁrst assistant at surgery in the general and obstetric surgical suites. Assists the surgeon by providing intraoperative tissue retraction. Assists with intraoperative hemostasis. Assists with intraoperative tissue manipulation. Uses surgical instruments and suture material to manipulate tissue as directed by the surgeon. Assists with intraoperative wound closure. Sutures tissue, using instruments and suture material as directed by the surgeon. Preoperative- assists with: review of procedure prior to the case; opening and set up of the operating room suite; either preoperative counts or patient assessment as coordinated with the circulating RN; transfer of the patient to the OR bed; anesthesia induction if requested to do so by the circulating RN; and positioning the patient for the surgical procedure. Interoperative- scrub in and assist in the draping of the patient; assist the surgeon within the parameters of standardized procedures; and assist in counts as needed. Postoperative- assists with: the application of the patient's dressings; transfer from the OR bed; accompany the patient to the PACU if required; and clean up and turn over of the operating room. May assist with specialty procedures including minimally invasive vein/arterial harvesting, closure of deep fascia layer, insertion of invasive monitoring lines and cardiac sternal wound closure. IF PERFORMING RN CIRCULATOR DUTIES: Assesses basic patient needs, including recognition of abnormal diagnostic data, and potential problems related to the proposed surgical intervention and communicates appropriate information to the physician and other members of the surgical team. Provides the ability to modify assessment criteria based on the age of the patient, psychosocial and physical needs. Implements patient's plan of care by evaluating patient's response to care. Organizes and adjusts assignments according to patient's needs. Facilitates patient transfer to appropriate postoperative unit, ensuring patient safety and communication with receiving patient care staﬀ. Demonstrates understanding in use of patient care equipment and instrumentation. Responsible for knowledge of emergency equipment and supplies, including the crash cart, airway management cart, and the malignant hypothermia cart. Timely written referral of any malfunctioning or defective equipment. Assures that all medications are administered properly 100% of the time, including IV's as prescribed by physician; knows actions, indications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to the patient. Maintains clear communication and rapport with patient/family as appropriate for setting. Gives and documents emotional support and keeps patient/family informed of progress. Assures that patient's personal hygiene needs are met, immediate environment is clean and safe. Maintains a current and complete medical record. Coordinates admission, transfer and discharge of patient with appropriate personnel and documents observations, assessment treatments and outcome as necessary. CARDIAC CATH LAB ALSO RESPONSIBLE FOR: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient ﬂow for the clinical activities of cardiology services speciﬁc to heart valve devices (TAVR). Develops and implements required elements of an eﬀective clinical program such as: Develops methods to ensure prompt access to care. Ensures processes are in place to provide coordinated patient ﬂow across Physicians clinical sites. Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device. Develops & implements clinical guidelines. Aligns EMR to support care delivery. Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium. Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date. Practice Development: Develops & provides oversight of clinical program at aﬃliated hospitals. Directs development of education materials. Develops educational materials and training program for all patient care staﬀ (inpatient and outpatient) who will participate in the clinical trial. Helps develop valve program at aﬃliated hospitals that provide a referral base of patients. Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date. Demonstrates ability to provide care or service adjusting approaches to reﬂect developmental level of population served: Communicates in a respectful manner. Ensures a safe, secure environment. Partners with patient/care-giver/management in care/decision making. Individualizes care/service plan to meet patient/customer needs. Modiﬁes interventions/service based on population served. Provides patient/employee education based on assessment of learning needs of learner. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $72.90 -$109.36 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

Per Diem RN-Nurse Practitioner-Hospice

Kaweah Health Visalia, CA

$76.55 - $114.83 / hour

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7310 Hospice The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and CA Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: Advanced Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: Two or more years of palliative care experience with patients at end of life. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. JOB RESPONSIBILITIES Essential Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area; Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care. Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations. Performs timely Hospice face-to-face visits including timely, accurate documentation. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $76.55 -$114.83 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

NP

Part-time

3 months ago

Per Diem RN-Nurse Practitioner

Kaweah Health Visalia, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7390 Professional Services-APP The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. For Hospice: two or more years of palliative care experience with patients at end of life. Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. JOB RESPONSIBILITIES Essential Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Addendum (essential for specific dept) CARDIAC CATH LAB ALSO RESPONSIBLE FOR: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient ﬂow for the clinical activities of cardiology services speciﬁc to heart valve devices (TAVR). Develops and implements required elements of an eﬀective clinical program such as: Develops methods to ensure prompt access to care. Ensures processes are in place to provide coordinated patient ﬂow across Physicians clinical sites. Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device. Develops & implements clinical guidelines. Aligns EMR to support care delivery. Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium. Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date. Practice Development: Develops & provides oversight of clinical program at aﬃliated hospitals. Directs development of education materials. Develops educational materials and training program for all patient care staﬀ (inpatient and outpatient) who will participate in the clinical trial. Helps develop valve program at aﬃliated hospitals that provide a referral base of patients. Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date. Demonstrates ability to provide care or service adjusting approaches to reﬂect developmental level of population served: Communicates in a respectful manner. Ensures a safe, secure environment. Partners with patient/care-giver/management in care/decision making. Individualizes care/service plan to meet patient/customer needs. Modiﬁes interventions/service based on population served. Provides patient/employee education based on assessment of learning needs of learner. HOSPICE ALSO RESPONSIBLE FOR: Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations. Performs timely Hospice face-to-face visits including timely, accurate documentation. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $76.55 -$114.83 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.

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