RN Full-time
Sharp HealthCare

Clinical Nurse Specialist (CNS) - Transitional and Long-Term Care - Sharp Chula Vista - FT - Variable

$77.91 - $112.59 / hour

Hours:

Shift Start Time:

8 AM

Shift End Time:

4:30 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Flexible as to the needs of department served

Weekend Requirements:

As Needed

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$77.910 - $100.530 - $112.590

 

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. 

 

What You Will Do

Masters or doctoral prepared nurse with Clinical Nurse Specialist Certificate who applies clinical expertise in evidence-based nursing practice within three spheres of influence; 1) patient/client, 2) nurses/nursing practice, and 3) organization/system in the following roles: clinical expert, educator, researcher, consultant and leader. Recommends and set the standard for professional nursing practice, establishes appropriate patient care measures, and evaluates outcomes.

Required Qualifications

  • Master's Degree or doctoral prepared nurse.
  • 3 Years recent clinical experience.
  • California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED
  • Clinical Nurse Specialist (CNS) - CA Board of Registered Nursing -REQUIRED
  • AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED

Other Qualification Requirements

  • Certification in specialty area of practice highly desired.

Essential Functions

  • Patient/Client:
  • Uses advanced theoretical knowledge and clinical expertise in a specialty to assess, plan, implement and evaluate the care of patients/populations.
  • Develops, implements, and/or supports evidence-based interventions for individuals and populations, that achieve desired patient outcome(s).
  • Identifies and responds to patient related quality issues.
  • Consults with interdisciplinary team on clinical issues to achieve optimal patient outcomes.
  • Evaluates outcomes of nursing interventions for individuals and populations for effectiveness, patient responses, efficiency, customer satisfaction and fiscal impact.
  • Nurses/Nursing Practice:
  • Acts as a resource to staff nurses to improve the quality of patient care.
  • Promotes a model of nursing care that emphasizes professional role accountability, critical thinking, and collegiality with physicians and other health care professionals.
  • Provides input to the manager and staff nurses regarding areas for improvement in clinical practice.
  • Designs and/or supports evidence-based programs and/or processes that improve nursing practices
  • Expands the practice of nursing through ongoing generation and acquisition of evidence-based practice.
  • Provides leadership as role model and/or consultant to develop/retain professional nursing staff.
  • Creates an environment that stimulates self-learning and reflective nursing practice.
  • Provides direction, oversight and collaboration with nursing and interdisciplinary colleagues (educators, senior specialists, shared decision-making councils, etc.) in assessing the educational needs and designing educational programs that:
  • * Are based on evidence that improves nursing practice and clinical outcomes
  • * Incorporate theoretical frameworks to advance nursing practice (novice to expert, reflective learning. Adult learning theory, etc.)
  • * Foster the integration of the professional role of the nurse, advanced clinical decision making and acquisition of complex technical skills
  • * Develop competency-based orientation programs and ongoing clinical nursing competency.
  • * Provides final approval of educational content (i.e., classes, e-learning modules, etc.), clinical practice (i.e., protocols, pathways, order sets, guidelines of care, etc.) and policy.
  • * Evaluates outcomes of nursing education for effectiveness of knowledge transfer and cost-benefit.
  • Organization/System Programs:
  • Leads and/or facilitates effective and sustainable evidence-based change that achieves desired quality and fiscal outcomes.
  • Critically evaluates the nursing and medical literature to update and implement best practice.
  • Designs, implements, and evaluates programs and initiatives to achieve desired outcomes that are congruent with the organization’s strategic imperatives, mission, vision and values, regulatory requirements and nursing standards.
  • Evaluates and implements products and patient care processes, within the specialty population that incorporates an evidence-based approach.
  • Collaborates with clinical managers to assist with the analysis of major capital or non-capital purchase items related to the care of patients.
  • Evaluates clinical and financial data and identifies areas for improvement and works with interdisciplinary team to effect change.
  • Leadership/Member of a Profession:
  • Builds relationships and rounds consistently with management, clinical staff, and other healthcare team members to facilitate patient, nursing and organizational outcomes.
  • Participates in professional nursing organizations and partners with community organizations and schools.
  • Enhances own professional growth through self-evaluation and setting and meeting own developmental goals.
  • Advances nursing practice through participation in professional organizations, publications and presentations.
  • Commits to practice self-care, manage stress and connect with self and others.

Knowledge, Skills, and Abilities

  • A clinical expert in theory and/or research-bases nursing practice within a specialty area that functions in the following roles: leader, consultant, mentor, change agent within three spheres of influence: nurses/nursing practice, patient/client, and organization/system.

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

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Palomar Health

Clinical RN II- Med Surg Tele $30K Hiring Incentive

Posting Date: 05/29/2026 Internal Closing Date: 06/04/2026 * Internal candidates must apply by midnight on the Closing Date in order to have bidding rights. Primarily responsible for the delivery of coordinated nursing care for a patient or an assigned group of patients within an assigned unit and for the day-to-day management and supervision of the related clinical activities. Coordinates plan of care with the client, their family and the interdisciplinary team. Also responsible for supervising and responsibly directing the activities of various levels of assigned nursing and ancillary personnel, utilizing both professional and supervisory discretion and independent judgment. Understands and adheres to the California Nurse Practice Act, The American Nurses Association (ANA) Code of Ethics for Nurses, the ANA Bill of Rights for Registered Nurses and the ANA Scope and Standards of Practice for Nursing. The Registered Nurse shall be responsible for the observation and direction of patient lifts and mobilization and shall participate as needed in patient handling. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health. Job Requirements Minimum Education: As required by certification and/or licensure Preferred Education: Bachelor's Degree Minimum Experience: 1 year of directly related RN experience in area of specialty Preferred Experience: 2+ years of directly related RN experience in area of specialty Required Certification: American Heart Association recognized BLS - Healthcare Provider Preferred Certification: Not Applicable Required License: Current CA RN License Preferred License: Not Applicable
Fresenius Medical Care

Outpatient Registered Nurse - RN

$39 - $56 / hour
PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $39.00 - $56.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
AccentCare, Inc.

RN Case Manager, Home Health

Overview RN / Registered Nurse, Home Health Location: San Diego JV Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: East County Find Your Passion and Purpose as an Registered Nurse, Home Health Case Manager Salary: $108-$132k/yr depending on experience Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best RN Case Manager You Can Be If you meet these qualifications, we want to meet you! Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation. One (1) year experience as a RN. Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation. Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.
Sharp HealthCare

Clinical Nurse RN Sharp Memorial Hospital Metro Campus Float Pool Acute Care PCU Short Stay Observation Physical Rehabilitation units FT Night 12Hour shift; every other weekend

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

Clinical Nurse Specialist (CNS) - PeriOperative Services - Sharp Memorial Hospital - FT - Variable

$77.91 - $112.59 / hour
Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $77.910 - $100.530 - $112.590 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do Masters or doctoral prepared nurse with Clinical Nurse Specialist Certificate who applies clinical expertise in evidence-based nursing practice within three spheres of influence; 1) patient/client, 2) nurses/nursing practice, and 3) organization/system in the following roles: clinical expert, educator, researcher, consultant and leader. Recommends and set the standard for professional nursing practice, establishes appropriate patient care measures, and evaluates outcomes. Required Qualifications Master's Degree or doctoral prepared nurse. 3 Years recent clinical experience. California Registered Nurse (RN) - CA Board of Registered Nursing -REQUIRED Clinical Nurse Specialist (CNS) - CA Board of Registered Nursing -REQUIRED AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED Other Qualification Requirements Certification in specialty area of practice highly desired. Essential Functions Patient/Client: Uses advanced theoretical knowledge and clinical expertise in a specialty to assess, plan, implement and evaluate the care of patients/populations. Develops, implements, and/or supports evidence-based interventions for individuals and populations, that achieve desired patient outcome(s). Identifies and responds to patient related quality issues. Consults with interdisciplinary team on clinical issues to achieve optimal patient outcomes. Evaluates outcomes of nursing interventions for individuals and populations for effectiveness, patient responses, efficiency, customer satisfaction and fiscal impact. Nurses/Nursing Practice: Acts as a resource to staff nurses to improve the quality of patient care. Promotes a model of nursing care that emphasizes professional role accountability, critical thinking, and collegiality with physicians and other health care professionals. Provides input to the manager and staff nurses regarding areas for improvement in clinical practice. Designs and/or supports evidence-based programs and/or processes that improve nursing practices Expands the practice of nursing through ongoing generation and acquisition of evidence-based practice. Provides leadership as role model and/or consultant to develop/retain professional nursing staff. Creates an environment that stimulates self-learning and reflective nursing practice. Provides direction, oversight and collaboration with nursing and interdisciplinary colleagues (educators, senior specialists, shared decision-making councils, etc.) in assessing the educational needs and designing educational programs that: * Are based on evidence that improves nursing practice and clinical outcomes * Incorporate theoretical frameworks to advance nursing practice (novice to expert, reflective learning. Adult learning theory, etc.) * Foster the integration of the professional role of the nurse, advanced clinical decision making and acquisition of complex technical skills * Develop competency-based orientation programs and ongoing clinical nursing competency. * Provides final approval of educational content (i.e., classes, e-learning modules, etc.), clinical practice (i.e., protocols, pathways, order sets, guidelines of care, etc.) and policy. * Evaluates outcomes of nursing education for effectiveness of knowledge transfer and cost-benefit. Organization/System Programs: Leads and/or facilitates effective and sustainable evidence-based change that achieves desired quality and fiscal outcomes. Critically evaluates the nursing and medical literature to update and implement best practice. Designs, implements, and evaluates programs and initiatives to achieve desired outcomes that are congruent with the organization’s strategic imperatives, mission, vision and values, regulatory requirements and nursing standards. Evaluates and implements products and patient care processes, within the specialty population that incorporates an evidence-based approach. Collaborates with clinical managers to assist with the analysis of major capital or non-capital purchase items related to the care of patients. Evaluates clinical and financial data and identifies areas for improvement and works with interdisciplinary team to effect change. Leadership/Member of a Profession: Builds relationships and rounds consistently with management, clinical staff, and other healthcare team members to facilitate patient, nursing and organizational outcomes. Participates in professional nursing organizations and partners with community organizations and schools. Enhances own professional growth through self-evaluation and setting and meeting own developmental goals. Advances nursing practice through participation in professional organizations, publications and presentations. Commits to practice self-care, manage stress and connect with self and others. Knowledge, Skills, and Abilities A clinical expert in theory and/or research-bases nursing practice within a specialty area that functions in the following roles: leader, consultant, mentor, change agent within three spheres of influence: nurses/nursing practice, patient/client, and organization/system. 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