Nursing Jobs in Clovis, CA

Cardiac Nurse Practitioner / Physician Assistant

$125,000 - $187,582 / year

Position: Cardiac Advanced Practice Provider Monogram Health is seeking a Cardiac Advanced Practice Provider for the delivery of personalized, compassionate medical care to patients primarily with heart failure and other cardiac conditions. The Advanced Practice Provider will be responsible for caring for patients, maintaining accurate and current patient records and scheduling, administering follow-up appointments as required, and supporting the training and clinical readiness of local market APPs caring for patients with cardiac conditions in the home. The successful candidate will work as a team with our physician specialists, field-based nurses, community health workers, and physicians to deliver premium care to every patient. Primary duties include patient health assessment, creating strategies to improve or manage a patient’s cardiac condition, introducing habits for health promotion, and helping local market clinicians apply evidence-based cardiac care practices in the in-home setting. He/she may also conduct physical exams, order tests, prescribe medications, and serve as a coordinator with the patient's primary healthcare provider and their specialists. This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state. Compensation The base salary ranges for this role are listed below by state and reflect the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors. In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package. Arizona: $125,000 - $162,000 California: $133,250 - $173,225 Washington: $138,375 - $187,582 Responsibilities Work with stage 3 and 4 heart failure patients to ensure medication compliance, monitoring dietary and lifestyle changes, regular follow ups and care coordination. Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first. Work collaboratively with the Cardiologist and staff to provide high quality, patient centered care. Train, mentor, and support local market APPs in the assessment, management, and follow-up of patients with heart failure and other cardiac conditions in the in-home care setting. Develop and reinforce practical training on cardiac condition recognition, escalation criteria, medication management, patient education, care coordination, and documentation standards for local market APPs delivering home-based care. Partner with cardiology leadership and local market clinical teams to identify education needs, close knowledge gaps, and promote consistent application of evidence-based cardiac protocols across markets. Work closely with cardiology team, other specialist teams, and clinical care teams. Conduct assessments on patients both in the patients' home and in the virtual environment. Counsel and educate patients and families about benefits and programs available to help them live healthier lives. Document items such as: appropriate chief complaint, all applicable diagnosis, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan. Complete all documentation and paperwork in a timely manner. Maintain quality of care standards as defined by the practice. Prescribe medications, order tests, and collaborate with patient’s Monogram cardiologist and physician. Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily. Assist patients with enrolling to access educational videos. Participate in the integrated care team meetings. Make assessment of patient's health status. Develop treatment plan. Implement a plan consistent with appropriate plan of care. Follow-up and evaluate patient's status. Position Requirements Active and unrestricted Registered Nurse and Nurse Practitioner license in one of the following states: AZ, CA, or WA or able and willing to obtain multiple state licenses. Board certified by ANCC or AANP. Current and unrestricted DEA certificate. Minimum of two (2) years of experience as an NP working in an inpatient or outpatient cardiology setting, required (please no new graduates) Ability to work without direct supervision and practice autonomously. Access to transportation, valid driver's license, and car insurance. Must be proficient with medical instruments and equipment required by the work. Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview technology. Ability to communicate effectively, in verbal and written form, with retail and medical partners at various levels, patients, family members, physicians and representatives of the community. Sound understanding of all federal and state regulations including HIPAA and OSHA. Background in patient assessment, diagnosis, treatment, and management of cardiac diseases Demonstrated communication skills, works well in a team environment, and is adaptable. Experience educating, coaching, or precepting APPs or clinical teams on cardiac disease management, preferred. Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. #LI-AW1

RN

Full-time

17 hours ago

RN / Registered Nurse

Evergreen Care Center Fresno, CA

$40 - $50 / hour

PTO Dental, Vision , Health Responsibilities of the Registered Nurse include but are not limited to: Ensures proper resident care is maintained in a clean and safe environment. Develop and ensure the nursing care plan and collaborate with physicians, therapists, and nursing assistants Makes nursing diagnoses, which serve as the basis for the strategy of care Collaborates with the resident, members of the healthcare team Records the administration of medication Monitor assigned staff to ensure established safety regulations are followed and that all tasks are performed following all state and government regulations and safety procedures as outlined by the facility Follows procedures related to the use of nursing equipment and supplies Performs other duties as directed Qualifications of the Registered Nurse include: An active RN license Prior experience as an RN in a nursing community The desire to care for residents and act with integrity The ability to work flexible hours

CNA

Full-time

17 hours ago

CNA Certified Nursing Assistant

North Point Healthcare & Wellness Centre Fresno, CA

$17.25 - $22 / hour

A Certified Nursing Assistant (CNA) is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. Certified Nursing Assistant (CNA) QUALIFICATIONS • Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. • A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. • Must possess a sincere desire to serve the ill, aged and infirm. • Ability to read, write and speak the English language. • Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. • Willingness to work harmoniously with other personnel. • Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. • Must be in good general health and demonstrate emotional stability. • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Certified Nursing Assistant (CNA) GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. • Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. • Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. • Make beds, clean bedside and overbed tables. • Serve drinking water as required. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Pass water pitcher as per established policy and procedure. • Dress residents neatly and in their own clothing. Assist residents in dressing as necessary. • Assist in preparing residents for meals (taking to/from dining room, serving trays, placing bibs, assisting in feeding or cutting food, removal of trays, supervision in dining room, etc.). • Serve nourishment in accordance with established facility procedures. • Feed residents who cannot feed themselves. • Assure that resident’s food is accessible and self-help devices are available as needed. • Prepare residents for therapy, activities, physician visits, religious services, etc., to include transporting residents to/from such activities. • Keep incontinent residents clean and dry as possible at all times. Change bed linens, diapers and clothing as often as necessary. • Do not permit residents to smoke in bed. • Assure that the nurse’s call system is attached to the bed and within easy reach at all times when residents are bedfast. • Answer residents’ call lights promptly. • Check for food in residents’ room. Ensure that food is kept in a sealed container. • Report all complaints to the Charge Nurse. • Report any resident abuse immediately (ie., harsh/abusive language, unnecessary roughness, etc.) • Report any medication found in the resident’s room. Take to the Charge Nurse immediately. • Report all hazardous conditions and faulty equipment to the Charge Nurse immediately. • Report any bruise, skin tears, incidents or accidents to the Charge Nurse immediately. • Attend in-service educational programs, on the job training programs and meetings as directed. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. Certified Nursing Assistant (CNA) CLINICAL • Wash hands before and after caring for each resident. • Place residents in correct and comfortable position. Head of bed elevated at 30° for all residents on enteral feeding. • Assist residents with dental and mouth care. Clean dentures after each meal. Keep dentures clean and soaked with Efferdent after dinner. • Record resident’s food and nourishment intake as directed. • Perform after meal care as required – cleaning resident’s hands, face, clothing, dentures, etc. • Assist residents to/from bathroom. Offer bedfast residents bedpans and urinals. Clean and store such equipment after each use (document Intake and Output as directed). • Check and document bowel movements and character of stools every shift. • Bathe residents as assigned and in accordance with established facility procedures (encourage showers and other self-help measures/activities). • Comb and brush resident’s hair daily. Shampoo hair on shower days. • Clip and trim fingernails. • Shave male residents daily or as needed. • Keep hair under arms and face on female residents clean-shaven as necessary or instructed. Trim hair in nose and ears as needed. • Observe and report the presence of reddened areas on bony prominences. • Keep drainage bag off the floor when resident is in bed or in wheelchair. • Apply Vaseline or A & D ointment to dry skin in accordance with established policies. • Move and turn bedfast residents at least every two hours and record such information on CNA notes. • Observe disoriented and comatose residents and notify Charge Nurse immediately. • Apply postural support properly. Check with Charge Nurse for type of restraint to be used. • Apply hand roll or splint to residents with contractures as outlined within the facility’s established policies and procedures. • Follow infection control procedures in accordance with established facility policy when isolation techniques are necessary. • Chart required information every shift. • Complete Intake and Output documentation on all residents with orders before the end of each shift. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. Certified Nursing Assistant (CNA) CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company Standards for resolving consumer concerns. • Ensures that all consumer/resident rights are protected.

Care Manager, RN - Health Access, ECM - Rancho Cucamonga (Remote)

Inland Empire Health Plan CA

$91,249.60 - $120,910.40 / year

Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting to Health Access Enhanced Care Management Department Leadership, this position is responsible for working effectively with the Health Access Enhanced Care Management (ECM) Care Coordination team, members and families, other professionals, and the designated healthcare care organization (HCO) medical team to provide high quality, effective care management to IEHP members. This position focuses on a person-centered model of care which takes in to account the member’s medical, behavioral, and social needs. This position provides high quality, effective care management to IEHP members ensuring coordinated continuous care. Care Management is broadly defined, and can include outreach and engagement to members, engaging members in skilled therapeutic interactions to promote health behaviors, other behavioral health interventions within scope, coordination of care, resource linkages, working with other professionals, and organizations in the community to ensure quality of care for members, seamless transitions of care, and facilitating the right care and the right time for the member. As a licensed clinician, this position provides clinical expertise, clinical leadership, and clinical oversight in a variety of ways within the Enhanced Care Management program. This position, like all positions within the HA ECM team, is expected to model behavioral health principles of relationship-based care, as well engage in promoting education and understanding of behavioral health and its importance in whole health, to those within IEHP and in the community. This is a field-based position in which Care Team Members will meet with our highest risk/high utilizer population face to face, per member's consent. The individual in this position is to utilize their clinical expertise to support and engage members to promote positive health behaviors, assist with coordination of care, provided resource linkages, and collaborate with other Team Members within their care team, as well as external partners, to ensure a seamless transition of care experience. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits: Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more Competitive salary State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account – Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities: Exercise independent clinical judgment and strategic planning in managing a caseload of members with medical needs according to department processes and procedures. Recommend care coordination strategies for members, including but not limited to: Utilize clinical tools and metrics (i.e., brief medical interventions) as necessary to inform interventions, manage caseloads, and escalate high-risk cases appropriately. Engage with members, both in-person and on the phone, in a manner that utilizes evidence-based approaches (such as Motivational Interviewing) that promotes collaboration between the member and his or her medical/behavioral team, as well as improving the member’s ability to manage and control their whole health. Conduct comprehensive, holistic assessment according to the scope of the RN license. Assimilate assessment information into an individualized care plan (ICP), communicate ICP with members, approved family or caregiver, and other members of the care team. Lead inter/transdisciplinary care team meetings to share information, update and inform care plan Coordinate with internal and external health partners to support Members comprehensive care needs Participate and lead care transition plan responsibilities Assist with the coordination of medical and behavioral health access issues with PCP offices, specialists, and ancillary services Coordinate care for members with complex medical and social needs, including across the physical, behavioral, and dental health delivery systems Provide formal and informal training and support for Health Access Team Members on medical conditions, including treatments and evidence-based for treatment. Provide clinical consultation and support for Health Access ECM Team Members on physical health conditions, including evidence-based care Represent the Enhanced Care Management team as the lead member when necessary Develop interventions to improve the member’s ability to manage their own health Support the clinical scope of responsibilities for non-clinically licensed care Team Members within the RN scope of practice Cultivate and sustain productive partnerships with providers, team members, and community stakeholders. Employ advanced communication methods to strengthen collaboration across in-person, telephonic, and digital platforms. Model supportive and collaborative relationships with Members, co-workers, and community relations Promote a collaborative and effective working environment within the Health Access Enhanced Care Management team by engaging in evidenced-based communication strategies (such as Motivational Interviewing) when discussing responsibility/sharing of tasks, effectively resolving conflicts as arise, and collaborating on Member case discussions Model the highest ethical behavior in relationships with co-workers, supervisors, Members, Providers, and colleagues in the community Model commitment to continuous quality improvement by engaging in quality improvement initiatives and projects, such as identifying and addressing performance indicator measures, HEDIS gaps, and other quality measures Participate in staff meetings, trainings, committee meetings, or other activities as needed or as directed by Leadership Ensure documentation is accurate and in compliance with regulatory requirements and accreditation standards Perform any other duties as required to ensure Health Plan operations and department business needs are successful Qualifications: Education & Requirements Three (3) or more years of care management experience in a health care delivery setting required. Experience working successfully within a team, and experience in developing and maintaining effective relationships with both clients and coworkers is mandatory Experience in a Managed Care setting preferred Minimum of one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred Population of Focus Experience: Adults, unaccompanied youth & children, and families experiencing homelessness Adults, youth, and children who are at risk for avoidable hospital or ED care Adults, youth, and children with serious mental health and/or substance use disorder needs Adults living in the community and at risk for long-term care institutionalization Adult nursing facility residents transitioning to the community Children & youth enrolled in CCS or CCS Whole Child Model with additional needs beyond their CCS conditions Children & youth involved in child welfare (foster care) Adults & youth who are transitioning from incarceration Pregnant & postpartum individuals; birth equity population of focus Associate’s degree in Nursing from an accredited institution required Bachelor’s degree in Nursing from an accredited institution preferred Possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California BRN required Certified Case Manager (CCM) preferred Key Qualifications Must have a valid California Driver’s license and valid automobile insurance. Must qualify and maintain driving record to drive company vehicles based on IEHP insurance standards of no more than three (3) points Strong knowledge and in-depth understanding of: Skill in evidenced based communication such as Motivational Interviewing, or similar empathy-based communication strategies Understanding of and sensitivity to multi-cultural community Self-management philosophies and practices, especially as they relate to chronic medical conditions Awareness of the impact of unmitigated bias and judgement on health; commitment to addressing both Bilingual (English/ “Target Language”) preferred Highly skilled interpersonally, with excellent relationship skills Highly skilled in interpersonal communication, including resolving conflict with co-workers Skillful in informally and formally sharing expertise Must have skills to tolerate, manage and make effective use of a high level of ambiguity around new team models, new models of care, and new care management practices Start your journey towards a thriving future with IEHP and apply TODAY ! Work Model Location: Telecommute (All IEHP positions approved for telecommute work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership) Significant travel outside of the office to Providers offices, member’s homes, and out to the community. Must live within a 25-mile radius of the assigned service area and have reliable transport Pay Range: USD $91,249.60 - USD $120,910.40 /Yr.

Per Diem Registered Nurse - Diabetes Care/Endocrinology Clinic

Valley Children's Healthcare Madera, CA

$56.91 - $81.19 / hour

Job Summary: This position is accountable for providing competent nursing care for patients with common health problems, and is expected to deliver competent patient care to a full patient assignment. This position practices under the direction of the designated nurse executive, within the scope of the Nursing Practice Act, and in accordance with Children's policies. Qualifications: PLEASE NOTE: This is a full time, per diem, non-benefited position. During the initial assignment, the selected candidate will work a full-time schedule to provide coverage for employee leaves. Upon the employee's return, the position will continue as a per diem role, with significantly reduced hours based on departmental needs. Education Program Accredited nursing program (required) Bachelors Degree Nursing (preferred) Licenses and Certifications RN - Registered Nurse License - CA-BRN - California Board of Registered Nursing (required) BLS - Basic Life Support - AHA - American Heart Association For Labor Pool - Any standard BLS (Heart Code not required) within 30 days of hire or transfer into position (required) Work Experience Minimum 1 year experience (required) Mastery of RN I performance standards and accompanying competencies (required) Experience in Diabetes Management and/or Endocrinology (preferred) To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Compensation Range: $56.91 - $81.19 Workshift: Day (United States of America) Position Exempt: No FTE %: 100 Scheduled Weekly Hours: 40 Daily Hours: 8 Have Questions? Call Recruitment Services at 559-353-7071 or email us at recruiting@valleychildrens.org Disclaimer: Final compensation will be dependent upon skills and experience.

Care Manager - Registered Nurse

Monogram Health CA

$100,000 - $120,000 / year

Job Description: Care Manager – Registered Nurse Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes. Your Impact: As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. Highlights & Benefits Competitive compensation and a performance-based bonus program Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time 20 PTO days, 7 paid holidays, and 1 floating day to make your own. The base salary range for this role is $100,000 to $120,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors. In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package. Responsibilities Work closely with patients’ medical providers to develop and continually adapt care plan Perform in-home care management visits to execute care management plan Monitor biometric data and follow approved protocols for any necessary interventions Inventory and reconcile medications and coordinate with pharmacists and prescribers Perform patient health assessments and surveys as required Deliver individual and group education on CKD, ESRD, dialysis and associated comorbidities Encourage medication and treatment adherence through frequent contact with patients Engage family and social support groups in the education and care of patients Serve as the primary point of contact and be the first call when patients have questions (business hours) Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities Obtain vital signs when visiting patient and escalate any concerns to the provider Initiate patient relationships through enrolment and onboarding processes Perform post-op and hospital discharge visits to help patients through vulnerable transitions Review and document patient updates and progress in care management platform Coordinate with dialysis providers to ensure transitions of care are seamless Position Requirements Frequent local travel to perform in-home visits Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding Infrequent domestic travel may be required, primarily to Brentwood, TN for training Self-starter with the ability to work independently with minimal supervision Ability to show empathy and quickly build relationships with patients and physicians Graduate of an accredited School of Nursing Currently licensed as a Registered Nurse in the State of the posted location 2+ years previous experience working in care management and/or with CKD/ESRD patients Ability to take call remotely on some nights and weekends Excellent verbal communication skills both in person and on the phone Familiarity with Microsoft Office and mobile phone and web-based applications About Monogram Health Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. #LI-AW1

NP

Full-time

1 day ago

Neonatal Nurse Practitioner - Varied Shift

Valley Children's Healthcare Fresno, CA

$84.64 - $122.73 / hour

About Us: The Neonatal Intensive Care Unit (NICU) at Valley Children’s Hospital is Central California’s only Regional Level IV NICU - the highest level of medical care available for premature and critically ill newborns. With a focus on family-centered care, our patients have access to a full range of pediatric and surgical specialists that treat potentially life-threatening illnesses due to extreme prematurity, congenital defects, injury, chronic illnesses and more. Our NICU patient ratios are 1:1 or 2:1 in the ICU and 1:3 in Intermediate Care. Collectively, our NICUs provide specialized care for more than 1,400 fragile babies and nearly 25,000 patient days a year. Our team supports a network of NICUs throughout Central California, providing services for Madera County, Merced County, Fresno County, Kings County and Tulare County. Our level II and level III satellite NICUs (Fresno, Merced & Hanford) are staffed with Valley Children’s team of experts to provide patients the opportunity to receive treatment closer to home. The nurses in these satellite units are trained to attend high-risk deliveries and resuscitate babies in the delivery room if needed. Our NICU is ranked as one of the best children’s hospitals in Neonatology by U.S. News & World Report for 2023-2024- the seventh such ranking for our NICU. Our expert team consists of more than 250 neonatal nurses, constantly striving to innovate and improve patient care so babies have the best outcomes. Job Summary: The Nurse Practitioner is an Advanced Practice Practitioner who is accountable for a "defined" patient population. Functions in the roles of expert practitioner, consultant, educator, patient advocate, care coordinator and researcher within a specialized area of practice. Possesses and exhibits a high degree of knowledge, skill and competence in the provision of health care directly to the patient, family or community, or indirectly through guidance of care by other professional personnel. Provision of patient care is conducted and performed utilizing the medical model under the supervision of the CCS paneled Neonatologist and functions in accordance to standardized procedures within the scope of licensure and in accordance with applicable law, regulations, and in accordance with policies of Valley Children's Healthcare. Qualifications: Education Masters Degree Nursing (required) Program Graduate of a Neonatal Nurse Practitioner program (required) Licenses and Certifications BLS - Basic Life Support within 30 days of hire or transfer into position (required) RN - Reg Nurse (required) NP - Nurse Practitioner (required) NRP - Neonatal Resuscitation Program (required) NP-C - Nurse Practitioner Natl Certification National certification from an accredited certifying board. within six (6) months of hire or transfer into position (required) Or NCC - Neonatal Intensive Care Nurse (required) Work Experience Minimum three (3) years Related experience (required) Minimum five (5) years Increasingly responsible experience which demonstrates professional working knowledge of nursing theory and practice, with competence in physical assessment, differential diagnosis, pathophysiology, pharmacology and management of acute and chronic pediatric problems. (preferred) Skills and Abilities Bilingual Skills Preferred Other Must successfully complete the credentialing process through the Medical Staff office via CIDP for the appropriate scope of practice, written standardized protocols, and furnishing privileges. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Compensation Range: $84.64 - $122.73 Workshift: Position Exempt: Yes FTE %: 90 Scheduled Weekly Hours: 36 Daily Hours: 16 Have Questions? Call Recruitment Services at 559-353-7071 or email us at recruiting@valleychildrens.org Disclaimer: Final compensation will be dependent upon skills and experience.

PEDIATRIC HOSPICE RN CASE MANAGER

Anchor Health CA

PEDIATRIC HOSPICE RN CASE MANAGER JOB DESCRIPTION Overview The Hospice Pediatric RN Case Manager will work with our Pediatric team. Primarily responsible for providing professional nursing care to assigned patients. With input from the IDT (interdisciplinary team), patient and family, assesses, develops, implements and evaluates the plan of care. Ensures appropriate communication and plan of care coordination to all internal/external customers All successful candidates must be fully vaccinated, subject to certain limited exceptions required by applicable law. Our Mission: To enhance the quality of life for those nearing the end of life’s journey and for those who grieve. We place a high importance on our employees and reward staff in several ways such as: • Competitive hospice industry compensation • Benefits package with multiple plan offerings and generous employer contribution • 401(k) Retirement plan with employer match • Supportive work culture which encourages work life balance • Substantial Paid Time Off, paid holidays & birthday benefit • Employee development program managed by in-house education department to support individualized orientation and professional growth needs. • Monthly mileage reimbursement • Employee Referral Program • Business casual attire for office staff Responsibilities JOB DUTIES/KNOWLEDGE/JOB PERFORMANCE: • Develops written plan of care in coordination with an interdisciplinary Team (IDT). • Oversees implementation of plan, evaluates and changes plan as necessary to meet patient/family needs. • Responsible for the direction of care provided by LVN and HA in accordance with patient’s plan of care. • Responsible for the supervision of services provided by the LVN and HA per TEH policy and regulatory requirements. • Communicates all changes to IDT and primary MD. • Performs job duties in clinical areas as stated in clinical competency checklist, policies/procedures, standards of care, and critical competencies based on Scope of Practice. • Maintains timely patient documentation using “point care” electronic charting. • Implements and maintains established hospice policies and procedures as well as Standards of Care and regulatory requirements. • Provides health care instruction to patient and family members. • Orients, instructs, and trains assigned personnel. • Participates in providing 24 hour, seven days a week coverage to patients/families (on-call and census fluctuation). • Performs admission assessment and admission when necessary. DEGREE OF TRAVEL: • Travel required for patient visits. • Occasional travel for educational purposes. Qualifications: • Must have Associates Degree, Bachelor Degree preferred. • Must have one year of acute or hospice pediatric experience • At least 12 months experience with 1-2 years preferred in acute care. • Current CA RN license. • Current CA driver’s license with proof of insurance. • Current CPR/BLS • Prefer certification as hospice nurse. • Pediatric experience preferred. • Proof of recent TB test result • Bilingual preferred. • Computer skills (word processing), use of adding machine, calculator, fax, photocopier.

RN

Full-time

1 day ago

Dialysis Registered Nurse PRN

Vibra Healthcare Fresno, CA

Overview COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE! We are seeking a Dialysis Registered Nurse to join our team! New Clinical Career Ladder for Full Time Employees! *Grow your career with Vibra* Participants in the Clinical Career Ladder are eligible for pay increases after successful completion of the Novice, Intermediate, Advanced, and Expert Level Hospital Details San Joaquin Valley Rehabilitation Hospital, located in Fresno, CA, is a 62 bed acute rehab hospital, providing rehabilitative services to people recovering from disabilities caused by injuries or illnesses. We help our patients regain their physical or cognitive abilities so they can return home at their highest level of independence. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families. Responsibilities Develops, implements, evaluates and revises a plan of care of assigned patients and families while promoting the mission and values of Vibra Healthcare. Reviews all patients receiving dialysis therapy and assesses clinical status throughout treatment. Consistently assists team members in the delivery of acute hemodialysis utilizing the established standards of care. Areas of practice are diverse, including, but not limited to, the fields of hemodialysis and peritoneal dialysis. The provision of care includes direct care along with the delegation and supervision of all nursing care in accordance with the applicable Nurse Practice Act. Specific components of the Registered Nurse role include demonstrating clinical competence; managing patient care; improving quality of care; establishing professional relationships and utilizing professional skills; fulfilling responsibilities of the role of the hospital; and developing clinical expertise per specialty. Required Skills: Current, valid, and active license to practice as a Registered Nurse in the state of employment required. Current BLS certification from a Vibra-approved vendor required. Current ACLS certification from a Vibra-approved vendor required within six (6) months of hire. Dialysis experience preferred, but not required One (1) year of experience in Medical-Surgical nursing, critical care or dialysis preferred. Will except nurse residency program as experience. Must be able to accurately interpret color test strips. Additional Qualifications/Skills : Previous acute care experience is strongly preferred. Current ACLS certification from a Vibra-approved vendor preferred Ability to project a professional image. Knowledge of regulatory standards and compliance requirements. Strong organizational, prioritizing and analytical skills. Ability to make independent decisions when circumstances warrant. Working knowledge of computer and software applications used in job functions. Freedom from illegal use of and effects of use of drugs and alcohol in the workplace Benefits At Vibra Healthcare, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members. Below is a brief summary of our benefits. • Medical PPO high and low deductible plans / HSA options as well as HMO options in some markets • FREE prescription plans • Dental and Vision coverage • Life insurance • Disability Benefits • Employee Assistance Plan • Flex Spending plans, 401K matching • Additional Critical Illness, Accident, and Hospital plans • Company discounts for mobile phone service, electronics, cell phones, clothing, etc • Pet Insurance • Group legal – provides legal assistance with personal legal matters • Tuition and continuing education reimbursement • Work life balance At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization. Posted Total Compensation The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including, but not limited to, skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It’s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.

RN

Other

2 days ago

RN, Risk Management Coordinator

Community Medical Centers Fresno, CA

Overview * All positions are located in Fresno/Clovis CA * Opportunities for you! Comprehensive relocation package and concierge service Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Responsibilities The RN Risk Management Coordinator provides in-depth clinical analysis on confidential patient safety, peer, quality and risk issues. Facilitates and coordinates performance improvement projects and data tracking from a facility-specific or system perspective. Qualifications Education• Bachelor's Degree in Nursing or relevant field required Experience• 3 years of experience in Quality Assurance, Case Management, Discharge Planning, Utilization Review, Infection Control or nursing project development/education required Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• One of the following is required within 2 years of hire or transfer into positiono CPHQ - Certified Professional Healthcare Qualityo CPHRM - Certified Healthcare Risk Managemento NATIONAL - National Certification related to specialty and applicable to role Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Assistant Nurse Manager, Admit Hold

Community Medical Centers Fresno, CA

Overview Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek We’re excited to offer a progressive sign-on incentive and comprehensive relocation package Eligible for annual incentive program Community University leadership training courses Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities You love what you do, now love where you do it. The Assistant Nurse Manager (ANM) for Community Health System (CHS) ensures the highest standards of evidence-based patient care while fostering a positive working environment for nursing staff. This position manages unit operations and supports the development of the nursing staff. By combining advanced clinical expertise and leadership skills, the Assistant Nurse Manager provides essential administrative and clinical support to Nurse Managers and unit staff, contributing significantly to delivering high-quality nursing services, excellence in nursing practice, and safe patient outcomes. Qualifications Experience• Strong clinical experience in nursing; previous leadership or supervisory experience preferred Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required • NATIONAL - National Certification related to specialty and applicable to role preferred For specific departments only: • ACLS - Advanced Cardiac Life Support Certification required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

RN, Medical Cardiac Progressive Care 1N

Community Medical Centers Clovis, CA

Overview Opportunities for you! Consecutively recognized as a top employer by Forbes Direct impact on quality patient care Sign-on and relocation bonus incentives for eligible external hires Time and a half after 8 hrs + weekend and night differential Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs, and scholarships Vacation time starts building on Day 1, and builds with your seniority 403(b) retirement plan with up to 8% matching contributions Free parking and electric charging Great food options with on-demand ordering Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities You love what you do, now love where you do it. Our 30 bed unit, is fast-paced and team oriented. When you join our team you will encounter a variety of patients: complex medical patients with multiple comorbidities, complex surgical patients, step down patients, and post-procedure patients. We pride ourselves on creating an environment that welcomes learning and growth, as we also continue to grow. Our expansion at Clovis will mean more opportunities for career growth and caring for our community. Qualifications Education• High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Bachelor's Degree in Nursing preferred Experience• Consistent demonstration of Novice / Advance Beginner clinical nursing practice proficiency required Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required CHS HealthStream Courses• ALS-OB - Advanced Life Support OB Program required within 6 months of hire or transfer into position for the following departments: 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• BAC - Basic Arrhythmia Course required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-87300 Nurse Float-PR Only. Clovis: 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med-Surg/CPCU, 02-61792 Surgical CPCU, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-87300 Nurse Float-PR Only.• NIHSS - National Institutes of Health Stroke Scale Exam required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-61704 Neuroscience 9W, 01-61780 ICU Stepdown, 01-70100 Emergency, 01-87300 Nurse Float-PR Only. Clovis: 02-60100 ICU, 02-70100 Emergency, 02-87300 Nurse Float-PR Only. Other Qualifications / NotesRefer to the department’s specific requirements, orientation skills checklists, and competencies Additional Certification Requirements• Adult Cardiac Life Support (ACLS) certification required within 3 months of hire or transfer into position for the following departments: 01-60300 CVU, 01-74230 Cardiac Surgery, 01-75700 Cath Lab, 01-75706 FH Cath Lab, 01-75900 Cardiology, 01-75931 Cardiac Pulmonary Rehab, 01-78700 Interventional Pre Proc PICA. Clovis: 02-60300 ICU 2 North, 02-75701 Cath Lab, 02-75720 Post Interventional Cardiac Area PICA, 02-76400 Interventional Radiology.• Adult Cardiac Life Support (ACLS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-60306 FH CVU, 01-61705 FH CPCU, 01-61780 ICU Stepdown, 01-70701 Clinic-OMFS, 01-70710 FH ES Cardiac Treatment Ctr, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage, 01-87206 FH Nursing Admin, 01-87300 Nurse Float-PR Only. Clovis: 02-61780 ICU Stepdown, 02-61792 Surgical CPCU, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage, 02-87300 Nurse Float-PR Only.• Adult Cardiac Life Support (ACLS) certification required within 1 year of hire or transfer into position for the following departments: 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61704 Neuroscience 9W, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-70100 Emergency, 01-72000 FH ADTC-Advanced Diag Test Ctr, 01-73900 Burn Therapy, 01-74206 FH Surgery, 01-74240 Neurosurgery, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-76306 FH Radiology Diagnostic, 01-76400 Radiography Therapeutic, 01-77401 Renal Dialysis-IP, 01-77610 Endoscopy. Clovis: 02-60100 ICU, 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med Surg CPCU, 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-77401 Renal Dialysis-IP, 02-77610 Endoscopy.• Pediatric Advanced Life Support (PALS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-87300 Nurse Float-PR Only. Clovis: 02-87300 Nurse Float-PR Only.• Pediatric Advanced Life Support (PALS) certification required within 1 year of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-61100 Burn Center, 01-62900 Pediatrics, 01-70100 Emergency, 01-70701 Clinic-OMFS, 01-73900 Burn Therapy, 01-74270 PACU-Recovery, 01-74300 Short Stay Surgery, 01-76400 Radiography Therapeutic, 01-77610 Endoscopy (except for nurses in pre-admission testing). Clovis: 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery.• Electronic Fetal Monitoring (EFM) Course required within 6 months of date of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• Neonatal Resuscitation Program (NRP) certification required within 6 months of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-60700 NICU, 01-62900 Pediatrics, 01-63800 Obstetrics, 01-65320 Newborn Nursery, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-60700 Neonatal ICU, 02-63800 Obstetrics, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• Oncology Nursing Society Chemotherapy/Biotherapy (ONSCHEMO) certification required within 6 months of hire or transfer into position for the following departments: 01-61730 Med Surg Oncology, 01-73911 Ambulatory Infusion Ctr-EMP, 01-73913 Ambulatory Infusion Ctr-Clovis. Clovis: 02-73917 CCI-Infusion Services.• Certified Electronic Fetal Monitoring (C-EFM) by the National Certification Corporation (NCC) required within 1 year of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage. Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Charge Nurse, Medical ICU

Community Medical Centers Fresno, CA

Overview Opportunities for you! Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) RN Advancement Pathway for growth, built for nurses, by nurses Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities As a Charge Nurse at Community Health System, you oversee daily clinical operations and support your care team to ensure safe, high quality patient care. You serve as the main liaison for your assigned area, working with physicians, staff, patients and families. You’ll coordinate patient flow, guide staff assignments and take responsibility for patient safety, quality and regulatory activities across the unit. You lead with purpose, grow your leadership skills and make a visible impact every shift, supported by a team that values your voice, your judgment and your commitment to excellent care. Qualifications Education• High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Experience• 2 years of experience as a staff RN in the area of assignment or demonstrated competency by achieving a minimum of 35 points on the RN Competency Model Evaluation form required• 6 months of experience as a Relief Charge RN or in a team leadership role required Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required• Certifications as required for the unit Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

LVN

Per Diem

2 days ago

LICENSED VOCATIONAL NURSE (LVN) PRN NEEDED FOR 8 HOUR SHIFTS

Vineyards at Fowler Fowler, CA

$32 - $37 / hour

PRN STAFF NEEDED! COME JOIN OUR FAMILY NEW PAY SCALE We are looking for a Licensed Vocational Nurses (LVN) to join our team!! A newly aquired, Family owned and operated facility in the beatiful small town of Fowler, Ca. With an experienced Administrator and Director of Nursing. Our 49 bed facility is looking for your help to provide the best care in Fowler. New Graduates encouraged to Apply! Competive Salary Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing experience preferred.

Caregiver for Seniors

Right at Home Fresno Fresno, CA

$16.90 - $18.50 / hour

We LOVE our Caregivers! Join the Right at Home Team! Our Mission: We hire the RIGHT people, for the RIGHT services, with the RIGHT approach. Our passion is: Professionalism, Confidence, Consistency, Integrity, Compassion and Safety. A homecare aide provides for the maintenance of a safe and clean environment. A homemaker/companion provide non-medical home care which include: bathing, dressing, meal preparation, medication reminder, companionship, transportation to client's doctor appointment, errands, and light housekeeping and so much more! Our goal is to help our senior clients remain as independent as possible wherever they call home. We are hiring care providers who have the ALL skills and experience with: Dementia, Hospice, Incontinence, Transfers-Hoyer, Gait, Slide Board. The career requires your own vehicle to transport clients, valid Driver's License and vehicle insurance. Our shift needs are all days of the week from Monday to Sunday: AM/PM and short shifts (3-5 hours) Benefits: Flexibility! We work with you to set your schedule Reward program, that offers extra compensation and incentives PAID Orientation training and annual development training Extremely Positive Work Environment Access to Leadership Recognition, celebrations and great team interactions Essential Responsibilities: Performs personal care activities of daily living. These could include (but are not limited to): Assist with Dressing/Grooming Ambulation/Transfers (be able to lift 50 lbs) Prepares meals and snacks according to instructions Accompany patient on errands or medical appointments Performs light housekeeping activities Medication reminders Care of bed-bound clients Use lifting equipment such as Gait Belts, Slide Boards and Hoyer Lifts Provide Companionship Requirements: Must be 18 years of age Must be able to read, write, speak and understand English as needed for the job Must possess a valid driver’s license and current automobile insurance Must have the ability to pass a full employment background check HCA Registration (We can assist at offer of employment) TB Skin test (can accept completed TB not older than 90 days) Start the application process by using the form on the right-hand side of the job posting. Right at Home is an International non-medical home care agency that provides care to Seniors wherever they call home! Join an award winning company that makes a difference in the lives of our clients and their extended families. Our office hours are M-F 8:00 am to 4:30 pm. For questions or general information call Lori C. in the HR Dept. at 559-228-8918

LVN

Full-time

2 days ago

PRN LVN ALL SHIFTS AVAILABLE

Vineyards at Fowler Fowler, CA

We are looking for a Licensed Vocational Nurses (LVN) to join our team!! A newly aquired, Family owned and operated facility in the beatiful small town of Fowler, Ca. With an experienced Administrator and Director of Nursing. Our 49 bed facility is looking for your help to provide the best care in Fowler. PRN Shifts. Competive Salary Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing management experience preferred.

RN, Med Surg

Community Medical Centers Fresno, CA

Overview Opportunities for you! Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) RN Advancement Pathway for growth, built for nurses, by nurses Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities You love what you do, now love where you do it. At Community Health System, you’ll be part of a dedicated nursing team committed to delivering safe, skilled and compassionate care across our hospitals. As a Registered Nurse, you’ll support a diverse patient population and collaborate closely with interdisciplinary teams to ensure high‑quality, patient-centered outcomes. This role offers the opportunity to apply your clinical expertise in an environment built on teamwork, learning, and continuous improvement. In this role, you provide direct patient care using evidence-based practices, complete thorough assessments and implement individualized care plans to support optimal recovery. You coordinate and communicate with physicians, ancillary staff and families to ensure continuity and clarity throughout each patient’s stay. You maintain accurate, timely documentation and uphold all safety and regulatory standards while actively contributing to a culture of collaboration, professionalism, and accountability. Qualifications Education & Experience High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Consistent demonstration of competent clinical nursing practice proficiency required 1+ Years acute care RN experience preferred Licenses and Certifications RN - Current and valid Registered Nurse license to work within the state of California required BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

RN, ED Inpatient Stepdown

Community Medical Centers Fresno, CA

Overview Opportunities for you! Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) RN Advancement Pathway for growth, built for nurses, by nurses Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities You love what you do, now love where you do it. At Community Health System, you’ll be part of a dedicated nursing team committed to delivering safe, skilled and compassionate care across our hospitals. As a Registered Nurse, you’ll support a diverse patient population and collaborate closely with interdisciplinary teams to ensure high‑quality, patient-centered outcomes. This role offers the opportunity to apply your clinical expertise in an environment built on teamwork, learning, and continuous improvement. In this role, you provide direct patient care using evidence-based practices, complete thorough assessments and implement individualized care plans to support optimal recovery. You coordinate and communicate with physicians, ancillary staff and families to ensure continuity and clarity throughout each patient’s stay. You maintain accurate, timely documentation and uphold all safety and regulatory standards while actively contributing to a culture of collaboration, professionalism, and accountability. Qualifications Education• High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Bachelor's Degree in Nursing preferred Experience• Consistent demonstration of Novice / Advance Beginner clinical nursing practice proficiency required Licenses and Certifications• RN - Current and valid Registered Nurse license to work within the state of California required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required CHS HealthStream Courses• ALS-OB - Advanced Life Support OB Program required within 6 months of hire or transfer into position for the following departments: 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• BAC - Basic Arrhythmia Course required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-87300 Nurse Float-PR Only. Clovis: 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med-Surg/CPCU, 02-61792 Surgical CPCU, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-87300 Nurse Float-PR Only.• NIHSS - National Institutes of Health Stroke Scale Exam required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-61704 Neuroscience 9W, 01-61780 ICU Stepdown, 01-70100 Emergency, 01-87300 Nurse Float-PR Only. Clovis: 02-60100 ICU, 02-70100 Emergency, 02-87300 Nurse Float-PR Only. Other Qualifications / NotesRefer to the department’s specific requirements, orientation skills checklists, and competencies Additional Certification Requirements• Adult Cardiac Life Support (ACLS) certification required within 3 months of hire or transfer into position for the following departments: 01-60300 CVU, 01-74230 Cardiac Surgery, 01-75700 Cath Lab, 01-75706 FH Cath Lab, 01-75900 Cardiology, 01-75931 Cardiac Pulmonary Rehab, 01-78700 Interventional Pre Proc PICA. Clovis: 02-60300 ICU 2 North, 02-75701 Cath Lab, 02-75720 Post Interventional Cardiac Area PICA, 02-76400 Interventional Radiology.• Adult Cardiac Life Support (ACLS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-60306 FH CVU, 01-61705 FH CPCU, 01-61780 ICU Stepdown, 01-70701 Clinic-OMFS, 01-70710 FH ES Cardiac Treatment Ctr, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage, 01-87206 FH Nursing Admin, 01-87300 Nurse Float-PR Only. Clovis: 02-61780 ICU Stepdown, 02-61792 Surgical CPCU, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage, 02-87300 Nurse Float-PR Only.• Adult Cardiac Life Support (ACLS) certification required within 1 year of hire or transfer into position for the following departments: 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61704 Neuroscience 9W, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-70100 Emergency, 01-72000 FH ADTC-Advanced Diag Test Ctr, 01-73900 Burn Therapy, 01-74206 FH Surgery, 01-74240 Neurosurgery, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-76306 FH Radiology Diagnostic, 01-76400 Radiography Therapeutic, 01-77401 Renal Dialysis-IP, 01-77610 Endoscopy. Clovis: 02-60100 ICU, 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med Surg CPCU, 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-77401 Renal Dialysis-IP, 02-77610 Endoscopy.• Pediatric Advanced Life Support (PALS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-87300 Nurse Float-PR Only. Clovis: 02-87300 Nurse Float-PR Only.• Pediatric Advanced Life Support (PALS) certification required within 1 year of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-61100 Burn Center, 01-62900 Pediatrics, 01-70100 Emergency, 01-70701 Clinic-OMFS, 01-73900 Burn Therapy, 01-74270 PACU-Recovery, 01-74300 Short Stay Surgery, 01-76400 Radiography Therapeutic, 01-77610 Endoscopy (except for nurses in pre-admission testing). Clovis: 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery.• Electronic Fetal Monitoring (EFM) Course required within 6 months of date of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• Neonatal Resuscitation Program (NRP) certification required within 6 months of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-60700 NICU, 01-62900 Pediatrics, 01-63800 Obstetrics, 01-65320 Newborn Nursery, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-60700 Neonatal ICU, 02-63800 Obstetrics, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.• Oncology Nursing Society Chemotherapy/Biotherapy (ONSCHEMO) certification required within 6 months of hire or transfer into position for the following departments: 01-61730 Med Surg Oncology, 01-73911 Ambulatory Infusion Ctr-EMP, 01-73913 Ambulatory Infusion Ctr-Clovis. Clovis: 02-73917 CCI-Infusion Services.• Certified Electronic Fetal Monitoring (C-EFM) by the National Certification Corporation (NCC) required within 1 year of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage. Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

RN, ED Inpatient Tele

Community Medical Centers Fresno, CA

Overview Opportunities for you! Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) RN Advancement Pathway for growth, built for nurses, by nurses Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities You love what you do, now love where you do it. At Community Health System, you’ll be part of a dedicated nursing team committed to delivering safe, skilled and compassionate care across our hospitals. As a Registered Nurse, you’ll support a diverse patient population and collaborate closely with interdisciplinary teams to ensure high‑quality, patient-centered outcomes. This role offers the opportunity to apply your clinical expertise in an environment built on teamwork, learning, and continuous improvement. In this role, you provide direct patient care using evidence-based practices, complete thorough assessments and implement individualized care plans to support optimal recovery. You coordinate and communicate with physicians, ancillary staff and families to ensure continuity and clarity throughout each patient’s stay. You maintain accurate, timely documentation and uphold all safety and regulatory standards while actively contributing to a culture of collaboration, professionalism, and accountability. Qualifications High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Current and valid Registered Nurse license to work within the state of California required Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

RN

Other

4 days ago

RN, Clinical Quality Coordinator

Community Medical Centers Fresno, CA

Overview * All positions are located in Fresno/Clovis CA * Opportunities for you! Comprehensive relocation package and concierge service Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities As part of Community Health System, you will join a team dedicated to advancing patient safety and improving clinical outcomes across our hospitals and clinics. In this role, you will use your clinical background and analytical skills to elevate organizational quality performance, including national standards such as the Centers for Medicare & Medicaid Services (CMS) 5-Star Quality Rating and the Leapfrog Safety Grade. In this role, you will identify trends in clinical outcomes, translate performance data into clear and actionable insights, and partner with departments to support meaningful and sustainable improvements. Your work will help drive patient safety initiatives, strengthen care delivery processes and support caregivers and leaders in making data-informed decisions that enhance the quality of care across the system. Qualifications Education & Experience Bachelor's Degree in Nursing or a Healthcare related field required 5 years of quality, clinical, compliance, or healthcare administration experience required Experience with regulatory bodies and requirements for process implementation (e.g., TJC, CDPH, CMS) required Educational and training experience required Project management experience required Licenses and Certifications RN - Current and valid Registered Nurse license to work within the state of California required BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Weekend Caregiver

Right at Home Fresno Fresno, CA

$16.90 - $18.50 / hour

We LOVE our Caregivers! Join the Right at Home Team. Our Mission: We hire the RIGHT people, for the RIGHT services, with the RIGHT approach. Our passion is: Professionalism, Confidence, Consistency, Integrity, Compassion and Safety. A homecare aide provides for the maintenance of a safe and clean environment. A homemaker/companion provide non-medical home care which include: bathing, dressing, meal preparation, medication reminder, companionship, transportation to client's doctor appointment, errands, and light housekeeping and so much more! Our goal is to help our senior clients remain as independent as possible wherever they call home. We are hiring care providers who have ALL the skills and experience with: Dementia, Hospice, Incontinence, Transfers-Hoyer, Gait, Slide Board. The career requires your own vehicle to transport clients, valid Driver's License and vehicle insurance. This Job post is specifically hiring for weekend shifts Friday - Sunday Short Shifts between the hours of 7:00 am and 9:00 pm ( 3-5 hour shifts ) and 3:00 pm-11:00 pm Benefits: Flexibility! We work with you to set your schedule Reward program, that offers extra compensation and incentives PAID Orientation training and annual development training Extremely Positive Work Environment Access to Leadership Recognition, celebrations and great team interactions Essential Responsibilities: Performs personal care activities of daily living. These could include (but are not limited to): Assist with Dressing/Grooming Ambulation/Transfers (be able to lift 50 lbs) Prepares meals and snacks according to instructions Accompany patient on errands or medical appointments Performs light housekeeping activities Medication reminders Care of bed-bound clients Use lifting equipment such as Gait Belts, Slide Boards and Hoyer Lifts Provide Companionship Requirements: Must be 18 years of age Must be able to read, write, speak and understand English as needed for the job Must possess a valid driver’s license and current automobile insurance Must have the ability to pass a full employment background check HCA Registration (We can assist at offer of employment) TB Skin test (can accept competed test not older than 90 days) Start the application process by using the form on the right-hand side of the job posting. Right at Home is an International non-medical home care agency that provides care to Seniors wherever they call home! Join an award winning company that makes a difference in the lives of our clients and their extended families. Our office hours are M-F 8:00 am to 4:30 pm. For questions or general information call Lori C. in the HR Dept. at 559-228-8918

LVN

Full-time

3 days ago

LVN NOC shift (10:45 PM to 07:00 AM)

Evergreen Care Center Fresno, CA

**NEW WAGE SCALE** Health Benefits Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LVN in state One-year prior nursing management experience preferred.

Caregiver PM Shifts

Right at Home Fresno Fresno, CA

$16.90 - $18.50 / hour

We LOVE our Caregivers! Join the Right at Home Team! Our Mission: We hire the RIGHT people, for the RIGHT services, with the RIGHT approach. Our passion is: Professionalism, Confidence, Consistency, Integrity, Compassion and Safety. A homecare aide provides for the maintenance of a safe and clean environment. A homemaker/companion provide non-medical home care which include: bathing, dressing, meal preparation, medication reminder, companionship, transportation to client's doctor appointment, errands, and light housekeeping and so much more! Our goal is to help our senior clients remain as independent as possible wherever they call home. We are hiring care providers who have ALL the skills and experience with: Dementia, Hospice, Incontinence, Transfers-Hoyer, Gait, Slide Board. The career requires your own vehicle to transport clients, valid Driver's License and vehicle insurance. Our shift needs are all days of the week from Monday to Sunday: PM Shifts 3:00 pm to 11:00 pm Benefits: Flexibility! We work with you to set your schedule Reward program, that offers extra compensation and incentives PAID Orientation training and annual development training Extremely Positive Work Environment Access to Leadership Recognition, celebrations and great team interactions Essential Responsibilities: Performs personal care activities of daily living. These could include (but are not limited to): Assist with Dressing/Grooming Ambulation/Transfers (be able to lift 50 lbs) Prepares meals and snacks according to instructions Accompany patient on errands or medical appointments Performs light housekeeping activities Medication reminders Care of bed-bound clients Use lifting equipment such as Gait Belts, Slide Boards and Hoyer Lifts Provide Companionship Requirements: Must be 18 years of age Must be able to read, write, speak and understand English as needed for the job Must possess a valid driver’s license and current automobile insurance Must have the ability to pass a full employment background check HCA Registration (We can assist at offer of employment) TB Skin test (can accept completed TB test not older than 90 days) Start the application process by using the form on the right-hand side of the job posting. Right at Home is an International non-medical home care agency that provides care to Seniors wherever they call home! Join an award winng company that makes a difference in the lives of our clients and their extended families. Our office hours are M-F 8:00 am to 4:30 pm. For questions or general information call Lori C. in the HR Dept. at 559-228-8918

Weekend Admission Nurse (RN) (Full Time & Part Time Available)

21st Century Home Health Services CA

At 21st Century Home Health Services (21HHS) , we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, Sacramento, Marin and Sonoma. Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%. We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities. Key achievements include: San Francisco Chronicle Top Workplaces in the Bay Area : Ranked 3rd among all medium-sized companies and 1st among home health agencies. National Recognition : Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies. Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health. Please note: All opportunities at 21HHS require being in the field, visiting patients in their homes. Part time Registered Nurse Case Manager Anticipated Territory : Marin Area Schedule: Must be available Full Days Every Saturday and Sunday (4 SOCs/day) Also willing to consider Full Time: Saturday and Sunday plus 3 week days. What you’ll do: Utilize your outstanding clinical skills as you complete the initial assessment of patients to determine home care needs including: Conduct Start of Care (SOC) Admissions - OASIS Conduct follow ups, evaluation visits as needed in designated territory Make home visits to patients in designated territory Perform assigned duties, including reconciliation of medication, wound care, treatments, and procedures Monitor clients’ conditions, reporting changes to Clinical team Collaborate with physicians and agency staff to deliver the best care possible Accurately document observations, interventions, and evaluations pertaining to patient care management and services provided. Initiate and Administer IV medication (antibiotics and Diuretics) infusions safely and effectively in accordance with established protocols. Why you Should Come Work for us: Concierge for Case Managers: Dedicated resources assist with time consuming administrative tasks Flexible work schedules: Create your own schedule and hours Targeted territories. Typically patient visits are within a 5-15 mile radius. Autonomy: No clocking in/out Opportunity for advancement. We have multiple tiers for RNs including Admission Nurses, RNI, RNII, RNII as well as clinical leadership and support opportunities. Low turnover/High morale Helpful software and communication tools Mileage/Vehicle Reimbursement Company issued Ipad Outstanding benefits for you and your family including 401k with matching. Generous PTO, Medical, Dental, Life Insurance, etc Competitive compensation with achievable incentive bonus program To be a success: Current and unrestricted CA RN license Current BLS/CPR Certification Valid CA Driver's License Experience conducting assessments and Start of Care (SOC) - OASIS is highly desired High level of clinical knowledge in home health care is highly preferred Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Case Management fundamentals is highly desired Previous experience with IV Medication infusions highly preferred Proficiencies initiating intravenous (IV) therapy is a plus Self-Directed Empathetic Critical thinker Outstanding interpersonal skills Leadership skills Organized 21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law. By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: https://21hhs.com/privacy-policy

Part-Time Registered Nurse - Clinical Case Consultant - ECM

Pacific Health Group CA

$45 / hour

Department: Enhanced Care Management (ECM) Reports To: ECM Program Manager Work Arrangement: Hybrid - CA Compensation: $45/hourly Schedule: Monday – Friday | 8:00am - 1:00pm (*flexible) 25 - 29 hrs per week About Pacific Health Group At Pacific Health Group, we are transforming healthcare by addressing social determinants of health and delivering innovative, community-based solutions that improve lives. Through programs such as Enhanced Care Management (ECM), Community Supports, Behavioral Health Services, Community Health Workers, Street Medicine, and other whole-person care initiatives, we help individuals navigate complex healthcare systems and access the resources they need to thrive. We meet individuals where they are—with compassion, dignity, respect, and a commitment to whole-person care. Our work focuses on improving outcomes for individuals experiencing homelessness, serious mental illness, substance use disorders, chronic health conditions, justice involvement, and other complex social and medical challenges. If you are passionate about improving healthcare outcomes and supporting vulnerable populations through innovative community-based care, we invite you to join our team. Our Core Values Speak with integrity—clear, respectful, and honest in every interaction. Embrace innovation by trying new ideas, learning quickly, and continuously improving. Own our roles by remaining accountable for outcomes and documentation. Build genuine connections through empathy, compassion, and cultural humility. Lead with trust through consistency, transparency, and follow-through. Celebrate wins together and recognize team achievements. Collaborate with purpose across departments, providers, and community partners. Ask for support and offer support because thriving together strengthens our ability to serve our members. Position Summary The Registered Nurse – Clinical Case Consultant serves as the clinical subject matter expert for Pacific Health Group's CalAIM Enhanced Care Management (ECM) program. This position provides clinical guidance, consultation, oversight, and support to interdisciplinary care teams serving high-risk Medi-Cal members with complex medical, behavioral health, and social needs. The Clinical Case Consultant works closely with Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, Behavioral Health staff, healthcare providers, health plans, hospitals, and community-based organizations to ensure members receive coordinated, high-quality, person-centered care. This role combines clinical expertise, care coordination, quality improvement, staff development, field-based oversight, and community collaboration to improve health outcomes, reduce avoidable utilization, and support compliance with CalAIM ECM requirements and best practices. This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Essential Duties and ResponsibilitiesClinical Leadership & Consultation Serve as the primary clinical resource for ECM care teams. Provide clinical consultation and guidance to Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, and interdisciplinary team members. Review complex member cases and provide recommendations regarding care planning, interventions, risk mitigation, and treatment coordination. Participate in interdisciplinary case reviews, case conferences, and care team meetings. Assist care teams in identifying clinical risks and developing appropriate intervention strategies. Support development of individualized, member-centered care plans that align with CalAIM ECM requirements and member goals. Promote evidence-based practices and whole-person care approaches. Assist leadership with clinical decision-making and complex case management strategies. Enhanced Care Management (ECM) Support Support implementation and ongoing success of CalAIM Enhanced Care Management services. Ensure clinical interventions align with ECM program requirements, contractual obligations, and best practices. Collaborate with health plans, providers, hospitals, behavioral health agencies, and community-based organizations to coordinate care and improve outcomes. Assist care teams in navigating complex healthcare systems and addressing barriers to care. Support care transitions following hospitalizations, emergency department visits, skilled nursing facility discharges, and other significant healthcare events. Monitor high-risk members and provide recommendations to prevent avoidable utilization and adverse outcomes. Field-Based Clinical Support & Quality Oversight Conduct regular field visits with Lead Care Managers (LCMs), Community Health Workers (CHWs), Licensed Vocational Nurses (LVNs), and other care team members to observe service delivery and provide clinical guidance. Shadow care team members during member visits to assess care coordination effectiveness, member engagement, documentation practices, safety considerations, and adherence to program standards. Provide real-time coaching, mentorship, and clinical consultation during field-based activities. Evaluate field operations and identify opportunities to improve member outcomes, care coordination practices, workflow efficiency, and service quality. Support staff in managing complex member situations, high-risk cases, crisis intervention needs, and care transitions. Conduct quality assurance reviews of field-based activities and provide recommendations for improvement. Participate in joint member visits when clinical support, member education, care coordination, or provider collaboration is needed. Monitor field-based documentation and ensure compliance with Medi-Cal ECM requirements, organizational standards, and regulatory expectations. LVN Supervision & Clinical Oversight Provide direct clinical supervision and oversight for Licensed Vocational Nurses (LVNs) in accordance with California nursing regulations and Pacific Health Group policies. Review and monitor LVN clinical activities, documentation, assessments, care coordination efforts, and member interactions. Provide ongoing coaching, education, mentorship, and professional development to LVNs. Support competency development and clinical skill enhancement among LVN staff. Ensure delegated nursing functions are performed appropriately and within scope of practice. Collaborate with leadership regarding LVN performance, development needs, and clinical support requirements. Promote adherence to clinical standards, documentation requirements, quality measures, and regulatory expectations. Assist with performance evaluations, corrective action recommendations, and clinical competency assessments as needed. Care Coordination & Community Collaboration Collaborate with primary care providers, specialists, behavioral health providers, hospitals, managed care plans, and community organizations. Facilitate communication among interdisciplinary team members to ensure continuity of care. Assist in identifying and resolving gaps in care, treatment adherence challenges, and service coordination issues. Support linkage to healthcare services, behavioral health services, housing resources, community supports, and social service programs. Participate in field-based consultations and community meetings as needed. Documentation, Compliance & Quality Assurance Maintain accurate, timely, and compliant documentation of clinical reviews, recommendations, consultations, and member interactions. Review care team documentation for quality, completeness, and compliance with Medi-Cal and ECM standards. Ensure documentation supports audit readiness and contractual compliance. Monitor clinical quality indicators and identify opportunities for improvement. Assist leadership in preparing for audits, quality reviews, and compliance monitoring activities. Promote data integrity and accountability throughout the care management process. Training & Staff Development Develop and deliver clinical training to non-clinical staff, including Community Health Workers, Care Coordinators, and Lead Care Managers. Provide education on chronic disease management, medication safety, behavioral health conditions, symptom recognition, healthcare navigation, and clinical best practices. Mentor staff to enhance clinical understanding and confidence in supporting members with complex needs. Support onboarding and ongoing professional development initiatives. Quality Improvement & Program Development Analyze clinical and programmatic outcomes to identify trends, barriers, risks, and opportunities for improvement. Participate in quality improvement initiatives focused on member outcomes, care coordination, compliance, and operational effectiveness. Assist in developing clinical workflows, policies, procedures, and best practices. Collaborate with leadership to improve program performance and service delivery. Support organizational initiatives related to innovation, quality, and population health management. Reporting & Clinical Analytics Monitor and evaluate member outcomes, utilization trends, and care coordination effectiveness. Provide clinical insights and recommendations to leadership regarding program performance. Assist with reporting related to quality metrics, care management outcomes, and compliance indicators. Identify opportunities to improve member engagement, healthcare utilization, and clinical outcomes. Key Performance Indicators (KPIs) Success in this role may be measured through: Reduction in avoidable emergency department utilization. Reduction in hospital admissions and readmissions. Improvement in member engagement and care plan completion. Timely completion of clinical reviews and consultations. Compliance with CalAIM ECM documentation standards. Audit readiness and documentation quality. Staff training completion and clinical competency development. Successful oversight and development of LVN staff. Quality outcomes identified through field visits and shadowing activities. Improved interdisciplinary collaboration and care coordination. Positive member outcomes and stabilization metrics. Achievement of organizational quality and performance goals. Minimum Qualifications Active and unrestricted Registered Nurse (RN) license in the State of California. Minimum two (2) years of direct clinical experience in community health, managed care, acute care, post-acute care, public health, behavioral health, or substance use disorder treatment settings. Experience working with Medi-Cal populations and individuals with complex medical, behavioral health, and social needs. Experience supporting populations experiencing homelessness, justice involvement, serious mental illness (SMI), substance use disorders (SUD), or multiple chronic conditions. Experience providing clinical guidance, consultation, mentoring, or supervision to interdisciplinary care teams preferred. Strong understanding of care coordination, population health, and interdisciplinary team-based care. Excellent communication, organizational, and problem-solving skills. Ability to work independently and collaboratively in a fast-paced environment. Proficiency with electronic health records (EHRs), care management platforms, and Microsoft Office applications. Preferred Qualifications Experience working within CalAIM Enhanced Care Management (ECM), Whole Person Care (WPC), Health Homes Program (HHP), or similar care management models. Case Management Certification (CCM, ACM, or equivalent). Experience supervising LVNs or other clinical support staff. Experience working with managed care plans and value-based care programs. Experience in community-based healthcare delivery. Bilingual proficiency in Spanish, Mandarin, Vietnamese, Tagalog, or other languages commonly spoken within the communities served. Experience mentoring interdisciplinary care teams. Requirements Reliable personal vehicle for daily work use Successful completion of background check (including MVR)| Must be able to travel up to 60-70% within the county to conduct in person visits Must successfully complete a Testlify skills assessment Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received Must have effective Time Management skills Must have internet speed of - 300+ mbps download and 25+mbps upload Must be proficient in technology, including documentation systems, case management platforms, and communication tools Work Environment & Travel Requirements This is a hybrid position requiring a combination of remote work, office-based work, and extensive field-based activities. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews. The position may require attendance at case conferences, provider meetings, health plan meetings, leadership meetings, training events, and community-based activities. Frequent local travel is required. Must be willing to work occasional evenings and weekends as needed. Time Off & Leave Paid Time Off 12 Paid Holidays, including Birthday Holiday One Floating Holiday after one year of employment Four (4) Paid Volunteer Hours per Month Bereavement Leave, including Pet Bereavement Leave Health & Wellness 90% Employer-Paid Employee-Only Medical Coverage Dental and Vision Insurance Flexible Spending Account (FSA) Short-Term Disability, Long-Term Disability, and AD&D Coverage Employee Assistance Program (EAP) Financial & Professional Growth 401(k) with Company Match Monthly Stipend Professional Development Opportunities Career Advancement and Internal Growth Opportunities Culture & Employee Experience Hybrid Work Environment Quarterly In-Person Team and Company Events Employee Discount Programs through Great Work Perks and Perks at Work Mission-Driven Culture Focused on Compassion, Innovation, Accountability, Collaboration, and Growth Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer committed to fostering an inclusive workplace where all employees are treated with dignity and respect. We celebrate diversity and are committed to creating an environment where individuals from all backgrounds can thrive. All qualified applicants will receive consideration for employment without regard to any protected characteristic protected under applicable federal, state, or local law.