Nursing Jobs in Deer Park, CA

Adventist Health

RN, ICU, Full Time, Night Shift, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Department Specific License/Certifications AHA-ACLS or ARC-ALS: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

Certified Medical Assistant - Full Time - Gastroenterology

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Assists in planning, providing, and evaluating nursing care for patients and in coordinating nursing care activities with other health care disciplines under the guidance of a registered nurse (RN) or licensed vocational nurse (LVN). Works as a team with other staff members to achieve patient care objectives. Identifies and seeks solutions for any clinical problems and reports them to the affected department. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Required Licenses/Certifications Medical Assistant Certification from an accredited institution: Required Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required Successful completion of audiometry and vision training or have a certificate from CHDP: Preferred Phlebotomy certificate: Preferred Certified Medical Assistant (CMA) or California Certified Medical Assistant (CCMA) or Medical Assistant - NCCT (NCCT) or Certified Medical Assistant- NHA (CMA-NHA) or Nationally Registered Certified Medical Assistant (NRCMA) or Registered Medical Assistant (RMA) or Medical Assistant (MA) or American Medical Tech Board MA (MA-AMT): Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Essential Functions Sets up exam rooms and checks in patients. Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers. Assists the physician with office procedures: preparing instruments needed for suturing, providing equipment and solutions for biopsies, providing supplies needed for splinting, etc. Obtains vital signs, and reports significant findings and pertinent patient observations to clinic physician. Performs audiometry and vision testing. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

Certified Nursing Assistant | Part Time Regular | Med- Surge Acute 2

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients' status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

Certified Nursing Assistant | Full Time Regular | Night Shift | Med- Surge Acute 2 | St. Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients' status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

Certified Nursing Assistant | Part Time Regular | Med - Surge Acute 2

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Provides personal nursing care to the patient under the direction of a licensed registered nurse (RN). Performs tasks associated with activities of daily living including self-care needs. Performs routine assigned tasks and reports patients’ status and concerns to the RN. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required Phlebotomy Certification: Preferred in CA and HI Audiometry and vision training or have a certificate from CHDP: Preferred in CA and HI Certified Nursing Assistant (CNA) certification: Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Essential Functions Performs tasks associated with activities of daily living, including assisting with nutrition and hydration, elimination, personal care, positioning devices, restraints and restorative care. Takes vital signs including, pulse and blood pressure. Helps patients with their basic needs, i.e., bathing, dressing and feeding. Performs a variety clerical duties, which include but are not limited to routing patient reports as appropriate. Uses organizational skills to keep unit running smoothly and uses prioritization skills to meet deadlines as indicated. Provides assessment data to certified nurse within the scope of practice (vital signs, patient verbal and nonverbal responses, etc.). Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Integral Senior Living

Caregiver Assisted Living & Memory Care

Integral Senior Living (ISL) proudly manages care and lifestyle-focused Independent Living, Assisted Living and Memory Care communities across California and surrounding areas serving thousands of residents and families throughout the region. Guided by our foundational “Culture Keepers”, we cultivate purpose-driven environments where residents thrive and Team Members feel valued, empowered, and supported. As part of one of the largest senior living organizations in the nation, our communities have earned Great Place to Work® certifications from 2022–2026. At ISL, purpose fuels every role, culture inspires every team, and continuous growth shapes every career. We continually aspire and invest in learning and development opportunities that support our team members’ professional growth, ensuring every team member has the tools to build a meaningful and rewarding career. We offer rewarding career opportunities that include: Competitive wages Access to wages before payday Flexible scheduling options with full-time and part-time hours Paid time off and Holidays (full-time) Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time) 401(K) with employer matching Paid training Opportunities for advancement Meals and uniforms Employee Assistance Program Our community is looking for a Care Giver to join our team. The Care Giver's role includes providing hands on care and physical and emotional support to each resident while maintaining a safe and comfortable home like environment. Responsibilities: Maintaining cleanliness of resident’s room and work areas Helping residents maintain independence, promoting dignity and physical safety of each resident Participating and assisting residents with activities of daily living (i.e. bathing, dressing, toileting, grooming, ambulation, transferring, eating) as instructed Engaging residents in life skills and other life enrichment activities Qualifications: Certified Nurse’s Aid certification preferred High School diploma/GED Must be 18 years of age Previous experience working with seniors preferred Ability to communicate effectively with Residents, management and co-workers Superior customer service skills Ability to handle multiple priorities Must demonstrate good judgment, problem solving and decision making skills If having a direct impact on the lives of others is appealing to you, apply today and join our team! EOE D/V
Sutter Health

LVN, Home Health, Sonoma & Napa

$36.48 - $47.43 / hour
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Outer Bay Position Overview: Primary coverage area will be Sonoma, Napa and surrounding. Provides nursing care, under the direct supervision of a registered nurse (RN) or physician, in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Integrates education, technical competence and patient interaction skills to gain confidence and cooperation from the patient, their family/support group, and other healthcare providers. Exercises sound judgment, and developed clinical skills to implement the patient's plan of care based on the diagnosis in a timely manner. Supports the functionality of the department by distributing supplies and performing equipment maintenance, testing, and setup as needed. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety to help deliver optimal patient care. Job Description : EDUCATION: Graduate of an accredited school of Vocational Nursing provided prior to start date CERTIFICATION & LICENSURE: LVN-Licensed Vocational Nurse provided prior to start date BLS-Basic Life Support Healthcare Provider Blood draw certificate within 30 days DL-Valid Drivers License (not required for AIM Population Health) AUTO-Automobile Insurance (not required for AIM Population Health) SKILLS AND KNOWLEDGE: Demonstrated knowledge of basic nursing skills, various medical procedures, views, and equipment. Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. Basic understanding of human anatomy, physiology, pathology, and medical terminology. Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people. Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline. General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook). Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines. Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions. Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options. Build collaborate relationships with peers and other healthcare providers to achieve departmental and corporate objectives. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: Rotating Weekends Benefits: Yes Unions: Yes Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $36.48 to $47.43 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
Northvine Post Acute Care

Director of Nursing

DON Director of Nursing What We’re Looking For: We’re looking for a dynamic Director of Nursing to lead our clinical team and provide our residents with an exceptional care experience. We need you to plan, organize, develop and direct the overall operation of your Nursing Service Department in accordance with current federal, state, and local standards, guidelines and regulations. What You Will Do: Interview, hire, and train employees; plan, assign, and direct work; appraise performance; reward and discipline employees; address complaints and resolve problems Coordinate care and services to improve organization and implementation of plans of care, and quality of life and for all residents. Ensure proper assessment of all prospective residents prior to admission including visiting client at their home or in the hospital. Develop staffing plans that assure sufficient staffing to meet direct care needs, recommend numbers and types of nursing personnel necessary to provide care and maintain compliance Ensure 24hour availability as nursing administration resource by providing on-call and telephone access or designating an alternative, qualified nursing staff member to do so. Audit clinical records for accuracy and completeness of comprehensive resident assessments, effective documentation reflecting resident responses to interventions and consistent implementation of plans of care by all staff and professionals, on all shifts. Conduct quality assessment and assurance activities, including regulatory compliance rounds, in all departments to monitor performance and to continuously improve quality Lead and participate in interdisciplinary conferences as needed to develop adequate plans of care. Establish and maintain established policies, procedures, CQI programs and safety, environmental and infection control standards. Provide direct administrative and technical supervision of nursing, admissions and continuing care functions. Establish performance goals. Provide leadership in planning, organization, evaluation and fiscal management Collaborate with executive management team on Goals of our home Collaborate with interdisciplinary team members to develop and promote programs to enhance the resident’s quality of life and healthcare Ensure compliance with applicable local, state and federal regulations and the policies and procedures. Assist in the preparation of departmental budgets and allocation of funds based upon a review of department estimates and recommendations. What You’ll Bring: 2 years of DON experience in a California Skilled Nursing Facility preferred. Unrestricted RN license in the state of California Must be able to pass background check
Sonoma Valley Hospital

Surgical Technician

$38.64 - $53.13 / hour
Overview Performs a variety of roles to assist in the care of patients in the operating room in accordance with established policies and protocols for surgical technologists. Strong ortopedic experence preferred. Responsibilities Contributes to a safe, effective environment for the surgical patient. Contributes to a culture of safety. Applies and enforces principles of aseptic technique. Checks all equipment to be used on sterile field and reports or corrects unsafe conditions prior to placing on the sterile field. Verifies exposure to sterilization process and integrity of sterile packaging. Demonstrates ability to operate sterilizers and all equipment used in operating room. Assists surgeon and first assistant by passing surgical instruments, supplies, and sponges. Assists as needed when no assistant is available. Initiates sponge, instrument, and sharp counts at the appropriate time. Maintains awareness of location of all countable items throughout the procedure in order to maintain a correct count. Assists with the adequate preparation of the operating room for surgery. Communicates with circulating nurse concerning proper preparation and disposition of specimens. Aides nurses with duties related to the care of the patient while in the operating room. Organizes and inspects surgical instrumentation. Checks for cleanliness, damage, and function. Reports any damaged instruments to sterile processing for repair or replacement and replaces on the field as needed. Pulls disposable supplies for scheduled surgical cases according to the preference cards 3 business days in advance in order to ensure any missing supplies can be obtained in time for the case. Communicates missing supplies to surgical purchaser. Creates and updates surgeons preference cards as needed. Fills in for sterile processing staff when they are unavailable. Decontaminates & inspects instruments. Able to run the washer decontaminator, ultrasonic cleaner, sterilizers, and scope cleaning equipment according to policies and procedures. Participates in continuing education to improve skills and abilities and stay abreast of current technologies. Qualifications Education : Completion of Surgical Technician program required. Certification preferred. Experience : Minimum of 1 year related experience or equivalent. Licenses & Certifications : BLS; Surgical Technician Certification preferred. Required Skills & Knowledge : Excellent written and verbal communication skills, must have the ability to read and comprehend written instructions to interpret medical orders and medical records. Able to utilize deductive reasoning, common sense and critical thinking to problem solve and demonstrate the ability to make independent, appropriate judgments based upon evidence based practice. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $38.64 Maximum: USD $53.13
Bridge Home Health & Hospice

RN Case Manager - Home Health - Full Time - Marin County

$60 - $70 / hour
Req #630 Job Description Summary The Registered Nurse Case Manager plans, organizes and directs care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Essential Job Functions/Responsibilities Patient Care: Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. Assesses and evaluates patient’s status by writing and initiating plan of care. Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care as necessary Initiates the plan of care and makes necessary revisions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self- sufficiency and optional comfort care. Maintain current documentation on EMR system according to organization policies/procedures and applicable laws/regulations. The RN Case Manager, when assigned by the Clinical Manager/DPCS, assumes responsibility to coordinate patient care for an assigned case load. The Admission RN may act as Case Manager when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate patient care for assigned caseload. The RN Case Manager may act as an Admission Nurse when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate with intake, program staff and management to complete a patient initial admission/assessment with plan of care. Communication: Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Additional Duties: Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and Inservice classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities. Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description Job Qualifications: A graduate of a National League of Nursing accredited school of nursing. Current licensure in state of practice and current CPR certification. Must possess a valid California Driver’s License and can show proof of valid auto insurance. California only: May have an RN license and practiced as an RN for a minimum of one year with prior LVN experience in public health, home care, Hospice, Hospital or Skilled nursing facility. All States: Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. A minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing is preferred. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Management experience not required. Responsible for supervising hospice aides. Self-directed and able to work with minimal supervision. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stop bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours The ability to walk intermittently on level and or unlevel surface for less than 1 hour The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours The ability to lift 50 pounds frequently for 3-6 hours The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours The ability to pull greater than 50 pounds occasionally for 1-3 hours.
Discovery Senior Living

Care Giver / Med Technician

About Discovery Management Group Discovery Management Group is part of the Discovery Senior Living family of companies, a recognized industry leader for performance, innovation and lifestyle customization that today, ranks among the 2 largest U.S. senior living operators. Discovery Management Group specializes in managing and enhancing senior living communities across the United States. With a focus on innovation, operational excellence, and lifestyle personalization, Discovery Management Group plays a vital role in serving more than 6500 residents nationwide. We offer rewarding career opportunities that include: Competitive wages Access to wages before payday Flexible scheduling options with full-time and part-time hours Paid time off and Holidays (full-time) Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time) 401(K) with employer matching Paid training Opportunities for advancement Meals and uniforms Employee Assistance Program Our community is looking for a Care/Medication Technician to join our team. The Care Giver/Med Tech role includes providing hands on care, physical and emotional support to each resident while maintaining a safe and comfortable home like environment. Responsibilities: Care Giver: Responsible for a designated group of residents during the shift; knows where their residents are and physically checks on them throughout the shift. Observes, reports and documents symptoms and conditions of residents for changes in condition such as skin, behavior, alertness, weight, dietary and participation in activities. Responds to security system and resident call bells promptly. Notifies supervisor and/or Health Care Coordinator if a resident has increased care needs. Assists with continence management and disposes of all continence products properly to ensure sanitation of resident suite and community restrooms. Serves and collects food trays and assists as needed; reports refusal of meals or loss of appetite. Maintains cleanliness of resident’s room and work areas. Practices good standard care precautions of cleanliness, hygiene and health. Helps residents maintain independence, promotes dignity and physical safety of each resident. Actively participates/leads and assists residents with activities of daily living (i.e. bathing, dressing, toileting, grooming, ambulation, transferring, eating) as instructed. Engages residents in life skills and other life enrichment activities. Greets and assists all internal and external customers, guests, family members, residents, vendors and team members. Does resident laundry as assigned and needed. Medication Tech duties: Reviews service plan to learn pertinent information about residents. Assists/observes medications and treatments for each resident using the medication observation record and the Six Rights of Medication Pass. Documents and initials form as medications are given including appropriate documentation for refusal or missed doses. Maintains confidentiality of all resident information including resident medication. Reports all resident concerns made while assisting resident with the medication to the Nurse and/or Health Care Coordinator (HCC). Restocks medication cart after all medication passes. Assists in checking medication regardless of packaging system. Counts all narcotics with another Medication Care Manager or Nurse each shift. Maintains and cleans the Medication Room, med charts, treatment carts for neatness cleanliness, availability of medications and expired medications. Follows re-fill process for medications. Participates in the development of the Service Plan and monthly updates. Takes and records temperature, blood pressure, weight, pulse and respiration rates. Reports occupational exposures to blood, body fluids, infectious materials, sharp sticks and hazardous chemicals immediately. Other duties as assigned by the Supervisor. Qualifications: Certified Nurse’s Aid certification preferred. High School diploma/GED Must be 18 years of age. CPR Certification preferred First Aid Certification preferred Previous experience working with seniors preferred. If having a direct impact on the lives of others is appealing to you, apply today and join our team! EOE D/V
Adventist Health

RN, ICU, Full Time, Night Shift, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Department Specific License/Certifications AHA-ACLS or ARC-ALS: Required Essential Functions Collects relevant data pertinent to the patient's health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient's situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

RN, Radiation Oncology (Outpatient), Martin O'Neil Cancer Center, Full Time, Day Shift

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients in an oncology department according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Oncology nurse experience in a radiation department: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Oncology Nursing Certification (ONC) or Chemotherapy Immunotherapy (CHIM) or ONC/ONCC-CHIM: Required Essential Functions Conducts baseline assessment and nursing history of outpatients receiving radiation therapy including vital signs, pain assessment and medication history. Utilizes Oncology Nursing Society (ONS) guidelines in documentation. Assesses patients for fall risk, allergies and communicates to physicians and team. Conducts weekly assessment of patients for signs and symptoms of side effects from radiation therapy. Prepares charts for initial assessments and follow up visits to radiation therapy department. Communicates pertinent changes to physician. Assists physicians with all procedures performed in radiation therapy department including Stereotactic Radiosurgery (SRS), High Dose Rate (HDR) Brachytherapy, and examinations. Prepares exam room for patient. Takes vital signs and assists physician with procedures. Cleans and maintains instruments used in procedures. Performs blood draws in department; starts intravenous therapy for the administration of intravenous contrast; administers medication in department as ordered by physician. Administers oxygen when necessary. Acts as a mediator and resource in the department in regards to transportation, scheduling and pertinent medical issues between the patients and the radiation therapists. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

RN, Float, PACU, Full Time, Night Shift, St Helena

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Essential Functions Collects relevant data pertinent to the patient's health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient's situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

RN, Tele/HVU, Full Time, Day Shift

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification: Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Department Specific License/Certifications AHA-ACLS or ARC-ALS: Required Essential Functions Collects relevant data pertinent to the patient's health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient's situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

Medical Assistant (Outpatient) |Per Diem | Dayshift | Clinical Overheard

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Licenses/Certifications Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) or equivalent combination of licensure and experience: Preferred Basic Life Support (BLS OR HS-BLS OR RQIBLS) Health Care Provider certification: Required Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred Phlebotomy certificate: Preferred Essential Functions Sets up exam rooms and checks in patients. Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers. Obtains vital signs. Reports significant findings and pertinent patient observations to clinic physician. Performs venipunctures as ordered. Performs audiometry and vision testing. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Adventist Health

Medical Assistant (Outpatient) | Per Diem | Dayshift | Clinic Overheard

Job Description Located in one of the most beautiful regions in the United States, St. Helena Hospital was founded in 1878 and has a rich history of innovative medical care. We are comprised of a 151-bed hospital, emergency department and medical offices with centers of excellence in specialty care, including Adventist Heart and Vascular Institute, Coon Joint Replacement Institute, Martin-O'Neil Cancer Center and Behavioral Health units. In the heart of Napa Valley, St. Helena is a charming place, and the quality of life is unsurpassed with outdoor adventure, rejuvenation at luxurious spas, popular restaurants, as well as perfect weekend getaways to San Francisco or the coast. Job Summary Performs non-invasive, routine, technical support services under the specific authorization and supervision of a licensed physician, podiatrist, physician assistant, nurse practitioner or nurse midwife. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Required Licenses/Certifications Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA) or equivalent combination of licensure and experience: Preferred Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required Successful completion of audiometry and vision training or have a certificate from CHDP within six months of hire.: Preferred Phlebotomy certificate: Preferred Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Sets up exam rooms and checks in patients. Maintains a patient recall system, including continuity of care log for lab tests, referrals and transfers. Obtains vital signs. Reports significant findings and pertinent patient observations to clinic physician. Performs venipunctures as ordered. Performs audiometry and vision testing. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.
Bridge Home Health & Hospice

RN Case Manager - Home Health - PRN - Napa

$60 - $70 / hour
Req #619 Job Description Summary The Registered Nurse Case Manager plans, organizes and directs care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Essential Job Functions/Responsibilities Patient Care: Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. Assesses and evaluates patient’s status by writing and initiating plan of care. Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care as necessary Initiates the plan of care and makes necessary revisions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self- sufficiency and optional comfort care. Maintain current documentation on EMR system according to organization policies/procedures and applicable laws/regulations. The RN Case Manager, when assigned by the Clinical Manager/DPCS, assumes responsibility to coordinate patient care for an assigned case load. The Admission RN may act as Case Manager when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate patient care for assigned caseload. The RN Case Manager may act as an Admission Nurse when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate with intake, program staff and management to complete a patient initial admission/assessment with plan of care. Communication: Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Additional Duties: Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and Inservice classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities. Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description Job Qualifications: A graduate of a National League of Nursing accredited school of nursing. Current licensure in state of practice and current CPR certification. Must possess a valid California Driver’s License and can show proof of valid auto insurance. California only: May have an RN license and practiced as an RN for a minimum of one year with prior LVN experience in public health, home care, Hospice, Hospital or Skilled nursing facility. All States: Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. A minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing is preferred. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Management experience not required. Responsible for supervising hospice aides. Self-directed and able to work with minimal supervision. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stop bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours The ability to walk intermittently on level and or unlevel surface for less than 1 hour The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours The ability to lift 50 pounds frequently for 3-6 hours The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours The ability to pull greater than 50 pounds occasionally for 1-3 hours.
Sonoma Valley Hospital

Advanced Practice Practitioner - Primary Care (32 hours per week, M-T, Th-F)

$76.50 - $110.45 / hour
Overview Under the direction of the Supervising Physician provides primary care in the physician clinic. Duties include providing general and preventative care, educating patients about preventative care and prescribed treatments. Serves as a clinical resource to medical assistants, reviews and revises clinical policies and procedures per policy. Responsibilities Provides primary care in the physician clinic. Duties include providing general and preventative care, conducts check-ups, treat illnesses, order lab tests and diagnostic imaging, and prescribes medicine for children and adults. Educates patients about preventative care and prescribed treatments Communicates and works with medical staff to ensure coordinated efforts for the provision of high quality medical treatment. Ensures documentation in patient's medical record is completed in a timely manner. Serves a clinical resource for medical assistants, provides in services as needed. Participates in quality improvement and utilization review activities. Assists manager with policy and procedure review and revision. Active Participant in monthly staff meetings. Qualifications Education : Graduate of accredited Physician Assistant Program; OR, Graduate of accredited Nurse Practitioner Program. Experience : 3-5 years experience in Primary Care preferred Licenses & Certifications : Licensed Physician Assistant, Active DEA license; OR, Certified Nurse Practitioner, California Board of Registered Nursing, Nurse Practitioner Furnishing License, California Board of Registered Nursing. National Provider Identifier and Current BLS required. Required Skills & Knowledge : Ability to understand and adhere to established policies, procedures, and protocols. Demonstrates competence in reacting to and handling emergencies. Able to work collaboratively with multiple health professionals in a busy and complex environment using tact, diplomacy, and discipline. Excellent written and oral communication skills. Ability to manage priorities and workflow. Versatility, flexibility and a willingness to work within constantly changing environment. Acute attention to detail. Must be able to work autonomously. Strong interpersonal skills, Bilingual a plus. Proficient in Microsoft Office. Compensation Actual compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Eligible roles also qualify for a comprehensive benefits package. Minimum: USD $76.50 Maximum: USD $110.45
Bridge Home Health & Hospice

Licensed Vocational Nurse - Full Time - $5K SOB

$35 - $45 / hour
$5K SOB Full Time - Home Health - Sonoma County Monday - Friday, 1 weekend a month. Job Description Summary The Licensed Practical/Vocational Nurse is responsible for providing direct patient care under the supervision of a registered nurse. Responsibilities include following the plan of care, providing treatments, and working collaboratively with the members of the team to help meet positive patient care outcomes. Essential Job Functions/Responsibilities: Provides direct patient care as defined in the state Nurse Practice Act. Implements plan of care initiated by the registered nurse. Provides accurate and timely documentation consistent with the plan of care. Assesses and provides patient and family/caregiver education regarding self-care techniques and information pertinent to diagnosis and plan of care. Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST, Dietician) to the registered nurse and/or Clinical Manager. Uses and/or prepares equipment and supplies effectively and efficiently adhering to aseptic technique. Participates in personal and professional growth and development. Performs other duties as assigned by the registered nurse. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description. Job Qualifications: Graduate of an accredited practical nurse or vocational nursing program. Has three (3) years nursing experience. Community/home health or medical/surgical experience is preferred. Currently licensed as a licensed practical nurse or licensed vocational nurse in the state. Possess and maintain valid CPR certification. Complies with accepted professional standards and practice. Demonstrates good verbal and written communication, and organization skills. Must possess a valid California Driver’s License with automobile that is in good working order and insured in accordance with the organization requirements. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours. The ability to walk intermittently on level and or unlevel surface for less than 1 hour. The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours. The ability to lift 50 pounds frequently for 3-6 hours. The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours. The ability to pull greater than 50 pounds occasionally for 1-3 hours.
Suncrest Hospice

Certified Nursing Assistant /Home Health Aide $1,000 Sign On Bonus!

$25 - $28 / hour
Why Suncrest At Suncrest Hospice our goal is to change the expectation of hospice care in your area by providing exceptional care and service to our patients. This is achieved by allocating the resources to increase our staff to patient ratios, thereby increasing clinical visits while lowering clinician caseloads. We are proud to be a Community Health Accreditation Partner (CHAP) certified hospice. If you have a commitment to providing the highest quality of care to patients and their families, we would like to hear from you! Benefits Pay Range $25.00-$28.00 per hour $1,000 Sign-On Bonus Actual Work/Life Balance Competitive Pay Benefits Package including Medical, Dental, and Vision insurance Paid Time Off 401k plan with employer match and 100% vesting after 90 days of employment A culture with an emphasis on appreciating and valuing the team member The opportunity to be part of a rapidly growing national company, with possible position upgrades Details * $1,000 Sign-On Bonus** The Certified Nursing Assistant/Home Health Aide (CNA/HHA) position works under the direction of a Case Manager/DON and is responsible for providing resident care to assigned residents in accordance with resident assessments, care plans and as directed by nursing management. The CNA/HHA works with other licensed care staff to coordinate the proper types of care to residents and strictly follows all Company nursing policies and procedures as well as safety guidelines. Qualifications Strong commitment to improving quality of life while partnering with our community organizations in patient care Ability to work well within a team environment to collaborate daily with nurses, social workers, chaplains, volunteers, and STNA leadership Eager to gain higher level of opportunities such as certifications and further education Work closely with patients on a 1-1 level but get strong support from a patient care team Able to work independently and on your own from a day-to-day basis Must be willing to drive with reliable transportation, valid driver’s license, and auto insurance Certified Nursing Assistant (CNA) certification in the state(s) of practice Home Health Aide (HHA) certification in the state(s) of practice CPR certified CNADC
Anchor Health

PEDIATRIC HOSPICE RN CASE MANAGER

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.
Anchor Health

PEDIATRIC HOSPICE RN CASE MANAGER

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.
Anchor Health

Hospice Visit Nurse (License Vocational Nurse or Registered Nurse)

Description ***ELIGIBLE FOR SIGN-ON BONUS*** Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. The registered nurse/ license vocational nurse plans, organizes and directs hospice care services specific to each patient/family which includes instruction and evaluation in the home. The professional nurse is accountable to the Director of Patient Care Services for implementing the patient plan of care and communicating each patient needs to the Interdisciplinary team. The professional nurse is also responsible for communication and collaboration with community physicians as well as family members regarding individual patient care. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. Requirements Patient Care 1. The Hospice Team Nurse provides professional nursing care to patients by utilizing all elements of nursing process. 2. . Assesses and evaluates patient’s status 3. Initiates the plan of care and makes necessary revisions as patient status and needs change. 4. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 5. This position will be TUESDAY-SATURDAY 12PM-8PM. 6. This position will be PRN. 7. This position will be working in different service areas such as the following - Alameda, Contra Costa, Napa, Santa Rosa, Solano and Sonoma. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. The Hospice Team Nurse completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. POSITION QUALIFICATIONS 1. Graduate of a National League of Nursing accredited school of nursing. 2. Current licensure in State of CA and CPR certification. 3. Registered nurses / Licensed Vocational nurse shall have a minimum of one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN / LVN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 6. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. 7. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order.
Anchor Health

Weekend Admission RN

$58 / hour
**Sign on Bonus** Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. Must be willing to travel within the assigned territory (Sonoma/Marin/Napa/Solano) to facilitate admissions to Hospice Services in the North Bay Area The registered nurse plans, organizes and directs hospice care services specific to each patient/family which includes instruction and evaluation in the home. The professional nurse is accountable to the Director of Patient Care Services for implementing the patient plan of care and communicating each patient needs to the Interdisciplinary team. The professional nurse is also responsible for communication and collaboration with community physicians as well as family members regarding individual patient care. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. PRIMARY FUNCTION The Admissions Registered Nurse is an Interdisciplinary Team member whose primary responsibility is to present ANCHOR HEALTH services and philosophy to patients and families in a manner that results in the admission of appropriate patients. JOB RESPONSIBILITIES FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse participates in the information gathering, analysis, education, and form completion aspects of the admissions process 2. Admissions Registered Nurse evaluates patients for hospice appropriateness, e.g. medical records review as requested. 3. Admissions Registered Nurse Obtains agreement for admission of referred patients and families who meet admission criteria. 4. Admissions Registered Nurse analyzes data collected by the admission staff or ANCHOR HEALTH clinicians to facilitate/obtain admission orders 5. Admissions Registered Nurse builds effective referral source relationships to support the high quality and responsiveness expectations associated with ANCHOR HEALTH. 6. Admissions Registered Nurse maintains clinical and professional competence. 7. Admissions Registered Nurse takes the initiative in developing effective relationships internally with the appropriate admissions and patient care resource persons. 8. Admissions Registered Nurse utilizes interpersonal skills to help appropriately educate and address any questions the patient and/or patients’ family has concerning hospice and palliative care. 9. Other duties and responsibilities as assigned JOB REQUIREMENTS FOR THE ADMISSIONS REGISTERED NURSE 1. Admissions Registered Nurse has knowledge of the principles of the intake, admission, and transition to care process with the ability to further develop skills in these competency areas. 2. Admissions Registered Nurse has the ability to communicate effectively with patients and families, physicians, referral sources and colleagues. 3. Admissions Registered Nurse has the knowledge of clinical manifestations of diseases and ability to develop ANCHOR HEALTH specific clinical knowledge. 4. Admissions Registered Nurse has the ability to use the ANCHOR HEALTH information system and mobile technology platforms. 5. Admissions Registered Nurse has reliable means of transportation. ESSENTIAL FUNCTIONS/PHYSICAL DEMANDS The physical demands of the Admissions Registered Nurse are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of the Admissions Registered Nurse, the employee is regularly required to: 1. Assist in lifting and transferring patients, as required. 2. Lift objects in excess of 20 pounds 3. Stand or walk in excess of one hour per day The Admissions Registered Nurse will be required to sit and stoop, kneel, and crouch. DIRECTION RECEIVED The Admissions Registered Nurse reports to the Admissions Manager designated in the location. In the event the location does not have an Admissions Manager, the Admissions Registered Nurse will receive direction from the Patient Care Administrator or program designee QUALIFICATIONS FOR THE ADMISSIONS REGISTERED NURSE 1. Graduate of a National League of Nursing accredited school of nursing. 2. Current licensure in State of CA and CPR certification. 3. Registered nurses shall have a minimum of one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing from a program accredited by the National League of Nursing and a current RN license. Minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Admissions Registered Nurse is expected to have strong presentation skills. 5. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. 6. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. Benefits Include: Competitive compensation Health, dental, vision, life and disability insurance Life insurance 401(k) plan with numerous investment options and generous company match Paid Time Off Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends. Hourly Rates from $58/hour and up dependent on experience as Hospice RN