Nursing Jobs in Dinuba, CA

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8790 Case Management The purpose of this position is to orchestrate and influence the work of others to enhance Kaweah Health's mission and vision and to achieve strategic priorities of the nursing division. Demonstrates high-level leadership accountability focused on safety and the requisite infrastructures necessary to meet expectations of the patients and families served. QUALIFICATIONS License /Certification Required: CA RN license Preferred: National certification in Nursing Leadership, Case Management Certification Education Preferred: Masters degree in Nursing, Public Health, Business, Healthcare Administration, or related discipline Experience Required: Five years of management experience in healthcare leadership. Three years case management experience. Preferred: Three years of leadership experience in patient throughput or patient flow operations. Knowledge/Skills/Abilities Ability to build alliances and lead: demonstrates honesty, integrity, and follow-through on commitments, anticipates internal/external customer needs and meets expectations, strives for collaboration, supports others and team results, ability to manage different perspectives and find win-win solutions. Demonstrated leadership and complex organizational management skills. Strong financial/analytical skills, solid verbal/written communication skills, problem identification and resolution skills, decision-making ability, and the ability to develop/mentor teams that have overt and covert interests. Strong operational skills; ability to recognize workflow problems and redesign new process/workflow and create buy-in from internal and external customers, stakeholders, gatekeepers, and regulators, and the ability to initiate and manage change. Ability to work with physicians, staff and professionals in multiple settings and to promote diversity. Strong negotiation skills. Well-developed planning, marketing, organizational development and business skills. Active in community and professional organizational influence concepts, internal & external. JOB RESPONSIBILITIES Essential Responsible for overseeing daily operations and directing all aspects of throughput related care including Case Management, Utilization Management, Patient Throughput and Clinical Documentation Improvement. Holds direct reports accountable for meeting standards of professional practice and patient care. Directs the delivery of patient care in the areas of responsibility in concordance with the plan for the provision of care and service, and the plan for the provision of nursing care at Kaweah. Collaborates with Directors to coordinate the work of staff to maintain effective and efficient patient care. Responsible for assisting in achieving core measure and value-based purchasing goals. Manages financial resources. Participates in nursing policy formulation and decision-making. Develops, implements, evaluates and, as necessary, revises the plan for the provision of care and service in assigned services areas. Contributes to, and coordinates services with, the development, implementation and evaluation of Kaweah’s plan for the provision of care and services. Acts as a resource person and shows evidence of interpreting hospital policy to staff, patients and visitors. Continuously assesses and improves department performance. Contributes to the continuous improvement of patient care and services. Contributes to staff development. Provides orientation, in-services and continuing education for staff. Demonstrates knowledge of CMS, CDPH, quality improvement organization (QIO), California Children’s Services (CCS), Title 22, and Title 9 requirements related to patient care. Communication with key constituencies, acts as resource and liaison with medical personnel and outside agencies. Enhances professional growth and maintains awareness of current industry trends, legislation or research which could impact the department and KDH Develops and directs a case management model and method, in collaboration with the medical staff, which facilitates and supports the physicians' management of their patients through the healthcare system to assure cost effective use of resources and achieve quality outcomes Develops and implements policies and procedures consistent with Kaweah's Mission that guide and support the Provision of Services Plan. Determines the qualifications and competence level for department staff. Makes recommendations regarding required staffing levels. Recommends requirements for space and other resources. Participates in selecting outside sources for needed services. Enhances professional growth and maintains awareness of current industry trends, legislation or research which could impact the department and Kaweah Health. Responds to emergency situations, i.e. Code Blue and disasters or any situation that interferes with smooth running of the hospital. Assumes administrative responsibilities and assists in solving problems for hospital operations at all KH campuses when appropriate. Responsible for care coordination and care management activities, high risk patient identification, and development of provider hospital-based disease management programs in conjunction with the population health management teams. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Pay Range $0.01 -$999.00 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong. 
Healthcare, Dental, Vision Competitive Wages (8 hour shifts) Paid-Time Off Job Summary (available shifts: All Shifts call or walk in details below.) We believe that nursing is a work of the heart. To provide the best resident care, we promote a culture that is both employee and patient based. We build on trust, compassion and strong communication. We reward our employees with competitive wages , raises and bonuses. Come for the job but stay for the challenge! Come see what it is like to work for a five star facility! Call us to schedule an interview today at (559) 896-4990 or walk in at 2108 Stillman St, Selma, CA 93662, USA Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. 
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 7428 Cardiovascular Center-CVC The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process-assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong. 
We are looking for a Certified Nursing Assistant (CNA) to join our team!! A newly aquired, Family owned and operated facility in the beatiful small town of Fowler, Ca. With an experienced Administrator and Director of Nursing. Our 49 bed facility is looking for your help to provide the best care in Fowler. New Graduates encouraged to Apply! NOC Shift 10:30PM to 7:00AM Competive Salary. Depends on experience. POSITION DESCRIPTION : A Certified nursing assistant (CNA) is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant.. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator 
NEW PAY SCALE!! We are looking for a Certified Nursing Assistant (CNA) to join our team!! POSITION DESCRIPTION : A Certified nursing assistant (CNA) is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator $140,000 - $155,000 / year
DIRECTOR OF NURSING JOB DESCRIPTION Department: Nursing Services Reports to: Administrator Reporting to this position: Unit Manager, Charge Nurse, Certified Nursing Assistant Job Classification: Administrative/Management Position Purpose Planning, organizing, developing and directing the overall operations of the Nursing Service Department in accordance with local, state and federal standards and regulations, established facility policies and procedures and as may be directed by the Administrator and the Medical Director, to provide appropriate care and services to the residents. Required Qualifications Current unrestricted license as a Registered Nurse (RN) in California Must have, as a minimum, three (3) years of experience as a supervisor in a hospital, nursing home, or other related health care facility. Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines pertaining to long-term care. Current CPR certification. Major Duties and Responsibilities Plans, develops, organizes, implements, evaluates and directs the overall operations of the Nursing Services department, as well as its programs and activities, in accordance with current state and federal laws and regulations. Interprets and communicates policies and procedures to nursing staff, and monitors staff practices and implementation. Participates in all admission decisions. Participates in daily or weekly management team meetings to discuss census changes, resident changes in status, complaints or concerns. Evaluates work performance of all nursing personnel and implements discipline according to operational policies. Participate in QAPI or facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee Facilitates, serves, attends or participates in various committees of the facility as appointed. Ensures delivery of compassionate quality care and nursing supervision as evidenced by adequate staff coverage on the units, general cleanliness, and maintaining optimal resident functions. Collaborates with members of the interdisciplinary team, physicians, consultants, and community agencies to identify and resolve issues and improve the quality of services. Oversees nursing schedules to ensure resident needs, regulatory and budget standards are met. Participates in the recruitment, hiring and termination of nursing personnel. Performs rounds to observe residents and ensure nursing needs are being met. Conducts observations of nursing care and supervises development of in-service education to ensure nursing staff is competent in current knowledge and skills. Promotes teamwork, mutual respect, and effective communication. Monitors, assists and implements the infection control program in accordance to current infection control guidelines to prevent the development and transmission of disease and infection. Participates in budget development for the nursing department, medical, nursing and central supplies. Assists in the preparation of inspection surveys, including staff in-services on survey processes, and participation in mock surveys as indicated. Participates in the facility’s plan of correction response to an inspection survey and implements any follow-up required for nursing allegations. Communicates directly with residents, medical and nursing staff, family members, department heads and members of the interdisciplinary team to coordinate care and services and respond to and resolve complaints and concerns. Oversees resident incidents and concerns daily to identify any unusual occurrences and reports them promptly to the Administrator and/or state agency for appropriate action. Monitors for allegations of potential abuse or neglect, or misappropriation of resident property and participates in the investigative process. Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness. May provide direct nursing care as necessary. Acts in an administrative capacity in the absence of the Administrator. Reasonable Accommodation Statement Consistent with the Americans with Disabilities Act (ADA), Fair Employment and Housing Act (FEHA), Unruh Civil Rights Act and Disabled Persons Act, it is the policy of the facility to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Administrator. 
Are you a compassionate Registered Nurse (RN) who has incredible assessment skills and enjoy meeting the needs of patients and families? Join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an An Average Day you Will: (Includes, but not limited to) Complete an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs Provide a complete physical assessment and history of current and previous illness(es) Provide professional nursing care by utilizing all elements of the nursing process Assess and evaluate patient’s status by: Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care, as necessary Initiate the plan of care and make necessary revisions as patient status and needs change Use health assessment data to determine nursing diagnosis Develop a care plan that establishes goals, based on nursing diagnosis Include the patient and the family in the planning process Record pain/symptom management and changes/outcomes as appropriate Communicate with the physician regarding the patient’s needs and report changes in the patient’s condition; obtain/receive physicians’ orders, as required Teach the patient and family/caregiver self-care techniques, as appropriate Work in concert with the interdisciplinary group All other duties as assigned Requirements: Must have at least one (1) year of acute care experience in an institutional setting One (1) year of experience in home care preferred Must have a current licensure in the state Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate nursing skills per competency checklist Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Ability to travel throughout the Bristol Hospice Service Area We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. 
***ELIGIBLE FOR 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. 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 
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. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. Qualifications RN License (Required) Hospice care: 1 year (Preferred) Full Job Description Hospice RN Case Manager ANCHOR HEALTH, a new premier hospice organization which provides expertise, compassion, and care for our patients and their families as they face terminal illness. Our team of professionals helps improve quality of life by addressing the physical, emotional, and spiritual needs of our patients. Through this interdisciplinary approach, we seek to comfort the heart, mind, and body. The Hospice Registered Nurse is an experienced registered professional nurse who initiates and coordinates the hospice care plan plans, organizes, and directs hospice 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 individual and families within their homes and communities. Essential Job Responsibilities: The RN provides care to patients who have been diagnosed with a terminal illness. The Hospice RN regularly reviews and updates the plan of care. Performs prescribed medical treatments, including pain management and symptom control, conducts assessments and evaluations, provides education and supportive care to patient and family. Completes an initial, comprehensive, and ongoing assessments 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. Assesses and evaluates patient’s status by: Writing and initiating plan of care, regularly re-evaluating patient and family/caregiver needs, participating in revising the plan of care as necessary. 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. Acts as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload. 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 Members to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Position Qualifications Registered Nurse with valid CA state license. Hospice experience preferred. At least one year of recent hospice experience along with a strong foundation of acute care experience. Maintains a current CPR certification. Valid driver’s license, auto insurance, reliable transportation, and willingness to drive to patient locations. Ideal candidates must have excellent interpersonal skills, motivated and a passion for Hospice. We are committed to protecting our team members and patients from COVID-19. All new team members must provide proof of COVID-19 vaccination or valid exemption due to Qualifying Medical Reasons or Religious Beliefs subject to legal requirements. Benefits: Mileage reimbursement Medical specialties: Hospice & Palliative Medicine Schedule: Monday to Friday Experience: Hospice care: 1 year (Preferred) License/Certification: RN License (Required) Work Location: On the road Pay Range - based on experience. Starting at $58/hr and up 
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're seeking board-certified Nurse Practitioners to provide comprehensive, empathetic, and collaborative care to women, including diagnosis, treatment, and management of chronic and acute conditions. Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits. Collaborate with a multidisciplinary team to deliver the highest standards of care. Complete required training and adhere to company policies and best practices. Promote preventative care and overall well-being through education and evidence-based strategies. Maintain accurate and up-to-date patient records. Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance. Charting, addressing patient questions, and responding to administrative tasks and messages. Required Qualifications Required Certification: Active national board certification as a (WHNP, FNP, or similar). Required Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Endometriosis, Hypothyroidism, Hashimoto’s, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity. Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities. Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion. Webside Manner: Strong ability to connect with patients virtually and provide empathetic care. Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research. Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms. Telemedicine: Experience is a plus! State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks Fully Remote Role: Work from anywhere in the US 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role Flexible Schedules: Set the hours that best fit your lifestyle and availability Malpractice Insurance: Comprehensive coverage provided Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day Collaborative Community: Engage with and learn from a network of dedicated Allara providers Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion. #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law. 
***ELIGIBLE FOR 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. 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 
Department: Enhanced Care Management (ECM) Reports To: ECM Program Manager Classification: Exempt Work Arrangement: Hybrid - CA Compensation: $85,000.00 - $95,000.00 annually Schedule: Monday – Friday | Full-Time About Pacific Health Group At Pacific Health Group, we are transforming healthcare by addressing social determinants of health and delivering innovative, community-based solutions that improve lives. Through programs such as Enhanced Care Management (ECM), Community Supports, Behavioral Health Services, Community Health Workers, Street Medicine, and other whole-person care initiatives, we help individuals navigate complex healthcare systems and access the resources they need to thrive. We meet individuals where they are—with compassion, dignity, respect, and a commitment to whole-person care. Our work focuses on improving outcomes for individuals experiencing homelessness, serious mental illness, substance use disorders, chronic health conditions, justice involvement, and other complex social and medical challenges. If you are passionate about improving healthcare outcomes and supporting vulnerable populations through innovative community-based care, we invite you to join our team. Our Core Values Speak with integrity—clear, respectful, and honest in every interaction. Embrace innovation by trying new ideas, learning quickly, and continuously improving. Own our roles by remaining accountable for outcomes and documentation. Build genuine connections through empathy, compassion, and cultural humility. Lead with trust through consistency, transparency, and follow-through. Celebrate wins together and recognize team achievements. Collaborate with purpose across departments, providers, and community partners. Ask for support and offer support because thriving together strengthens our ability to serve our members. Position Summary The Registered Nurse – Clinical Case Consultant serves as the clinical subject matter expert for Pacific Health Group's CalAIM Enhanced Care Management (ECM) program. This position provides clinical guidance, consultation, oversight, and support to interdisciplinary care teams serving high-risk Medi-Cal members with complex medical, behavioral health, and social needs. The Clinical Case Consultant works closely with Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, Behavioral Health staff, healthcare providers, health plans, hospitals, and community-based organizations to ensure members receive coordinated, high-quality, person-centered care. This role combines clinical expertise, care coordination, quality improvement, staff development, field-based oversight, and community collaboration to improve health outcomes, reduce avoidable utilization, and support compliance with CalAIM ECM requirements and best practices. This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Essential Duties and ResponsibilitiesClinical Leadership & Consultation Serve as the primary clinical resource for ECM care teams. Provide clinical consultation and guidance to Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, and interdisciplinary team members. Review complex member cases and provide recommendations regarding care planning, interventions, risk mitigation, and treatment coordination. Participate in interdisciplinary case reviews, case conferences, and care team meetings. Assist care teams in identifying clinical risks and developing appropriate intervention strategies. Support development of individualized, member-centered care plans that align with CalAIM ECM requirements and member goals. Promote evidence-based practices and whole-person care approaches. Assist leadership with clinical decision-making and complex case management strategies. Enhanced Care Management (ECM) Support Support implementation and ongoing success of CalAIM Enhanced Care Management services. Ensure clinical interventions align with ECM program requirements, contractual obligations, and best practices. Collaborate with health plans, providers, hospitals, behavioral health agencies, and community-based organizations to coordinate care and improve outcomes. Assist care teams in navigating complex healthcare systems and addressing barriers to care. Support care transitions following hospitalizations, emergency department visits, skilled nursing facility discharges, and other significant healthcare events. Monitor high-risk members and provide recommendations to prevent avoidable utilization and adverse outcomes. Field-Based Clinical Support & Quality Oversight Conduct regular field visits with Lead Care Managers (LCMs), Community Health Workers (CHWs), Licensed Vocational Nurses (LVNs), and other care team members to observe service delivery and provide clinical guidance. Shadow care team members during member visits to assess care coordination effectiveness, member engagement, documentation practices, safety considerations, and adherence to program standards. Provide real-time coaching, mentorship, and clinical consultation during field-based activities. Evaluate field operations and identify opportunities to improve member outcomes, care coordination practices, workflow efficiency, and service quality. Support staff in managing complex member situations, high-risk cases, crisis intervention needs, and care transitions. Conduct quality assurance reviews of field-based activities and provide recommendations for improvement. Participate in joint member visits when clinical support, member education, care coordination, or provider collaboration is needed. Monitor field-based documentation and ensure compliance with Medi-Cal ECM requirements, organizational standards, and regulatory expectations. LVN Supervision & Clinical Oversight Provide direct clinical supervision and oversight for Licensed Vocational Nurses (LVNs) in accordance with California nursing regulations and Pacific Health Group policies. Review and monitor LVN clinical activities, documentation, assessments, care coordination efforts, and member interactions. Provide ongoing coaching, education, mentorship, and professional development to LVNs. Support competency development and clinical skill enhancement among LVN staff. Ensure delegated nursing functions are performed appropriately and within scope of practice. Collaborate with leadership regarding LVN performance, development needs, and clinical support requirements. Promote adherence to clinical standards, documentation requirements, quality measures, and regulatory expectations. Assist with performance evaluations, corrective action recommendations, and clinical competency assessments as needed. Care Coordination & Community Collaboration Collaborate with primary care providers, specialists, behavioral health providers, hospitals, managed care plans, and community organizations. Facilitate communication among interdisciplinary team members to ensure continuity of care. Assist in identifying and resolving gaps in care, treatment adherence challenges, and service coordination issues. Support linkage to healthcare services, behavioral health services, housing resources, community supports, and social service programs. Participate in field-based consultations and community meetings as needed. Documentation, Compliance & Quality Assurance Maintain accurate, timely, and compliant documentation of clinical reviews, recommendations, consultations, and member interactions. Review care team documentation for quality, completeness, and compliance with Medi-Cal and ECM standards. Ensure documentation supports audit readiness and contractual compliance. Monitor clinical quality indicators and identify opportunities for improvement. Assist leadership in preparing for audits, quality reviews, and compliance monitoring activities. Promote data integrity and accountability throughout the care management process. Training & Staff Development Develop and deliver clinical training to non-clinical staff, including Community Health Workers, Care Coordinators, and Lead Care Managers. Provide education on chronic disease management, medication safety, behavioral health conditions, symptom recognition, healthcare navigation, and clinical best practices. Mentor staff to enhance clinical understanding and confidence in supporting members with complex needs. Support onboarding and ongoing professional development initiatives. Quality Improvement & Program Development Analyze clinical and programmatic outcomes to identify trends, barriers, risks, and opportunities for improvement. Participate in quality improvement initiatives focused on member outcomes, care coordination, compliance, and operational effectiveness. Assist in developing clinical workflows, policies, procedures, and best practices. Collaborate with leadership to improve program performance and service delivery. Support organizational initiatives related to innovation, quality, and population health management. Reporting & Clinical Analytics Monitor and evaluate member outcomes, utilization trends, and care coordination effectiveness. Provide clinical insights and recommendations to leadership regarding program performance. Assist with reporting related to quality metrics, care management outcomes, and compliance indicators. Identify opportunities to improve member engagement, healthcare utilization, and clinical outcomes. Key Performance Indicators (KPIs) Success in this role may be measured through: Reduction in avoidable emergency department utilization. Reduction in hospital admissions and readmissions. Improvement in member engagement and care plan completion. Timely completion of clinical reviews and consultations. Compliance with CalAIM ECM documentation standards. Audit readiness and documentation quality. Staff training completion and clinical competency development. Successful oversight and development of LVN staff. Quality outcomes identified through field visits and shadowing activities. Improved interdisciplinary collaboration and care coordination. Positive member outcomes and stabilization metrics. Achievement of organizational quality and performance goals. Minimum Qualifications Active and unrestricted Registered Nurse (RN) license in the State of California. Minimum two (2) years of direct clinical experience in community health, managed care, acute care, post-acute care, public health, behavioral health, or substance use disorder treatment settings. Experience working with Medi-Cal populations and individuals with complex medical, behavioral health, and social needs. Experience supporting populations experiencing homelessness, justice involvement, serious mental illness (SMI), substance use disorders (SUD), or multiple chronic conditions. Experience providing clinical guidance, consultation, mentoring, or supervision to interdisciplinary care teams preferred. Strong understanding of care coordination, population health, and interdisciplinary team-based care. Excellent communication, organizational, and problem-solving skills. Ability to work independently and collaboratively in a fast-paced environment. Proficiency with electronic health records (EHRs), care management platforms, and Microsoft Office applications. Preferred Qualifications Experience working within CalAIM Enhanced Care Management (ECM), Whole Person Care (WPC), Health Homes Program (HHP), or similar care management models. Case Management Certification (CCM, ACM, or equivalent). Experience supervising LVNs or other clinical support staff. Experience working with managed care plans and value-based care programs. Experience in community-based healthcare delivery. Bilingual proficiency in Spanish, Mandarin, Vietnamese, Tagalog, or other languages commonly spoken within the communities served. Experience mentoring interdisciplinary care teams. Requirements Reliable personal vehicle for daily work use Successful completion of background check (including MVR)| Must be able to travel up to 60-70% within the county to conduct in person visits Must successfully complete a Testlify skills assessment Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received Must have effective Time Management skills Must have internet speed of - 300+ mbps download and 25+mbps upload Must be proficient in technology, including documentation systems, case management platforms, and communication tools Work Environment & Travel Requirements This is a hybrid position requiring a combination of remote work, office-based work, and extensive field-based activities. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews. The position may require attendance at case conferences, provider meetings, health plan meetings, leadership meetings, training events, and community-based activities. Frequent local travel is required. Must be willing to work occasional evenings and weekends as needed. Compensation & Benefits Salary Range: $85,000.00 - $95,000.00 annually Compensation is commensurate with experience, licensure, certifications, qualifications, and demonstrated clinical expertise. Time Off & Leave 160 Hours of Paid Time Off (PTO) 12 Paid Holidays, including Birthday Holiday One Floating Holiday after one year of employment Four (4) Paid Volunteer Hours per Month Bereavement Leave, including Pet Bereavement Leave Health & Wellness 90% Employer-Paid Employee-Only Medical Coverage Dental and Vision Insurance Flexible Spending Account (FSA) Short-Term Disability, Long-Term Disability, and AD&D Coverage Employee Assistance Program (EAP) Financial & Professional Growth 401(k) with Company Match Monthly Stipend Professional Development Opportunities Career Advancement and Internal Growth Opportunities Culture & Employee Experience Hybrid Work Environment Quarterly In-Person Team and Company Events Employee Discount Programs through Great Work Perks and Perks at Work Mission-Driven Culture Focused on Compassion, Innovation, Accountability, Collaboration, and Growth Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer committed to fostering an inclusive workplace where all employees are treated with dignity and respect. We celebrate diversity and are committed to creating an environment where individuals from all backgrounds can thrive. All qualified applicants will receive consideration for employment without regard to any protected characteristic protected under applicable federal, state, or local law. 
Department: Enhanced Care Management (ECM) Reports To: ECM Program Manager Classification: Exempt Work Arrangement: Hybrid - CA Compensation: $85,000.00 - $95,000.00 annually Schedule: Monday – Friday | Full-Time About Pacific Health Group At Pacific Health Group, we are transforming healthcare by addressing social determinants of health and delivering innovative, community-based solutions that improve lives. Through programs such as Enhanced Care Management (ECM), Community Supports, Behavioral Health Services, Community Health Workers, Street Medicine, and other whole-person care initiatives, we help individuals navigate complex healthcare systems and access the resources they need to thrive. We meet individuals where they are—with compassion, dignity, respect, and a commitment to whole-person care. Our work focuses on improving outcomes for individuals experiencing homelessness, serious mental illness, substance use disorders, chronic health conditions, justice involvement, and other complex social and medical challenges. If you are passionate about improving healthcare outcomes and supporting vulnerable populations through innovative community-based care, we invite you to join our team. Our Core Values Speak with integrity—clear, respectful, and honest in every interaction. Embrace innovation by trying new ideas, learning quickly, and continuously improving. Own our roles by remaining accountable for outcomes and documentation. Build genuine connections through empathy, compassion, and cultural humility. Lead with trust through consistency, transparency, and follow-through. Celebrate wins together and recognize team achievements. Collaborate with purpose across departments, providers, and community partners. Ask for support and offer support because thriving together strengthens our ability to serve our members. Position Summary The Registered Nurse – Clinical Case Consultant serves as the clinical subject matter expert for Pacific Health Group's CalAIM Enhanced Care Management (ECM) program. This position provides clinical guidance, consultation, oversight, and support to interdisciplinary care teams serving high-risk Medi-Cal members with complex medical, behavioral health, and social needs. The Clinical Case Consultant works closely with Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, Behavioral Health staff, healthcare providers, health plans, hospitals, and community-based organizations to ensure members receive coordinated, high-quality, person-centered care. This role combines clinical expertise, care coordination, quality improvement, staff development, field-based oversight, and community collaboration to improve health outcomes, reduce avoidable utilization, and support compliance with CalAIM ECM requirements and best practices. This position serves as the clinical leader for field-based care management activities, providing direct supervision and clinical oversight of Licensed Vocational Nurses (LVNs), conducting field visits and ride-alongs with Lead Care Managers (LCMs), Community Health Workers (CHWs), and other care team members, and ensuring the delivery of safe, high-quality, member-centered services throughout hiring county. Essential Duties and ResponsibilitiesClinical Leadership & Consultation Serve as the primary clinical resource for ECM care teams. Provide clinical consultation and guidance to Lead Care Managers, Community Health Workers, Licensed Vocational Nurses, and interdisciplinary team members. Review complex member cases and provide recommendations regarding care planning, interventions, risk mitigation, and treatment coordination. Participate in interdisciplinary case reviews, case conferences, and care team meetings. Assist care teams in identifying clinical risks and developing appropriate intervention strategies. Support development of individualized, member-centered care plans that align with CalAIM ECM requirements and member goals. Promote evidence-based practices and whole-person care approaches. Assist leadership with clinical decision-making and complex case management strategies. Enhanced Care Management (ECM) Support Support implementation and ongoing success of CalAIM Enhanced Care Management services. Ensure clinical interventions align with ECM program requirements, contractual obligations, and best practices. Collaborate with health plans, providers, hospitals, behavioral health agencies, and community-based organizations to coordinate care and improve outcomes. Assist care teams in navigating complex healthcare systems and addressing barriers to care. Support care transitions following hospitalizations, emergency department visits, skilled nursing facility discharges, and other significant healthcare events. Monitor high-risk members and provide recommendations to prevent avoidable utilization and adverse outcomes. Field-Based Clinical Support & Quality Oversight Conduct regular field visits with Lead Care Managers (LCMs), Community Health Workers (CHWs), Licensed Vocational Nurses (LVNs), and other care team members to observe service delivery and provide clinical guidance. Shadow care team members during member visits to assess care coordination effectiveness, member engagement, documentation practices, safety considerations, and adherence to program standards. Provide real-time coaching, mentorship, and clinical consultation during field-based activities. Evaluate field operations and identify opportunities to improve member outcomes, care coordination practices, workflow efficiency, and service quality. Support staff in managing complex member situations, high-risk cases, crisis intervention needs, and care transitions. Conduct quality assurance reviews of field-based activities and provide recommendations for improvement. Participate in joint member visits when clinical support, member education, care coordination, or provider collaboration is needed. Monitor field-based documentation and ensure compliance with Medi-Cal ECM requirements, organizational standards, and regulatory expectations. LVN Supervision & Clinical Oversight Provide direct clinical supervision and oversight for Licensed Vocational Nurses (LVNs) in accordance with California nursing regulations and Pacific Health Group policies. Review and monitor LVN clinical activities, documentation, assessments, care coordination efforts, and member interactions. Provide ongoing coaching, education, mentorship, and professional development to LVNs. Support competency development and clinical skill enhancement among LVN staff. Ensure delegated nursing functions are performed appropriately and within scope of practice. Collaborate with leadership regarding LVN performance, development needs, and clinical support requirements. Promote adherence to clinical standards, documentation requirements, quality measures, and regulatory expectations. Assist with performance evaluations, corrective action recommendations, and clinical competency assessments as needed. Care Coordination & Community Collaboration Collaborate with primary care providers, specialists, behavioral health providers, hospitals, managed care plans, and community organizations. Facilitate communication among interdisciplinary team members to ensure continuity of care. Assist in identifying and resolving gaps in care, treatment adherence challenges, and service coordination issues. Support linkage to healthcare services, behavioral health services, housing resources, community supports, and social service programs. Participate in field-based consultations and community meetings as needed. Documentation, Compliance & Quality Assurance Maintain accurate, timely, and compliant documentation of clinical reviews, recommendations, consultations, and member interactions. Review care team documentation for quality, completeness, and compliance with Medi-Cal and ECM standards. Ensure documentation supports audit readiness and contractual compliance. Monitor clinical quality indicators and identify opportunities for improvement. Assist leadership in preparing for audits, quality reviews, and compliance monitoring activities. Promote data integrity and accountability throughout the care management process. Training & Staff Development Develop and deliver clinical training to non-clinical staff, including Community Health Workers, Care Coordinators, and Lead Care Managers. Provide education on chronic disease management, medication safety, behavioral health conditions, symptom recognition, healthcare navigation, and clinical best practices. Mentor staff to enhance clinical understanding and confidence in supporting members with complex needs. Support onboarding and ongoing professional development initiatives. Quality Improvement & Program Development Analyze clinical and programmatic outcomes to identify trends, barriers, risks, and opportunities for improvement. Participate in quality improvement initiatives focused on member outcomes, care coordination, compliance, and operational effectiveness. Assist in developing clinical workflows, policies, procedures, and best practices. Collaborate with leadership to improve program performance and service delivery. Support organizational initiatives related to innovation, quality, and population health management. Reporting & Clinical Analytics Monitor and evaluate member outcomes, utilization trends, and care coordination effectiveness. Provide clinical insights and recommendations to leadership regarding program performance. Assist with reporting related to quality metrics, care management outcomes, and compliance indicators. Identify opportunities to improve member engagement, healthcare utilization, and clinical outcomes. Key Performance Indicators (KPIs) Success in this role may be measured through: Reduction in avoidable emergency department utilization. Reduction in hospital admissions and readmissions. Improvement in member engagement and care plan completion. Timely completion of clinical reviews and consultations. Compliance with CalAIM ECM documentation standards. Audit readiness and documentation quality. Staff training completion and clinical competency development. Successful oversight and development of LVN staff. Quality outcomes identified through field visits and shadowing activities. Improved interdisciplinary collaboration and care coordination. Positive member outcomes and stabilization metrics. Achievement of organizational quality and performance goals. Minimum Qualifications Active and unrestricted Registered Nurse (RN) license in the State of California. Minimum two (2) years of direct clinical experience in community health, managed care, acute care, post-acute care, public health, behavioral health, or substance use disorder treatment settings. Experience working with Medi-Cal populations and individuals with complex medical, behavioral health, and social needs. Experience supporting populations experiencing homelessness, justice involvement, serious mental illness (SMI), substance use disorders (SUD), or multiple chronic conditions. Experience providing clinical guidance, consultation, mentoring, or supervision to interdisciplinary care teams preferred. Strong understanding of care coordination, population health, and interdisciplinary team-based care. Excellent communication, organizational, and problem-solving skills. Ability to work independently and collaboratively in a fast-paced environment. Proficiency with electronic health records (EHRs), care management platforms, and Microsoft Office applications. Preferred Qualifications Experience working within CalAIM Enhanced Care Management (ECM), Whole Person Care (WPC), Health Homes Program (HHP), or similar care management models. Case Management Certification (CCM, ACM, or equivalent). Experience supervising LVNs or other clinical support staff. Experience working with managed care plans and value-based care programs. Experience in community-based healthcare delivery. Bilingual proficiency in Spanish, Mandarin, Vietnamese, Tagalog, or other languages commonly spoken within the communities served. Experience mentoring interdisciplinary care teams. Requirements Reliable personal vehicle for daily work use Successful completion of background check (including MVR)| Must be able to travel up to 60-70% within the county to conduct in person visits Must successfully complete a Testlify skills assessment Must have a reliable working laptop for the first 21 days of employment (personal equipment stipend) until company issues laptop is received Must have effective Time Management skills Must have internet speed of - 300+ mbps download and 25+mbps upload Must be proficient in technology, including documentation systems, case management platforms, and communication tools Work Environment & Travel Requirements This is a hybrid position requiring a combination of remote work, office-based work, and extensive field-based activities. Approximately 50% of work time will involve travel throughout hiring county to conduct field visits, shadow Lead Care Managers and other care team members, provide clinical supervision and coaching, support member care coordination activities, participate in community-based meetings, collaborate with healthcare providers and community partners, and conduct quality assurance reviews. The position may require attendance at case conferences, provider meetings, health plan meetings, leadership meetings, training events, and community-based activities. Frequent local travel is required. Must be willing to work occasional evenings and weekends as needed. Compensation & Benefits Salary Range: $85,000.00 - $95,000.00 annually Compensation is commensurate with experience, licensure, certifications, qualifications, and demonstrated clinical expertise. Time Off & Leave 160 Hours of Paid Time Off (PTO) 12 Paid Holidays, including Birthday Holiday One Floating Holiday after one year of employment Four (4) Paid Volunteer Hours per Month Bereavement Leave, including Pet Bereavement Leave Health & Wellness 90% Employer-Paid Employee-Only Medical Coverage Dental and Vision Insurance Flexible Spending Account (FSA) Short-Term Disability, Long-Term Disability, and AD&D Coverage Employee Assistance Program (EAP) Financial & Professional Growth 401(k) with Company Match Monthly Stipend Professional Development Opportunities Career Advancement and Internal Growth Opportunities Culture & Employee Experience Hybrid Work Environment Quarterly In-Person Team and Company Events Employee Discount Programs through Great Work Perks and Perks at Work Mission-Driven Culture Focused on Compassion, Innovation, Accountability, Collaboration, and Growth Equal Opportunity Employer Pacific Health Group is an Equal Opportunity Employer committed to fostering an inclusive workplace where all employees are treated with dignity and respect. We celebrate diversity and are committed to creating an environment where individuals from all backgrounds can thrive. All qualified applicants will receive consideration for employment without regard to any protected characteristic protected under applicable federal, state, or local law. 
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8790 Case Management The RN Case Manager assesses plans, coordinates care, evaluates and advocates for services to meet patients health needs as they move through the continuum of care to promote quality and cost effective outcomes. QUALIFICATIONS License /Certification Required: California RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program Experience Required: Two years of acute care clinical nursing experience (LVN/RN) Preferred: RN experience Department Specific Requirements For Emergency Department: must have three years of RN experience in an Emergency Department or Critical Care setting. JOB RESPONSIBILITIES Essential Identifies needs and facilitates provision of services with physicians, nurse managers and multidisciplinary team members as the patient moves through the continuum of care. Assessment Acts as a resource person for clinical care issues, identifies action plans, and facilitates communication with appropriate physician(s) for direction. Assists and communicates with physician offices and all appropriate departments to discuss new admissions, demographic information, and other data pertinent to the patient/family which may affect their care. Evaluates the assessment process of new patients within 30 days of admission to determine needs and develop a Care Management Plan to address Social Determinants of Health (SDOH) barriers. Planning Establishes a specific plan with action steps for each patient within assigned population. Collaborates with the patient/family, care team, and physician(s) to determine goals and objectives to achieve patient/family outcomes, which include physical and psychological factors. Takes the lead in assessing care plan progression and revising care plan as necessary. Rounds with physicians and multidisciplinary team. Coordinates with the multidisciplinary team to ensure graduation planning goals and objectives are developed and modified as needed. Implementation Takes the lead in moving patients through the continuum of care in a timely, cost effective, and safe manner. Assists in the organization and integration of resources needed to meet stated goals and plans. Works with patient, family, multidisciplinary team, and outside services to accomplish set outcomes. Supervises implementation of treatment plan, including appropriate use of pre-printed orders. Documents in patient Progress Notes information including significant patient data, problems identified, assessment needs, and treatment goals. Documents findings in the electronic health record. Makes timely referrals for services. Evaluation Evaluates care plan for appropriateness and monitors progress towards outcomes. Suggests appropriate level of care when changes in level of function, medical, and psychological issues arise. Reviews medical records of patients for proper and timely documentation of services provided, evidence of functional progress. In collaboration with patient, family, and multidisciplinary team, changes the plan of care as appropriate. The nurse's practice is guided by the Code for Nurses. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Addendum (essential for specific dept) POST ACUTE CARE CASE MANAGER: Reviews and screens 100% of patients same day referred to TCS using InterQual Criteria. Interviews, researches and gathers data to identify patient's needs and formulate a post-acute plan of care in collaboration with the patient, family, physician, acute case manager and other disciplines which enhances appropriate utilization of post-acute levels of care. Facilitates transition of patient more efficiently to TCS by ensuring proper documentation, orders, and arrangements are complete for timely transfer. PROGRAM LIAISON FOR INPATIENT REHABILITATION: Assumes responsibility for the implementation of each individual patient program. Assists the patient/family to become adequately oriented to their program. Enables the patient's program to proceed in an orderly, purposeful, and goal directed manner. Promotes the participation of the person served on an ongoing basis. Participates consistently in team conferences concerning the person served. Facilitates the exit/discharge process and arranged for follow-up and appropriate supportive services. Monitors the patient/family response to treatment and determines need for intervention and/or referral. CARDIAC SURGERY CARE COORDINATOR: Serves as the Cardiac surgery program liaison to patients, their families, and the cardiac care team. Provides periodic updates during surgery, concentrating on emotional support and education to the family. Facilitates and coordinates care with referral physicians, outside hospitals, admission staff, and surgical department to arrange transfer of potential patients referred to open heart surgery. Collaborates with nurse managers. Acts as a resource person for clinical care issues. Available for educational needs of nursing staff. Facilitates movement through the continuum of care insuring all services, consults and treatments needed by patient are being provided. Collaborates with multidisciplinary team and case manager for individual patient discharge needs and plan. Rounds daily rounds with physician to identify patient needs related to diagnosis, treatment, prognosis, and projected discharge. Assists with current and accurate data collection pertaining to the cardiac surgery program. POPULATION HEALTH RN CASE MANAGER: Serves as a clinical resource for patients and families enrolled in Population Health Management programs such as Enhanced Care Management (ECM), Chronic Care Management, Transitional Care Management with goal of improving health outcomes, reducing unnecessary healthcare utilization and addressing Social Determinants of Health (SDOH) in partnership with a multidisciplinary team to include Primary Care Provider, Community Care Coordinator, Pharmacist, Medical Assistant, etc. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong. 
***ELIGIBLE FOR 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. 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 
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We’re seeking board-certified Family Nurse Practitioners with experience in women's health to provide comprehensive, empathetic, and collaborative care to women, including diagnosis, treatment, and management of chronic and acute conditions. Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary team to deliver the highest standards of care Complete required training and adhere to company policies and best practices Promote preventative care and overall well-being through education and evidence-based strategies Maintain accurate and up-to-date patient records Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance Charting, addressing patient questions, and responding to administrative tasks and messages Primary Clinical focus PCOS, Hypothyroidism / Hashimoto's, Metabolic Syndrome, Menopause / Perimenopause / HRT, PMDD, Obesity / Weight Management, Diabetes, Hyperlipidemia, and Anxiety/Depression (mild to moderate) Required Qualifications Required Certification: Active national board certification as a Nurse Practitioner Required Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Hypothyroidism, Hashimoto's, Metabolic Syndrome, Menopause, PMDD, and Obesity Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion Webside Manner: Strong ability to connect with patients virtually and provide empathetic care Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms Telemedicine: Experience is a plus! State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state of need is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks Fully Remote Role: Work from anywhere in the US Flexible Schedules: Set the hours that best fit your lifestyle and availability. Malpractice Insurance: Comprehensive coverage provided Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day Collaborative Community: Engage with and learn from a network of dedicated Allara providers Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law. Responsibilities of the Registered Nurse include but are not limited to: Ensures proper resident care is maintained in a clean and safe environment. Develop and ensure the nursing care plan and collaborate with physicians, therapists, and nursing assistants Makes nursing diagnoses, which serve as the basis for the strategy of care Collaborates with the resident, members of the healthcare team Records the administration of medication Monitor assigned staff to ensure established safety regulations are followed and that all tasks are performed following all state and government regulations and safety procedures as outlined by the facility Follows procedures related to the use of nursing equipment and supplies Performs other duties as directed Qualifications of the Registered Nurse include: An active RN license Prior experience as an RN in a nursing community The desire to care for residents and act with integrity The ability to work flexible hours 
Are you an experienced Certified Home Health Aide (CHHA) ? We are looking for compassionate CHHAs who have a heart for patients and families. The Certified Home Health Aide plays a critical role as a member of the Interdisciplinary Group Team. You will work under the supervision of a Registered Nurse and perform various services for patients to meet their personal needs and promote comfort. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an Average Day You Will: (includes but not limited to) Perform personal care needs after given a patient's assignment and attend to his/her requests promptly; if unable to perform a certain task, report to the Case Manager immediately Provide patient and family with positive communication techniques, within realm of ethical and respectful care, including confidentiality Meet safety needs of patient and use equipment safely and properly (foot stools, side rails, O2 etc.) Provide personal care including baths, back rubs, oral hygiene, shampoos and changing bed linen as often as assigned Assist in dressing and undressing patients, as assigned Plan and prepare nutritious meals, including shopping, as assigned Assist in feeding the patient, as assigned Take and record oral, rectal and auxiliary temperatures, pulse, respiration and blood pressure when ordered with appropriate completed/demonstrated skills competency Provide proper care and observation of patient's skin to prevent breakdown of tissue over bony prominence Assess and report on patient's condition and significant changes to the Case Manager; also, being aware of the caregiver or other individuals living with the patient and interpersonal issues Assist in ambulation and exercise as instructed by the hospice nurse or therapist Provide normal range of motion and transfers/positioning, as directed Assist with self-administered medications as allowed by state regulations, such as “reminders” Offer and assist with bedpan and urinal aid, as assigned Aid with light laundry needs if necessary Perform range of motion and other simple procedures as an extensional therapy service, as ordered with appropriate completed/demonstrated skills competency Provide respite for patient's family/caregiver when on-site, as appropriate Maintain patient's living area is clean and orderly, as assigned Adhere to the organization's documentation and care procedures and standards of personal and professional conduct Participate in quality assessment performance improvement teams and activities Respect patient and family/caregiver environment and patient's personal needs All other duties as assigned Requirements: Must be a Certified Nursing Assistant ( applicable for all States, additional requirements for California residents, see below). CALIFORNIA REGULATION : Must be a CNA in good standing AND must have a current Home Health Aide (HHA) certification in good standing in the State of California. Preferred to have one (1) year experience in community health/hospice or medical/surgical environments Must have completed a minimum of 75 hours of classroom and supervised practical training Licensed driver with automobile that is insured in accordance with organization/state requirements and is in good working order Willingness to submit to a criminal background check prior to hire and annually thereafter Current CPR certification Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. 
Are you an experienced Certified Home Health Aide (CHHA) ? We are looking for compassionate CHHAs who have a heart for patients and families. The Certified Home Health Aide plays a critical role as a member of the Interdisciplinary Group Team. You will work under the supervision of a Registered Nurse and perform various services for patients to meet their personal needs and promote comfort. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an Average Day You Will: (includes but not limited to) Perform personal care needs after given a patient's assignment and attend to his/her requests promptly; if unable to perform a certain task, report to the Case Manager immediately Provide patient and family with positive communication techniques, within realm of ethical and respectful care, including confidentiality Meet safety needs of patient and use equipment safely and properly (foot stools, side rails, O2 etc.) Provide personal care including baths, back rubs, oral hygiene, shampoos and changing bed linen as often as assigned Assist in dressing and undressing patients, as assigned Plan and prepare nutritious meals, including shopping, as assigned Assist in feeding the patient, as assigned Take and record oral, rectal and auxiliary temperatures, pulse, respiration and blood pressure when ordered with appropriate completed/demonstrated skills competency Provide proper care and observation of patient's skin to prevent breakdown of tissue over bony prominence Assess and report on patient's condition and significant changes to the Case Manager; also, being aware of the caregiver or other individuals living with the patient and interpersonal issues Assist in ambulation and exercise as instructed by the hospice nurse or therapist Provide normal range of motion and transfers/positioning, as directed Assist with self-administered medications as allowed by state regulations, such as “reminders” Offer and assist with bedpan and urinal aid, as assigned Aid with light laundry needs if necessary Perform range of motion and other simple procedures as an extensional therapy service, as ordered with appropriate completed/demonstrated skills competency Provide respite for patient's family/caregiver when on-site, as appropriate Maintain patient's living area is clean and orderly, as assigned Adhere to the organization's documentation and care procedures and standards of personal and professional conduct Participate in quality assessment performance improvement teams and activities Respect patient and family/caregiver environment and patient's personal needs All other duties as assigned Requirements: Must be a Certified Nursing Assistant ( applicable for all States, additional requirements for California residents, see below). CALIFORNIA REGULATION : Must be a CNA in good standing AND must have a current Home Health Aide (HHA) certification in good standing in the State of California. Preferred to have one (1) year experience in community health/hospice or medical/surgical environments Must have completed a minimum of 75 hours of classroom and supervised practical training Licensed driver with automobile that is insured in accordance with organization/state requirements and is in good working order Willingness to submit to a criminal background check prior to hire and annually thereafter Current CPR certification Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. 
Hanford, CA – Seeking Emergency Medicine Advanced Providers Become a Valued Member of Your Emergency Team As an Advanced Provider, you play a critical role in our mission to improve lives in the Emergency Department and are a valued member of the full care team. At Vituity we know the impact you can have. Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations: Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Seeking Emergency Department/Urgent Care Center physician assistants and nurse practitioners. ED/UCC experience preferred. New grads welcome to apply. Candidates wanting to work in an academic setting with current residents desired. Vituity offers an internship program at all 4 Adventist Health Hospital locations for those inexperienced in Emergency Medicine. This Vituity internship/new grad training program is up to three months long and involves both clinical and didactic experiences to help focus on learning good, quality medicine, so you can be a safe and confident Advanced Provider. Current national certification, DEA, and ACLS are required. Current CA state license is a plus. The Practice – A Four – Hospital System Adventist Health Selma – Selma, California Adventist Health Tulare – Tulare, California Adventist Medical Center – Reedley, California Adventist Health Hanford – Hanford, California A busy 26-bed ED, seeing roughly 150-170 patients per day. Serving a 142-bed acute care rural/suburban hospital in the Central Valley. Primary Stroke Center and soon-to-be STEMI Receiving Center. Robust call panel, flexible scheduling, protection of care. The Joint Commission Gold Seal of Approval and the American Heart Association’s Heart-Check mark for Advanced Primary Stroke Certification. Adventist hospitals across the Valley recognize Vituity as a leader in Academics. The Community Hanford, California, is a charming and affordable place to work and call home, nestled in the heart of the San Joaquin Valley. Known for its rich agricultural roots, Hanford offers a peaceful, small-town atmosphere with easy access to larger cities like Fresno and Visalia. The city is home to historic landmarks such as the Hanford Carnegie Museum and the Kings County Courthouse, which reflect its heritage. Hanford is also close to natural attractions like the Sequoia National Park, offering hiking and outdoor adventures. The seasonal weather is warm in the summer with mild winters, perfect for enjoying local parks and outdoor festivals. The city’s friendly community, great schools, and lower cost of living make it an attractive option for families and those looking for a slower pace. Hanford’s central location in California also provides convenient access to both coastal and mountain destinations. Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. Superior health plan options Dental, Vision, Life and AD&D coverage, and more Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service) Variety of Pre-Tax Savings Accounts including HSA, FSA, Dependent Care and Commuter Benefits Time Off when you need it: Start with 4 weeks PTO annually and increase to 6 weeks with tenure, plus generous sick leave Flexible scheduling for work/life balance Annual cash bonus Professional Expense Reimbursement for medical staff dues, states licenses, DEA license, and national recertification fees Up to $1,500 annual allowance for medical education courses and professional memberships Student Loan Refinancing Discounts EAP and travel assistance included Free education opportunities for personal and professional growth Several wellness programs that focus on provider wellbeing and health Purpose-driven culture focused on improving the lives of our patients, communities, and employees Salary range for this role is $60 - $80 per hour. Please speak with a recruiter for more information. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Please speak to a recruiter for more information. Applicants only. No agencies please. 
POSITION DESCRIPTION Responsible for timely and accurate completion of both the RAI process and care management process from admission to discharge in accordance with company policy and procedures, and Federal, State and Certification guidelines, and all other entities as appropriate- Minimum Data Set, discharge and admission tracking, etc. With direction from the Director of Nursing and VP of Clinical Reimbursement, may coordinate information systems operations and education for the clinical department. QUALIFICATIONS • Graduate of an approved RN program and licensed in the state of practice, required. • Minimum of 2 years of nursing experience in a Skilled Nursing Facility preferred. • Excellent knowledge of Case-Mix, the Federal Medicare PPS process, and Medicaid reimbursement, as required. • Thorough understanding of the Quality Indicator process. Knowledge of the OBRA regulations and Minimum Data Set. • Knowledge of the care planning process. • Experience with MDS 3.0, preferred.. • Maintains current MDS status of assigned residents according to state and federal guidelines. • Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs. • Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members. • Other duties, responsibilities and activities may change or assigned at any time with or without notice RESPONSIBILITIES • Works in collaboration with the Interdisciplinary Team to assess the needs of the resident; Provides interdisciplinary schedule for MDS assessments and care plan reviews as required by governing agencies. • Ensures that the Interdisciplinary team makes decisions for either completing or not completing additional MDS, assessments based on clinical criteria as identified in the most recent version of the RAI User’s Manual. • Assist with coordination and management of the daily stand up meeting, to include review of resident care and the setting of the assessment reference date(s). • Complies with federal and state regulations regarding completion and coordination of the RAI process. • Monitors MDS and care plan documentation for all residents; ensures documentation is present in the medical record to support MDS coding. • Maintains current MDS status of assigned residents according to state and federal guidelines. • Maintains the frequent and accurate data entry of resident information into appropriate computerized MDS programs. • Completes accurate coding of the MDS with information obtained via medical record review as well as observation and interview with facility staff, resident and family members. • Other duties, responsibilities and activities may change or assigned at any time with or without notice. 
Schedule: Friday-Tuesday 12:30pm-9:00pm. Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community The Admissions RN is also responsible for developing and increasing the access to Bristol Hospice Services in the communities that the location serves. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an Average Day You Will: (includes but not limited to) Relate information to the DPCS, ED and Community Education Director of initiatives that promote hospice access in the hospice community Ensure the educational needs of the community related to hospice care and services, are assessed and met on an ongoing basis Establish and monitor community, customer, payer and patient perceptions of Bristol Hospice as a high-quality provider of hospice services in the community Facilitate communication with agency and referral sources as needed to promote the continuum of care Maintain comprehensive working knowledge in the field of Hospice educational resources and share information with appropriate organizational personnel Facilitate the hospice referral process Serve as a resource to review and consult available patient information related to the case, to determine hospice care needs and criteria Coordinate and communicate with hospice agency leadership and referral sources to promote care coordination and a timely admission process Complete hospice consults/evaluations and admissions Ensure coordination and communication with referral sources and hospice agency leadership Complete initial assessments of patients and families to determine hospice needs Facilitate and complete admissions as indicated Provide a complete physical assessment and history of current and previous illness(es) of referrals Work with the intake department so they can serve as a liaison between facility, physicians, hospitals, skilled nursing facilities, community and hospice programs, with coordination of referrals/admission process and services Coordinate with the ED and DPCS regarding the need for planning, implementation and evaluation of in-service and continuing education programs May be required to actively participate in the Quality Assurance Performance Improvement (QAPI) process, as directed by ED or DPCS May be required to function as an RN Case Manager and maintain an assigned patient case load as determined by the ED or the DPCS Provide professional nursing care by utilizing all elements of the nursing process Use health assessment data to determine nursing diagnosis May be required to participate in IDT meetings and work with the IDT to determine the patient/family plan of care, as needed Provide patient/family education related to the patient/family plan of care All other duties as assigned Requirements: Must have a current RN license in the state Must have a minimum of one (1) year of experience as a professional nurse within the last three (3) years or have a bachelor’s degree in nursing from a program accredited by the National League of Nursing Must be able to travel 20% of the time, often without notice Must be flexible in work hours Must possess the willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. 
Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing management experience preferred. 
**NEW WAGE SCALE** Dental, Vision, Health Paid Time Off POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary. 
Job Description Located in a tight-knit community in Kings County, Adventist Health Hanford has been serving the Central Valley since 1965. We are comprised of a 173-bed hospital and many outpatient clinics with primary and specialty care services. Hanford residents are proud of their city's historic charm and family-friendly atmosphere. Within an hour's travel time, Yosemite, Sequoia and Kings Canyon National Parks can be enjoyed. 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-PALS or ARC-PALS: Required 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. JOB INFO Job Identification : 72166 Job Category : RN Posting Date : 2026-09-17T17:10:08+00:00 Job Schedule : Full time Job Shift : Day Shift Locations : Hanford, CA, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $49.60 to $73.64. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Surgery Shift Length : 10 Hours