Nursing Jobs in East Wenatchee, WA

HCA/CNA Caregiver

CareMed Home Care Quincy, WA

Caregiver

CNA

Per Diem

2 days ago

Nurse Assistant Resident

Confluence Health Wenatchee, WA

$19 - $29 / hour

Salary Range $19.00 - $29.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Next Expected Start Date: August 31st, 2026 This position is for current or recently accepted nursing students. Minimum requirement of 72 hours per 3 months. Please Note: This is a pool, as needed position. A novice, new graduate of a nursing assistant training program or a nursing assistant who has less than 6 months experience as a CNA in a setting outside of acute care. The Nursing Assistant Resident will work with a CNA preceptor to deliver care and assist patients with activities of daily living, provide basic nursing care task to patients, and assists in maintaining a safe and clean environment. Effectively interacts with patient, significant others, and other health team members, while maintaining professionalism. Care provided is under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. The Residency Program includes classroom as well as direct clinical experiences. Position Reports To: Nurse Manager/Director of program Essential Functions Perform related assignments and tasks as requested to promote positive visitor, family, and staff relations. Collaboratively works with CNA preceptor and patients primary care RN to provide high quality care. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures are patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse and collaboration of CNA preceptor. Demonstrates competence in providing morning, evening, and general care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients' needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Maintains a safe and sanitary environment. Demonstrates knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills Actively participates in the learning process, able to incorporate learned tasks and experience to ensure high quality patient care. Participates in evaluation/improvement processes throughout the Residency. Assumes responsibility for own professional development and personal growth. Adheres to Confluence Health and Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : High School Diploma or GED Graduate of an accredited nursing assistant program Obtain Certified Nursing Assistant Licensure within 90 days of hire to the residency Successful completion of the Certified Nursing Assistant Exam within 14 days of Residency Program start date. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Completion of BLS certification within first 30 days of residency. Desired : Not Specified. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing – F Reaching: Shoulder Height – F Reaching: Above shoulder height – O Reaching: Below shoulder height – F Climbing – O Pulling/Pushing: 25 pounds or less – F Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – O Twisting/Turning – O Repetitive Movement – F Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – Yes Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly

CNA

Temporary

2 days ago

Nurse Assistant Resident

Confluence Health Wenatchee, WA

$19 - $29 / hour

Salary Range $19.00 - $29.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Next Start Date: August 31st, 2026 A novice, new graduate of a nursing assistant training program or a nursing assistant who has less than 6 months experience as a CNA in a setting outside of acute care. The Nursing Assistant Resident will work with a CNA preceptor to deliver care and assist patients with activities of daily living, provide basic nursing care task to patients, and assists in maintaining a safe and clean environment. Effectively interacts with patient, significant others, and other health team members, while maintaining professionalism. Care provided is under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. The Residency Program includes classroom as well as direct clinical experiences. Position Reports To: Nurse Manager/Director of program Essential Functions Perform related assignments and tasks as requested to promote positive visitor, family, and staff relations. Collaboratively works with CNA preceptor and patients primary care RN to provide high quality care. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures are patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse and collaboration of CNA preceptor. Demonstrates competence in providing morning, evening, and general care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients' needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Maintains a safe and sanitary environment. Demonstrates knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills Actively participates in the learning process, able to incorporate learned tasks and experience to ensure high quality patient care Participates in evaluation/improvement processes throughout the Residency. Assumes responsibility for own professional development and personal growth. Adheres to Confluence Health and Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : High School Diploma or GED Graduate of an accredited nursing assistant program Obtain Certified Nursing Assistant Licensure within 90 days of hire to the residency Successful completion of the Certified Nursing Assistant Exam within 14 days of Residency Program start date. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Completion of BLS certification within first 30 days of residency. Desired : Not Specified. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing – F Reaching: Shoulder Height – F Reaching: Above shoulder height – O Reaching: Below shoulder height – F Climbing – O Pulling/Pushing: 25 pounds or less – F Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – O Twisting/Turning – O Repetitive Movement – F Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – Yes Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly

OR Nurse Residency

Confluence Health Wenatchee, WA

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Designed to transition a new graduate or an experienced nurse wishing to enter/reenter acute inpatient care, emphasizing high quality, evidence-based patient care. The Nurse Resident will work with a preceptor to deliver care to patients on multiple units, assuming increasing responsibility. Utilizes Nursing process of assessment, planning, intervention, implementation and evaluation to achieve patient goals and optimize outcomes. Effectively interacts with patient, significant others and other health team members, while maintaining standards of professional nursing (Washington State Nurse Practice Act, WAC, ANA scope and standards of practice). The Residency Program supports the RN resident through their first six month of practice. Includes online and classroom-based learning, clinical simulation, skills development, direct clinical experiences and mentorship. Position Reports To : Residency Manager/Director Essential Functions Demonstrates communication and interactions in accordance with Confluence Health’s Code of Conduct in all aspects of job performance. Maintain a safe and sanitary work environment. In collaboration with assigned preceptor, provides all aspects of nursing care to patients with increasing independence during progression in the program. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Demonstrate competency of the ANA standards of practice: assessment, diagnosis, outcome identification, planning, implementation, coordination of care, evaluation. Including professional standards of performance: ethics, cultural congruent practice, communication, collaboration, leadership, education, evidence-based practice, quality of practice, resource utilization and environmental health. Develops, implements, and continually reassesses patient’s individualized plan of care. Sets priorities for nursing action in a logical sequence according to patient's needs and formulates an appropriate plan of nursing care as defined by nursing policy. Teaches patient/family and/or caregiver appropriate health information. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Document’s care provided, assessments, plan of care, interventions, and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Demonstrates ability to delegate care to other licensed or non-licensed assistive personal based on Washington and Central Washington’s Guideline on scope of practice. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and nursing policy and procedure. Administers medications in accordance with WA State WAC and current licensure scope of practice unless under direct supervision of Preceptor. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : Graduate of an accredited school of nursing, or due to graduate within 30 days with proof supplied upon graduation. Licensure: Current LPN, or RN licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). If LPN licensure, eligible to sit for NCLEX exam. Clinical experiences with a preceptor will be tailored to their level of licensure. Active Washington State RN licensure by the end of 90 days. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - Yes Cold - Yes Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes

Registered Nurse (RN) - Medical/Oncology

Confluence Health Wenatchee, WA

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $10,000. **Requires a two year commitment to Central Washington Hospital. Applies to external candidates only. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes

RN

Part-time

4 days ago

Registered Nurse (RN) - Surgical Unit

Confluence Health Wenatchee, WA

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes

Certified Nursing Assistant -Medical/Oncology CNA

Confluence Health Wenatchee, WA

$20 - $31 / hour

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please note: This is a pool position. No guarantee of hours. This position is for students currently enrolled in nursing school. Must work minimum of 72 hours per quarter. Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes

Confluence Health Wenatchee, WA

$20 - $31 / hour

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes

CNA

Full-time

2 weeks ago

Confluence Health Wenatchee, WA

$20 - $31 / hour

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please note: This is a pool position. No guarantee of hours. This position is for students currently enrolled in nursing school. Must work minimum of 72 hours per quarter. Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes

Registered Nurse

DaVita Kidney Care Quincy, WA

$39 - $53 / hour

Posting Date 06/12/2026 900 13th Ave SwSte A, Quincy, Washington, 98848-9801, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-SS6 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $39.00 - $53.00 per hour. Registered Nurse ICHD Experienced: $40.75 - $53.25 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. Washington Exempt: $80,168.40/year Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

RN

Full-time

3 weeks ago

Nurse Case Manager RN - Rehab Unit

Confluence Health Wenatchee, WA

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary The purpose of the Case Manager position is to communicate and facilitate care along a continuum through effective resource coordination. The goals of Case Management include the achievement of optimal health, access to care and appropriate utilization of resources, balanced with the patient's right to self-determination through a collaborative practice model including patients, nurses, social workers, physicians, other practitioners, caregivers, and the community. Position Reports To: Director of Inpatient Nursing Essential Functions The Case Manager is accountable for a designated patient caseload and works with patients/families/caregivers and the health care team to jointly communicate, problem solve and share accountability for optimal outcomes. These outcomes respect patient preferences and their available resources. Specific functions within this role include: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement. Application of process improvement methodologies in evaluating outcomes of care. Coordinating communication with physicians. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the patient served. Must demonstrate knowledge of the principles of growth and development as it relates to the different life cycles. Promotes culturally competent care. Ensures the development of a safe and effective plan of care through early identification and thorough assessment of the patient’s needs and the resources available. Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Provides patient/family/caregivers available tools/resources to make informed choices. Demonstrates the ability to balance resources with patient preferences. Educates patient/families/caregivers and health care team on the economic impact of their care options. Arranges services among community agencies, physicians, patient/family/caregivers, and others involved in the plan of care. Monitors progress toward the goals of the plan and ensures revisions in response to changes in patient needs and condition intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective Address/resolves system problems impending diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles. Utilizes an organizationally defined escalation process to refer facets of the care plan beyond the control or influence of the team. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Facilitates the progression of care by advancing the care plan to achieve desired outcomes and integrates the work of the health care team by coordinating resources and services necessary to accomplish agreed-upon goals. Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Quality Screening for assigned patients. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Refers case and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated. Discusses payor criteria and issues on a case-by-case basis with clinical staff and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Collaborates/communicates with internal & external case managers. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities. Assists in the collection and reporting of resource and financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variances from the plan of care/care path with physician and/or other members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director or Manager of Case Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility. Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff. Required to maintain active Basic Life Support (CPR) certification. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: One to three years clinical experience. Current licensure in the state of Washington (RCW 18.88) (AD or BSN) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support certification (within 90 days of hire). Professional certification as a Case Manager encouraged within two years of employment. Excellent interpersonal communication and negotiation skills. Strong analytical, data management and PC skills. Understanding of venues of care and community resources. Strong organizational and time management skills, as evidenced by capacity to prioritize multiple tasks and role components. Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families. Performs duties in a manner to promote quality patient care and customer service/satisfaction, while promoting safety, cost efficiency, and a commitment to the CQI process. Desired: Not specified. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - F Working Conditions: Not specified. Job Classification: FLSA : Non-Exempt Hourly/Salar y: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes

LPN

Per Diem

3 weeks ago

Inpatient Licensed Practical Nurse - Surgical Unit

Confluence Health Wenatchee, WA

$28.77 - $45.93 / hour

Salary Range $28.77 - $45.93 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position. A clinically competent, licensed, practical nurse who delivers care as a team member to the acutely ill patient under the direction of an RN. Is knowledgeable in the nursing process of assessment, nursing diagnosis, outcome identification, planning, implementation and evaluation. Effectively interacts with patients, significant others, and other health team members, while maintaining standards of professional nursing. Essential Functions Provides care to acutely ill patients, the LPN is knowledgeable of care goals and objectives. Utilizes a Team approach. Follows the plans of care as developed by the RN and contributes data to the RN in the development of the plan of care. Develops and maintains effective communications with the primary nurse, physician, patient, family and others members of the health care team. Seeks direction in the delivery of patient care and informs designated RN of current developments and problems, utilizing proper communication system. Assist in assessment of patient's condition, reactions, and in planning individual care. Review transfer and admission information, daily progress and HCT notes. Assist, as necessary, in the initial nursing assessment of patient (History & Physical). Provide information for establishing and re-evaluating nursing goals and Nursing Care Plans. Documents and reports pertinent information. Medications; aware of potential side effects Uses Nursing Care Plans as guides (present status, new problems, education). Orders, per physician; requests, per therapies (include response of patient) Measures and records vital signs, I & O's, weights, and administers treatments, including sterile procedures. Assists other disciplinaries in evaluation and implementation of specific goals for the patient (physical, occupational, speech and recreational therapy and dietary). Participates in patient education (and family education, when indicated). ADL's Skin Care Medication Disease process (CVA, diabetes, UTI, etc.) Reviews and implements physician's orders under direction of the primary RN. Administers medication, IV's if certified in-house. Document (including response and/or side effects) Knows unit dose procedures Renders basic nursing care, accurately charting same. Provides care for patients including: Demonstrates necessary skills and knowledge to provide care for patients according to Nursing policy and procedure. Demonstrates necessary skills and knowledge to provide care for patients according to unit specific competencies and Standards of Care, i.e., glucometer, telemetry, scanners and pulse oximeter, etc. Demonstrates ability to handle and assist in emergency situations in a prompt, precise and professional manner. Compassionately gives personal patient care to provide comfort and well being to the patient, acknowledging physiological and psychosocial needs. Administers medications according to Nursing policy and procedure. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and Nursing policy and procedure. (Done in a timely manner). Exhibits interpersonal skills that promote a positive functioning department. Communicates effectively with peers, health team members, management and physicians. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Interacts effectively with patients families and/or significant others. Always greets patients in a courteous and respectful manner; responds to patients with empathy and positive interpersonal skills. Consistently handles all request in a positive manner. Adapts to changes in a positive, professional manner. Supports problem solving approach to both department and patient needs. Follows through on problems that may compromise patient care by using the appropriate chain of command.. Accurately and concisely processes information. Communicates appropriate information to Primary Nurse as appropriate. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to form guidelines. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to department policies. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Collaborates with hospital personnel and physicians. Communicates effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to assure the patient's well being. Adheres to Hospital/Nursing Policy. Observes departmental guidelines concerning unscheduled absences, overtime and tardiness. Dresses according to CWH dress code for nursing. Is conscientious in regard to personal hygiene. Complies with specific hospital policy and procedure concerning infection control. Assumes responsibility for self-evaluation/self improvement. Has 100% attendance at mandatory inservices, including CPR certification meeting, and annual safety inservice... Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an approved LPN program or in an RN program. Current nursing license in the state of Washington. Completion of hospital orientation program. Must be currently certified in CPR, and recertify annually. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - Not specified Carrying: 25 pounds to 50 pounds - Not specified Carrying: Over 50 pounds - Not specified Crawling/Kneeling - Not specified Bending/Stooping/Crouching - F Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Applies principles of safety in daily work. Service requires patient care 24 hours a day, seven days a week, therefore, scheduling calls for rotation of days with possible rotation of shifts for vacation, illness, etc. occasional overtime as needed. May be asked to float to other units to provide balanced staffing or assist as needed. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified

Nurse Utilization RN

Confluence Health Wenatchee, WA

$44.64 - $71.24 / hour

Salary Range $44.64 - $71.24 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Performs utilization review in accordance with all state mandated regulations. Maintains compliance with regulation changes affecting utilization management. Reviews patients records and evaluates patient progress. Performs continuing review on medical records and identification and need of on-going hospitalization. Obtains and reviews necessary medical reports and subsequent treatment plan requests. Conducts reviews and validates physician's orders, reports progress and unusual occurrences on patients. Ensures appropriate and cost-effective healthcare services to patients. Documents review information in computer. Monitors all Outpatient in a Bed & Inpatient surgeries for correct status. Reviews the insurance prior authorizations for correct status. Uses the Medicare Inpatient Only list of surgery CPT codes for correct status/class to ensure reimbursement for surgeries. Reviews all denials from insurance companies for correct status/class. Pursues peer to peer discussions between our hospitalists and insurance MD, reconsideration, appeal, administrative rate, or change in status/class. Position Reports To: Director of Utilization Management Essential Functions Prepares and organizes initial and continued stay utilization reviews. Complete admission review per MCG guidelines. Coordinates provider certification of Medicare inpatient hospital stays as required in the Medicare Benefit Manual, Final Rule etc. Utilizes clinical information located in the patient record to support patient status decisions and recommendations. Documents this information in MCG. Collaborates with other departments regarding review results. Issues MOON letters to patients per Medicare guidelines to notify them of their Observation status and billing of Medicare Part B. Communicates to care management staff when payers deny the patient stay. Complies with Medicare and other regulations for second level review by the UR Committee, notification of patient, physician, and hospital of particular status changes. Follows the A/B Rebill flow maps as indicated. Ensures written notification to the patient, physician, and hospital when the final outcome of a second level review is A/B Rebill. Notifies patient accounts to hold submission of a bill when a case has been sent for second level review and the patient has been discharged. Notifies patient accounts to submit the bill when the results of the second level review is known, along with the results. Participates in tracking and monitoring second level reviews as directed. Adheres to Workflows and Process Maps specific to UM functions. Follows process flow maps and established workflows. Participates in standard work. Assist in identifying processes and procedure improvements to positively affect work flows. Issues Notices of Non-coverage according to policy and procedure. Complies with the various private contracts regarding review, pre-authorization, phone calls, deliver non-coverage letters as required and/or appeal denials. Provides Clinical information to payers as requested and per contract. Facilitates concurrent Peer to Peer discussions between providers when a payer denies all or part of a hospital stay when the denial occurs prior to discharge. Communicates the results of Peer to Peer discussions, if known, with business office and patient accounts. Tracks all discussions with payers in the appropriate billing system, according to facility. Assist with the process following an appeal of discharge, as outlined in the Important Message from Medicare. Provide requested clinical information to the QIO following a patient’s appeal of the discharge decision. Deliver a HINN-12 notification following a decision from the QIO to uphold a decision to discharge, according to procedure. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Associate's Degree in Nursing. Three (3) years experience in an acute care setting as a Health Care Professional with demonstrated expertise in specific clinical area. Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Demonstrated skills in the areas of negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking. Knowledge of healthcare financing, community and organizational resources, patient care processes, and data analysis. Excellent verbal and written communication skills. Demonstrates flexibility via an ability to adapt to changing priorities and regulations. Must possess basic computer skills related to Windows navigation, email communication. Desired : Bachelor's Degree in Nursing (BSN) or related field. Accreditation in ACMA. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - O Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - O Repetitive Movement - C Working Conditions: Work is performed in a hybrid setting with remote work as well as in an office environment. Involves frequent contact with staff, leadership and practitioners. Work may be stressful at times. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - No Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – No Infectious Diseases - No