Nursing Jobs in Fowler, CA

RN Case Manager - Home Health - Per Diem - Fresno

$50 - $60 / hour

Req #633 Job Description Summary The Registered Nurse Case Manager plans, organizes and directs care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Essential Job Functions/Responsibilities Patient Care: Completes an initial, comprehensive, and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process and as defined in the state Nurse Practice Act. Assesses and evaluates patient’s status by writing and initiating plan of care. Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care as necessary Initiates the plan of care and makes necessary revisions as patient status and needs change. Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self- sufficiency and optional comfort care. Maintain current documentation on EMR system according to organization policies/procedures and applicable laws/regulations. The RN Case Manager, when assigned by the Clinical Manager/DPCS, assumes responsibility to coordinate patient care for an assigned case load. The Admission RN may act as Case Manager when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate patient care for assigned caseload. The RN Case Manager may act as an Admission Nurse when assigned by Clinical Manager/DPCS and assumes responsibility to coordinate with intake, program staff and management to complete a patient initial admission/assessment with plan of care. Communication: Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Additional Duties: Participates in on-call duties as defined by the on-call policy. Ensures that arrangements for equipment and other necessary items and services are available. Supervises ancillary personnel and delegates responsibilities when required. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and Inservice classes. Fulfills the obligation of requested and/or accepted case assignments. Actively participates in quality assessment performance improvement teams and activities. Must adhere to the company attendance and reliability guidelines, which are an essential function of the job to ensure quality, and consistent patient care. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbent(s) of this job. The incumbent(s) may be requested to perform job related tasks other than those stated in the description Job Qualifications: A graduate of a National League of Nursing accredited school of nursing. Current licensure in state of practice and current CPR certification. Must possess a valid California Driver’s License and can show proof of valid auto insurance. California only: May have an RN license and practiced as an RN for a minimum of one year with prior LVN experience in public health, home care, Hospice, Hospital or Skilled nursing facility. All States: Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. A minimum of two years’ experience, at least one of which is in public health, home care, or hospice nursing is preferred. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Management experience not required. Responsible for supervising hospice aides. Self-directed and able to work with minimal supervision. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stop bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Physical Requirements: The ability to sit occasionally for 1-3 hours. The ability to frequently stand for 3-6 hours. The ability to occasionally drive/ operate foot control for 1-3 hours The ability to walk intermittently on level and or unlevel surface for less than 1 hour The ability to intermittently bend or climb for less than 1 hour. The ability to occasionally twist, kneel, crouch and crawl for 1-3 hours The ability to lift 50 pounds frequently for 3-6 hours The ability to lift greater than 50 pounds occasionally for 1-3 hours. The ability to carry up to 50 pounds frequently for 3-6 hours. The ability to carry greater than 50 pounds occasionally for 1-3 hours. The ability to push up to 50 pounds frequently for 3-6 hours. The ability to push greater than 50 pounds occasionally for 1-3 hours. The ability to pull up to 50 pounds frequently for 3-6 hours The ability to pull greater than 50 pounds occasionally for 1-3 hours.

NP

Part-time

1 week ago

Physician Assistant or Family Nurse Practitioner WORKER'S COMP

American Family Care Fresno, CA

$75 - $98 / hour

Benefits: 401(k) Competitive salary Employee discounts Flexible schedule Paid time off Savings bank Wellness resources Benefits/Perks Up to $1,500 annual allowance for medical education courses and professional memberships Paid time off Employee referral incentives Flexible scheduling Job Summary The Advanced Practice Provider (APP) cares for our patients within the scope of training and approved the agreement, as outlined by their governing board. Works collaboratively with other providers and staff to ensure efficient patient flow and a high level of patient satisfaction. This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. The ideal candidate will be confident in providing comprehensive care to patients of all ages with a wide variety of urgent medical needs, including minor injuries, acute illnesses, and preventive services. They also need to be able to see Work related injuries, Pre-employment Physicals and DOT Physicals. If you are not already certified with DOT, you will need to be certified ideally prior to the start date or 60 days after your first day. This is reimbursed by the company after completion of the course. Responsibilities Perform complete, detailed, and accurate health histories, review patient records, develop comprehensive medical assessments, and order laboratory, radiological and diagnostic studies appropriate for complaint, race, sex, and physical condition of the patient Perform minor procedures (e.g., suturing, splinting, wound care, incision & drainage) Prescribe appropriate medications and treatments in accordance with state regulations Diagnosis and treatment of work-related injuries, Physicals and other work-related exams Provide occupational health services , including DOT exams and treatment of workers' compensation injuries Conduct pre-employment physicals and other job-related medical evaluations Maintain accurate and thorough patient records in the Electronic Medical Record (EMR) system Formulate medical and nursing diagnoses and institute therapy or referrals of patients to the appropriate health care facilities, agencies, and other resources of the community or physician Institute emergency measures and emergency treatment or appropriate stabilization measures in situations such as cardiac arrest, shock, hemorrhage, convulsions, poisoning, and allergic reactions Interpret and analyze patient data to determine patient status, patient management and treatment Provide instructions and guidance regarding health care and health care promotion to patients/family/ significant others Other duties and responsibilities as assigned Qualifications 1+ years of experience in Worker’s Comp care Excellent communicator with staff, patients, and family Professional appearance and attitude ANCC, AANP, or NCCPA Board Certified – (with 1 yr ER/UC experience preferred) Active and current Physician Assistant or Nurse Practitioner licensure in the state of practice, DEA number, and state-controlled substance certificate, as required Able to multi-task and work independently Company Overview American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S., providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF).

Advanced Provider - Emergency Medicine - Adventist Health Selma

Vituity Selma, CA

$65 - $85 / hour

Selma, 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 475 sites across the country, serving 9 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. Previous 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 DEA, ACLS, PALS, and BLS are required. Current CA state license is a plus. H1-B/H1B Visa applicants are encouraged to apply. The Practice – A Four – Hospital System Adventist Health Hanford – Hanford, California Adventist Health Tulare – Tulare, California Adventist Medical Center – Reedley, California Adventist Health Selma – Selma, California A small, community hospital with a well-equipped ER and hardworking staff and great team culture. 45-bed facility with 10 ED beds and six other patient care areas. Annual volume of 45,000 with a 5% admit rate. Site utilizes PA/NP’s for Rapid Medical Evaluation® (RME) to reduce wait times and increase patient satisfaction. Previously granted Vituity’s Practice of the Year award. The Community Selma, California, located in the heart of Fresno County, is a charming community known as the “Raisin Capital of the World.” Its agricultural heritage is reflected in its picturesque vineyards and orchards, which play a vital role in the local economy. The city hosts annual events like the Raisin Festival, celebrating its rich farming traditions. Nearby, residents can explore the Blossom Trail, a scenic route showcasing vibrant spring blooms. Selma offers small-town charm with easy access to larger cities like Fresno and landmarks such as Yosemite, Sequoia, and Kings Canyon National Parks for outdoor adventures. The Mediterranean climate brings hot, dry summers and mild winters, perfect for enjoying outdoor activities year-round. With a friendly community, affordable living, and a strong sense of tradition, Selma provides a peaceful yet connected lifestyle that appeals to families and professionals alike. 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% 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 Yearly 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, travel assistance and identify theft 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 $65 - $85 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.