Nursing Jobs in Fresno, CA

5 days ago

Director of Nursing

***ELIGIBLE SIGN ON BONUS*** Director of Nursing (Hospice) Job Type: Full-time | Work Setting: In-person Schedule: Monday to Friday Pay: Competitive salary, based on experience About Anchor Health Anchor Health has proudly served Northern California communities for years, offering compassionate and high-quality hospice and pediatric care. Our mission is to support not only our patients and families but also the dedicated professionals who make our work possible. Position Overview We are seeking a compassionate and experienced Director of Nursing to lead our hospice clinical operations. This key leadership role is ideal for a Registered Nurse with strong hospice or palliative care experience and a heart for end-of-life care. The DPCS ensures exceptional care quality, regulatory compliance, and team coordination while supporting patients, families, and staff in a meaningful way. Key Responsibilities Clinical Leadership: Direct the delivery of hospice services in compliance with state, federal, and internal standards. Team Management: Recruit, train, supervise, and mentor clinical staff including RNs, LVNs, social workers, and home health aides. Care Coordination: Guide the interdisciplinary team in developing and executing personalized care plans. Regulatory Compliance: Ensure adherence to Medicare/Medicaid requirements and accreditation standards; manage audits and documentation. Quality Improvement: Drive initiatives to enhance patient outcomes and care quality. Budget Oversight: Manage clinical budgets and monitor resource utilization effectively. Family Support: Serve as a compassionate liaison for patients’ families, offering clear communication and emotional support. Cross-Department Collaboration: Partner with social services, spiritual care, and admin teams to provide holistic care. After-Hours Protocol: Develop and maintain readiness protocols for emergencies and after-hours needs. Qualifications Education: BSN required; MSN or advanced degree preferred. Licensure: Active Registered Nurse (RN) license in the state of California (required) . Experience: Minimum of 2 years in hospice or palliative care leadership. Key Skills Strong clinical leadership and staff development abilities Deep knowledge of hospice regulations and standards Excellent communication with patients, families, and interdisciplinary teams Strategic thinker with a collaborative, empathetic approach Physical & Travel Requirements Must be able to travel to patient homes, nursing facilities, and hospitals. Comfortable working in varied patient care settings. Benefits Medical: Health, dental, and vision insurance Financial: 401(k) retirement plan Time Off: Paid time off (PTO) Supportive, mission-driven team environment Medical Specialty Geriatrics Hospice & Palliative Care If you're a passionate leader looking to make a meaningful difference in end-of-life care, we invite you to apply and join the Anchor Health family.

Labor and Delivery

Community Medical Centers Fresno, CA

RN, L&D PRN

Overview Join our all-PRN team! Designed for flexibility, and full of opportunity, this could be the next perfect fit for you. Opportunities for you! Top notch compensation with 18% added to base! Flexible self-scheduling — pick up shifts when and where you want Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Direct impact on quality patient care in a system with 1,200+ licensed beds Work knowing you have the support and resources of an experienced leadership team Free parking and electric charging Great food options with on-demand ordering Enroll in DailyPay, access your earned pay on your own schedule Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities You love what you do, now love where you do it. As a PRN RN member of our Internal Resource Pool nursing team, you’ll have the flexibility to pick up shifts, between 200 and 900 hours per year (12 months from hire). From Labor & Delivery and Emergency to Med Surg, Telemetry and more, you’ll work with diverse patient populations and clinical environments while supporting and advancing the standard of excellence in care that Community is known for. Deliver high-quality, evidence-based nursing care through assessment, planning, implementation and evaluation of patient needs. Adapt to various unit environments while maintaining a strong commitment to patient safety and clinical excellence. Collaborate effectively with multidisciplinary teams to coordinate care, ensure continuity and enhance patient outcomes. Serve as a vital resource in times of staffing needs, helping maintain operational flow and continuity of care across departments. This flexible role offers you the opportunity to expand your experience, sharpen your skills and support a healthcare system that serves more than 2 million people who live in our primary five-county service area. Qualifications Qualifications RN - Current and valid Registered Nurse license to work within the state of California required 2 years of nursing experience and competency in area required BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

PACU

Community Medical Centers Clovis, CA

RN, PACU

Overview Opportunities for you! Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas) RN Advancement Pathway for growth, built for nurses, by nurses Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities Your Career at Community | Opportunity. Challenge. Growth. In your role, you will: Utilize the nursing process to identify patient needs for continuous assessment in the PACU. Document and evaluate the effectiveness of nursing actions and ensure a safe environment of care. Work alongside other departments to ensure continuity of care. Provide post-surgical education to patients, creating and maintaining a sterile and safe surgical environment for the patient and monitoring the patient’s physical and emotional well-being throughout the surgical care continuum Monitoring patients for changes in status and indications of conditions such as sepsis or shock and institute appropriate interventions. Qualifications Education• Graduate of approved nursing program required• Bachelor's Degree in Nursing preferred Experience• Minimum of 2 years of recent critical care, ICU or PACU RN experience Licenses and Certifications• RN - Current State of California Registered Nurse license required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Community Medical Centers Fresno, CA

Crisis Response RN

Overview Comprehensive relocation package and concierge service Progressive sign-on incentive paid over time for eligible candidates Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Time and a half after 8 hrs + weekend and night differential Free Continuing Education and certification including BLS, ACLS and PALS Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities As a Crisis Response RN, you’ll support high-acuity areas, to facilitate timely interventions, patient stabilization, and staff development. Respond to patients in clinical crisis and lead stabilization efforts until appropriate care placement is achieved Collaborate with care teams to assess complex cases while guiding and coordinating clinical decision-making Assist with monitored patient transports and escalation of care across critical units Mentor and educate staff on evolving processes, protocols, and high-acuity patient management — serving as a resource for clinical best practice This is your opportunity to lead with expertise, support high-impact patient care, and make a difference within the largest healthcare system in the Valley from day one! Qualifications Education & Experience High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required 2 years of nursing experience of which at least 1 year in an Intensive Care Unit (ICU) or Emergency Department required Licenses and Certifications RN - Current and valid Registered Nurse license to work within the state of California required BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required ACLS - Advanced Cardiac Life Support Certification required PALS - Pediatric Advance Life Support Certification required within 180 days of hire or transfer into position One of the following is required within 180 days of hire or transfer into position CCRN - Certified Critical Care Registered Nurse CEN - Certified Emergency Nurse NATIONAL - National Certification related to specialty and applicable to role Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Hospice

Trinity Health at Home Fresno, CA

Hospice Registered Nurse -$10k sign on

$41.57 - $66.51 / hour

Employment Type: Full time Shift: Description: Hospice RN Case Manager Mon-Fri 8-5p, and 1 weekend a month. no on call. Covering Fresno $10,000 Sign on bonus The Hospice RN Case Manager is responsible for delivering comprehensive, patient-centered nursing care to hospice clients. This role serves as the primary coordinator of care, ensuring patients receive appropriate symptom management, emotional support, and end-of-life care aligned with physician orders and hospice plans. Key Responsibilities Clinical Care & Case Management Perform patient assessments, develop and update individualized care plans Manage overall patient care, serving as the designated case manager Monitor patient condition and communicate changes to physicians and care team Provide symptom management using evidence-based hospice/palliative practices Deliver education to patients and families on disease progression, self-care, and end-of-life expectations Care Coordination Collaborate with interdisciplinary team (IDT/IDG), including physicians, aides, and other clinicians Coordinate referrals and services to ensure timely, efficient care Lead case conferences and contribute to care planning discussions Supervision & Leadership Provide functional supervision to LPNs and Hospice Aides Conduct supervisory visits (bi-weekly for aides, monthly for LPNs) Delegate tasks appropriately based on skill level Participate in training, orientation, and mentoring of staff Documentation & Compliance Maintain accurate, timely clinical documentation (assessments, care plans, visits, physician communications) Ensure compliance with federal/state regulations, hospice standards, and agency policies Uphold confidentiality and HIPAA standards Patient & Family Support Address grief, loss, and emotional needs of patients and caregivers Provide anticipatory guidance around the dying process Promote dignity, comfort, and quality of life Minimum Qualifications RN license in state of practice Graduate of accredited nursing program CPR certification Minimum 1 year acute care nursing experience Hospice/home health experience preferred Strong communication skills, especially around grief/loss Valid driver’s license and reliable transportation (California-specific: 1 year professional nursing experience required) Core Competencies Clinical judgment and critical thinking Compassion and emotional intelligence Strong communication and teaching ability Team collaboration and leadership Time management and adaptability Work Environment & Physical Requirements Travel to patient homes required Frequent standing/walking and occasional lifting (up to 35 lbs) Ability to multitask and manage frequent interruptions $41.57 - $66.51 Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Wound Care

Community Medical Centers Clovis, CA

RN, Wound Care, Hyperbaric Medicine

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

Caregiver & Home Care Aide Opportunities – Tri-Valley Area (Pleasanton, Dublin, Livermore & Surrounding Communities)

Right at Home East Bay CA

Right at Home East Bay is currently hiring compassionate and dependable Caregivers and Home Care Aides to serve clients throughout the Tri-Valley area, including Pleasanton, Dublin, Livermore, San Ramon, and surrounding communities. We have a variety of shifts available and are seeking caregivers who are passionate about helping seniors live safely and comfortably in their own homes. Available Shifts • Weekday shifts • Weekend shifts • Morning, afternoon, evening, and overnight opportunities Caregiver Pay and Benefits: $18.00–$21.50/hr (based on experience, location, and certifications) $0-Cost Wellness Program : $0 copay primary care & urgent care visits 100% covered preventive care $0 or discounted prescriptions $0 virtual medical & mental health services $0 virtual vet care for your pets Tax-advantaged benefit that may increase take-home pay 401(k) Retirement Plan with low-cost investment options and free financial guidance Daily Pay Available — access earnings before payday $152 Referral Bonus for every friend you hire Paid Training, Orientation, Sick Time, and Mileage Overtime and Holiday Pay opportunities Flexible Scheduling (AM, PM, and Night shifts) Work Close to Home whenever possible Free Uniforms & PPE Supportive, Caregiver-First Culture Note: Benefit eligibility may vary. Details and enrollment requirements will be provided. Caregiver Duties and Responsibilities: Indoor activities such as companionship and socializing Outdoor activities of taking walks and outings Homemaker services such as light housekeeping, laundry, and meal planning and preparation Medication monitoring and reminders Personal care, such as grooming and personal hygiene Specialty care such as Dementia care and Parkinson’s care. Provide client transportation to run errands Supervise clients to avoid falls or other accidents. Caregiver Requirements: At least 18 years of age Read, write, speak, and understand English Valid driver’s license and current automobile insurance High school diploma or GED Able to lift/move 50 lbs without assistance Register with the state as an HCA (Health Care Aide) - We can guide you through every step. Pass state Live Scan background check and Tuberculosis test Eligible to work in the United States and provide employment eligibility verification Preferred Candidates • Mandarin/Chinese-speaking caregivers • Spanish-speaking caregivers • Students looking for flexible schedules • Veterans and military spouses • Individuals seeking weekday and/or weekend work What Our Caregivers Say About Us “It’s wonderful to work for a company that treats their employees with the same care and respect they want us to provide to clients.” I know I’m never alone! If I have a question or an issue, there is always someone available to help me. This means the world to me!” IND789

Aesthetic

Registered Nurse

LaserAway Fresno, CA

$20 - $50 / hour

Location: Fresno Type: Full-Time | In-Clinic | Weekend Availability Required Compensation: $50.00 plus weekend differential License Requirement: License (RN/NP/PA) - CA Where You’ll Work As part of our commitment to delivering exceptional care, this role is assigned to a small group of home clinics where you’ll build strong patient relationships and become a trusted part of the team. For this position, your primary locations will include: Fresno Clovis Fig Gardens You’ll rotate between these clinics based on the schedule—no surprise float shifts or last-minute assignments outside this group. Just consistency, connection, and a chance to make an impact across multiple locations. Schedule Requirement: This role follows a fixed, non-negotiable schedule of Thursday through Monday , every week. Candidates must be available and committed to working five consecutive days, including every weekend (Saturday and Sunday) as part of their regular schedule. Please note that this is not a rotating or flexible schedule. Join LaserAway as an Aesthetic Nurse – Elevate Your Career in Aesthetic Dermatology! Are you passionate about aesthetics, committed to patient care, and excited to work in a cutting-edge clinical environment? LaserAway , the industry leader with over 10 million treatments performed and 18+ years of experience, is seeking talented Aesthetic Nurses to provide expert care and deliver exceptional patient experiences. Step into the future of aesthetics with LaserAway. As the nation’s leading provider of aesthetic dermatology, LaserAway has performed over 10 million treatments at 175+ locations—and we’re just getting started. We’re looking for passionate, licensed RNs, NPs, or PAs to join our clinical team and deliver exceptional, patient-first care. What You’ll Do As a LaserAway Aesthetic Nurse, you’ll provide elective, non-surgical treatments including laser hair removal, skin rejuvenation, and injectables in a fast-paced, high-volume clinic environment. This is not a sales role—but your clinical care and patient education play a key part in retention and results. Key Responsibilities Deliver FDA-cleared treatments with precision and care Educate patients on procedures, post-treatment expectations, and long-term care Document treatments accurately using clinic software systems Collaborate with your Location Director and Patient Care Coordinators (PCCs) to optimize schedules and maintain seamless clinic operations Rotate across 1 to 3 local clinics Maintain a professional appearance and uphold the LaserAway brand standard Work Schedule Clinics are open 7 days a week Schedules are published two weeks in advance Training Program Paid onboarding program with virtual, in-clinic, and self-paced learning Starts with core treatments and gradually expands across our full service menu Training pay: $20/hour during hands-on learning sessions Full clinical rate begins after initial sign-offs What You Bring Active RN, NP, or PA license in the state of employment (required) Minimum 1 year of hospital-based nursing experience required (excluding nursing school clinical rotations). This position is not open to new graduates; applicants must have post-graduate clinical experience in a hospital or similar acute care setting. Confidence in using digital tools and following protocols Strong energy and adaptability in fast-paced settings Preferred Background Ideal candidates have experience in acute care, med-surg, ICU, ER, or a related hospital setting. Home health, skilled nursing, and rehab facility experience may be considered if it includes substantial hands-on patient care in a high-volume setting. Compensation & Benefits Competitive hourly base rate Commute and weekend differentials Paid training, PTO, and holidays Full benefits package: medical, dental, vision, and 401(k) with 4% match Exclusive access to free and discounted LaserAway treatments Join Our Team At LaserAway, we’re committed to empowering our Nurses to thrive in a dynamic, patient-first environment. If you are passionate about aesthetics, driven to deliver excellence, and ready to grow with an industry leader, we want to hear from you. Take the next step in your career—apply today and help us shape the future of aesthetic medicine! Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance. Disclaimer This job description is not exhaustive and may be updated at any time. LaserAway is an Equal Opportunity Employer and will provide reasonable accommodations for employees with disabilities to perform essential functions, barring undue hardship. Duties may be reassigned as needed.

Community Medical Centers Fresno, CA

Crisis Response RN

Adventist Health Reedley, CA

RN, Emergency (Full-Time, Night Shift)

Job Description Lying just inland between the State's coastal mountain ranges and the Sierra Nevada Mountains, Adventist Health Reedley has been serving the Central Valley since 2011. We are comprised of a 49-bed acute care hospital and 60 clinics in 27 rural communities with primary and specialty care services. Reedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. 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 OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Department Specific License/Certifications AHA-ACLS or ARC-ALS: Required AHA-PALS or ARC-PALS: 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.

Telehealth

Pacific Health Group San Joaquin, CA

Registered Nurse - Clinical Case Consultant - ECM

$85,000 - $95,000 / year

Department: Enhanced Care Management (ECM) Reports To: ECM Program Manager Classification: Exempt Work Arrangement: Hybrid – Hiring County 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. Valid California Driver's License, reliable transportation, and ability to travel throughout hiring county. 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 Valid California Driver's License and active auto insurance meeting CA 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.

RN Admission Nurse

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. 6. Willing to travel to both Sacramento and Solano County for admissions. 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. Part Time Availability : Friday, Saturday, and Sunday

Hospice Visit Nurse (Registered Nurse)

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

On-Call Afterhours Hospice LVN/RN

Full job description The after hours nurse supports our patients and families needs after hours. After hours is qualified as 5 p.m. to 8 a.m. and weekends. If you would prefer to work with an agency that honors and cares for its clinicians, with the strong communications and teamwork this is your place . Anchor Health is seeking a Registered Nurse and Licensed Vocational Nurse to serve in the San Mateo County . The Registered Nurse will plan, organize and direct hospice care. They will also build from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Position Responsibilities: - Coordinating the care of the patients assigned to you. - Making regular visits to patients' homes to assess patients' physical, emotional, spiritual, and social needs. - Working collaboratively with the hospice physician and your supporting LVNs to carry out appropriate interventions. - Helping the agency to continuously increase the quality of care. Position Requirements: - Licensed as a Registered Nurse/RN - Valid Driver's License and reliable vehicle with current insurance. - Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. - CPR Certified. Hospice LVN Duties Include: -Service a range of patients and family during transition of life -Ensure quality and safe delivery of Hospice services -Implements current nursing practices and provide direct hands-on care within scope of practice -Obtains orders as needed to promote comfort and quality of life -Keep Case Manager informed of all changes in condition and orders obtained PLEASE VISITE TO OUR WEBSITE FOR MORE INFORMATION www.anchorhpc.com Job Types: PRN, Per diem Medical Specialty: Hospice & Palliative Medicine Physical Setting: Inpatient Outpatient

LVN

Part-time

Rolling Hills Care Center Selma, CA

Licensed Vocational Nurse (NOC Shift)

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.

Hospice

Part-time

Nurse Practitioner -Part Time

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. We are currently seeking a Nurse Practitioner with Hospice experience to join our Anchor Health team! Qualifications • Master's or doctoral degree in nursing • Current NP License within the State Responsibilities • The Nurse Practitioner (NP) is an experienced licensed professional who works in collaboration with the Hospice Medical Director/Physician to deliver hospice and/ or palliative care to patients and families • Performs prescribed medical treatments, including patient examination, diagnoses, medication prescription, pain management and symptom control; conducts assessments and evaluations, and provides education and supportive care to hospice teams, patients and caregivers • Performs comprehensive patient examinations, evaluations, assessments and diagnosis • Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action to control and manage patient symptoms and needs • Makes adjustments to the already established plan of care and appropriate services, provides appropriate follow- up to all patients • Demonstrates flexibility in scheduling, and readily accepts new and emergency assignments as requested • Performs timely face to face assessments with patients • Demonstrates positive interpersonal relation in communicating with physicians and co-workers to promote quality patient care • Completes all documentation in an accurate, legible and timely manner • Provides quality patient care consistent with standards of nursing practices • Complies with hospice policies and procedures, laws and regulations and standards of practice

CNA

Vineyards at Fowler Fowler, CA

Certified Nursing Assistant (CNA)

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! ALL SHIFTS AVAILABLE 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

CNA

Rolling Hills Care Center Selma, CA

Activity Aide

POSITION DESCRIPTION Responsible for supporting the efforts of the Activity Director in the assessing, selecting, organizing, and implementing of activity/recreational services to address the individualized needs and interests of the residents. We are looking for someone who has a great energy and likes to have fun with our residents! QUALIFICATIONS • High School Diploma or equivalent, required. • Activities Certification, preferred. • One-year experience working in long term care. • One years of experience conducting social/recreational programs within the past five years, preferred. RESPONSIBILITIES • Assists in the development and delivery of activity/recreational programs to promote the residents’ opportunities for engaging in normal life enhancement pursuits and to increase and/or maintain functioning levels. • Encourages resident participation in group and individual activities including arts/crafts, community outings, religious activities, intellectual/educational activities, community/center service activities, recreational activities, etc. • Assists in completing activity documentation, when needed, if trained and in conjunction with regulatory requirements and company policies. • Submits supplies list to Activity/Recreation Director and submits receipts for activity expenditures. • Maintains precautions/limitations list on each resident. • Assists Activity/Recreation Director in the organization and supervision of the volunteer program including recruiting and training volunteers. • Assists with Resident Council Meetings when necessary. • Assists in planning community activities that jointly include the community, staff, families and residents. • Assists in the completion of a monthly calendar of available activity/recreational programs and posts it in the center. • Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Hospice

Trinity Health at Home Fresno, CA

Hospice Case Manager Registered Nurse

Employment Type: Full time Shift: Description: Hospice RN Case Manager Mon-Fri 8-5p, and 1 weekend a month. no on call. Covering Fresno The Hospice RN Case Manager is responsible for delivering comprehensive, patient-centered nursing care to hospice clients. This role serves as the primary coordinator of care, ensuring patients receive appropriate symptom management, emotional support, and end-of-life care aligned with physician orders and hospice plans. Key Responsibilities Clinical Care & Case Management Perform patient assessments, develop and update individualized care plans Manage overall patient care, serving as the designated case manager Monitor patient condition and communicate changes to physicians and care team Provide symptom management using evidence-based hospice/palliative practices Deliver education to patients and families on disease progression, self-care, and end-of-life expectations Care Coordination Collaborate with interdisciplinary team (IDT/IDG), including physicians, aides, and other clinicians Coordinate referrals and services to ensure timely, efficient care Lead case conferences and contribute to care planning discussions Supervision & Leadership Provide functional supervision to LPNs and Hospice Aides Conduct supervisory visits (bi-weekly for aides, monthly for LPNs) Delegate tasks appropriately based on skill level Participate in training, orientation, and mentoring of staff Documentation & Compliance Maintain accurate, timely clinical documentation (assessments, care plans, visits, physician communications) Ensure compliance with federal/state regulations, hospice standards, and agency policies Uphold confidentiality and HIPAA standards Patient & Family Support Address grief, loss, and emotional needs of patients and caregivers Provide anticipatory guidance around the dying process Promote dignity, comfort, and quality of life Minimum Qualifications RN license in state of practice Graduate of accredited nursing program CPR certification Minimum 1 year acute care nursing experience Hospice/home health experience preferred Strong communication skills, especially around grief/loss Valid driver’s license and reliable transportation (California-specific: 1 year professional nursing experience required) Core Competencies Clinical judgment and critical thinking Compassion and emotional intelligence Strong communication and teaching ability Team collaboration and leadership Time management and adaptability Work Environment & Physical Requirements Travel to patient homes required Frequent standing/walking and occasional lifting (up to 35 lbs) Ability to multitask and manage frequent interruptions Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Physician Assistant or Nurse Practitioner - Emergency Medicine - Adventist Health Selma

Vituity Selma, CA

$60 - $70 / 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 890 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. 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% 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 - $70 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.

CNA

Vineyards at Fowler Fowler, CA

Certified Nursing Assistant (CNA) PM Shift

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! PM Shift 2:30PM - 11:00PM 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

Adventist Health Selma, CA

RN, Emergency (Per Diem, Variable Shift)

Job Description Located in the central San Joaquin Valley, Adventist Health Selma has been serving the Central Valley since 1999. We are comprised of a 57-bed acute care hospital and six local medical offices. Selma is rapidly growing with nearly 25,000 residents offering a great cost of living and close-knit communities. Residents enjoy shopping and dining opportunities, museums, historic sites and churches, all within a family-friendly atmosphere. 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 OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required Department Specific License/Certifications AHA-ACLS or ARC-ALS: Required AHA-PALS or ARC-PALS: Required AHA-NRP or ARC-NALS: 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.

Home Health

Trinity Health at Home Fresno, CA

St Agnes Home Health RN

$38.79 - $62.07 / hour

Employment Type: Full time Shift: Description: St Agnes - A Trinity Health At Home Company Primary Care Nurse / Registered Nurse to cover Fresno area Deliver Compassionate Care Where It Matters Most—At Home. As a Home Health Registered Nurse, you’ll provide in-home skilled nursing care to patients by developing personalized care plans, administering medications, and supporting recovery and independence. Whether you're experienced in home health or transitioning from an acute care setting, this role offers a rewarding opportunity to apply your clinical expertise in a more independent, patient-focused environment. Why Join Us? Start Here… Grow Here... Stay Here! At our core, we believe in building careers—not just jobs. Many of our team members stay with us for the long haul—and for good reason. Our culture is built on support, growth, and opportunity . What You Can Expect Consistent, Reliable Workloads Enjoy steady assignments with guaranteed hours—no surprises. Competitive Pay & Low-Cost Benefits Get exceptional coverage and real savings that make a difference. Supportive Leadership Our management team is here to help you succeed every step of the way. Career Growth Opportunities Every leader on our team started in a field role—your path to leadership starts here. Epic EMR System Streamlined documentation and communication for better care and less stress. Fast Hiring Process Quick interviews and job offers—because your time matters. Meaningful Work Deliver one-on-one care that truly impacts lives. Zero On-Call Requirements Focus on your work without the stress of being on call. What You’ll Do Provide skilled nursing care in accordance with physician orders and organizational policies Perform comprehensive assessments and develop individualized care plans Collaborate with physicians, therapists, social workers, and home health aides Supervise and support LPNs and Home Health Aides Ensure compliance with regulatory standards and contribute to quality improvement initiatives Promote patient satisfaction and positive health outcomes What You Bring Current RN license (BSN preferred) Minimum 1 year of nursing experience ( required in California ) Home healthcare experience preferred Valid driver’s license and reliable transportation Strong computer skills and a commitment to ethical, mission-driven care Position Highlights & Benefits $10,000 Sign-On Bonus Day One Coverage : Medical, dental, and vision insurance 403(b) Retirement Plan with employer match Generous PTO plus 7 paid holidays Short- and Long-Term Disability Insurance Tuition Reimbursement – up to $5,250 annually Comprehensive Orientation & Ongoing Training Pay Range : $38.79 – $62.07 per hour About Saint Agnes Home Health and Hospice (California) Saint Agnes Home Health and Hospice is a member of Trinity Health At Home , a national home care, hospice, and palliative care organization serving comnities throughout eleven states. As a faith-based, not-for-profit agency, we serve patients and families in the comfort of home, offering skilled nursing, therapy (physical, occupational, speech), and medical social work. We are Medicare-certified and accredited by The Joint Commission . Learn more: SAHomeHealthHospice.org Physical & Mental Requirements Frequently lift, stand, and walk (35% of time) Occasionally bend, stoop, twist, and assist with patient positioning (10%) Independently lift up to 35 lbs Perform detailed tasks with frequent interruptions and shifting priorities Adapt to changing work environments and travel to various work locations Environment of Care & Ethics Maintain a safe, professional environment in accordance with agency standards. All employees are expected to uphold the Organizational Code of Ethics and Compliance Program in their daily roles, decision-making, and conduct. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.