Nursing Jobs in Kingsburg, CA

Evergreen Care Center

Certified Nurses Assistant CNA 6:45a-3:15p !!NEW PAY SCALE!!

$19.70 / hour
Starting Wages: $19.70 an hour Note: This is the starting wage and can flucate based on years of expereince. We encourage calling the facility and asking about years of experience! Tell us your story! We are a family owned facility and encourage everyone to join our family. PTO Dental , Vision and Health POSITION DESCRIPTION : A nursing assistant responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator.
Kaweah Health

RN-Infection Preventionist

$46.44 - $69.66 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 8753 Infection Prevention Svcs The RN-Field Infection Preventionist is responsible for assessing, developing, implementing and monitoring facility-wide infection prevention practices in designated units or locales. This includes surveillance related to community-acquired infections in patients and the prevention and control of healthcare-associated infections. Position serves as a resource to facility staff in determining solutions to infection-related issues. Utilizes analytical abilities to ascertain infection data, identify areas of concern and formulate recommendations based on evidence-based research. Must possess interpersonal skills sufficient to develop and maintain collegial and supportive working relationships with IP Manager, Team, physicians, nurses, and interdisciplinary staff facility-wide. QUALIFICATIONS License /Certification Required: CA RN license Eligibility to obtain Board Certified in Infection Control (CIC) from Certification Board of Infection Control and Epidemiology within three years of hire/transfer. Education Required: BSN Experience Required: Minimum three years RN hospital experience Experience with data management Preferred: Five years RN hospital experience Knowledge/Skills/Abilities Ability to use PC-based information management systems and databases (proficiency with Microsoft Office). Positive customer service skills. Excellent verbal and written communication skills. Ability to educate and influence staff at all levels of the organization. Detail-oriented with strong organizational and time management skills. JOB RESPONSIBILITIES Essential Leads and coordinates clinical infection prevention and control activities to reduce the risk of healthcare-associated infections and promote patient safety outcomes. Collaborates with physicians, nurses and interdisciplinary teams to implement infection prevention measures to improve clinical care practices. Conducts clinical surveillance, assessment, and analysis of infection data to identify trends, evaluate patient care practices, and support evidence-based interventions. Applies nursing knowledge and clinical judgment to evaluate infection risks, support patient-centered care, and recommend appropriate prevention interventions. Inspects environment to identify infection improvement issues. Investigates healthcare-associated infections, outbreaks, and exposure incidents and coordinates clinical response, reporting, and corrective action plans Completes HAI-related reports/data and submits to Manager for further analysis if necessary. Provides clinical consultation and guidance regarding isolation precautions, transmission-based precautions, communicable diseases, and infection control best practices. Collaborates with others in the management of patients with special or communicable diseases. Develops, reviews, and implements infection prevention policies and procedures in alignment with regulatory, accreditation, and professional standards. Educates healthcare personnel, patients, and families on infection prevention principles, safe clinical practices, and disease transmission prevention strategies. Performs clinical audits, rounding, and compliance monitoring activities to evaluate adherence to infection prevention standards and nursing practices. Serves as a clinical resource and subject matter expert for infection prevention practices, epidemiology principles, and healthcare-associated infection reduction strategies. Conducts special surveys as directed by the Infection Prevention Manager. Supports regulatory compliance and accreditation readiness activities associated with infection prevention, patient safety, and quality improvement requirements. Actively participates in research related to infection prevention and control. Monitors patients placed in transmission-based precautions. Participates in organizational quality improvement, patient safety, and emergency preparedness initiatives related to infectious diseases and public health response efforts. Acts as a liaison with public health officials in case investigation and follow up for the purpose of preventing or controlling infection transmission. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Anchor Health

PEDIATRIC HOSPICE RN CASE MANAGER

PEDIATRIC HOSPICE RN CASE MANAGER JOB DESCRIPTION Overview The Hospice Pediatric RN Case Manager will work with our Pediatric team. Primarily responsible for providing professional nursing care to assigned patients. With input from the IDT (interdisciplinary team), patient and family, assesses, develops, implements and evaluates the plan of care. Ensures appropriate communication and plan of care coordination to all internal/external customers All successful candidates must be fully vaccinated, subject to certain limited exceptions required by applicable law. Our Mission: To enhance the quality of life for those nearing the end of life’s journey and for those who grieve. We place a high importance on our employees and reward staff in several ways such as: • Competitive hospice industry compensation • Benefits package with multiple plan offerings and generous employer contribution • 401(k) Retirement plan with employer match • Supportive work culture which encourages work life balance • Substantial Paid Time Off, paid holidays & birthday benefit • Employee development program managed by in-house education department to support individualized orientation and professional growth needs. • Monthly mileage reimbursement • Employee Referral Program • Business casual attire for office staff Responsibilities JOB DUTIES/KNOWLEDGE/JOB PERFORMANCE: • Develops written plan of care in coordination with an interdisciplinary Team (IDT). • Oversees implementation of plan, evaluates and changes plan as necessary to meet patient/family needs. • Responsible for the direction of care provided by LVN and HA in accordance with patient’s plan of care. • Responsible for the supervision of services provided by the LVN and HA per TEH policy and regulatory requirements. • Communicates all changes to IDT and primary MD. • Performs job duties in clinical areas as stated in clinical competency checklist, policies/procedures, standards of care, and critical competencies based on Scope of Practice. • Maintains timely patient documentation using “point care” electronic charting. • Implements and maintains established hospice policies and procedures as well as Standards of Care and regulatory requirements. • Provides health care instruction to patient and family members. • Orients, instructs, and trains assigned personnel. • Participates in providing 24 hour, seven days a week coverage to patients/families (on-call and census fluctuation). • Performs admission assessment and admission when necessary. DEGREE OF TRAVEL: • Travel required for patient visits. • Occasional travel for educational purposes. Qualifications: • Must have Associates Degree, Bachelor Degree preferred. • Must have one year of acute or hospice pediatric experience • At least 12 months experience with 1-2 years preferred in acute care. • Current CA RN license. • Current CA driver’s license with proof of insurance. • Current CPR/BLS • Prefer certification as hospice nurse. • Pediatric experience preferred. • Proof of recent TB test result • Bilingual preferred. • Computer skills (word processing), use of adding machine, calculator, fax, photocopier.
Anchor Health

Part Time Hospice Visit RN

$60 - $68 / hour
Description Are you looking for a work place where you can make a genuine difference? A 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. Requirements Patient Care 1. The Hospice Nurse provides professional nursing care to patients by utilizing all elements of nursing process. 2. Assesses and evaluates patient’s status 3. Follows 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. Communication 1. The Hospice 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 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. 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.
L.A. Care Health Plan

Utilization Management Nurse Specialist RN II

$88,854 - $142,166 / year
Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner. Duties Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment. Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy. Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network. Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner. Perform other duties as assigned. Duties Continued Education Required Associate's Degree in NursingEducation Preferred Bachelor's Degree in NursingExperience Required: At least 5 years of varied RN clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting . Preferred: Managed Care experience performing UM and CM at a medical group or management services organization. Experience with Managed Medi-Cal, Medicare, and commercial lines of business. Skills Required: Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials. Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team Excellent time management and priority-setting skills. Maintains strict member confidentiality and complies with all HIPAA requirements. Strong verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM). Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse (RN) - Active, current and unrestricted California LicenseLicenses/Certifications Preferred Certified Case Manager (CCM)Required Training Physical Requirements LightAdditional Information May work on occasional weekends and some holidays depending on business needs. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including Paid Time Off (PTO) Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO)
Inland Empire Health Plan

Grievance & Appeals Nurse, RN (Remote)

$91,249.60 - $120,910.40 / year
Overview: What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting to the Supervisor, Grievance & Appeals, the Grievance & Appeals Nurse, RN (G&A Nurse, RN) is responsible for working directly with the IPAs, Hospitals, internal IEHP departments, and the Grievance team to ensure Grievance and Appeal cases are processed per the Grievance Policy & Procedures and Department of Managed Health Care (DMHC)/ Department of Health Care Services (DHCS)/ Center for Medicare and Medicaid Services (CMS) regulations and NCQA. This position coordinates care, within the scope of their licensure, of members in conjunction with the member’s PCP and IPA and/ or IEHP Team Members to provide continuous Quality-Of-Care and assist in the development of quality initiatives. The incumbent serves as a resource person to IEHP personnel, as well as external practitioners and providers. When designated, the G&A Nurse, RN will also be responsible for triaging and assigning Grievance and Appeals cases to ensure timeliness and regulatory requirements are met. The G&A Nurse, RN will support appropriate Grievance case categorization inclusive of Quality of Care, identification of member harm, in addition to the completion of required reporting to internal departments (e.g. Critical Incidents and Potential Quality Incidents) and external mandatory reporting (e.g. CPS and APS). Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits: Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salary CalPERS retirement State of the art fitness center on-site Medical Insurance with Dental and Vision Life, short-term, and long-term disability options Career advancement opportunities and professional development Wellness programs that promote a healthy work-life balance Flexible Spending Account – Health Care/Childcare CalPERS retirement 457(b) option with a contribution match Paid life insurance for employees Pet care insurance Key Responsibilities: Serve as a subject matter expert for Grievance and Appeals (G&A) and IEHP departments and is a resource for clinical and non-clinical Team Members in expediting the resolution of outstanding issues. Work closely with the Grievance & Appeals Team under the direction of the Grievance Nurse Leadership with Member Services, Provider Services, Compliance, Medical Services Departments, and DMHC/DHS/CMS to ensure all member grievance issues are investigated, and care is coordinated appropriately and in adherence to Grievance and Appeals Policies and Procedures. Directly communicate with IEHP Medical Directors. Resolve medical grievance and appeal cases, in conjunction with IEHP staff, Grievance Management, and Providers, as applicable. Responsible for initial medical review and clinical oversight of all received team cases. Triage new cases to identify medical urgency, Member Harm, appropriate reporting (e.g. APS & CPS) and the potential need for Organizational Determination and notify the Immediate Needs team to ensure timely resolution. Review Grievance & Appeal case categorization and classification to ensure it is accurate, assist in the resolution of member medical issues and assist with coordination of care with all practitioners, Providers and entities/agencies involved in the member’s care. Comply with mandated reporting obligations and serve as the first line to report allegations of physical and sexual abuse to the appropriate authorities. Identify case issues, assist in developing quality initiatives, referrals to outside agencies, other system issues within Grievances and Appeals and referring to appropriate IEHP Team Members. Assist with interpreting departmental policies, procedures, regulations, benefits (including evolving benefits), and other processes for IEHP members. Notify Grievance & Appeals management of any identified trends related to contracted practitioners and Providers to assure continuity of care for identified IEHP members. Work with Team Members to support the protocols and goals of the department and the vision of the organization. Ensure clinical oversight of assigned Grievance and Appeals team cases specific to accurate and appropriate categorization of Quality-of-Care grievance cases and timely identification of Member Harm. Provide direction/guidance to G&A LVNs as it pertains to Quality-of-Care categorization and mis-categorization, Member Harm, Immediate Needs, PQI/Critical incident identification and reporting. Ensure all necessary follow up is tasked for completion by designated MedHOK business partners, to include timely reporting of critical incidents, potential quality incidents and provider preventable conditions Generate written correspondence to Providers, members, and regulatory entities utilizing approved templates with use of appropriate grammar and punctuation. Prepare files for Grievance and Appeals Committee reviews. Maintain all Grievance & Appeals documentation according to external agency requirements. Audit daily reports to assure all Quality-of-Care grievance and appeal cases are captured and opened within regulatory timeframes, to include the identification of Member Harm. Prepare and finalize administrative appeal cases to include final review decision, appropriate application of review criteria and final resolution to member and requesting Provider. Perform any other duties as required to ensure Health Plan operations and department business needs are successful. Qualifications: Education & Requirements Two (2) or more years of experience as an RN in case management, utilization management in managed care setting or related experience in a health care delivery setting required Two (2) or more years of experience as an RN in clinical nursing in a hands-on patient care delivery setting required Associate's Degree in Nursing from an accredited institution required Bachelor's Degree in Nursing from an accredited institution preferred Minimum possession of an active, unrestricted, and unencumbered Registered Nurse (RN) license issued by the California Board of Registered Nursing required Key Qualifications Knowledge of: Outside agencies and resources such as CCS, CMS, DMHC, or DHCS Patient rights and ethical decision-making frameworks Medical necessity and level of care, chronic disease and complex clinical cases Diagnostic and procedural understanding in a clinical setting Regulatory guidelines surrounding grievances and appeals per CMS, DHCS, and DMHC and NCQA Member and Provider legal rights to access the grievance and appeals resolution process, within the respective Provider Organization, DHCS, DMHC, and CMS, and/or IEHP Microcomputer applications: spreadsheet, database, and word processing; Excellent interpersonal and communication skills Time management and priority setting skills Proven ability to: Demonstrate a commitment to incorporate LEAN principles into daily work Work effectively with various internal departments and external Providers and entities Assess complex Grievance & Appeal cases and recommend appropriate action Analyze documentation of incoming cases to determine appropriateness of care and applicable next steps Effectively escalate issues as identified, following established protocols Maintain a positive attitude and work in a team setting Word processing and data entry involving computer keyboard and screens, automobile travel within the Inland Empire While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; and taste or smell The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus Start your journey towards a thriving future with IEHP and apply TODAY ! Work Model Location: Telecommute (All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership) Pay Range: USD $91,249.60 - USD $120,910.40 /Yr.
Bristol Hospice

Per Diem Registered Nurse (RN)

Are you a compassionate Registered Nurse (RN) who has incredible assessment skills and enjoy meeting the needs of patients and families? Join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Coverage Area: Kings & Tulare Counties Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an An Average Day you Will: (Includes, but not limited to) Complete an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs Provide a complete physical assessment and history of current and previous illness(es) Provide professional nursing care by utilizing all elements of the nursing process Assess and evaluate patient’s status by: Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care, as necessary Initiate the plan of care and make necessary revisions as patient status and needs change Use health assessment data to determine nursing diagnosis Develop a care plan that establishes goals, based on nursing diagnosis Include the patient and the family in the planning process Record pain/symptom management and changes/outcomes as appropriate Communicate with the physician regarding the patient’s needs and report changes in the patient’s condition; obtain/receive physicians’ orders, as required Teach the patient and family/caregiver self-care techniques, as appropriate Work in concert with the interdisciplinary group All other duties as assigned Requirements: Must have at least one (1) year of acute care experience in an institutional setting One (1) year of experience in home care preferred Must have a current licensure in the state Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate nursing skills per competency checklist Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Ability to travel throughout the Bristol Hospice Service Area We Got the Perks: *Some benefits apply to full-time employees only Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Kaweah Health

Registered Nurse-PCU/ICCU-3W-Day

$46.44 - $69.66 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Part-Time Benefit Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6151 ICCU-3W The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process-assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Bristol Hospice

Registered Nurse Case Manager (RN)

Are you a Registered Nurse who thrives on providing compassionate, whole-person care—and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end—it’s a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you’re ready to rediscover your purpose and join a team that feels like home, you’re in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit www.bristolhospice.com and follow us on LinkedIn . Schedule: Monday - Friday, 8:00am - 5:00pm Coverage Area: Kings & Tulare Counties Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On An Average Day You Will: (includes, but not limited to) Make a true difference— one patient, one family, one compassionate moment at a time. Develop and implement individualized care plans based on current and prior medical history Deliver attentive, one-on-one support to patients and their families, ensuring comfort, dignity, and understanding Conduct thorough assessments of physical, emotional, and spiritual needs throughout the care journey Accurately monitor and document vital signs including temperature, pulse, respiration, and blood pressure Administer physician-ordered medications and treatments with skill and empathy Educate patients and their families on care techniques and symptom management Track and communicate changes in patient condition, ensuring timely and effective responses Keep detailed and up-to-date clinical notes to reflect patient progress and quality of care provided Collaborate with interdisciplinary teams to ensure comprehensive care delivery And contribute to other supportive duties as part of a compassionate, mission-driven team And additional duties as assigned What You'll Bring to The Team: A heart for hospice care and a commitment to exceptional service A valid Registered Nurse license in good standing in the state you will work in A valid driver’s license and reliable transportation CPR certification (current) Strong observational and communication skills—both written and verbal A flexible, team-oriented attitude and willingness to support additional duties as needed What You'll Get in Return (Perks & Benefits): Tuition Reimbursement – We invest in your continued growth Paid Time Off & Holidays – Because your well-being matters Comprehensive Health Benefits – Medical, Dental, Vision, Life Insurance, Disability 401(k) & HSA – Plan for your future with confidence Mileage Reimbursement – For applicable travel and visits Advanced Training Programs – Elevate your skills, expand your impact A Mission-Driven Culture – Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Bristol Hospice

Clinical Supervisor (RN)

Our Clinical Supervisors are responsible for ensuring the care and services are delivered appropriately as well as supervise clinical personnel. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Schedule: Monday - Friday, 8 AM - 5 PM & on-call rotation Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On An Average Day You Will: (Includes, but not limited to) Receive case referrals and review available patient information related to the case, including home visits, to determine hospice/home care needs Assign appropriate hospice personnel to referral case as needed Confer with Medical Director and Attending Physician regarding any questions as to an individual’s eligibility for services Review and evaluate each case through a variety of means such as home visits, conferences, records review, and the services provided by clinicians Review patient’s medical diagnosis, prognosis, medications, procedures and clinical course Discuss and verify impressions, instruct and guide clinicians to promote more effective performance and delivery of quality home care services Available, during operating hours, to assist clinicians as appropriate Conduct clinical record reviews and communicate findings and recommendations to the Clinical Director and hospice personnel, as defined by the QAPI Program Assist in the screening and interviewing process of new employees and make recommendations for employment of individuals Assist in the orientation of new employees, as needed Assist the Director of Patient Care Services and other supervisory hospice personnel in the planning, implementation and evaluation of in-service and continuing education programs Assist in the formulating, revising, implementing and evaluating organization policies, procedures, goals and objectives – both short- and long-range Comply with accepted professional standards and principles Assess the health needs of the community and assist in the development of plan(s)/program(s) to meet needs Participate in public relation and community activities that promote the organization’s role as an effective member of the hospice and health care delivery system Promote customer service orientation to all hospice personnel Participate actively in quality assessment performance improvement teams and activities as directed by the Director of Patient Care Services in accordance with the QAPI Program Perform other duties and activities as delegated by the Director of Patient Care Service Additional duties as assigned Qualifications: A Registered Nurse license in good standing to practice professional nursing in the state Must have previous experience in a hospice home care setting with two years of management or supervisory experience An enthusiasm for providing the best possible care to patients and their families Understanding of the hospice philosophy and issues of death and dying Excellent observation, verbal, and written communication skills A valid driver’s license Current CPR certification We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Trinity Health at Home

Licensed Vocational Nurse, Home Health and Hospice

$27.84 - $44.55 / hour
Employment Type: Part time Shift: Description: Provide one-to-one, compassionate care and love your job Saint Agnes Home Health and Hospice provides compassionate, exceptional care where people are most comfortable: at home. We are the area's most comprehensive home care provider with trusted quality of care. With new strategy, vision and technology, we are growing and shaping the future of healthcare! We have a pioneering care model with Home Care Connect, our integrated virtual care program that helps patients avoid preventable ER visits and hospitalizations. It enhances our clinical excellence with advanced, easy-to-use remote monitoring technology and 24/7 access to our Virtual Care Center RNs. Hospice LVN position summary Our Hospice LVN use cutting edge technology and clinical knowledge to provide exceptional care to patients who require one-to-one attention and monitoring in their home. Hospice LVN's are responsible for client assessment, care planning, intervention and overall supervision of patient care and outcomes. Our nurses follow physician orders and act in compliance with the state's Nurse Practice Act, any applicable licensure/certification requirements and our policies and procedures. Your opportunity Provide one-to-one care with your patients in their homes Enjoy a truly patient-centered focus Excel with supportive, motivated colleagues in an inspiring environment Flexibility Competitive salary Career paths and professional development Learn the industry's best, easy-to-use, advanced technology Other benefits Health, dental and vision insurance- Day One! Short and long-term disability 403b- matching Generous paid time off Mileage reimbursement Comprehensive orientation Pay range is $27.84-$44.55 Minimum qualifications Graduate of an accredited or state approved school of practical nursing Licensure as a LVN in the State of California A minimum of Two (2) years of experience in an acute care setting; home care experience preferred. Phlebotomy and wound care experience required. Must have passed National Association Practical Nurse Exam (NAPNES) or equivalent medication exam before administering medications. About Saint Agnes Home Health and Hospice Saint Agnes Home Health and Hospice is a member of Trinity Health At Home, a national home care, palliative care and hospice organization serving communities in twelve states. We are a trusted provider of home care and hospice in the sacred place that people call home. A Catholic-based, non-profit organization, we serve patients and their loved ones with home care (skilled nursing, physical/occupational and speech therapy and medical social work), hospice and bereavement services. Founded in 1978 by Sister Raphael McGrath, the Saint Agnes Hospice program was the first of its kind in the San Joaquin Valley. A CHAP-accredited, Medicare-certified agency, we consistently exceed state and national care quality benchmarks. Our legacy continues with a pioneering, future-thinking care model. We blend clinical expertise with our exclusive Home Care Connect™ virtual care program to help patients achieve their health goals. We have energizing new vision and strategy. Join us and shape the future of healthcare! Apply now! 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.
DaVita Kidney Care

Registered Nurse

$48 - $66 / hour
Posting Date 08/28/2026 1140 S Ben Maddox Way, Visalia, California, 93292-3643, United States of America DaVita is seeking an organized, self-directed RN to manage Home Hemodialysis (HHD) patients. You’ll educate patients and caregivers in-clinic, enabling them to perform dialysis independently at home. This role blends clinical care, patient education, and case management. Key Responsibilities: Train patients and caregivers on HHD procedures and self-care Manage a caseload of HHD patients, including assessments and care planning Monitor treatment progress, conduct home visits, and provide on-call support Collaborate with interdisciplinary teams to ensure safe, high-quality outcomes Schedule: Monday–Friday, 8-hour shifts Weekends and holidays off Flexible scheduling to manage your own caseload Requirements: RN license in the state of practice Valid driver’s license, insurance, and reliable transportation ADN required; BSN preferred Basic computer skills (MS Word, Outlook) Preferred Experience: Dialysis (HHD, PD, chronic, or acute) Patient education or teaching background Case management or telehealth experience CNN or CDN certification What We Offer: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Mental health and family support (EAP, Headspace, parental leave, etc.) Paid training and ongoing professional development Empower patients to take control of their care. Make a meaningful impact—apply today. #LI-EQ1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $48.00 - $66.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
Monogram Health

Nurse Practitioner/Physician Assistant

$130,000 - $169,000 / year
Position: Advanced Practice Provider (NP/PA) Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high‑quality in‑home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value-based, patient-centered care model, providing quality driven managed care with a population health focus. Highlights Schedule Patient visits occur 3-4 days/week in the patients’ home with 1-2 days/week telehealth visits (varies by market) No on‑call, overnights, weekends, including paid company holidays 30–90-minute visit lengths based on appointment type and patient needs *All schedule responsibilities may evolve with business needs Total Rewards Earn a competitive base salary commensurate with experience and education Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete Invest in your longevity with a $5,000 annual anniversary bonus Maximize your income potential with up to 15% in additional bonuses that will be paid out on a quarterly or annual basis Start earning bonuses sooner — eligibility begins after just 3 months From your driveway to the patient’s house, we’ve got you covered with mileage reimbursement. Support your professional growth and continued education with reimbursement for your CEU/CME expenses. Compensation The base salary range for this role is $130,000 to $169,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors. In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package. Responsibilities Provide evidence‑based, patient‑focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow‑ups, acute urgent visits, and post‑discharge visits. Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing Participate in recurring virtual integrated care team meetings Engage in quality assurance activities, including audits and documentation reviews, to ensure compliance with state board requirements and clinical best practices May practice in a variety of care settings beyond the patient’s home, including skilled nursing facilities (SNFs), assisted living facilities (ALFs), hospitals, and other affiliated clinical settings, as applicable. Perform point-of-care testing (A1C and Spirometry), prescribe medications, order tests, and collaborate with patient’s Monogram physician Coordinate care with PCPs, specialists, and ancillary services Complete documentation accurately and in a timely manner Position Requirements Active and unrestricted RN and NP license, or Physician Assistant license Board certification (NP: ANCC/AANP | PA: NCCPA) Current and unrestricted DEA certificate, or eligibility to obtain Minimum of two (2) years of direct patient care experience Field‑based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance BLS certification (supported during onboarding) Demonstrated initiative and independent, critical thinking, and decision-making skills Knowledge of and compliance with federal/state regulations (HIPAA, OSHA) Prior experience with EHR systems (e.g. Athena, Salesforce, Epic) Previous experience conducting annual wellness or comprehensive visits preferred Background in managed care, population health, or value‑based care preferred Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. #LI-AW1
Monogram Health

Nurse Practitioner / Physician Assistant

Future Position: Advanced Practice Provider (Nurse Practitioner /Physician Assistant) - California At Monogram Health, we are always looking to connect with talented professionals who share our mission of transforming healthcare for patients with chronic conditions. While we may not have an immediate opening today, we continuously gather resumes for future opportunities across our growing organization. Note: This posting is not for a current, active position. By submitting your resume, you are expressing interest in being considered for future APP roles that open within the state of California. Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high‑quality in‑home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. Our APP roles work within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value-based, patient-centered care model, providing quality driven managed care with a population health focus. Highlights Competitive W‑2 salary with performance and anniversary bonuses Multi‑specialty training program for complex patient care Schedule Visits scheduled Monday–Friday, 8am–5pm No on‑call, overnights, weekends, including paid company holidays Average 4–6 completed visits per day 30–90 minute visit lengths PTO and reimbursement for approved CEUs are provided based on company policy *Subject to change based on business needs and performance Roles and Responsibilities Provide evidence‑based, patient‑focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow‑ups, and post‑discharge visits Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing Participate in recurring virtual integrated care team meetings Coordinate care with PCPs, specialists, and ancillary services Complete documentation accurately and in a timely manner Periodic travel may be required. Requirements Active and unrestricted RN and NP license, or Physician Assistant license Board certification (NP: ANCC/AANP | PA: NCCPA) Current and unrestricted DEA certificate, or eligibility to obtain Minimum 2 years of direct patient care experience Field‑based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance BLS certification (supported during onboarding) Demonstrated initiative and independent, critical thinking, and decision making skills Knowledge of and compliance with federal/state regulations (HIPAA, OSHA) Previous experience conducting annual wellness or comprehensive visits preferred Prior experience with EHR systems (Athena, Salesforce) preferred Background in managed care, population health, or value‑based care preferred Bilingual (Spanish/English) preferred Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave. 20 PTO days, 7 paid holidays, and 1 floating day to make your own. Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for patients with complex chronic conditions. Our personalized model addresses the full spectrum of patient needs—clinical, behavioral, social, and environmental. Supported by a multidisciplinary team across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care, we deliver comprehensive care that improves outcomes, enhances quality of life, and reduces healthcare costs.
Community Medical Centers

RN, Clinical Quality Coordinator

Overview * All positions are located in Fresno/Clovis CA * 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 As part of Community Health System, you will join a team dedicated to advancing patient safety and improving clinical outcomes across our hospitals and clinics. In this role, you will use your clinical background and analytical skills to elevate organizational quality performance, including national standards such as the Centers for Medicare & Medicaid Services (CMS) 5-Star Quality Rating and the Leapfrog Safety Grade. In this role, you will identify trends in clinical outcomes, translate performance data into clear and actionable insights, and partner with departments to support meaningful and sustainable improvements. Your work will help drive patient safety initiatives, strengthen care delivery processes and support caregivers and leaders in making data-informed decisions that enhance the quality of care across the system. Qualifications Education & Experience Bachelor's Degree in Nursing or a Healthcare related field required 5 years of quality, clinical, compliance, or healthcare administration experience required Experience with regulatory bodies and requirements for process implementation (e.g., TJC, CDPH, CMS) required Educational and training experience required Project management experience 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.
Fresenius Medical Care

Clinical Coordinator - Charge Registered Nurse - Dialysis

$25 - $67 / hour
PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory requirements and programs. As the Charge Nurse, manages the daily decisions to ensure continuity of care to maintain patient and staff safety and oversees the delivery of safe effective quality outcomes. PRINCIPAL DUTIES AND RESPONSIBILITIES: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Facility Administrator and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies. Approve or disapprove time or personnel schedule changes in the absence on the Facility Administrator ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in- services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Facility Administrator conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Facility Administrator to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short and long term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Assist with special projects or other duties as assigned by the Facility Administrator Assist with the interviewing of potential direct patient care staff Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Travel to regional, Business Unit and Corporate meetings may be required. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Must be registered and licensed to practice in the applicable State. EXPERIENCE AND REQUIRED SKILLS: Minimum of 12 months of nursing experience, plus 6 months of specialized experience providing clinical nursing care to dialysis patients, in either a chronic or acute setting. Medical/surgical nursing preferred. Supervisory or management experience preferred. Certified in CPR or successfully complete course in CPR certification. Good communication skills - verbal and written. "The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work 17perience, skills, and competencies. Hourly Rate: $25 - $67 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance." Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
Bristol Hospice

Registered Nurse - Weekends

$50 - $52 / hour
Pay Range: $50-$52 Schedule: Saturday and Sunday 8:00am-8:00pm At Bristol Hospice, we’re looking for compassionate and courageous Registered Nurses to serve as our Warriors of the Night — the calm in the storm and the trusted presence for patients and families during critical after-hours moments. If you thrive in autonomy, respond with urgency and empathy, and are ready to be a lifeline for those in need during evenings, nights, and weekends — we see you. And we need you. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an An Average Day you Will: (Includes, but not limited to) Will perform after hours and weekend visits and admissions as needed. Follow up on phone calls by either directing the phone call to the DPCS, RN Clinical Supervisor/Manager or RN Case Manager and/or taking care of the need immediately per scope of practice Dispatch field nurses and other appropriate staff to patient’s residence in a timely manner Re-fill prescriptions, order supplies and DME, and assist in any other coordination needed by the patients and families Document calls, conversations and outcomes of call-in software system Receive start-of-shift report and give end-of-shift report in accordance with the location workflow All other duties as assigned Requirements: Must be a Registered Nurse with knowledge of hospice, telephone triage preferred Must have a current licensure in good standing with the state Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must show aptitude of computer data entry and the use of current software systems, such as word processing, spreadsheets and projects Must possess the ability to deal with stressful situations, as well as grieving families Must demonstrate nursing skills per competency checklist Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Ability to travel throughout the Bristol Hospice Service Area Must be able to lift heavy items on a frequent basis Must be able to lift and carry up to 50 lbs. with or without assistance and must be able to spend a prolonged amount of time standing, walking, bending and stretching We Got the Perks: Tuition Reimbursement – We invest in your continued growth Paid Time Off & Holidays – Because your well-being matters Comprehensive Health Benefits – Medical, Dental, Vision, Life Insurance & more 401(k) & HSA – Plan for your future with confidence Mileage Reimbursement – For applicable travel and visits Advanced Training Programs – Elevate your skills, expand your impact A Mission-Driven Culture – Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Bristol Hospice

CHHA Home Health Aide - Evenings

$23 - $25 / hour
Pay Range: $23-$25 Schedule: Monday - Friday 2:00pm- 10:00pm Are you an experienced Certified Home Health Aide (CHHA) ? We are looking for compassionate CHHAs who have a heart for patients and families. The Certified Home Health Aide plays a critical role as a member of the Interdisciplinary Group Team. You will work under the supervision of a Registered Nurse and perform various services for patients to meet their personal needs and promote comfort. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an Average Day You Will: (includes but not limited to) Perform personal care needs after given a patient's assignment and attend to his/her requests promptly; if unable to perform a certain task, report to the Case Manager immediately Provide patient and family with positive communication techniques, within realm of ethical and respectful care, including confidentiality Meet safety needs of patient and use equipment safely and properly (foot stools, side rails, O2 etc.) Provide personal care including baths, back rubs, oral hygiene, shampoos and changing bed linen as often as assigned Assist in dressing and undressing patients, as assigned Plan and prepare nutritious meals, including shopping, as assigned Assist in feeding the patient, as assigned Take and record oral, rectal and auxiliary temperatures, pulse, respiration and blood pressure when ordered with appropriate completed/demonstrated skills competency Provide proper care and observation of patient's skin to prevent breakdown of tissue over bony prominence Assess and report on patient's condition and significant changes to the Case Manager; also, being aware of the caregiver or other individuals living with the patient and interpersonal issues Assist in ambulation and exercise as instructed by the hospice nurse or therapist Provide normal range of motion and transfers/positioning, as directed Assist with self-administered medications as allowed by state regulations, such as “reminders” Offer and assist with bedpan and urinal aid, as assigned Aid with light laundry needs if necessary Perform range of motion and other simple procedures as an extensional therapy service, as ordered with appropriate completed/demonstrated skills competency Provide respite for patient's family/caregiver when on-site, as appropriate Maintain patient's living area is clean and orderly, as assigned Adhere to the organization's documentation and care procedures and standards of personal and professional conduct Participate in quality assessment performance improvement teams and activities Respect patient and family/caregiver environment and patient's personal needs All other duties as assigned Requirements: Must be a Certified Nursing Assistant ( applicable for all States, additional requirements for California residents, see below). CALIFORNIA REGULATION : Must be a CNA in good standing AND must have a current Home Health Aide (HHA) certification in good standing in the State of California. Preferred to have one (1) year experience in community health/hospice or medical/surgical environments Must have completed a minimum of 75 hours of classroom and supervised practical training Licensed driver with automobile that is insured in accordance with organization/state requirements and is in good working order Willingness to submit to a criminal background check prior to hire and annually thereafter Current CPR certification Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Kaweah Health

Nurse Manager Emergency Department - Evening

$59.92 - $89.88 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Evening - 8 Hour or less Shift (United States of America) Department 7010 Emergency-ED The purpose of this position is to provide 24/7 oversight of efficient operations to meet the holistic needs of the patients and families served. Demonstrates high-level leadership accountability in assuring staff competency, financial responsibility, and enhancing Kaweah Health's mission and vision to achieve strategic priorities. Manager opportunity in a very busy ER with over 70 beds and 90,000 visits per year. This position covers 5 - 8 hour shifts/week 3:00PM to 11:30PM . QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within nine months of hire/transfer PALS within one year of hire/transfer TNCC within one year of hire/transfer Kaweah Health approved crisis intervention training within 60 days of hire/transfer. Education Preferred: Bachelor's degree in relevant field Experience Preferred: Clinical area expertise Supervisory experience Knowledge/Skills/Abilities Excellent written and oral communication skills. Effective interpersonal skills, critical thinking and creative problem solving. JOB RESPONSIBILITIES Essential Demonstrates a knowledge and understanding of Joint Commission standards California's Nursing Practice Act Applicable sections of Title 22 and 17 Applicable Federal guidelines and regulations including HIPPA Policies and procedures for areas supervised National standards for areas supervised Has 24-hour responsibility for the quality of care and performance improvement activities in area of supervision: Organizes patient care and service in areas supervised. In collaboration with the Director and in congruence with the Kaweah Health and unit plan for patient care, based on available staff and the needs of the patient. Demonstrates and utilizes expert knowledge and skills in the area(s) of practice. Assists staff with clinical assessment and decision-making. Responds to unexpected staff shortages by maximizing available resources and assisting staff in the prioritization of patient care needs. Understands the principles of utilization and case management. Ensures that patient care needs are met in a timely manner and that patient care is coordinated across the continuum of services and sites. Coordinates and participates in patient discharge and planning rounds. Demonstrates awareness of the needs and preferences of the medical care providers and provides excellent service. Monitors patients daily through rounds and feedback. Monitors patient care documentation to ensure the adequacy of patient information and compliance with regulatory standards. Uses the Statement of Concern process to report patient care issues. Uses patient satisfaction data to improve care and service. Knows and utilizes the Medical Staff and Kaweah Health chains-of-command. Assesses and documents the competency of each staff member hired for the areas supervised. Collaborates with the Educator on the orientation plan for new staff. Evaluates staff annually. Completes the performance appraisals within 30 days of the due date. Identifies performance or education issues through observation, monitoring patient care outcomes and processes, and promptly communicates concerns to the staff member/s. Uses research findings in the development of policies, procedures, and practice guidelines for patient/resident care. Shares research information with others. Assesses float staff and determines the minimal competencies for staff floated into areas supervised. Utilizes HR policies and procedures to ensure Kaweah Health employment standards are met. Provides adequate staff resources for carrying out the unit plan of care: Demonstrates knowledge of patient classification tools and Title 22 requirements related to patient classification. Uses the patient classification tool to direct staffing. Holds staff accountable for knowledge of and use of patient classification. Responsible for preparing staff schedules that meet the needs of the patient population and average daily census. Interviews and hires new employees. Accountable for attraction and appreciation of staff. Contributes to staff development by assuring continuing education and in-services are available to staff. Communicates effectively with key constituencies: Seeks and listens to feedback from key stakeholders: patients, physicians, staff, and other departments/units. Communicates effectively with other patient care leaders. Communicates and cooperates with other Nurse Managers, Bed Manager and Staffing Facilitators to ensure patient care and staffing resources are coordinated. Actively participates in assigned meetings and projects. Responds promptly to communication from others. Uses e-mail responsibly. Coordinates patient care and service between departments and disciplines. Practice is guided by the Code for Nurses: Decisions and actions on behalf of patients/residents and staff are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient advocate and coaches/mentors staff in advocating for patients. Role models the delivery of patient care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity, and rights. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Pay Range $59.92 -$89.88 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Registered Nurse-Surgery

$46.44 - $69.66 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 7420 Surgery The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. JOB RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. IF ASSIGNED TO THE WOUND CENTER RESPONSIBLE FOR: Communicates and collaborates closely with physicians, inpatient and outpatient nurses, Wound Center staff to coordinate care. Functions as a case manager for assigned patients with responsibility to plan, implement and evaluate the care for Wound Center patients. Ensures patients and families receive comprehensive education related to management of their wounds and underlying health conditions. Works with appropriate autonomy in the wound center and hyperbaric setting. Functions as a resource to staff, management and other health team members regarding nursing practice for wound care. Facilitates staff development and education. Assists in the development and maintenance of Wound Center policies and procedures. Complies with department requirements for continuing education and maintains active participation in hyperbaric related organizations. Takes part in required Healogics training, competency assessments, and ongoing education as approved by Kaweah Health leadership. Support and follow all relevant clinical protocols, operational procedures, documentation standards, and workflows outlined in the Healogics Clinical Policies and Procedures. Work in alignment with the program’s performance expectations, quality measures, and operational requirements established for the wound care program. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
American Traveler

Travel RN - Labor & Delivery - Obstetrics

$3,779.92 / week
American Traveler is hiring an experienced RN for a Labor & Delivery/Obstetrics position requiring NRP certification and EPIC experience. Job details: - Work in the Obstetrics Acute unit of a hospital setting - Provide labor and delivery care including taking over recoveries and catching babies during cesarean sections - Night shift schedule from 7:00 PM to 7:30 AM - 36-48 hours per week - Uses EPIC EMR system Requirements: - Active CA RN license required - Current BLS certification (AHA-BLS or ARC-BLS) required - Current ACLS certification (AHA-ACLS or ARC-ALS) required - Current NRP certification (AHA-NRP or ARC-NALS) required - EPIC EMR experience required - BSN preferred - Acute care facility experience preferred - No prior negative licensure actions permitted Additional information: - Deliver coordinated nursing care to patients according to established standards and the nursing process - Supervise and direct activities of assigned nursing staff across various levels - Coordinate care with other disciplines using critical thinking and independent judgment - Collect and analyze patient assessment data to determine diagnosis and care needs - Develop and implement care plans while evaluating progress toward outcomes - Collaborate with patients, families, and healthcare providers to ensure safe, humane, and healing care - Provide patient and family education and participate in discharge planning - Delegate duties appropriately among healthcare team members - Required vaccinations as a condition of employment, with medical and religious exemptions available - Candidates with more than 5 days of requested time off will not be considered - Local candidates accepted with no radius restriction, and local rates match travel rates
Kaweah Health

LVN-IV Safety Team

$30.17 - $45.26 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 7880 Vascular Access Team The Licensed Vocational Nurse – IV Safety Team (IVST) supports organization-wide vascular access quality through surveillance, maintenance, education, and quality monitoring within the LVN scope of practice. Working collaboratively with the IVST RN and interdisciplinary teams, this position promotes evidence-based practice, supports standardization of IV care, and assists with quality improvement initiatives. QUALIFICATIONS License/Certification Required: Current California Licensed Vocational Nurse license Current Basic Life Support (BLS) Intravenous therapy certification and blood withdrawal certification Education Required: Infusion therapy education & certificate Preferred: Ultrasound-guided PIV training Experience Required: One year of recent acute care experience Preferred: Critical care, vascular access, quality improvement, or infection prevention experience Knowledge/Skills/Abilities Comprehensive knowledge of evidence-based vascular access and infusion therapy practices. Knowledge of CLABSI prevention, vascular access maintenance, and regulatory standards. Excellent communication and interdisciplinary collaboration skills. Ability to analyze surveillance findings, identify trends, and recommend improvements. Ability to independently prioritize work while maintaining excellent customer service. JOB RESPONSIBILITIES Conducts daily surveillance of peripheral IVs, midlines, PICCs, and central venous access devices for compliance with organizational standards such as: dressing integrity, securement, labeling, tubing management, documentation, and ongoing clinical necessity. Supports nurses on clinical units in their assessment of vascular access devices for dressing integrity, securement, labeling, tubing management, documentation, and ongoing clinical necessity. Provides real-time bedside education and coaching that reinforces evidence-based vascular access practices. Promotes standardization of IV therapy practices to improve patient safety and reduces CLABSI and other vascular access complications. Performs vascular access maintenance interventions within scope of practice, including dressing changes, tubing management, removal of unnecessary or expired peripheral IVs, and other evidence-based interventions without replacing unit responsibility for IV maintenance. Collects, documents, analyzes, and communicates surveillance findings to support quality improvement initiatives. Escalates clinical findings requiring RN, provider, or vascular access specialist intervention. Serves as a clinical consultant for difficult vascular access, assists with ultrasound-guided peripheral IV insertion and training (once competent), and recommends escalation to Midline or PICC when clinically indicated. Collaborates with nursing leadership, Infection Prevention, Nursing Professional Development, Quality, physicians, and the PICC Team to improve vascular access outcomes. Participates in development, implementation, and evaluation of vascular access policies, education, and performance improvement activities. Supports a culture of patient advocacy, accountability, and continuous improvement. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $30.17 -$45.26 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Bristol Hospice

Registered Nurse - Admissions

Pay Range: $50-$52 Schedule: Friday - Tuesday 12:30pm - 9:00pm Do you enjoy being at the beginning of the journey? The Admissions Nurse is responsible for establishing and maintaining positive relationships with customers and referral sources within the community The Admissions RN is also responsible for developing and increasing the access to Bristol Hospice Services in the communities that the location serves. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an Average Day You Will: (includes but not limited to) Relate information to the DPCS, ED and Community Education Director of initiatives that promote hospice access in the hospice community Ensure the educational needs of the community related to hospice care and services, are assessed and met on an ongoing basis Establish and monitor community, customer, payer and patient perceptions of Bristol Hospice as a high-quality provider of hospice services in the community Facilitate communication with agency and referral sources as needed to promote the continuum of care Maintain comprehensive working knowledge in the field of Hospice educational resources and share information with appropriate organizational personnel Facilitate the hospice referral process Serve as a resource to review and consult available patient information related to the case, to determine hospice care needs and criteria Coordinate and communicate with hospice agency leadership and referral sources to promote care coordination and a timely admission process Complete hospice consults/evaluations and admissions Ensure coordination and communication with referral sources and hospice agency leadership Complete initial assessments of patients and families to determine hospice needs Facilitate and complete admissions as indicated Provide a complete physical assessment and history of current and previous illness(es) of referrals Work with the intake department so they can serve as a liaison between facility, physicians, hospitals, skilled nursing facilities, community and hospice programs, with coordination of referrals/admission process and services Coordinate with the ED and DPCS regarding the need for planning, implementation and evaluation of in-service and continuing education programs May be required to actively participate in the Quality Assurance Performance Improvement (QAPI) process, as directed by ED or DPCS May be required to function as an RN Case Manager and maintain an assigned patient case load as determined by the ED or the DPCS Provide professional nursing care by utilizing all elements of the nursing process Use health assessment data to determine nursing diagnosis May be required to participate in IDT meetings and work with the IDT to determine the patient/family plan of care, as needed Provide patient/family education related to the patient/family plan of care All other duties as assigned Requirements: Must have a current RN license in the state Must have a minimum of one (1) year of experience as a professional nurse within the last three (3) years or have a bachelor’s degree in nursing from a program accredited by the National League of Nursing Must be able to travel 20% of the time, often without notice Must be flexible in work hours Must possess the willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Our Ideal Candidate Has the Following Skills and Knowledge: Ability to read and follow written instructions An Understanding of hospice philosophy and comfortable providing specialized care to the terminally ill Ability to work autonomously with little direct supervision Successfully demonstrate tact, patience and good personal hygiene Ability to communicate effectively Strong organizational skills Understanding of plan of care documentation Flexible in work hours to ensure the patients receive care as provided in the plan of care Ability to empathize with the needs of the ill, injured, frail and impaired Comfortable addressing issues of death/dying Calm demeanor when entering the patients home We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Kaweah Health

RN- Rapid Response Nurse- Sign on Bonus up to $10K and Relocation Assistance Available.

$47.35 - $71.03 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 12 Hour Shift (United States of America) Department 6193 Rapid Response Team The Rapid Response Nurse utilizes the nursing process (assessment, planning, implementation and evaluation) to delegate, coordinate, collaborate and provide safe therapeutic nursing care to at-risk non-critical care patients early in their course and rapidly mobilize appropriate multidisciplinary resources. The Rapid Response Nurse will also respond to the patient in crisis. Once an RRT has been activated, the Rapid Response Nurse, acts as the leader of the multidisciplinary team, to assess the patient, make judgments/decisions, notifies the attending Physician/Intensivist and takes action regarding a wide range of routine and complex patient issues, operating under guidelines of the Rapid Response Team Standardized Procedures. In addition to assessment and treatment, the Rapid Response Nurse is responsible for documenting the interventions employed and providing a debriefing session for the bedside nursing staff as an educational opportunity QUALIFICATIONS License /Certification Required: CA RN License BLS ACLS NIHSS stroke certification from American Stroke Association within 60 days of hire/transfer. Kaweah Health approved crisis intervention training within 60 days of hire/transfer. CCRN from American Association of Critical-Care Nurses within one year of hire/transfer. Preferred: Trauma Nursing Core Course (TNCC) provider card PALS Education Preferred: BSN, MSN or currently enrolled in RN-BSN program Experience Required: Minimum of two years RN experience in Critical Care. Knowledge/Skills/Abilities Critical Care clinical knowledge and experience of managing patients in crisis. Skills in handling emergency and life-threatening situations. Effective communicator in a multidisciplinary setting. Teamwork oriented. Positive, caring and customer service oriented attitude. JOB RESPONSIBILITIES Essential The nurse’s practice is guided by the Code of Ethics. Professional Behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patient/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient advocate and assists patient in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes the nursing process – assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome Identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collections clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice and/or patient outcomes. Assists in development and implementation of policies, procedures and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient care. Participates in QI studies; involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies the problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Collaborates and communicates with the patient, family and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patients in decisions related to care and the delivery of services. Makes referrals, including provisions for continuity of care, as needed. Demonstrates the ability to assess and interpret diagnostic data relative to patient age and condition, including, but not limited to lab results, non-invasive and invasive monitoring data and interdisciplinary team notes. Nursing practice reflects the application of knowledge and skills pertaining to all diagnoses, procedures, medications, complications and equipment associated with unit patient population. Responds to all Code Blue, RRT, Sepsis Alert, Trauma Alert and Stroke Alert pages. Directs care of the patient using advanced critical care assessment skills and standardized procedures for the stabilization of the medically compromised patient. Communicates critical information with the primary care physician using SBAR format. Ensures orders are carried out. Uses Medical Staff chain of command when necessary. Uses excellent communication and teamwork skills with the primary nursing team of the medically compromised patient. Directs the team in the care of the patient until transfer or stabilization. Communicates clearly with the Intensivist in-house when needed, using SBAR format. Follows recommendations and ensures that orders are carried out. Assists the primary nursing team in transport of the patient when ordered using appropriate emergency medical equipment and personnel. Assists the primary nursing team in the hand off of the patient in the care of transfer. Assists with the care of the patient until successful hand off has occurred and adequate resources to attend to the patient are available. Conducts debriefings with nurses involved in RRTs to evaluate the process and provide feedback and education. Provides positive feedback or constructive criticism, in an appropriate manner, to all involved in the event. Functions as a resource for all RNs on duty. Performs daily rounds for at-risk patients on in-patient units. Serves as an “impact” nurse, assisting with patient care duties in all critical care areas (ICU, CVICU, ED, ICCU) as requested by team leads or house supervisor. Provides bedside care and may be assigned patients in times of census need. Attends 75% of RRT Quality Focus Team committee meetings and RRT staff meetings. Assists with data collection and process improvement initiatives as needed. Reports data to appropriate committees as needed. Conducts in-services to promote staff nurse education related to emergency situations including mock codes for in-patient units. Attends quarterly departmental (for assigned in-patient departments) staff meetings to convey feedback from STARRS University and recent debriefings. Maintains ongoing RRT education to continue to grow in the RRT field. Addendum IF ACTING AS LEAD ALSO RESPONSIBLE FOR Serves as a Rapid Response Nurse, responding swiftly to emergency situations within the healthcare facility. Leads and coordinates the Rapid Response Team, ensuring efficient deployment and optimal patient outcomes. Drives quality improvement initiatives and participates in performance improvement projects and committees. Facilitates observation shift scheduling for residents and RNs to optimize patient monitoring and care. Assists with scheduling and coordination of RRT shifts to maintain coverage and support team efficiency. Promotes and facilitates educational opportunities for staff development and competency enhancement. Collaborates with multidisciplinary teams to enhance patient care protocols and outcomes. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan of Provision of Care. Performs other duties as assigned. Pay Range $47.35 -$71.03 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Bristol Hospice

LVN Licensed Vocational Nurse

Pay Range: $30-$32 Schedule: Monday - Friday 8:00am - 5:00pm Are you a compassionate Licensed Vocational Nurse (LVN) ready to get back to the reason you became a nurse in the first place? It's not complicated, join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. An Average Day: (Includes, but not limited to) Provide direct patient care as defined in State Nurse Practice Act, including specialized duties related to end of life care Implement current nursing practice following a comprehensive assessment and the plan of care Provide accurate and timely documentation of patient services to reflect the plan of care Assess and provide patient and family/caregiver education and information pertinent to diagnosis and self-plan of care Participate in coordination of hospice services, appropriately reporting the identified needs to the interdisciplinary group; examples include hospice aide, OT, PT, SW, ST, Dietician or Clinical Supervisor Use and prepare equipment and supplies effectively, adhering to aseptic technique Provide appropriate pain/symptom management Evaluate patients response to treatments/medications Participate in personal, professional growth and development Participate in organization's quality assessment performance improvement teams and activities Perform other duties as assigned by the registered nurse All other duties as assigned Requirements: Must currently be licensed as an LPN/LVN in the State Must have three (3) years nursing experience, community health/hospice or medical/surgical experience is preferred Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs We Got the Perks: Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.