Nursing Jobs in Lindsay, CA

RN Educator Labor and Delivery Full-time
Kaweah Health

RN-Clinical Educator - Labor & Delivery

Kaweah Health Visalia, CA
$51.25 - $76.80 / 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 8741 Nursing Professional Development The purpose of the position is to provide ongoing assessment of staff member educational needs. Through utilization of adult learning principles, to strategically design, implement and evaluate educational offerings that meet the needs of care providers. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Required: BSN Preferred: Master's degree Experience Required: Minimum of two years recent clinical experience and/or experience as an RN educator. Preferred: Experience in nursing education, staff development, curriculum development and implementation of multifaceted teaching interventions to varying adult learning styles. Knowledge/Skills/Abilities Ability to present formal and informal educational offerings. Department Specific Requirements If assigned to Administration-APN: The two years of recent clinical experience must be as a Registered Nurse in acute care setting. CA Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP) within three years of date of hire/transfer. If assigned to Skilled Nursing: Must meet the state and federal requirements for designation as a State of California Director of Staff Development (DSD) within two years of hire/transfer. Minimum of one year experience as a licensed nurse in providing direct patient care in a long term care/skilled nursing facility (SNF) and must also possess a minimum of one year experience in planning and successfully orchestrating and evaluating educational programs for nursing; or must have two years experience as a licensed nurse, with a minimum of at least one year which must be in the clinical setting providing direct patient care. JOB RESPONSIBILITIES Essential Collaborates with department leadership and Director of Clinical Education to ensure competency of staff. Provides ongoing assessment of learning needs for all staff members. Plans, coordinates and evaluates the education programs provided and conducts annual needs assessment. Develops and implements department orientation for all staff members. Provides a written orientation plan and skills checklist for each new employee. Collaborates with management to schedule new staff with mentor/preceptor, communicating learner's needs and goals. Provides input to manager for employee's introductory and/or annual review. Identifies the need for in-service training and continuing education through annual needs assessment, observation, Performance Improvement (PI), Risk Management reports, professional practice trends and patient population. Training programs are developed to ensure staff competence when procedures or practices are changed or new ones are developed. Monitors competence of staff. Provides competency assessment records and educational calendar to Human Resources as appropriate. Maintains records, file and statistics as appropriate. Submits information to Director of Clinical Education as requested. Reviews and updates reference materials for staff, patients and physicians as appropriate. Coordinates the development and/or revision of new standards/policies/procedures. Conducts Annual Educational Needs Assessment for assigned unit(s). Provides a monthly in-service topic and as needed additional Kaweah Health educational training to department staff. Maintains clinical competence in area of specialty. Provides direct patient care as assigned. Promotes a positive working relationship with physicians, colleagues, vendors, guests and others. Collaborates with Director of Clinical Education and/or area Director and managers as appropriate. Addendum (essential for specific dept) IF ASSIGNED TO SKILLED NURSING, DSD ALSO RESPONSIBLE FOR: Directs and provides patient care that will include activities such as, but not limited to, medication administration, tracheotomy care, tube feeding and care, admission and discharge of patients from the facility, care planning, and on-going nursing assessment for individualized care. Plans, implements, and evaluates continuing education courses and in-service education. Reviews and revises orientation tools for newly hired staff members. Organizes, develops and evaluates orientation plans for newly hired staff members. Provides ongoing education to staff members based upon learning needs assessment. Additional Participates in assigned intradepartmental and Kaweah Health wide committees. Coordinates department meetings as appropriate. Actively participates in planning and implementation of annual competency fair. Participates/coordinates PI projects as directed. 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 $51.22 -$76.84 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.
RN Educator Telemetry Full-time
Kaweah Health

RN-Clinical Educator with ACLS- Telemetry

Kaweah Health Visalia, CA
$51.22 - $76.84 / 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 8741 Nursing Professional Development The purpose of the position is to provide ongoing assessment of staff member educational needs. Through utilization of adult learning principles, to strategically design, implement and evaluate educational offerings that meet the needs of care providers. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer Education Required: BSN Preferred: Master's degree Experience Required: Minimum of two years recent clinical experience and/or experience as an RN educator. Preferred: Experience in nursing education, staff development, curriculum development and implementation of multifaceted teaching interventions to varying adult learning styles. Knowledge/Skills/Abilities Ability to present formal and informal educational offerings. JOB RESPONSIBILITIES Essential Collaborates with department leadership and Director of Clinical Education to ensure competency of staff. Provides ongoing assessment of learning needs for all staff members. Plans, coordinates and evaluates the education programs provided and conducts annual needs assessment. Develops and implements department orientation for all staff members. Provides a written orientation plan and skills checklist for each new employee. Collaborates with management to schedule new staff with mentor/preceptor, communicating learner's needs and goals. Provides input to manager for employee's introductory and/or annual review. Identifies the need for in-service training and continuing education through annual needs assessment, observation, Performance Improvement (PI), Risk Management reports, professional practice trends and patient population. Training programs are developed to ensure staff competence when procedures or practices are changed or new ones are developed. Monitors competence of staff. Provides competency assessment records and educational calendar to Human Resources as appropriate. Maintains records, file and statistics as appropriate. Submits information to Director of Clinical Education as requested. Reviews and updates reference materials for staff, patients and physicians as appropriate. Coordinates the development and/or revision of new standards/policies/procedures. Conducts Annual Educational Needs Assessment for assigned unit(s). Provides a monthly in-service topic and as needed additional Kaweah Health educational training to department staff. Maintains clinical competence in area of specialty. Provides direct patient care as assigned. May be required to obtain Director of Staff Development certification. Promotes a positive working relationship with physicians, colleagues, vendors, guests and others. Collaborates with Director of Clinical Education and/or area Director and managers as appropriate. Additional Participates in assigned intradepartmental and Kaweah Health wide committees. Coordinates department meetings as appropriate. Actively participates in planning and implementation of annual competency fair. Participates/coordinates PI projects as directed. 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 $51.22 -$76.84 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.
RN Full-time
Kaweah Health

Registered Nurse- Cardiac Cath Lab

Kaweah Health Visalia, CA
$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 - 12 Hour Shift (United States of America) Department 7570 Cardiac Cath Lab 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.
Student Nurse Part-time
Kaweah Health

Student Nurse Intern

Kaweah Health Visalia, CA
$24 / 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 Not Benefits Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6070 Neonatal ICU-NICU Under the direction of the registered nurse, the purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. In partnership with the registered nurse, 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: BLS Preferred: Current CA Certified Nursing Assistant certification Education Required: ASN: Enrollment in an accredited RN program with completion of 3rd semester BSN: Enrollment in an accredited RN program with completion of 4th semester Employee must submit updated transcript to HR each term and notify Manager and HR of any changes in nursing program enrollment. Work Study course is required only if the nursing student is seeking course credit for the learning experience or during the summer if their nursing program is not in session. Essential The Student Nurse Intern (SNI) under the direct supervision of the RN can perform the following functions/tasks only when school is in session: Collaborates and communicates with the patient/resident, family, and other health care providers. In conjunction with the RN, formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. The Student Nurse Intern's practice is guided by the ANA Code of Ethics. Responsible for having a validated Skills Checklist available at all times while working as a SNI. May perform duties only after their skills have been validated by the school of Nursing in conjunction with the KH RN preceptor. Students are responsible for taking the Skills Checklist to the school of nursing for completion. Works under the supervision of a KH RN preceptor. SNIs are directly responsible to the RN for performing basic bedside care and selected nursing procedures. PLEASE NOTE: even when skills on the checklist have been validated to perform independently, some duties require that a RN be present to perform. Those duties include, but are not limited to, administration of oral or injectable medication, initiation of intravenous therapy, adjusting intravenous rates, intravenous medication administration, and taking orders from physicians. The SNI may continuously perform (including non-instructional days) the following duties upon completion of Kaweah Health position/unit specific competencies: Reports any variance in the patient's condition, to licensed staff. Reports specific patient or family needs, concerns, and changes in activity to licensed staff. Refers complaints and problems to licensed staff or department manager immediately. Answers patient call lights within two minutes as assigned. Greets patients and family members in a friendly, professional manner. Identifies self by name and job category. As assigned, assists patient with their needs. Is an active participant in achieving quality patient care. Maintains confidentiality with all patient care issues. Complies with current policies and procedures including safety and infection control. Performs tasks safely. Must keep all required certifications current. Assists the Nursing staff in performing tasks as delegated by the Registered Nurse. Provides for the toilet needs of patients by emptying bedpans and drainage container. Reports any variation in amount, color, consistency, and odor of output to the RN. Provides assistance with the admission, transfer, and discharge of patients. Orients patients to room (call light, storage of belongings, etc.). Assists patients with meals, snacks, and with water pitchers. Assists with activities of daily living: bath, ambulation oral care, etc. Collects and records intake and output, weight, height, and vital signs as delegated by the Registered Nurse. Collects respiratory rate by direct observation of the patient. Documents all care provided in the EMR as soon after the care occurs as possible. Collects, labels, and delivers specimens. Provides post-mortem care and assists in transporting the body to the morgue. Assists with emergency care by participating in crash cart checks, providing cardio-pulmonary resuscitation, and responding to Code Blue. Handles the personal property of the patient with great care. Personal appearance shall reflect a well groomed, professional appearance as outlined in HR.107, Professional Appearance Guidelines. Watches with timing capabilities, i.e. seconds hand or stopwatch, are required uniform components. Maintains a clean, safe, and neat patient environment. 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 $24.00 -$24.00 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
RN Full-time
Innovative Renal Care

Registered Nurse

Innovative Renal Care Porterville, CA
$40 - $65 / hour
Job Requirements Our Registered Nurses provide high quality patient care to patients suffering from the most advanced stage of chronic kidney disease, known as End Stage Renal Disease (ESRD). Nurses are on the front line of patient care, improving the quality of life of every patient. This role is all about the relationships and bond you will create with patients and their families. Work Experience Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (BSN); three year diploma from accredited diploma program may be substituted for nursing degree. Registered Nurse License in the state of practice. Current BLS/CPR certification required. Meets all applicable state/licensing requirements. Previous dialysis, ICU, CCU, ER, or Med Surg nursing experience is preferred but not required. Benefits At Innovative Renal Care (IRC), our comprehensive benefits program is a key component of our total compensation package. It includes a 401(k) match, healthcare coverage, and a broad range of other benefits that compare favorably within our industry and marketplace. Learn more at IRC Benefits and Perks About Innovative Renal Care We are one of the largest dialysis service providers in the U.S., partnering with local physicians to deliver high-quality care to patients with ESRD and other kidney conditions. Our mission is to be the trusted experts and preferred partners for patients, physicians, and healthcare providers by delivering best-in-class care, service, and solutions. Our Values: I CARE Integrity & Innovation – Earn trust by keeping promises and embracing new solutions. Compassion – Treat patients, families, and colleagues with respect and empathy. Accountability – Take ownership and recognize the contributions of others. Results-Driven – Strive for excellence and exceed expectations. Everyone Counts – Foster diversity, equity, teamwork, and collaboration. Why Join IRC? Career Growth – Be part of a values-driven team making a meaningful impact. Competitive Compensation – Salaries continually benchmarked against market and trends. Enhanced PTO – Your most recent dialysis experience counts toward PTO accrual. Team Culture – Thrive in a supportive environment that values innovation, accountability, and compassion. Salary Range: $40 - $65 / hour depending on experience and qualifications #LI-KW1 Innovative Renal Care is an equal opportunity and a drug free workplace . All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origins, citizenship, disability or protected veteran status. All applicants will be subject to a drug screening and background check upon acceptance of an offer. *IRC will only contact you from careers@innovativerenal.com or team members with an @innovativerenal.com email address. Please be cautious and aware of spam or fraudulent emails soliciting personal or banking information. IRC will not request this information via email.
Student Nurse Med-Surg Part-time
Kaweah Health

Student Nurse Aide- Medical/ Surgical- 3N

Kaweah Health Visalia, CA
$20.38 / 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 Not Benefits Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6172 Medical/Surgical-3N Under the direction of the registered nurse, the purpose of this position is to provide holistic care for patients and families served. QUALIFICATIONS License /Certification Required: BLS Preferred: Current CA Certified Nursing Assistant certification Education Required: Current enrollment in an accredited RN program with successful completion of at least one semester. Employee must submit updated transcript to HR each term and notify Manager and HR of any changes in nursing program enrollment. Work Study course is required only if the nursing student is seeking course credit for the learning experience or during the summer if their nursing program is not in session. JOB RESPONSIBILITIES Essential The Student Nurse Aide (SNA) is responsible for having the college/university’s student skills competency checklist available at all times while working as a SNA. School checklist duties may only be performed when school is in session and only after skills have been validated by the school of Nursing in conjunction with the KH RN preceptor. PLEASE NOTE: Performance of skills and duties identified on the college/university skills checklist that are strictly prohibited include, but are not limited to the following: IV initiation and therapy, medication administration, obtaining and processing of physician orders, glucose monitoring, all Point of Care (POC) testing, and similar procedures. The SNA may continuously perform (including non-instructional days) the following duties upon completion of Kaweah Health position/unit specific competencies. Reports any variance in the patient's condition, to licensed staff. Reports specific patient or family needs, concerns, and changes in activity to licensed staff. Refers complaints and problems to licensed staff or department manager immediately. Answers patient call lights within two minutes as assigned. Greets patients and family members in friendly professional manner. Identifies self by name and job category. As assigned, assists patient with their needs. Is an active participant in achieving quality patient care. Maintains confidentiality with all patient care issues. Complies with current policies and procedures including safety and infection control. Performs tasks safely. Assists the Nursing staff in performing tasks as delegated by the Registered Nurse. Provides for the toilet needs of patients by emptying bedpans and drainage container. Reports any variation in amount, color, consistency, and odor of output to the RN. Provides assistance with the admission, transfer, and discharge of patients. Orients patients to room (call light, storage of belongings, etc.). Assists patients with meals, snacks, and with water pitchers. Assists with activities of daily living: bath, ambulation oral care, etc. Collects and records intake and output, weight, height, and vital signs as delegated by the Registered Nurse. Collects respiratory rate by direct observation of the patient. Collects, labels, and delivers specimens. Provides post-mortem care and assists in transporting the body to the morgue. Assists with emergency care by participating in crash cart checks, providing cardio-pulmonary resuscitation, and responding to Code Blue. Handles the personal property of the patient with great care. Personal appearance shall reflect a well groomed, professional appearance as outlined in HR.107, Professional Appearance Guidelines. Watches with timing capabilities, i.e. seconds hand or stopwatch, are required uniform components. Maintains a clean, safe, and neat patient environment. Must keep all required certifications current. Documents all care provided in the EMR as soon after the care occurs as possible. Addendum (essential for specific dept) PEDIATRICS ALSO RESPONSIBILE FOR: Performs Unit Secretary duties for the unit. OBSTETRICS ALSO RESPONSIBLE FOR: May stock IV fluids and Irrigation fluids in locked supply drawers on mother/baby unit. 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 $20.38 -$20.38 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.
Student Nurse Med-Surg Part-time
Kaweah Health

Student Nurse Intern- Medical/ Surgical 3N

Kaweah Health Visalia, CA
$24 / 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 Not Benefits Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6172 Medical/Surgical-3N Under the direction of the registered nurse, the purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. In partnership with the registered nurse, 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: BLS Preferred: Current CA Certified Nursing Assistant certification Education Required: ASN: Enrollment in an accredited RN program with completion of 3rd semester BSN: Enrollment in an accredited RN program with completion of 4th semester Employee must submit updated transcript to HR each term and notify Manager and HR of any changes in nursing program enrollment. Work Study course is required only if the nursing student is seeking course credit for the learning experience or during the summer if their nursing program is not in session. Essential The Student Nurse Intern (SNI) under the direct supervision of the RN can perform the following functions/tasks only when school is in session: Collaborates and communicates with the patient/resident, family, and other health care providers. In conjunction with the RN, formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. The Student Nurse Intern's practice is guided by the ANA Code of Ethics. Responsible for having a validated Skills Checklist available at all times while working as a SNI. May perform duties only after their skills have been validated by the school of Nursing in conjunction with the KH RN preceptor. Students are responsible for taking the Skills Checklist to the school of nursing for completion. Works under the supervision of a KH RN preceptor. SNIs are directly responsible to the RN for performing basic bedside care and selected nursing procedures. PLEASE NOTE: even when skills on the checklist have been validated to perform independently, some duties require that a RN be present to perform. Those duties include, but are not limited to, administration of oral or injectable medication, initiation of intravenous therapy, adjusting intravenous rates, intravenous medication administration, and taking orders from physicians. The SNI may continuously perform (including non-instructional days) the following duties upon completion of Kaweah Health position/unit specific competencies: Reports any variance in the patient's condition, to licensed staff. Reports specific patient or family needs, concerns, and changes in activity to licensed staff. Refers complaints and problems to licensed staff or department manager immediately. Answers patient call lights within two minutes as assigned. Greets patients and family members in a friendly, professional manner. Identifies self by name and job category. As assigned, assists patient with their needs. Is an active participant in achieving quality patient care. Maintains confidentiality with all patient care issues. Complies with current policies and procedures including safety and infection control. Performs tasks safely. Must keep all required certifications current. Assists the Nursing staff in performing tasks as delegated by the Registered Nurse. Provides for the toilet needs of patients by emptying bedpans and drainage container. Reports any variation in amount, color, consistency, and odor of output to the RN. Provides assistance with the admission, transfer, and discharge of patients. Orients patients to room (call light, storage of belongings, etc.). Assists patients with meals, snacks, and with water pitchers. Assists with activities of daily living: bath, ambulation oral care, etc. Collects and records intake and output, weight, height, and vital signs as delegated by the Registered Nurse. Collects respiratory rate by direct observation of the patient. Documents all care provided in the EMR as soon after the care occurs as possible. Collects, labels, and delivers specimens. Provides post-mortem care and assists in transporting the body to the morgue. Assists with emergency care by participating in crash cart checks, providing cardio-pulmonary resuscitation, and responding to Code Blue. Handles the personal property of the patient with great care. Personal appearance shall reflect a well groomed, professional appearance as outlined in HR.107, Professional Appearance Guidelines. Watches with timing capabilities, i.e. seconds hand or stopwatch, are required uniform components. Maintains a clean, safe, and neat patient environment. 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 $24.00 -$24.00 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Student Nurse Part-time
Kaweah Health

Student Nurse Intern-M/S Ortho Neuro-4S

Kaweah Health Visalia, CA
$24 / 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 Not Benefits Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 6177 M/S Ortho Neuro-4S Under the direction of the registered nurse, the purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. In partnership with the registered nurse, 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: BLS Kaweah Health approved crisis intervention training within 60 days of hire/transfer Preferred: Current CA Certified Nursing Assistant certification Education Required: ASN: Enrollment in an accredited RN program with completion of 3rd semester BSN: Enrollment in an accredited RN program with completion of 4th semester Employee must submit updated transcript to HR each term and notify Manager and HR of any changes in nursing program enrollment. Work Study course is required only if the nursing student is seeking course credit for the learning experience or during the summer if their nursing program is not in session. JOB RESPONSIBILITIES Essential The Student Nurse Intern (SNI) under the direct supervision of the RN can perform the following functions/tasks only when school is in session: Collaborates and communicates with the patient/resident, family, and other health care providers. In conjunction with the RN, formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. The Student Nurse Intern's practice is guided by the ANA Code of Ethics. Responsible for having a validated Skills Checklist available at all times while working as a SNI. May perform duties only after their skills have been validated by the school of Nursing in conjunction with the KH RN preceptor. Students are responsible for taking the Skills Checklist to the school of nursing for completion. Works under the supervision of a KH RN preceptor. SNIs are directly responsible to the RN for performing basic bedside care and selected nursing procedures. PLEASE NOTE: even when skills on the checklist have been validated to perform independently, some duties require that a RN be present to perform. Those duties include, but are not limited to, administration of oral or injectable medication, initiation of intravenous therapy, adjusting intravenous rates, intravenous medication administration, and taking orders from physicians. The SNI may continuously perform (including non-instructional days) the following duties upon completion of Kaweah Health position/unit specific competencies: Reports any variance in the patient's condition, to licensed staff. Reports specific patient or family needs, concerns, and changes in activity to licensed staff. Refers complaints and problems to licensed staff or department manager immediately. Answers patient call lights within two minutes as assigned. Greets patients and family members in a friendly, professional manner. Identifies self by name and job category. As assigned, assists patient with their needs. Is an active participant in achieving quality patient care. Maintains confidentiality with all patient care issues. Complies with current policies and procedures including safety and infection control. Performs tasks safely. Must keep all required certifications current. Assists the Nursing staff in performing tasks as delegated by the Registered Nurse. Provides for the toilet needs of patients by emptying bedpans and drainage container. Reports any variation in amount, color, consistency, and odor of output to the RN. Provides assistance with the admission, transfer, and discharge of patients. Orients patients to room (call light, storage of belongings, etc.). Assists patients with meals, snacks, and with water pitchers. Assists with activities of daily living: bath, ambulation oral care, etc. Collects and records intake and output, weight, height, and vital signs as delegated by the Registered Nurse. Collects respiratory rate by direct observation of the patient. Documents all care provided in the EMR as soon after the care occurs as possible. Collects, labels, and delivers specimens. Provides post-mortem care and assists in transporting the body to the morgue. Assists with emergency care by participating in crash cart checks, providing cardio-pulmonary resuscitation, and responding to Code Blue. Handles the personal property of the patient with great care. Personal appearance shall reflect a well groomed, professional appearance as outlined in HR.107, Professional Appearance Guidelines. Watches with timing capabilities, i.e. seconds hand or stopwatch, are required uniform components. Maintains a clean, safe, and neat patient environment. 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 $24.00 -$24.00 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
LPN Full-time
DaVita Kidney Care

Licensed Practical Nurse

DaVita Kidney Care Three Rivers, CA
Posting Date 03/27/2026 6721 Old Trail RoadSuite 100, Fort Wayne, Indiana, 46809, United States of America DaVita is seeking a Licensed Practical Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic Float to various facilities during and after your training You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays What you can expect: Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. Be a part of a team that supports and relies on each other in a positive environment. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more Paid training Requirements: Current LPN-LVN license in the state of practice required Current CPR certification required IV certification required if required by state regulations High school diploma or equivalent required Completed training program approved by the medical director and the governing body as required by CMS guidelines prior to operating the water treatment system BONENT or CHT certification preferred or as required by state regulation Minimum of one year's experience in a hospital or clinical setting preferred Basic computer skills and proficiency in MS Word and Outlook required; functional proficiency in computer systems of DaVita within 90 days of hire required) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-SM4 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. 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.
NP Hospice Part-time
Kaweah Health

Per Diem RN-Nurse Practitioner-Hospice

Kaweah Health Visalia, CA
$76.55 - $114.83 / 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 Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7310 Hospice The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and CA Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: Advanced Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: Two or more years of palliative care experience with patients at end of life. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. JOB RESPONSIBILITIES Essential Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area; Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care. Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations. Performs timely Hospice face-to-face visits including timely, accurate documentation. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. 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 $76.55 -$114.83 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.
CMA Other
United Health Centers of the San Joaquin Valley

Medical Assistant (MA)

United Health Centers of the San Joaquin Valley Visalia, CA
Overview We are recruiting for Medical Assistant's (MA) to join our team in one of our state of the art health centers. Consider joining the team to leave a lasting impact in your local community as our Medical Assistants can look forward to rewarding benefits and work environment. Experienced Medical Assistants and/or new Medical Assistant graduates are welcomed! Our Medical Assistants go above and beyond, take pride in their ability to listen to our patients, and provide excellent patient care. United Health Centers is looking for someone who can communicate clearly and warmly with a diverse patient population and who has the technical skills to assist providers in their patient’s medical care. If this sounds like you, then you might be our next Medical Assistant! Responsibilities Works closely with the Nursing Supervisor and other members of the clinic management team to: Provides prompt medical support; promotes a smooth patient flow; collects and records data accurately; maintains order of exam rooms, equipment and supplies Provides basic education and information to patients, making sure patients’ questions are answered and anxieties alleviated and interfaces with community-oriented activities and staff Achieves the organizational mission to provide health care access for all the members of the community. Helps make sure patients and families get the care they need when they need it. Consistently and openly communicates with supervisor and all staff. Works flexible or extended hours where necessary. Participates in health center in-services and meeting, listening and respecting others’ ideas. Abides by Rules of Confidentiality. Qualifications EDUCATION: High School graduate or GED Completed training program in Medical Assisting from Accredited College LICENSE/CERTIFICATION: Possess a valid CPR certificate Possess a valid drivers' license PRIOR EXPERIENCE: 2 years of experience in a healthcare setting, preferred. SKILLS: Bilingual (English/Spanish) is preferred but not required. Able to quickly build and maintain rapport with patients and providers of differing backgrounds; team player Customer-service oriented Strong computer skills Familiar with adult learning and general training techniques Positive professional insight Flexibility and dependability Demonstrated good problem-solving skills; sound judgment Effective leadership/supervisory skills Modern office practices and procedures including email Intermediate computer skills Attention to detail and excellent follow-through on work tasks Able to handle multiple tasks simultaneously PHYSICAL REQUIREMENTS: Must be able to lift up to 20 pounds and push up to 50 pounds (on wheels). Must be able to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to patients and staff. Must be able to read memos, computer screens, personnel forms and clinical and administrative documents. Must have high manual dexterity. Must be able to reach above the shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouch, reach, kneel, twist/turn. The hourly wage range that UHC reasonably expects to pay for the position upon hire starts at $21 an hour. Our salaries are dependent on knowledge, skills, and experience. In addition, our comprehensive benefits package for regular status employees includes: Medical, Dental, and Vision insurance with low premium cost Paid time off and paid holidays 401k plan with matching contribution Educational Assistance Employee discounts and more!
RN Per Diem
Bristol Hospice

RN - Registered Nurse - Per Diem

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

Assistant Nurse Manager - Acute Psych

Kaweah Health Visalia, CA
$53.27 - $79.91 / 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 - 10 Hour Shift (United States of America) Department 6341 Acute Psych Under the direction of the nurse manager, the purpose of this position is to assist with 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. QUALIFICATIONS License /Certification Required: CA RN license BLS Kaweah Health approved crisis intervention training within 60 days of hire/transfer. Education Preferred: Bachelor's degree in relevant field within three years of hire/transfer. Experience Preferred: Expertise in clinical area Supervisory experience or training Knowledge/Skills/Abilities Excellent written and oral communication skills. Effective interpersonal skills, critical thinking and creative problem solving. Department Specific Requirements If assigned to Dialysis: requires dialysis experience within the last three years; nephrology certification preferred. JOB RESPONSIBILITIES Essential 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. 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. Collaborates with the Nurse Manager/ Educator on the orientation plan for new staff. Identifies performance or education issues through observation, monitoring patient care outcomes and processes, and promptly communicates concerns to appropriate Nurse Manager and Educator. 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. Participates in interviewing new employees. Assists in recruitment and retention 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 Nurse Managers, Directors, Nursing Supervisor, 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 Units and KH departments/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 $53.27 -$79.91 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.
NP Full-time
Kaweah Health

Clinical Informaticist

Kaweah Health Visalia, CA
$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 Day - 8 Hour or less Shift (United States of America) Department 8482 ISS Clinical Informatics Facilitates and provides support of clinical informatics processes through the effective use of available technologies; ensures that technology is implemented in a manner that supports the practice, optimizes workflow and provides decision support; ensures all related systems and work flows are properly integrated into the work environment. QUALIFICATIONS License /Certification Required: Licensure in clinical discipline such as nursing, clinical informatics field or equivalent combination of education and experience. Preferred: ANCC or CPHIMS certification Education Preferred: Bachelor’s degree Experience Required: Three years experience in a healthcare field. Experience supporting clinical operations in an electronic healthcare environment or may have equivalent combination of education and/or experience. Preferred:Cerner experience Knowledge/Skills/Abilities Knowledge and understanding of clinical protocols, hardware documentation and systems applications. Basic knowledge of principles of software design and modification, basic computer skills and knowledge of MS Office Suite and SharePoint. JOB RESPONSIBILITIES Essential Under minimal supervision, leads planning, design and implementation teams for applications to ensure that application design and build meets the needs of the staff for appropriate data capture and workflow process and help ensure adoption. Maintains and optimizes clinical content and decision support functions through all phases of the systems development life cycle, in both the hospital and ambulatory clinical information systems. Maintains current knowledge of legal and regulatory standards and standards of practice to ensure that the clinical systems support compliance with these standards. Maintains current knowledge of clinical practices to promote an evidence-based practice model for clinical systems throughout the organization; assisting the assigned application analyst and other clinical systems staff in build and maintenance as indicated; has/acquires and maintains a working knowledge of the clinical environment, workflow, job responsibilities and processes in assigned areas. Responsible for drafting, updating, and revising written recommendations for changes in policies and procedures for applicable clinical applications. Participates in the development of training and training materials by: collaborating with clinical education and clinical users; integrating workflow into the training of all system users; providing training. Effectively communicates by: interpreting and conveying information clearly, accurately and in a timely manner; establishing and maintaining open, effective communications between all teams of caregivers, vendors, etc.; utilizing correct channels of communication and recognized organization communication standard; keeping abreast of and complying with departmental and organizational changes and events through reading posted communications and attending assigned meetings. Ability to work non-standard and extended hours during project implementations. Ability to be on-call for education and workflow related questions. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. 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.
RN Full-time
Kaweah Health

Certified Nurse Midwife

Kaweah Health Exeter, CA
$75.81 - $113.71 / 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 - 10 Hour Shift (United States of America) Department 7183 RHC-Exeter Health Clinic Under a collaborative agreement with a physician, provides prenatal and postnatal medical care, treatment, and education to obstetrical and gynecological patients in accordance with established midwifery practice guidelines. QUALIFICATIONS License/Certifications Required: CA Registered Nurse CA Nurse Midwife CA Nurse Midwife Furnishing Number or Nurse Practitioner Furnishing Number Certified Nurse-Midwife from American Midwifery Certification Board Drug Enforcement Administration (DEA) registration BLS Education Preferred: Master's degree Experience Required: One year of experience as a Certified Nurse Midwife Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. JOB RESPONSIBILITIES Essential Provides direct prenatal, intrapartum, and postpartum patient services and primary care to low risk and at-risk obstetrical and gynecological patients using general accepted standards of practice, which includes assessment, diagnosis, treatment consultation and co-management of at-risk patients, and referral when appropriate to either MD/DO only management or referral to consultant, such as Maternal Fetal Medicine. Assists with the follow-up care of referrals and provides the appropriate information to the referral source. Provides discharge instructions. Provides outpatient/inpatient care for obstetrical patients in accordance with hospital protocols for Certified Nurse Midwife care. Obtains patient health histories and completes physical exams. Orders and interprets appropriate diagnostic and laboratory tests. Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family, staff, and healthcare learners. Participates in call rotation for OB/GYN department per individual contract obligation and with MD/DO backup. Monitors quality of patient records and ensures inclusion of all appropriate findings, recommendations, follow-up care and referral. Provides educational and other related services for well women care; manages well women care for essentially healthy women through their life cycle. Provides staff and student education. Documents the necessary components to meet documentation standards for the assigned DRG and Perinatal Core Measures. Participates in quality improvement/assurance activities. Assists in the review and development of standing orders and policies and procedures. Provides consultative direction as needed. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Participates in a team approach to patient care and provides for effective communication to other KD staff to ensure continuity of care. Assumes additional responsibility and performs other duties consistent with the requirements of state licensure. Initiates necessary emergency interventions to stabilize patient in conjunction with the rapid response team. Utilizes current research and evidenced-based decision-making in all clinical practice settings. Incorporates research findings in the development and implementation of standards of care. Supports IRB approved clinical research/trials through a variety of activities. Participates in and support accreditation, compliance, and regulatory activities of Kaweah Health. 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 $75.81 -$113.71 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.
NP Full-time
Skin and Cancer Institute

Physician Assistant - Rheumatology - Porterville, CA

Skin and Cancer Institute Porterville, CA
Job Title: Physician Assistant/Nurse Practitioner – Rheumatology Location: Porterville, California Employment Type: Full-Time Facility: US Arthritis and Rheumatology Institute About Us: Rheumatology Institute USA is a leading and rapidly expanding rheumatology practice, currently operating in California, Arizona, Nevada, and New Mexico . Our team is composed of award-winning rheumatologists who are nationally recognized for their expertise in medical, surgical, and cosmetic dermatology. We pride ourselves on a patient-centered approach, cutting-edge treatments, and a commitment to excellence. As we continue our dynamic growth , we are seeking a dedicated and skilled Physician Assistant (PA-C) or Nurse Practitioner (NP) to join our team and help us provide outstanding dermatologic care across our growing network. Role Overview: As a PA or NP at US Arthritis and Rheumatology Institute , you'll work closely with our team to deliver exceptional medical care. Qualifications: Active and unrestricted Physician Assistant or Nurse Practitioner license Rheumatology experience preferred , but not required—training provided for the right candidate Excellent communication and interpersonal skills Strong clinical judgment and attention to detail A passion for patient care and dermatologic excellence Why Join US Arthritis and Rheumatology Institute USA? Be part of a fast-growing company with long-term opportunities for career advancement Access to state-of-the-art facilities and technology Supportive training and mentorship for new providers Competitive base salary with productivity bonuses Comprehensive benefits: health, dental, vision, 401(k) with match, CME reimbursement, and paid time off Ready to Grow with Us? If you’re looking to build a rewarding career with a respected and forward-thinking dermatology practice, we’d love to hear from you. Join US Arthritis and Rheumatology Institute and be a part of something exceptional. Apply today
NP Outpatient Part-time
Kaweah Health

Nurse Practitioner- Exeter Health Clinic

Kaweah Health Exeter, CA
$72.90 - $109.36 / 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 - 8 Hour or less Shift (United States of America) Department 7183 RHC-Exeter Health Clinic To function as a member of a health care team to deliver quality health care while working alongside and under the supervision of a physician. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS NP Certification by national certification board and Master’s degree in Nursing or Doctor of Nursing Practice degree; or obtained Medicare billing privileges as an NP before Jan 1, 2003 and NP Certification by national certification board; or obtained Medicare billing privileges prior to Jan 1, 2001. Knowledge/Skills/Abilities Prior to hire, HR must receive clearance from KH Medical Staff office that the medical staff credentialing process is complete. Bilingual preferred. JOB RESPONSIBILITIES Essential Secures a complete health history, including but not limited to, obstetric, gynecologic, contraceptive, medical, surgical, family health and psychosocial aspects, and records findings accurately and succinctly. Performs appropriate general examinations, diagnostic tests, and other types of more specialized procedures as may be indicated by patient history and complaints, according to protocol. Provides specialized and or advanced practice services within the scope of training. Provides relevant patient instruction and education. This may include medication information, disease education, health promotion, care instructions, etc. Follows up on all abnormal findings within a timely manner, responds to patient clinical needs, and refers to other providers as appropriate. Charts all information with regard to the client's examination and plans for treatment within the electronic medical record. Chart review meets quality improvement standards. Completes timely chart documentation. Consults with assigned supervising physician when necessary. Reviews complex cases with the supervising physician in accordance with appropriate protocols (e.g. NP protocols or PA service agreement) as indicated. Pursues and completes ongoing, high-level continuing medical education activities. Shares new clinical practice updates or information with the APP team and clinical leadership. Attends APP and clinical site meetings to keep current with organization communication and priorities. Participates and engages in organizational quality improvement initiatives. Provides feedback and input on clinical processes. Coordinates clinic coverage with other providers. Provide backup coverage as needed. Provides care delivery within a team-based, patient-centered approach. Engages the patient and their family in the decision-making process regarding their care. Utilizes care team members appropriately (e.g. pharmacy, care coordinators, dieticians, etc.). Utilizes evidence-based practice guidelines and resources for clinical practice. Additional Works collaboratively with all members of the care team and support staff. Acts as a clinical team leader for safety, training, and support of staff as indicated. 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 $72.90 -$109.36 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.
NP Part-time
Kaweah Health

Per Diem RN-Nurse Practitioner

Kaweah Health Visalia, CA
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7390 Professional Services-APP The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. For Hospice: two or more years of palliative care experience with patients at end of life. Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. JOB RESPONSIBILITIES Essential Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Addendum (essential for specific dept) CARDIAC CATH LAB ALSO RESPONSIBLE FOR: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient flow for the clinical activities of cardiology services specific to heart valve devices (TAVR). Develops and implements required elements of an effective clinical program such as: Develops methods to ensure prompt access to care. Ensures processes are in place to provide coordinated patient flow across Physicians clinical sites. Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device. Develops & implements clinical guidelines. Aligns EMR to support care delivery. Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium. Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date. Practice Development: Develops & provides oversight of clinical program at affiliated hospitals. Directs development of education materials. Develops educational materials and training program for all patient care staff (inpatient and outpatient) who will participate in the clinical trial. Helps develop valve program at affiliated hospitals that provide a referral base of patients. Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date. Demonstrates ability to provide care or service adjusting approaches to reflect developmental level of population served: Communicates in a respectful manner. Ensures a safe, secure environment. Partners with patient/care-giver/management in care/decision making. Individualizes care/service plan to meet patient/customer needs. Modifies interventions/service based on population served. Provides patient/employee education based on assessment of learning needs of learner. HOSPICE ALSO RESPONSIBLE FOR: Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations. Performs timely Hospice face-to-face visits including timely, accurate documentation. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. 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 $76.55 -$114.83 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.
RN Hospice Part-time
Kaweah Health

Per Diem Registered Nurse - Hospice

Kaweah Health Visalia, CA
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7310 Hospice 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. 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 $53.41 -$80.12 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.
NP Full-time
Kaweah Health

Physician Assistant or Nurse Practitioner

Kaweah Health Visalia, CA
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7390 Professional Services-APP The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring. Sign on Bonus & Relocation Assistance Available QUALIFICATIONS License /Certification Required: CA Physician Assistant or CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS Preferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN). Education Preferred: MSN or DNP Experience Required: One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting. Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions. Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. Excellent written and oral communication skills and effective interpersonal relationships. Critical thinking, creative thinking, and creative skill in problem solving. Computer literate. Department Specific Requirements If assigned to Throughput: requires ACLS within one year of hire/transfer. If assigned to Surgery, or Throughput and working in Surgery-Cardiac: requires ACLS and completion of a recognized RNFA training program within one year of hire/transfer. JOB RESPONSIBILITIES Essential Responsible for enhancing Patient Throughput throughout the Medical Center and Chronic Disease Management Clinic. Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area. Uses advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment: Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes. Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis. Focuses on population health management across the care continuum. Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving. Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes: Provides relevant patient instruction and education. Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings. Orders transfers within the hospital or to other facilities to the appropriate level of care. Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals. Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput. Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care. Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements. Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes: Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes. Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes. Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes. Evaluates the standards of clinical practice with all appropriate disciplines in the specialty area: Uses clinical inquiry and research in an advanced specialty area of practice. Promotes use and understanding of evidence based practice. Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice. Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care: Performs consultative functions. Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations. Attends appropriate Medical staff committees. Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing). Addendum (essential for specific dept) SURGERY/CARDIOVASCULAR SERVICES ALSO RESPONSIBLE FOR: IF PERFORMING RN-FIRST ASSIST DUTIES: Assists on all cardiovascular surgical procedures as directed by the surgeon. Functions as the first assistant at surgery in the general and obstetric surgical suites. Assists the surgeon by providing intraoperative tissue retraction. Assists with intraoperative hemostasis. Assists with intraoperative tissue manipulation. Uses surgical instruments and suture material to manipulate tissue as directed by the surgeon. Assists with intraoperative wound closure. Sutures tissue, using instruments and suture material as directed by the surgeon. Preoperative- assists with: review of procedure prior to the case; opening and set up of the operating room suite; either preoperative counts or patient assessment as coordinated with the circulating RN; transfer of the patient to the OR bed; anesthesia induction if requested to do so by the circulating RN; and positioning the patient for the surgical procedure. Interoperative- scrub in and assist in the draping of the patient; assist the surgeon within the parameters of standardized procedures; and assist in counts as needed. Postoperative- assists with: the application of the patient's dressings; transfer from the OR bed; accompany the patient to the PACU if required; and clean up and turn over of the operating room. May assist with specialty procedures including minimally invasive vein/arterial harvesting, closure of deep fascia layer, insertion of invasive monitoring lines and cardiac sternal wound closure. IF PERFORMING RN CIRCULATOR DUTIES: Assesses basic patient needs, including recognition of abnormal diagnostic data, and potential problems related to the proposed surgical intervention and communicates appropriate information to the physician and other members of the surgical team. Provides the ability to modify assessment criteria based on the age of the patient, psychosocial and physical needs. Implements patient's plan of care by evaluating patient's response to care. Organizes and adjusts assignments according to patient's needs. Facilitates patient transfer to appropriate postoperative unit, ensuring patient safety and communication with receiving patient care staff. Demonstrates understanding in use of patient care equipment and instrumentation. Responsible for knowledge of emergency equipment and supplies, including the crash cart, airway management cart, and the malignant hypothermia cart. Timely written referral of any malfunctioning or defective equipment. Assures that all medications are administered properly 100% of the time, including IV's as prescribed by physician; knows actions, indications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to the patient. Maintains clear communication and rapport with patient/family as appropriate for setting. Gives and documents emotional support and keeps patient/family informed of progress. Assures that patient's personal hygiene needs are met, immediate environment is clean and safe. Maintains a current and complete medical record. Coordinates admission, transfer and discharge of patient with appropriate personnel and documents observations, assessment treatments and outcome as necessary. CARDIAC CATH LAB ALSO RESPONSIBLE FOR: Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient flow for the clinical activities of cardiology services specific to heart valve devices (TAVR). Develops and implements required elements of an effective clinical program such as: Develops methods to ensure prompt access to care. Ensures processes are in place to provide coordinated patient flow across Physicians clinical sites. Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device. Develops & implements clinical guidelines. Aligns EMR to support care delivery. Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium. Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date. Practice Development: Develops & provides oversight of clinical program at affiliated hospitals. Directs development of education materials. Develops educational materials and training program for all patient care staff (inpatient and outpatient) who will participate in the clinical trial. Helps develop valve program at affiliated hospitals that provide a referral base of patients. Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date. Demonstrates ability to provide care or service adjusting approaches to reflect developmental level of population served: Communicates in a respectful manner. Ensures a safe, secure environment. Partners with patient/care-giver/management in care/decision making. Individualizes care/service plan to meet patient/customer needs. Modifies interventions/service based on population served. Provides patient/employee education based on assessment of learning needs of learner. Additional Demonstrates a knowledge and understanding of: Joint Commission standards California's Nursing Practice Act Applicable sections of California Title 22 and 16 and all other applicable regulations Applicable Federal guidelines and regulations including HIPAA American Nurses Association Scope and Standards of Practice Policies and procedures for specialty area National standards for specialty area. Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care. 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 $72.90 -$109.36 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.
RN OR Full-time
Kaweah Health

RN- Cardiac First Assist- Cardiac Surgery

Kaweah Health Visalia, CA
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7570 Cardiac Cath LabTo assist on all surgical procedures under the direction of the surgeon as stated in the essential functions granted to the RNFA. QUALIFICATIONS License /Certification Required: CA RN License CNOR BLS ACLS within one year of hire/transfer. Education Required: Completion of recognized RNFA training program. Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Required: At least two years of perioperative RN experience, preferably in the scrub as well as the circulating role. JOB RESPONSIBILITIES Essential RN Cardiac First Assistant Assists on all cardiovascular surgical procedures as directed by the surgeon. Functions as the first assistant at surgery in the general and obstetric surgical suites. Assists the surgeon by providing intraoperative tissue retraction. Assists with intraoperative hemostasis. Assists with intraoperative tissue manipulation. Uses surgical instruments and suture material to manipulate tissue as directed by the surgeon. Assists with intraoperative wound closure. Sutures tissue, using instruments and suture material as directed by the surgeon. Preoperative- assists with: review of procedure prior to the case; opening and set up of the operating room suite; either preoperative counts or patient assessment as coordinated with the circulating RN; transfer of the patient to the OR bed; anesthesia induction if requested to do so by the circulating RN; and positioning the patient for the surgical procedure. Interoperative- scrub in and assist in the draping of the patient; assist the surgeon within the parameters of standardized procedures; and assist in counts as needed. Postoperative- assists with: the application of the patient's dressings; transfer from the OR bed; accompany the patient to the PACU if required; and clean up and turn over of the operating room. May assist with specialty procedures including minimally invasive vein/arterial harvesting, closure of deep fascia layer, insertion of invasive monitoring lines and cardiac sternal wound closure. RN Circulator Assesses basic patient needs, including recognition of abnormal diagnostic data, and potential problems related to the proposed surgical intervention and communicates appropriate information to the physician and other members of the surgical team. Provides the ability to modify assessment criteria based on the age of the patient, psychosocial and physical needs. Implements patient's plan of care by evaluating patient's response to care, organizes and adjusts assignment according to patient needs. Facilitates patient transfer to appropriate postoperative unit, ensuring patient safety and communication with receiving patient care staff. Demonstrates understanding in use of patient care equipment and instrumentation. Responsible for knowledge of emergency equipment and supplies, including the crash cart, airway management cart, and the malignant hypothermia cart. Timely written referral of any malfunctioning or defective equipment. Assures that all medications are administered properly 100% of the time, including IV's as prescribed by physician; knows actions, indications, precautions, adverse reactions, dosage and route of administration on all drugs before administering to the patient. Maintains clear communication and rapport with patient/family as appropriate for setting. Gives and documents emotional support and keeps patient/family informed of progress. Assures that patient's personal hygiene needs are met, immediate environment is clean and safe. Maintains a current and complete medical record. Coordinates admission, transfer and discharge of patient with appropriate personnel and documents observations, assessment treatments and outcome as necessary. 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 $57.61 -$86.42 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.