Nursing Jobs in Preston, WA
$145,080 - $227,064 / year
Job Description Harborview Medical Center LEAD APP, GENERAL SURGERY (LEAD NURSE PRACTITIONER OR PHYSICIAN ASSISTANT) This is a full time, 100% FTE Days position. The Lead APP (Lead ARNP or PA-C) will, in collaboration with an attending physician, examine, diagnose and treat acute health problems. Responsibilities include taking and recording health histories, performing physical examinations, initiating diagnostic procedures and managing minor trauma and acute health problems. The Lead APP also leads and mentors other APPs in 24 Hour/7 Days a week work in these environments. Standards of Performance Documentation – documents pertinent findings on chart and in dictation, completes pro-fee sheet when appropriate. Accuracy – orders appropriate diagnostic tests and accurately interprets results Thoroughness – does history and physical exam consistent with patient complaint and findings Discharge – makes discharge referrals to appropriate specialty clinics Prescribing – prescribes appropriate medications on an individualized basis Attending consultation – seeks consultation by attending physician as needed Ancillary Consults – orders PT, OT, Diabetic Ed. when needed Dictation – completes dictation in a timely manner Transcription – reads, signs or requests edit of transcription in a timely manner Specialty Consults – requests appropriate specialty consult when needed Procedures – performs suturing, line placement, lumbar puncture and other procedures as appropriate. Admissions – consults with appropriate admitting team and completes paperwork expeditiously (UCC Lab – Uses lab resources appropriately) This is specific to the ED Neatness – keeps work area clean, cleans lab resources after using Productivity – sees an appropriate number of patients each shift Use of Time – uses time at work in job related activity with minimal personal use of clinic time Students – shares knowledge with students in clinical training, precepts students and gives objective appropriate feedback Working Relationships – works well with superiors, colleagues & subordinates Reliability – arrives to work in a timely manner, uses sick time appropriately Resources – attempts to conserve clinic resources Policies – demonstrates knowledge of and adherence to policies and procedures of HMC Confidentiality – protects written and verbal patient information according to policy and procedure Respect – demonstrates an attitude of respect for human dignity and the uniqueness of each patient, visitor and staff member Growth & development – completes all mandatory education programs in a timely manner Evaluation Process – actively participates in Annual Performance review Education Mentors new employees. Assures new employees received orientation to HMC, PCS, and unit operations. Orients new staff to the department. Assures employees have access to policies, procedures and other references to facilitate their work. Assures that employee performance is evaluated in writing at 6 months and annually there after. Assures that all staff is scheduled for mandatory education and appropriate inservices. Facilitates access to and use of e-mail, CIS, and voicemail. Assists with needs assessment and facilitates scheduling of unit based education. Participates in the evaluation of unit-based education. Implements education pertinent to unit Facilitates introduction and training to new products and equipment. Assures communication of management information, changes, new and revised policy and procedures for HMC and PCS. Human Resources Management Participates in the interview process for new applicants. Prepares annual evaluations that represent the performance and developmental goals of the employees. Oversees the master schedules. Oversees the weekly schedules. Reviews and processes requests from staff for time off appropriately. Provides appropriate and timely coaching and counseling. Collaborates with managers to implement and monitor employee development. Participates in the analysis of budget variances related to staffing resources utilization, such as monitoring the use of overtime. Other duties as assigned. Daily Operations Ensures staff uses safety, infection control, emergency, and equipment guidelines. Proactively assesses staffing needs, resources and takes appropriate action. Collaborates with the managers on special projects based on unit needs. Unit specific projects and assignments are completed in a timely manner Performs delegated duties in the absence of the manager. Serves as a role model and mentor to staff. Facilitates and models effective interdisciplinary collaboration related to patient care and unit operations. Acts as an advocate for on-going care management initiative. Proactively facilitates discharge planning; anticipates obstacles and intervenes effectively. Alerts managers to actual or potential problems in a timely manner. Investigates complaints and initiates corrective action within scope of authority. Suggests and conducts audits and QA projects (formal and informal) to monitor unit standards. Utilizes incident reports to assess and improve patient care, including counseling staff and addressing system issues as needed. Recognizes ethical dilemmas and initiates use of appropriate resources. Facilitates and models the use of clinical pathways as appropriate. Suggests improvements in clinical pathways or operations based on analysis of variance data and observations. Develops and prepares reports and coordinates preparation of statistics; e.g. productivity, continuing education, etc. Leadership/Management/Role Modeling Effectively solves problems intra- and inter-departmentally. Contributes to the professional development of staff, colleagues and others. Acts as liaison to the Director of Care Management for group planning and communicating of administrative information and updates back to the group. Meets attendance standards. Continually seeks to improve own professional practice and promotes professional practice in others. Maintains current licensure & certification. Consistently wears identification badge. Functions within PCS, HMC policies, procedures and guidelines. Considers factors related to safety, effectiveness and cost in coordinating patient care for the unit. Is a role model in clear & courteous communication w/staff & other departments. Willingly offers assistance and expertise to other departments. Acts as a unit liaison with community agencies. Demonstrates willingness and ability to motivate co-workers to continually improve performance and professionalism as appropriate. Contributes to positive staff morale. Effectively works with medical staff to promote positive patient outcomes. Lead APP Skills Assigns patients based on skill mix of staff, patient needs, and while recognizing budget implications. Knows general conditions of patients on the unit and uses the information to make appropriate changes and reprioritize as indicated. Demonstrates calm, efficient demeanor, and is tactful and positive. Available to staff for consultation and assistance. Assists, resolves, or appropriately refers customer service issues. Reports environmental safety issues to appropriate persons in a timely manner. Utilizes chain of command appropriately. Standards of Daily Practice Provides direction and support for preceptors and orientees. Acts as a clinical and administrative resource. Promotes positive image to other units, patients, families, other departments and administration. Aware of unit needs and responds effectively, (e.g. educational, clinical, operation, and teamwork). Promotes calm, supportive atmosphere. Handles conflict appropriately. Uses critical thinking skills in decision making process. Consistently demonstrates and promotes high standards of care. Facilitates interdisciplinary care that improves patient outcomes and care mgmt. Requirements Licensure as either an Advanced Registered Nurse Practitioner (ARNP) in the State of Washington; or as a Physician Assistant (PA-C) in the State of Washington; Master's Degree; and two years of experience as an APP (ARNP or PA-C); must be eligible to receive hospital staff appointments for adjunct staff membership by the organized medical staff of the hospital under Medical Staff By-Laws for Hospital-based positions. (If ARNP, requires national certification as Acute Care ARNP; or, if FNP, must have APP/provider level experience in position specialty area.) Lead experience desirable. About Harborview Medical Center As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. Challenge. Collaboration. Compassion. About Uw Medicine - Where Your Impact Goes Further UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team . Join our mission to make life healthier for everyone in our community. Compensation, Benefits And Position Details Pay Range Minimum: $145,080.00 annual Pay Range Maximum $227,064.00 annual Benefits Other Compensation: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ Shift First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent) 100.00% Union/Bargaining Unit SEIU 1199NW HMC PA-ARNP About The UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law. 
$131,316 - $205,548 / year
Job Description Harborview Medical Center Inpatient Acute Care Float APP (ARNP; Nurse Practitioner; or PA-C, Physician Assistant) This opening is for 100% FTE, Days; (and with weekend and holiday coverage, and with the potential for some night shifts). The Inpatient Acute Care Float APP team is composed of licensed physician assistants and nurse practitioners who are skilled and trained to work across multiple services at Harborview (currently including General Surgery, Medicine Polytrauma Service, Neurosurgery, Orthopedic Surgery, & Burns). Float APPs possess the ability to adapt quickly to different clinical environments and provide comprehensive care. They play a critical role, filling in when there are staffing shortages, leaves and fluctuating demands. Work is performed 7 days a week with general independence and decision-making responsibility under the general guidance of the attending physicians or fellows, lead APP and APP assistant director. Guidelines include general policy procedures and practice guidelines established by the department and Harborview Medical Center, as well as appropriate professional and technical manuals. Roles & Responsibilities Practice high quality evidence-based medicine within the scope of a licensed APP in the inpatient acute care setting including: Rotating among inpatient services including but not limited to General Surgery, Medicine Polytrauma Service, Neurosurgery, Orthopedic Surgery, & Burns Conduct comprehensive patient assessments and physical examinations Diagnose and manage acute & chronic medical conditions Develop and implement individualized treatment plans Monitor and evaluate patient progress and adjust treatment plans as necessary Perform procedures within one’s scope and training as appropriate Order and interpret diagnostic tests Prescribe and manage medications Coordinate patient care with multidisciplinary teams, fostering a cooperative atmosphere that promotes effective communication and teamwork Provide patient and family education Engage in patient discharge planning and follow-up care coordination Document patient care and maintain accurate medical records Participate in quality improvement initiatives and safety protocols Complete learning modules and participate in continuing education Provide mentorship and guidance as appropriate to other staff and students Requirements Nurse Practitioner: Masters or Doctorate Degree in nursing from an accredited school of nursing AND Washington State Advanced Registered Nurse Practitioner License with prescriptive privileges AND National certification as an ACNP (Acute Care Nurse Practitioner); (FNPs/Family Nurse Practitioners with at least 3 years of APP/provider level experience in acute care will also be considered). Physician Assistant: Licensure as a Physician’s Assistant in the State of Washington AND national certification from a national certifying body (NCCPA) BLS/ACLS certification required Applicant must be eligible to receive hospital staff appointments for adjunct staff membership by the Organized Medical Staff of the hospital under Medical Staff By-Laws for hospital-based positions. About Harborview Medical Center As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine. It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County. It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. Challenge. Collaboration. Compassion. About Uw Medicine - Where Your Impact Goes Further UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. Become part of our team . Join our mission to make life healthier for everyone in our community. Compensation, Benefits And Position Details Pay Range Minimum: $131,316.00 annual Pay Range Maximum $205,548.00 annual Benefits Other Compensation: For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/ Shift First Shift (United States of America) Temporary or Regular? This is a regular position FTE (Full-Time Equivalent) 100.00% Union/Bargaining Unit SEIU 1199NW HMC PA-ARNP About The UW Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world. UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. Our Commitment The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu. Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law. Director of Nursing - located in Auburn, WA Salary: $150K+ range (based on experience) APPLY TODAY!! Responsibilities of the Director of Nursing: Supervises all nursing staff in the facility Development and implementation of nursing policy and procedure Overseeing the hiring and continued employment of nursing staff Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident Requirements of the Director of Nursing: Must have WA RN license Must have previous experience as a Director of Nursing Must have long term care experience Must have strong clinical background and knowledge Proven Leadership & Management skills Strong verbal & written communication skill #4594 