Nursing Jobs in Puyallup, WA
$89,440 - $118,000 / year
Job Description Job responsibilities: Daily rounds to monitor resident condition and staff performance Coach and/or counsel staff providing care on your unit Review of documentation to ensure compliance and accurate charting Assist floor staff with emergencies, changes of condition and MD calls as needed Participates in Care Conferences and quarterly reviews. Ensures weights are obtained per policy, reviewed and referrals made as appropriate Participate in wound rounds weekly and assist with documentation as needed Participate in psychotropic review monthly with follow up on team recommendations Track and ensure consultant recommendations are completed and results documented Assist in the admission and discharge process for residents Review/investigate Incident reports utilizing root cause analysis (the 5 why's) to identify cause and implement appropriate preventative measures On-call rotation (approx every 5 weeks) Performs duties as a floor nurse if staffing crisis occurs. Job requirements: WA state RN License in good standing CPR certification Excellent interpersonal skills Able to work with time constraints and stress LTC experience preferred Work Remotely No Job Type: Full-time Pay: $89440 - $118000 per year Benefits: 401(k) Dental insurance Health insurance Paid time off Retirement plan Vision insurance Medical Specialty: Geriatrics Schedule: 8 hour shift Holidays Monday to Friday On call Weekends as needed Experience: Nursing: 2 years (Required) Case management: 2 years (Required) License/Certification: RN(Required) Work Location: In person 
$100,000 - $108,000 / year
Required Qualifications v Minimum requirements include the following: · A nursing degree from an accredited college or university, or be a graduate of an approved LPN/RN program. · Two years of experience as an LPN/RN. · Eligible to participate in federally funded health care programs. v Must also meet state requirements for relevant licensures or certifications and have no disciplinary action in effect against professional license. v Extensive knowledge of current standards of practice and the rules, regulations, and laws related to the long-term care industry. Ability to teach this knowledge to others. Major Duties and Responsibilities Participates in the completion of the facility assessment at least annually for determining the knowledge and skills required among staff to meet residents’ needs. Identifies and prioritize the facility’s educational needs through the completion of an educational needs assessment, based on the facility assessment. Works closely with the facility’s Compliance Officer and other leaders in developing a training plan that addresses all regulatory requirements and any other topics identified in the facility assessment and/or needs assessment. Develop educational calendars in accordance with the plan. Plans, schedules, conducts, and oversees orientation programs for all personnel. Develops, schedules, and directs refresher training, as necessary, for all personnel. Tracks attendance/completion of training to ensure that all required training is received by all personnel in a timely manner. Reviews educational content to ensure the information reflects current standards of practice and facility policies and procedures. Develops or revises content as needed. Utilizes outside resources for content development, such as consultants, content experts, or electronic learning systems. Collaborates with department managers for developing competencies required for meeting residents’ needs. Assists with evaluating competencies, depending on the knowledge-based, technical, or behavioral nature of the competency. Cooperates with the Administrator during routine evaluation of the training program’s effectiveness. Schedules trainings with flexibility to ensure limited disruption of resident care, and ample opportunity for staff to attend. Posts notices of trainings in advance. Maintains all training records, reports, instructional materials, and speaker qualifications related to each educational program. Provides opportunities for staff to obtain continuing education credits for maintaining certifications/licensure. Maintains all documentation related to continuing education. Maintains attendance records and individual training records in accordance with facility policy. Additional Assigned Tasks v Treats all residents with dignity and respect. Promotes and protects all residents’ rights. v Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines. v Follows appropriate safety and hygiene measures at all times to protect residents and themselves. v Maintains confidentiality of protected health information, including verbal, written, and electronic communications. v Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer. v Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse, and cooperates with all investigations. v Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy. v Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan. v Reports work-related injuries and illnesses immediately to supervisor. v Follows established infection control policies and procedures. v As a condition of employment, completes all assigned training and skills competency. v Remains current on new developments by attending professional institutions, reading professional journals, attending professional seminars, or reading new laws, rules, and regulations. v Assists with admission, discharge, or care of residents as needed. v Uses proper lifting and body mechanics while delivering care to residents. v Performs administrative duties as assigned. v Serves on, participates in, and attends facility, departmental, or committee meetings as required or appointed. v Assists with developing and adhering to an education budget. Keeps Administrator informed of any resource or equipment needs. v Assists the Administrator and/or Director of Nursing in developing the Nurse Aide Training Curriculum used by the facility (if applicable). Submits to state agency as required. Personal Skills and Traits Desired/Physical Requirements v Ability to read, write, speak and understand the English language. v Must be a supportive team member, contribute to and be an example of team work. v Ability to make independent decisions when circumstances warrant such action. v Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. v Must have patience, tact, and willingness to deal with difficult residents, family and staff. v Must be able to relay information concerning a resident’s condition. v Must not pose a threat to the health and safety of other individuals in the workplace. v Must be able to move intermittently throughout the workday. v Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases. v Ability to work beyond normal working hours and on weekends and holidays when necessary. v Ability to assist in evacuation of residents during emergency situations. v Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position. v May be subject to falls, burns from equipment, and/or odors throughout the day; encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants. v Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis. v May be subject to hostile or emotional residents, family members, visitors or personnel. v Ability to work independently, and to organize, plan, and manage time effectively to complete assignments. v Knowledgeable of nursing and medical practices, and ability to demonstrate knowledge and skills necessary to provide appropriate care to meet resident needs. v Effective verbal and written communication skills and ability to exercise judgement. v Strong listening skills and ability to deal with conflict with professionalism and courtesy. v Intermediate computer skills, including ability to create documents in various programs (Word, Excel, Publisher, PowerPoint, Adobe), and navigate electronic medical record systems. v Positive interpersonal relationship skills, including with persons of all ages and cultures. 
$105,000 - $115,000 / year
Job Title/Position: Admission RN Reports To: Clinical Director $5000 Sign-On Bonus JOB DESCRIPTION SUMMARY The Admission RN plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of the nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 5. Provides and maintains a safe environment for the patient. 6. Assists the patient and family/caregiver and other team members in providing continuity of care. Additional Duties 1. Ensures that arrangements for equipment and other necessary items and services are available. 2. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 3. Fulfills the obligation of requested and/or accepted case assignments. 4. Actively participates in quality assessment performance improvement teams and activities. 
