Nursing Jobs in San Jose, CA

Vi Living

CNA

$24.40 - $29.28 / hour
Overview Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from the best and accelerate your career with Vi. What We Offer: Competitive pay Exceptional benefits Generous Paid Time Off - start accruing on day one 401k with company match Paid maternity and paternity benefits Award-winning training and development Tuition Reimbursement Luxury work environment Meaningful and rewarding work Vi at Palo Alto is located at 620 Sand Hill Road, Palo Alto CA 94304 Responsibilities ON CALL Certified Nursing Assistant CNA As a CNA you will be responsible for assisting licensed care staff in performing a variety of clinical and technical tasks to assigned residents to include assisting with activities of daily living, light housekeeping, dining / tray services, escort services, performing vital signs and weights and other care related duties as assigned. As part of the care team, you will participate in quality assessment and performance improvement activities and notification of resident changes of condition as they occur. Qualifications Qualified applicants are required to possess current state certification and experience is required. Prior experience working with geriatric clients is preferred. High School diploma or GED equivalent is preferred. Current CPR/Automated External Defibrillator (AED) certifications are required. Current First Aid certification is required or must be willing and able to become First Aid certified. Food handlers certification and Certified Medical Technician/Certified Medication Aide certification, where required. Basic computer skills or ability to learn. The application window is anticipated to close within 30 days of the date of the posting. Pay Range USD $24.40 - USD $29.28 /Hr.
Right at Home Santa Clara

Caregiver Speaking Mandarin Or Cantonese

$20 - $24 / hour
Pay Rate $20.00 – $24.00 per hour Position Caregiver / Home Care Assistant Ready to start work quickly? Join the Right at Home family today! At Right at Home, we truly appreciate and support our caregiving team. Your dedication makes a difference—and we recognize that every day. What We’re Looking For: We are seeking compassionate and dependable caregivers who meet the following qualifications: At least 3 months of prior caregiving experience (professional or agency-based). Active HCA (Home Care Aide) registration in California. Proof of a recent negative TB test. Able to safely lift and move up to 50 lbs. Comfortable communicating in English (reading, writing, speaking). Additionally can speak fluent Mandarin or Cantonese Driver’s license and valid car insurance preferred (required for live-in roles). Available Shifts: We offer a variety of flexible scheduling options to fit your life: Morning, Day, Evening, and Overnight shifts Full-time or Part-time Short visits and extended hours available What You’ll Receive: We believe in rewarding great care: Competitive hourly wages: $20–$24/hr + Overtime Flexible work hours to suit your availability Pension Plan Ongoing paid training and professional development Recognition programs and caregiver appreciation events Bi-weekly pay, with daily and weekly pay options available Job Duties May Include: As a valued caregiver, you may assist clients with: Personal care and hygiene support Light housekeeping and laundry Meal planning and preparation Mobility support, transfers, and equipment use Companionship and mental engagement Transportation for errands or appointments Medication reminders Be a Part of Something Meaningful If you’re passionate about helping others live with dignity and comfort, Right at Home is the place for you. Join a team that treats caregivers with the respect and support you deserve.
Hayward Healthcare & Wellness Center

CNA Certified Nursing Assistant

A nursing assistant is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS • Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. • A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. • Must possess a sincere desire to serve the ill, aged and infirm. • Ability to read, write and speak the English language. • Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. • Willingness to work harmoniously with other personnel. • Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. • Must be in good general health and demonstrate emotional stability. • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. • Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. • Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. • Make beds, clean bedside and overbed tables. • Serve drinking water as required. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Pass water pitcher as per established policy and procedure. • Dress residents neatly and in their own clothing. Assist residents in dressing as necessary. • Assist in preparing residents for meals (taking to/from dining room, serving trays, placing bibs, assisting in feeding or cutting food, removal of trays, supervision in dining room, etc.). • Serve nourishment in accordance with established facility procedures. • Feed residents who cannot feed themselves. • Assure that resident’s food is accessible and self-help devices are available as needed. • Prepare residents for therapy, activities, physician visits, religious services, etc., to include transporting residents to/from such activities. • Keep incontinent residents clean and dry as possible at all times. Change bed linens, diapers and clothing as often as necessary. • Do not permit residents to smoke in bed. • Assure that the nurse’s call system is attached to the bed and within easy reach at all times when residents are bedfast. • Answer residents’ call lights promptly. • Check for food in residents’ room. Ensure that food is kept in a sealed container. • Report all complaints to the Charge Nurse. • Report any resident abuse immediately (ie., harsh/abusive language, unnecessary roughness, etc.) • Report any medication found in the resident’s room. Take to the Charge Nurse immediately. • Report all hazardous conditions and faulty equipment to the Charge Nurse immediately. • Report any bruise, skin tears, incidents or accidents to the Charge Nurse immediately. • Attend in-service educational programs, on the job training programs and meetings as directed. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. CLINICAL • Wash hands before and after caring for each resident. • Place residents in correct and comfortable position. Head of bed elevated at 30 for all residents on enteral feeding. • Assist residents with dental and mouth care. Clean dentures after each meal. Keep dentures clean and soaked with Efferdent after dinner. • Record resident’s food and nourishment intake as directed. • Perform after meal care as required – cleaning resident’s hands, face, clothing, dentures, etc. • Assist residents to/from bathroom. Offer bedfast residents bedpans and urinals. Clean and store such equipment after each use (document Intake and Output as directed). • Check and document bowel movements and character of stools every shift. • Bathe residents as assigned and in accordance with established facility procedures (encourage showers and other self-help measures/activities). • Comb and brush resident’s hair daily. Shampoo hair on shower days. • Clip and trim fingernails. • Shave male residents daily or as needed. • Keep hair under arms and face on female residents clean-shaven as necessary or instructed. Trim hair in nose and ears as needed. • Observe and report the presence of reddened areas on bony prominences. • Keep drainage bag off the floor when resident is in bed or in wheelchair. • Apply Vaseline or A & D ointment to dry skin in accordance with established policies. • Move and turn bedfast residents at least every two hours and record such information on CNA notes. • Observe disoriented and comatose residents and notify Charge Nurse immediately. • Apply postural support properly. Check with Charge Nurse for type of restraint to be used. • Apply hand roll or splint to residents with contractures as outlined within the facility’s established policies and procedures. • Follow infection control procedures in accordance with established facility policy when isolation techniques are necessary. • Chart required information every shift. • Complete Intake and Output documentation on all residents with orders before the end of each shift. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company Standards for resolving consumer concerns. • Ensures that all consumer/resident rights are protected.
Vi Living

LVN

$33.84 - $42.31 / hour
Overview Vi is recognized as a Great Place to Work and one of Glassdoor's 100 Best Companies to work for. Learn from the best and accelerate your career with Vi. What We Offer: Competitive pay Exceptional benefits Generous Paid Time Off - start accruing on day one 401k with company match Paid maternity and paternity benefits Award-winning training and development Tuition Reimbursement Luxury work environment Meaningful and rewarding work Vi at Palo Alto is located at 620 Sand Hill Road, Palo Alto CA 94304 Responsibilities Licensed Practical Nurse - LPN As a LPN you will be responsible for delivering care and services to residents through the identification of resident needs and implementing prescribed interventions along with evaluating outcomes and conditions. This position performs personal care for residents as needed and communicates and collaborates with other members of the care team to resolve resident care problems, enhance care delivery and participate in quality assessment and performance improvement activities. Qualifications Qualified applicants are required to have graduated from a School of Nursing for Licensed Practical/Vocational Nurses. Current CPR and Automated External Defibrillator (AED) certifications are required. Current First Aid certification is required or must be willing and able to become First Aid certified. Minimum 6 months of experience working as a Licensed Practical/Vocation Nurse is preferred. Prior experience working with geriatric clients is preferred. Food handlers certification, where required. Basic computer skills and/or willingness to learn. The application window is anticipated to close within 30 days of the date of the posting. Pay Range USD $33.84 - USD $42.31 /Hr.
Anchor Health

RN Case Manager

***SIGN ON BONUS*** Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. Anchor Health is a unique organization that offers enhanced hospice services throughout San Mateo County. We are currently seeking an experienced hospice RN Case Manager to join our team. Duties of Hospice Registered Nurse Include: 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. Conducts home visits and assesses/evaluates patient's status. Initiates the plan of care and makes necessary revisions as patient status and needs change. 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. Administers medications and treatments as prescribed by the physician. Attends and participates in Interdisciplinary Group Meetings. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Supervises ancillary personnel and delegates responsibilities when required. Qualifications: Graduate of accredited school of nursing Current RN license in California Current CPR Certificate Registered nurses shall have a minimum of (a) one year of experience as a professional nurse within the last three years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and current RN license. Minimum of two years experience, at least one of which is in the area of public, home care, or hospice nursing. Must have a valid CA driver license and an automobile that is insured in accordance with the requirements of state of California and is in good working order. Excellent observation, verbal and written communication skills and nursing skills per competency checklist. Job Types: Part-time
All Ways Caring HomeCare

Caregiver/Home Health Aide

Our Company All Ways Caring HomeCare Overview At All Ways Caring HomeCare our Caregivers play a crucial role in providing individualized care that suits the needs of each client in the comfort of their homes. It is our goal to identify individuals who are compassionate, a #DifferenceMaker, and want to feel awesome about their job every day. Flexible work schedules close to home Competitive pay with daily pay options available Benefits, Supplemental Plans, EAP, and 401K participation Bonus Opportunities Career growth and development opportunities Tuition reimbursement and campus partnerships Great company culture External Job Description Responsibilities align with the needs of our clients in assisting with daily activities to include, but not limited to the following: Meal preparation Housekeeping Companionship Personal hygiene care Transportation assistance Other light duties as assigned Qualifications If you have what it takes and meet the following criteria, then take the first step and express your interest by applying to join our awesome team today! Qualifications: No prior experience necessary. Orientation and training provided Eighteen years of age or older with valid driver’s license Effective verbal and written communication Capable of working responsibly with confidential information Accountable, reliable, and ability to work independently with good judgement Successful completion of pre-employment background check About our Line of Business All Ways Caring HomeCare delivers quality, compassionate, and individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy, and independence. Whether recovering from illness, injury, or surgery, living with a chronic disability, or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions, and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, older adult care management, Alzheimer’s/dementia care, respite care, and other programs. For more information, please visit www.allwayscaring.com. Follow us on Facebook and LinkedIn. Salary Range USD $18.69 / Hour
All Ways Caring HomeCare

Caregiver / Home Health Aide

$18.69 / hour
Our Company All Ways Caring HomeCare Overview At All Ways Caring HomeCare our Caregivers play a crucial role in providing individualized care that suits the needs of each client in the comfort of their homes. It is our goal to identify individuals who are compassionate, a #DifferenceMaker, and want to feel awesome about their job every day. Flexible work schedules close to home Competitive pay with daily pay options available Benefits, Supplemental Plans, EAP, and 401K participation Bonus Opportunities Career growth and development opportunities Tuition reimbursement and campus partnerships Great company culture External Job Description Responsibilities align with the needs of our clients in assisting with daily activities to include, but not limited to the following: Meal preparation Housekeeping Companionship Personal hygiene care Transportation assistance Other light duties as assigned Qualifications If you have what it takes and meet the following criteria, then take the first step and express your interest by applying to join our awesome team today! Qualifications: No prior experience necessary. Orientation and training provided Eighteen years of age or older with valid driver’s license Effective verbal and written communication Capable of working responsibly with confidential information Accountable, reliable, and ability to work independently with good judgement Successful completion of pre-employment background check About our Line of Business All Ways Caring HomeCare delivers quality, compassionate, and individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy, and independence. Whether recovering from illness, injury, or surgery, living with a chronic disability, or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions, and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, older adult care management, Alzheimer’s/dementia care, respite care, and other programs. For more information, please visit www.allwayscaring.com. Follow us on Facebook and LinkedIn. Salary Range USD $18.69 / Hour
Stanford Health Care

Relief NX Nurse Practitioner - OUTREACH NEURO SURG DOMINICAN HOSP (Day - 08 hrs)

$94.35 - $125.03 / hour
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) The per diem APP provides comprehensive care to patients undergoing surgical procedures, encompassing preoperative, intraoperative, and postoperative phases in the inpatient, OR, and outpatient setting. They work collaboratively with surgeons and other healthcare professionals to ensure optimal patient outcomes. Their responsibilities include patient assessment, surgical assistance, medication management, wound care, and patient education. They have an active clinical role during film review, treatment planning, preoperative testing, clinic appointments, and all phase of care. We are looking for a candidate who is flexible and able to adjust their schedule to meet coverage needs M-F. Key Responsibilities: • Collaborate with the surgical team to ensure high-quality, efficient patient care. • Conduct thorough patient assessments and provide preoperative, intraoperative, and postoperative care. • Assist in surgical procedures and manage medication and wound care. • Educate patients and their families about surgical procedures, risks, and post-operative care. • Support the development and implementation of protocols to enhance patient outcomes and operational efficiency. • Participate in quality improvement initiatives and ensure compliance with legal and regulatory standards. Qualifications: • Advanced Practice Provider (NP or PA) with experience in surgical care. • OR 1st assist designation • Strong commitment to patient care and safety. • Excellent communication and teamwork skills. • Proficient in clinical expertise, assessment, and diagnostic skills. Essential Skills: • Strong knowledge of surgical procedures and medical terminology. • Ability to analyze patient situations and make sound clinical judgments. • Effective organizational and time management skills. Join us in our mission to provide exceptional patient care and improve surgical outcomes. This is a Stanford Health Care job. A Brief Overview The Nurse Practitioner (NP) functions under this Nurse Practitioner Job Description approved by the Interdisciplinary Practice Committee (IDPC). The NP provides routine are and management of the patient with acute and chronic complaints, in collaboration with the supervising physician, and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the NP and his/her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, the Credentials & Privileges Committee, the Stanford Hospital and Clinics (SHC) Medical Executive Committee and the SHC Board Credentials, Policies and Procedures Committee. This job description covers all classifications for NPs within the organization. All NPs must meet all elements of the Essential Functions, Qualifications, and Supervision. There is a voluntary Career Ladder for NPs who are interested in promotions for clinical expertise and contributions to the institution as well as the profession. Promotion is determined based on the Center for Advanced Practice Career Ladder Handbook. Here is a description of the various levels: Job Attributes: LEVEL I LEVEL II LEVEL III FLSA Status: Exempt Exempt Exempt Job Code: 400077 400169 400170 Requirement: LEVEL I: Entry level LEVEL II: Meets Career Ladder criteria for NP II LEVEL III: Meets Career Ladder criteria for NP III Locations Stanford Health Care What you will do A. An NP may provide only those medical services which he/she is competent to perform, which are consistent with the NP’s education, training and experience, and which are performed under the supervision of a physician who is responsible for the patients cared for by that NP. B. An NP shall consult with a physician regarding any task, procedure or diagnostic problem which the NP determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. C. Scope of Practice of the NP: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients, according to written standardized procedures. [see Appendix A Assessment & Management of Patients] Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient, according to written standardized procedures. [see Appendix A: Assessment & Management of Patients] Administers, orders, furnishes and prescribes medications, according to written standardized procedures. [see Appendix B : Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. [see Appendix B: Administering, Ordering, Furnishing or Prescribing of Drugs; Formulary Protocol] Medications that are not FDA-approved or are used for a non-FDA-approved indication (off-label use) require a patient-specific order in advance from the supervising physician. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Education Qualifications Master’s or Doctoral degree in nursing from an accredited college or university. Note: NPs hired prior to March 1, 2012 are not subject to this educational requirement. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licenses and Certifications 1. Licensure as a Registered Nurse (RN) in the State of California. 2. Certification as a Nurse Practitioner (NP) in the State of California. 3. National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). a. Note: All NPs hired after November 1, 2013 must be nationally certified upon hire. 4. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). 5. Furnishing license issued by the Board of Registered Nursing (BRN). a. NPs with six (6) months or more experience shall obtain a current furnishing license within six (6) months of hire. 6. Additional board certification(s) may be required by certain specialties/departments. These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $94.35 - $125.03 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
All Ways Caring HomeCare

Caregiver/Home Health Aide

Our Company All Ways Caring HomeCare Overview At All Ways Caring HomeCare our Caregivers play a crucial role in providing individualized care that suits the needs of each client in the comfort of their homes. It is our goal to identify individuals who are compassionate, a #DifferenceMaker, and want to feel awesome about their job every day. Flexible work schedules close to home Competitive pay with daily pay options available Benefits, Supplemental Plans, EAP, and 401K participation Bonus Opportunities Career growth and development opportunities Tuition reimbursement and campus partnerships Great company culture External Job Description Responsibilities align with the needs of our clients in assisting with daily activities to include, but not limited to the following: Meal preparation Housekeeping Companionship Personal hygiene care Transportation assistance Other light duties as assigned Qualifications If you have what it takes and meet the following criteria, then take the first step and express your interest by applying to join our awesome team today! Qualifications: No prior experience necessary. Orientation and training provided Eighteen years of age or older with valid driver’s license Effective verbal and written communication Capable of working responsibly with confidential information Accountable, reliable, and ability to work independently with good judgement Successful completion of pre-employment background check About our Line of Business All Ways Caring HomeCare delivers quality, compassionate, and individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy, and independence. Whether recovering from illness, injury, or surgery, living with a chronic disability, or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions, and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, older adult care management, Alzheimer’s/dementia care, respite care, and other programs. For more information, please visit www.allwayscaring.com. Follow us on Facebook and LinkedIn. Salary Range USD $18.69 / Hour
All Ways Caring HomeCare

Caregiver / Home Health Aide

$18.69 / hour
Our Company All Ways Caring HomeCare Overview At All Ways Caring HomeCare our Caregivers play a crucial role in providing individualized care that suits the needs of each client in the comfort of their homes. It is our goal to identify individuals who are compassionate, a #DifferenceMaker, and want to feel awesome about their job every day. Flexible work schedules close to home Competitive pay with daily pay options available Benefits, Supplemental Plans, EAP, and 401K participation Bonus Opportunities Career growth and development opportunities Tuition reimbursement and campus partnerships Great company culture External Job Description Responsibilities align with the needs of our clients in assisting with daily activities to include, but not limited to the following: Meal preparation Housekeeping Companionship Personal hygiene care Transportation assistance Other light duties as assigned Qualifications If you have what it takes and meet the following criteria, then take the first step and express your interest by applying to join our awesome team today! Qualifications: No prior experience necessary. Orientation and training provided Eighteen years of age or older with valid driver’s license Effective verbal and written communication Capable of working responsibly with confidential information Accountable, reliable, and ability to work independently with good judgement Successful completion of pre-employment background check About our Line of Business All Ways Caring HomeCare delivers quality, compassionate, and individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy, and independence. Whether recovering from illness, injury, or surgery, living with a chronic disability, or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions, and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, older adult care management, Alzheimer’s/dementia care, respite care, and other programs. For more information, please visit www.allwayscaring.com. Follow us on Facebook and LinkedIn. Salary Range USD $18.69 / Hour
Stanford Health Care

PATIENT CARE MANAGER I (RN Required)- Ambulatory Care Tri-Valley- FT Days (8 Hours)

$89.01 - $117.94 / hour
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a high-impact operational and clinical leadership role responsible for end-to-end performance of a multi-specialty ambulatory practice, including Pulmonary/Sleep, Urology, Infectious Disease, Rheumatology, and Pain. The Patient Care Manager serves as the bridge between frontline care delivery and system strategy, ensuring safe, high-quality, patient-centered care while driving access, throughput, staff engagement, and financial performance. Recruiting Positioning • Opportunity to lead a growing, high-demand community-based specialty hub • Direct impact on access, population health, and reduced hospital utilization • Exposure to multiple specialties → strong career growth platform • Ability to shape workflows and culture, not just maintain operations • Part of Stanford Health Care’s innovation-driven environment This is a Stanford Health Care job. A Brief Overview The Patient Care Manager is a Registered Nurse who provides unit leadership and works in partnership with nursing, the healthcare team, hospital/system leaders to develop a quality practice setting that support professional nursing and quality patient care. The Nurse Manager is accountable for the effective delivery of competent, compassionate, and efficient patient care. Responsibilities include coordination of patient care; supervision of a professional team that includes multiple nursing and other staff as appropriate; administrative and budget management; troubleshooting of problem areas; organizational change management; ensuring compliance with accreditation and regulatory standards; quality assurance/quality improvement; safety and risk management requirements as well as actualization of hospital and unit policies, goals and objectives. Further, improving unit operations, enhancing communication and feedback, customizing education and staff roles, and accepting organizational accountability for services provided to recipients are critical outcomes expected of this role. The Nurse Manager role is critical to hospital operations and minimally accomplishes the following essential duties. Patient Care Manager I vs. II designation is based on span of control, hours of operation, and level of unit complexity. Locations Stanford Health Care What you will do Clinical Practice: Ensures the effective delivery of competent, compassionate, and efficient patient care by planning, organizing, and directing the nursing services of unit(s), including the assessment of patients, implementation of physicians' orders, treatment plans and medical procedures, administration of medication and record keeping of same as well as by monitoring and evaluating patient care processes and outcomes for the patient care unit(s); coordinates nursing activities with those of other services or disciplines. Demonstrates clinical competency in assigned specialty area role models nursing practice consistent with the organizational and department mission, vision and values. Communication: Communicates in a clear and effective manner to enhance team effectiveness, manage conflicts, engage employees and interdisciplinary colleagues in unit activities and performance changes. Collaborates with others within the unit and with all hospital departments and disciplines to enhance problem solving, decision making and performance improvement. Fiscal Accountability: Plans and forecasts the department budget by calculating required FTES, planning annual budgets, interpreting payroll and other key fiscal reports, projecting workload as well as monitoring and enhancing productivity. Performs variance analysis by interpreting financial performance and identifying key drivers. Identifies unit/capital budget needs in collaboration with physician and nursing colleagues. Plans and implements staff scheduling, position controls and attendance control procedures. Human Resources: Directs the personnel management of the employees assigned to the department consistent with state and federal labor laws, collective bargaining agreements, and nursing service and hospital philosophy, goals and policy. Ensures that new staff is interviewed, hired, trained, oriented, precepted and evaluated. Prepares and conducts employee performance appraisals. Approves transfers, promotions and other decisions affecting employee pay and status. Participates in initiating and documenting disciplinary actions and responding to grievances. Leadership: Assumes twenty four (24) hour responsibility and accountability for the operation of the assigned patient care unit(s), service(s), staff, and facilities. Plans, organizes and directs short and long term departmental activities in accordance with hospital goals and accrediting organization standards. Provides leadership and direction for the staff in the patient care unit(s) while supporting and actualizing the goals of the department, division, service, and hospital. Functions as a resource to staff and interdisciplinary team members and interdepartmentally, consults on nursing care and professional nursing practice. Performance Improvement: Assumes responsibility for accessing and utilizing appropriate date in order to monitor unit operations. Accountable for achieving patient and staff satisfaction targets for the organization and unit of responsibility. Develops, implements and evaluates process improvement projects/process in order to continually monitor and improve patient care. Professional Development: Facilitates professional development and clinical growth of nursing staff through implementation and maintenance of unit specific competencies. Promotes and facilitates educational opportunities based on assessment of staff needs. Quality Management: Supports the quality framework, which includes both clinical and service quality indicators. Creates an environment of patient care that is safe, effective, patient centered, timely, efficient and equitable. Clinical Practice: Ensures the effective delivery of competent, compassionate, and efficient patient care by planning, organizing, and directing the nursing services of unit(s), including the assessment of patients, implementation of physicians' orders, treatment plans and medical procedures, administration of medication and record keeping of same as well as by monitoring and evaluating patient care processes and outcomes for the patient care unit(s); coordinates nursing activities with those of other services or disciplines. Demonstrates clinical competency in assigned specialty area role models nursing practice consistent with the organizational and department mission, vision and values. Quality Management: Supports the quality framework, which includes both clinical and service quality indicators. Creates an environment of patient care that is safe, effective, patient centered, timely, efficient and equitable. Education Qualifications Bachelors and/or Masters in Nursing from an accredited college or university. Experience Qualifications Three (3) years of progressively responsible and directly related work experience. Required Knowledge, Skills and Abilities Ability to contribute to health care policy formulation when working in partnership with a multidisciplinary team of health care providers. Ability to delegate responsibly to others, activities according to ability, level of preparation, the standards of practice and regulatory guidelines. Ability to develop programs and lead process improvement projects. Ability to establish the strategic direction and business plans for a functional group. Ability to initiate and implement change conducive to the improvement of the quality and safety of patient care delivery. Ability to provide leadership, influence others to meet patient needs and achieve shared goals, to effectively prioritize system resources to provide quality and valued patient care, promote cooperative behaviors, act as a role model, resource and mentor. Ability to supervise, coach, mentor, train, and evaluate work results. Ability to use information and keep abreast of developments in technology to communicate, manage knowledge, mitigate error, and support decision-making in patient care. Knowledge of current theories, principles, practices, standards, emerging technologies, techniques and approaches in the nursing profession, and the health care system, and the responsibility and accountability for the outcome of practice. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care in the area of assignment. Knowledge of principles and practices of organization, administration, fiscal and personnel management essential to the practice of nursing in the larger context of health care. Knowledge of principles, practices and current trends in health care and hospital system organization and administration sufficient to provide clinical management, leadership, coordination, and operational direction for assigned areas of responsibility. Ability to contribute to health care policy formulation when working in partnership with a multidisciplinary team of health care providers Licenses and Certifications RN - Registered Nurse - State Licensure And/Or Compact State Licensure These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
21st Century Home Health Services

Home Health Field Registered Nurse (RN)

$130,000 - $160,000 / year
At 21st Century Home Health Services (21HHS) , we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties. Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%. We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities. Key achievements include: San Francisco Chronicle Top Workplaces in the Bay Area : Ranked 3rd among all medium-sized companies and 1st among home health agencies. National Recognition : Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies. Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health. Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management. This position works under an Case Manager Registered Nurse position. Coverage Area: Sonoma \n DUTIES AND RESPONSIBILITIES Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, JP, Biliary, Nephrostomy, ,Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage system ,Trach care, Blood draws, Ostomy management ,SQ and IM injections, IV antibiotic/TPN administration and Compression wraps. Provides direct patient care as defined in the state Nurse Practice Act Implements a plan of care initiated and directed by the Case Management Registered Nurse Provides accurate and timely documentation within 24-48 hours consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines Uses equipment and supplies effectively and efficiently Participates in personal and professional growth and development Performs other duties as assigned by the Case Management Registered Nurse Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care Gives a timely and pertinent report to the Case Manager Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions Entries will accurately record any incident that has a bearing on the patient. Reports pertinent information timely to the Case Management Registered Nurse and to Provider Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment Ensures patient privacy in maintaining medical records and when providing care. Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills Maintains productivity standards as directed by the Case Management Registered Nurse . Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed. Participates in on-call duties as required by weekend rotation Job Specifications One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting. One year of home health care experience is preferred. Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Graduate of an accredited school of nursing (Bachelor's degree) Current CA Registered Nurse License (RN) Current Basic Life Support (BLS) Card Valid CA Drivers License with acceptable driving record All license and certifications must be current at time of hire and sustained throughout employment Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Must maintain current with annual compliance training and certifications By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: https://21hhs.com/privacy-policy \n $130,000 - $160,000 a year Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match. \n 21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law. By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: https://21hhs.com/privacy-policy
Lucile Packard Children's Hospital Stanford

Surgical Tech Service Expert

$58.68 - $66.55 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: LP_00022963-2213 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Surgical Tech Service Expert is an advanced practitioner who provides expertise in one or more service lines. Provides expertise in the first scrub role in advanced surgical procedures. Serves as a clinical resource for Surgical Tech staff. Partners with Nursing Education in identifying education needs and collaborates in the development of competency-based orientation program for surgical technologists. Performs the preceptor role in the training of students. Participates and provides input to management in decision-making activities related to evaluating and acquiring surgical equipment, instruments and supplies. Leads process improvement initiatives in service area and identifies areas for improvement. Serves on department and hospital committees. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Functions and acts as the recognized expert and is fully responsible and accountable for Service Area of expertise. Acts as resource to less experienced team members throughout the day, even when scrubbed. Collaborates with OR Educator or Clinical Nurse Specialist (CNS) in the development and provision of a competency-based orientation program for the scrub role in their service and oversees those orienting within their Service. Works in collaboration with OR Management and participates in the annual competency evaluation of Core Team members in their Service. Develops and leads PI (Process Improvement) initiatives. Identifies issues that need improvement and follows through with solutions for positive outcome. Provides service-specific in-services yearly to members of the OR team. Actively participates in physician recruitment and on-boarding activities. Partners with Management and Division Chief in the development of new programs/procedures. Partners with Management to create staffing models to support block allocation for Service. Organizes the work flow, problem-solves, and manages multiple ongoing priorities. Serves as a teacher to the Anesthesia Techs, Operating Room Assistants and SPD Techs on the nuances of supporting their Service. Serves as an expert resource to Bio Med/Clinical Engineering, Vendors and Supply Chain, regarding their Service. Creates and navigates documents using Microsoft Office programs. Maintains and accurately processes and updates surgeon preference cards. Performs all surgical technologist functions. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Completion of an accredited program recognized by the National Board of Surgical Technology and Surgical Assisting or Formal structure surgical program, (e.g., military services) Experience: Five (5) years post program experience as a Surgical Tech in an acute care setting with similar patient case load, to include two (2) years specifically in the LPCHS OR (Operating Room). The two (2) year LPCHS - OR - experience for external candidates/new hires, three (3) years of direct service experience in a particular service in need of an expert and six (6) months of LPCHS experience, in which case the two (2) year LPCHS OR experience could be waived. License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) Certified Surgical Technologist by National Board of Surgical Technology and Surgical Assisting or Technician in Surgery - Certified by National Center for Competency Testing KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. Knowledge of the various surgical equipment and advanced surgical instrumentation. Knowledge and expert practice in the first scrub role in advanced surgical procedures. Skills - Leadership skills by displaying a positive attitude, possesses outstanding listening skills, utilizes assertive communication both in spoken and written word, coaches others to improve performance and is recognized as a team player within the department Skills - Time management and organizational skills. Knowledge of department fiscal requirements. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $58.68 to $66.55 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Lucile Packard Children's Hospital Stanford

Certified Nurse Midwife / Nurse Practitioner / Physician Assistant, Obstetrics

$87.55 - $109.44 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P143254-368 Job Description DEPARTMENT DESCRIPTION The Obstetrics Clinic at LPCH Stanford is a fast-paced clinic that provides services for both low and high-risk expectant mothers through the continuum of their gestation. We are looking for a detail-oriented and compassionate Advanced Practice Provider with women’s health experience who can work with a collaborative, high-functioning team to serve the needs of both antepartum and postpartum mothers in both individual clinic visits as well as in the group setting. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. Certified Nurse Midwife (CNM): The Certified Nurse Midwife (CNM) provides routine prenatal and postpartum care to patients with normal prenatal histories and postpartum courses as well as the management of those patients with acute and chronic conditions related to (and during the course of) pregnancy, in collaboration with the physician(s) and through implementation of standardized procedures. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. Certified Nurse Midwife (CNM): Licensure as a Registered Nurse (RN) in the State of California CNM - Certified Nurse Midwife. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Washington Hospital

Staff Nurse II - 5 West - Full Time, 12 hr - Days

$87.66 - $116.86 / hour
Salary Range: $87.66 - $116.86 plus applicable shift differential Job Description The Registered Nurse II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides fiscally responsible care to these patients via therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members. In addition to performing the essential functions listed below, may also be assigned other duties as required. Education Requirements Graduate of an accredited school of nursing; BSN preferred or ADN with three years of specialty experience. Work Experience Minimum of one year acute hospital experience, required. One year medical/surgical experience, required. License & Certifications Current CA RN license. Current certification in area of specialty, certification within the first year preferred. Current AHA BLS, required. ACLS, preferred. Skills & Abilities Ability to work productively in a busy and complex environment. Effective written and oral communication skills (in English).
Washington Hospital

Staff Nurse II - 5 West - Per diem, 12 hr - Days variable

$87.66 - $116.86 / hour
Salary Range: $87.66 - $116.86 plus applicable shift differential Job Description The Registered Nurse II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides fiscally responsible care to these patients via therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members. In addition to performing the essential functions listed below, may also be assigned other duties as required. Education Requirements Graduate of an accredited school of nursing; BSN preferred or ADN with three years of specialty experience. Work Experience Minimum of one year acute hospital experience, required. One year medical/surgical experience, required. License & Certifications Current CA RN license. Current certification in area of specialty, certification within the first year preferred. Current AHA BLS, required. ACLS, preferred. Skills & Abilities Ability to work productively in a busy and complex environment. Effective written and oral communication skills (in English).
Paradigm

Nurse Case Manager - East Bay, CA

$108,400 - $136,600 / hour
We are seeking a Field Nurse Case Manager to cover the East Bay Area in CA, and surrounding areas . A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip per appointment). These appointments would be to doctors’ offices, hospitals, and various other locations. There may be multiple appointments in 1 day. This individual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled individuals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers. At Paradigm, People Come First It's more than a job. It's a passion. Work at Paradigm, and you’ll find deep satisfaction knowing you’re making a profound difference in people’s lives. Meaningful work : better outcomes for all isn’t just our tagline. It’s what guides us to do our best—every day. At Paradigm, you’ll find an authentic connection between the work you do and your passion for making a difference in the world. Exceptional people : You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives. Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value diversity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes. Qualifications: Current, unencumbered Registered Nurse (RN) license in California Experience in case management of workers comp cases, preferred Recommended certifications (CCM, CRRN, CDMS, CRC) strongly preferred; will need to obtain within two years of hire date Skills required for success: organization and timeline adherence skills, PC and technology skills, communication skills (written, verbal, and interpersonal) Ability to operate autonomously with minimal oversight Skilled at patient education Valid driver’s license, and good driving history
Washington Hospital

Staff Nurse II (Wound Care) - OP Wound Services - Per DIem, 8 hr - Days

$87.66 - $116.86 / hour
Salary Range : $87.66 - $116.86 + applicable differentials Summary of Duties : The Staff Nurse II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame and provides fiscally responsible care to these patients via therapeutic use of self, the nursing process, the environment/instrumentation and other health care team members. Education Requirements : Graduate of an accredited school of nursing required. BSN Required. Licensure/Certification Requirements : Current California RN license, AHA BLS, and ACLS are required. WCN certification from WOCN. Experience Requirements : Minimum one year of acute care hospital experience required. One (1) year experience in an OP Wound Care Clinic is required with VAC dressings, Wound assessment skills, ostomy & principles of Wound management. Special Skills/Abilities : Ability to work productively in a busy and complex environment, effective written and oral communication skills in English. Case Manager experience preferred.
Haller's Home Health, LLC

Caregiver

$20 / hour
Want a role where you not only make a difference and are valued, but enjoy a flexible schedule, industry-leading bonus, referral program, and competitive pay? Look no further! Happier at Home provides companion care to help seniors stay more independent and remain in the comforts of their own home rather than need escalated levels of care. About the role: Caregivers help the elderly (in their homes) with a variety of daily activities such as: Meal planning and preparation Transportation Shopping and errands Light housekeeping Stripping the beds Laundry Set-up and monitoring of bathing and dressing Companionship Mental stimulation Encouragement and monitoring of exercises Overnight care We are looking for mature, responsible individuals to join our team as caregivers. Must pass background check Must have a valid drivers license Reliable transportation Caregiving experience: 1 year (Required) Preferred: Availability for all day, evening, or overnight shifts is a plus. Flexible schedule Referral program Pay: $20.00 per hour
Haller's Home Health, LLC

Caregiver

$20 / hour
Want a role where you not only make a difference and are valued, but enjoy a flexible schedule, industry-leading bonus, referral program, and competitive pay? Look no further! Happier at Home provides companion care to help seniors stay more independent and remain in the comforts of their own home rather than need escalated levels of care. About the role: Caregivers help the elderly (in their homes) with a variety of daily activities such as: Meal planning and preparation Transportation Shopping and errands Light housekeeping Stripping the beds Laundry Set-up and monitoring of bathing and dressing Companionship Mental stimulation Encouragement and monitoring of exercises Overnight care We are looking for mature, responsible individuals to join our team as caregivers. Must pass background check Must have a valid drivers license Reliable transportation Caregiving experience: 1 year (Required) Preferred: Availability for all day, evening, or overnight shifts is a plus. Flexible schedule Referral program Pay: $20.00 per hour
Haller's Home Health, LLC

Caregiver

$18 - $20 / hour
Want a role where you not only make a difference and are valued, but enjoy a flexible schedule, industry-leading bonus, referral program, and competitive pay? Look no further! Happier at Home provides companion care to help seniors stay more independent and remain in the comforts of their own home rather than need escalated levels of care. About the role: Caregivers help the elderly (in their homes) with a variety of daily activities such as: Meal planning and preparation Transportation Shopping and errands Light housekeeping Stripping the beds Laundry Set-up and monitoring of bathing and dressing Companionship Mental stimulation Encouragement and monitoring of exercises Overnight care We are looking for mature, responsible individuals to join our team as caregivers. Must pass background check Must have a valid drivers license Reliable transportation Caregiving experience: 1 year (Required) Preferred: Availability for all day, evening, or overnight shifts is a plus. Flexible schedule Referral program Pay: $18.00 - $20.00 per hour
CVHCare

Home Health Registered Nurse (RN) - San Jose

$90,000 - $160,000 / year
CVHCare, a leader in Home Health Clinical services , headquartered in beautiful San Ramon CA, is currently seeking a Registered Nurse . This is a great opportunity to join an established leader in the California home health industry, with the freedom to put your skills and imagination to work. We are Compassionate Visionary Health Care, where passion and team spirit are nurtured and rewarded. This is NOT a remote position Title: Home Health RN (Field) Schedule: Full Time (24 RVE p/week) * Non-traditional schedules are available, i.e., Thursday-Monday Locations: Area #12 covers the following cities: San Jose and Area #11 covering Santa Clara, Sunnyvale, Cupertino, Milpitas, Mt. View, Campbell, Los Altos, Saratoga, Los Gatos Paid Training: Must be able to train for 5 days Mon-Friday 9am-5:30pm in San Ramon (onsite) Position Summary: The Home Health RN monitors a patient’s overall health, and in partnership with a primary care physician, develops an individualized plan of care for their patients. Each RN functions as a case manager, and works independently to deliver quality healthcare to their patients. As well as customized care and patient education about disease management, the Home Health RNs provide a variety of specialized services, such as Simple to Complex Wound Therapy, Post-Surgical Care Management, and Ostomy Care Management. We provide an entire internal operational support team for our clinicians to handle the tasks of pre-populating the medication reconciliation, tracking down DME orders, getting MD signatures, coding, lab follow-up, etc., truly allowing you to function independently, with the flexibility to make your own schedule and plan patient visits around other commitments if needed. The home care setting allows you quality time with your patient in the comfort of their own home. Requirements: Minimum 1 year RN experience preferably in acute, SNF, Home Health or Hospice setting Must Possess an active CA Registered Nursing License AA, BSN, MSN Reliable Transportation Current CPR or BLS Card Benefits Include: Medical, Dental, Vision, 401K, Life Insurance, Holiday Pay and PTO Compensation is based on full time schedule
Premise Health

Registered Nurse, Infusion (RN)

$60 - $75 / hour
Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com. As a full- time Infusion Registered Nurse, you'll provide care to client employees and their dependents in our Health Center located in Sunnyvale, CA. The scheduled hours are Monday- Friday, 8a- 5p. What You'll Do Provides infusion nursing care to client employees and/or contractors and visitors to the health center. What You'll Bring Uses training and experience as an infusion nurse to administer medications by IV infusion in the outpatient setting. Initiating and maintaining intravenous lines and tubing, administering medication and fluid therapy. Ensure that patients receiving intravenous (IV) therapy receive care that is appropriate for the therapy ordered, from choosing an appropriate infusion device to the management of that device to monitoring and evaluating the patient’s response to the IV therapy. Uses nursing skills to evaluate patient care needs, prioritize treatment, and maintain patient flow. Conducts a nursing assessment by taking a patient history and physical assessment and by obtaining vital signs and other medical tests. Provides treatment within scope of practice as defined by state law. Collaborates with Physician or other Licensed Independent Practitioner to arrange for further medical treatment, when needed. Identifies equipment that needs repair and brings it to the attention of the lead clinician. Conducts appropriate laboratory tests and quality control procedures. Documents accurately all elements of nursing assessment, treatments, medications administered, discharge instructions provided, and follow up care arranged. Evaluates health education/promotion needs of patients and provides necessary training and instruction. Identifies emergency situations and provides care within legal scope of practice. Administers medications and medical treatments competently as directed by a Physician or Licensed Independent Practitioner. Maintains medical records using (In some health centers it may be using Electronic Medical Record software). Maintains a clean and safe environment. Follows infection control procedures. Maintains patient privacy and confidential patient information. Participates in follow up phone calls and follow up patient visits. Other duties as assigned. Education: Certificate from an accredited Nursing School or Associates’ degree (A.S.) is required. Bachelor's degree (BSN) from four-year college or university is preferred. Currently licensed Registered Nurse in state of practice required (CA) Current hands on training in AHA or ARC Basic Life Support for health care providers is required. Advanced Cardiac Life Support may also be required based on contract scope of services. Certification in Infusion Nursing preferred. (CRNI) Consideration given to candidates with experience and eligible to receive certification within 12 months of hire. Experience: At least three years’ experience as an infusion nurse. Knowledge and Skills: Knowledge of Internet software, Spreadsheet software and Word Processing software. Knowledge and experience with Electronic Medical Records preferred. Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits can be viewed here: https://jobs.premisehealth.com/benefits. Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law. Premise provides its reasonable and genuinely expected range of compensation for this job of $60.00 - $75.00 per hour. A number of factors will influence the rate offered for this position, including your experience, qualifications, geographic location, and other factors. Should you have questions regarding this job posting, please contact askhr@premisehealth.com.
21st Century Home Health Services

Home Health Field Registered Nurse (RN)

$130,000 - $160,000 / year
At 21st Century Home Health Services (21HHS) , we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties. Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%. We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities. Key achievements include: San Francisco Chronicle Top Workplaces in the Bay Area : Ranked 3rd among all medium-sized companies and 1st among home health agencies. National Recognition : Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies. Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health. Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management. This position works under an Case Manager Registered Nurse position. Coverage Area: Alum Rock San Jose \n DUTIES AND RESPONSIBILITIES Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, JP, Biliary, Nephrostomy, ,Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage system ,Trach care, Blood draws, Ostomy management ,SQ and IM injections, IV antibiotic/TPN administration and Compression wraps. Provides direct patient care as defined in the state Nurse Practice Act Implements a plan of care initiated and directed by the Case Management Registered Nurse Provides accurate and timely documentation within 24-48 hours consistent with the plan of care Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines Uses equipment and supplies effectively and efficiently Participates in personal and professional growth and development Performs other duties as assigned by the Case Management Registered Nurse Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care Gives a timely and pertinent report to the Case Manager Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions Entries will accurately record any incident that has a bearing on the patient. Reports pertinent information timely to the Case Management Registered Nurse and to Provider Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment Ensures patient privacy in maintaining medical records and when providing care. Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills Maintains productivity standards as directed by the Case Management Registered Nurse . Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed. Participates in on-call duties as required by weekend rotation Job Specifications One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting. One year of home health care experience is preferred. Experience with high acuity patients is a plus Experience working with an interdisciplinary team is highly desired Graduate of an accredited school of nursing (Bachelor's degree) Current CA Registered Nurse License (RN) Current Basic Life Support (BLS) Card Valid CA Drivers License with acceptable driving record All license and certifications must be current at time of hire and sustained throughout employment Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Must maintain current with annual compliance training and certifications By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: https://21hhs.com/privacy-policy \n $130,000 - $160,000 a year Estimated Wage Range for Home Health Registered Nurse (RN): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match. \n 21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.
Kaiser Permanente

Certified Registered Nurse Anesthetist - CRNA (Santa Clara, Full Time)

Job Summary: Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order. Essential Responsibilities: Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons. Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy. Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards. Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients. Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy. Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite. Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary. Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc. Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards. Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes. Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.