Nursing Jobs in Santa Ana, CA

PIH Health

Student Nurse, 4 Plaza Post-Surgical Telemetry, Resource Pool, Nights (Internal Candidates Only)

$21 / hour
Facilitates the provision of timely and effective patient care under the supervision of licensed members of the healthcare team. Helps maintain a safe and clean environment in order to enhance department operations. Patient care is delivered consistent with the model and philosophy of relationship based care. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Written and verbal English communication skills Basic organizational skills Knowledge of medical terminology Knowledge of infection control Able to work using aseptic techniques Required Experience Required: Completion of first semester (fundamentals of nursing) in accredited nursing education program Evidence of continuing education where required. Basic windows and mouse skills Current Basic Life Support Certification. Address 12401 Washington Blvd. Salary 21.00-21.00 Shift Nights Shift Differential 1.93 Zip Code 90602
Carbon Health

Urgent Care Physician Assistant or Nurse Practitioner

$61.75 - $85.75 / hour
Join Our National Network as a Part Time/Full Time Urgent Care Clinician (PA/NP) Are you ready to advance your career in a dynamic, supportive, and innovative healthcare environment? Join our team as a Part Time or Full Time clinician and discover endless opportunities to grow with us. Whether you’re seeking flexibility or envisioning a pathway to a rewarding part-time or full-time role, we offer the tools and support to help you succeed About Us At Carbon Health, we are transforming healthcare by combining exceptional care, advanced technology, and a supportive culture to create the best experience for both patients and clinicians. Our mission is to make high-quality healthcare accessible to everyone. To achieve this, we’ve built a thriving national network of urgent care clinics and a collaborative culture that fosters innovation, compassion, and excellence. At Carbon Health, clinicians work together to redefine healthcare standards, ensuring that patients receive the best care possible. A key element of our innovation is CarbyOS , our proprietary electronic health record (EHR) system, built from the ground up with providers in mind. Designed to reduce administrative burden, CarbyOS empowers providers to focus on patient care while saving hours of work on documentation. AI tools like our hands-free note-writer are embedded throughout CarbyOS, making it one of the most advanced and user-friendly systems in healthcare. At Carbon Health , we’re committed to creating a workplace where clinicians feel supported, valued, and empowered to grow. Your Role As an essential member of our clinical team, you’ll provide exceptional, patient-centered care while being part of a high-performing team committed to excellence. What You’ll Do: Conduct thorough assessments, diagnoses, and treatments for a variety of urgent care conditions. Order and interpret diagnostic tests, including x-rays, labs, and EKGs. Perform typical urgent care procedures, such as laceration repair, I&Ds, and splint applications. Collaborate with a network of peers and specialists to enhance patient outcomes. At Carbon Health, you’ll never truly work solo—you’ll always have immediate access to a supervisor or experienced colleague if you ever need support. Triage and manage patients efficiently to maintain a smooth clinic flow with generally 4-5 patients per hour. Perks 401(k) Match: Eligible for a 2% employer match to support your financial goals Weekend & Holiday Differential: Earn a 6.1% bonus on top of your base hourly rate for working weekends and holidays Productivity Bonuses: Earn up to 28% of your base salary in additional incentives Comprehensive Benefits: Includes Health Insurance, PTO, Sabbatical, Disability, and Parental Leave Opportunities for Growth Vibrant Culture: Engage with a collaborative, nationwide network of professionals. Lifelong Learning: Participate in weekly didactics, topical grand rounds, and hands-on procedure labs. Career Development: Explore leadership pathways and training opportunities within our expanding network. What We Offer At Carbon Health, we’re committed to creating a workplace designed with clinicians in mind: National Leader in Urgent Care Medicine: With clinics across the nation, you’ll have access to credentialing in multiple markets, offering opportunities to pick up shifts across various locations. Cutting-Edge Technology: Work with CarbyOS , our proprietary AI-powered EHR, designed to save time and enhance accuracy. Supportive Environment: Join a high-functioning , team-oriented workplace where your success and well-being are prioritized. Dynamic Community: Be part of a network of passionate professionals dedicated to making a difference. About You We’re looking for motivated clinicians eager to grow with us, contribute to a culture of excellence, and embrace opportunities for continuous learning and career development. Qualifications: Physician Assistant: Medical/Master’s degree with a valid state license and national certification. Nurse Practitioner: RN license, NP certification, and a valid state license. Requirements: Valid, unrestricted medical and DEA licenses. Ability to treat patients of all ages. DOT Certification: Must be obtained prior to your start date. Carbon will cover the course and exam fees and provide a roadmap and resources to help you succeed. BLS and/or ACLS certification is required and must be obtained before your first day with Carbon Health. Start Your Path with Carbon Health Today! Begin your journey as a part-time or full-time clinician and experience the freedom to explore while gaining access to a career full of opportunities. Join a team committed to innovation, growth, and making a difference—one patient at a time. Apply today and see how far your career can go with Carbon Health! Hourly Base Rate: $61.75 - $85.75 Productivity Bonus: Up to an additional 28% Part Time Salary (minimum 2 shifts per week): $64,220 - $89,180 base (at 2 shifts per week) $70,000 - $97,206 with productivity bonus (at 2 shifts per week) Full Time Salary (minimum 3 shifts per week): $96,330 - $133,770 base (at 3 shifts per week) $113,669 - $157,849 with productivity bonus (at 3 shifts per week) Compensation offers include an hourly rate, a wRVU bonus plan, a weekend differential, and a balance of factors such as level of education, experience, work history, and geographic location. The Company complies with all state and local wage and hour laws. It provides a total rewards package of compensation plus benefits, including medical, dental, and vision benefits, a 401(k) plan, learning and development programs, and Paid Time Off. Carbon Health will consider all qualified applicants without regard to race, color, religion, sex, national origin or any other status protected by law.
PIH Health

Registered Nurse (RN) Emergency, Full-Time, 3:00 PM - 3:00 AM

$50.50 - $82.64 / hour
Provides direct nursing care including: assessment, plan of care, education, and evaluation for assigned patients. Performs patient duties necessary to maintain the flow of patient care as well as coordinates the delivery of care provided by other care team members and disciplines. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Written and verbal communications, interpersonal skills. Basic organizational skills. Basic computer skills. Demonstrated leadership abilities. Patient assessment. Clinical education related to specialty. Principles of patient/family teaching. Required Experience Required: Current California RN license Evidence of continuing education Prior experience in an acute care facility or formal classroom education Current Basic Life Support Card Address 11500 Brookshire Ave. Salary 50.50-82.64 Shift Evening Shift Differential 7.00 Zip Code 90241
DaVita Kidney Care

Registered Nurse

$40 - $55 / hour
Posting Date 03/26/2026 27640 Marguerite PkwySte B, Mission Viejo, California, 92692-3604, United States of America Make a real impact—every day. As a DaVita RN, you’ll ensure compassionate and professional delivery of all dialysis-related nursing services in an outpatient setting, ensuring the safety, comfort, and wellbeing of your patients. You’ll work in a fast-paced environment, collaborate with our professional team of clinicians, and use your critical thinking skills to solve problems and support patient care. Key Responsibilities: Deliver dialysis treatments and monitor patient status Assess, troubleshoot, and respond to clinical situations Educate patients and build meaningful relationships Work as part of a supportive care team Qualifications: Current RN license in state of practice CPR certification and basic EKG interpretation 2+ years’ experience with acutely ill patients (ICU, ER, Med/Surg preferred) Strong assessment, time management, and communication skills CNN certification a plus What We Offer: Medical, dental, vision, 401(k) with match Paid time off and PTO cash out Parental leave, family support, and mental health tools Career growth and training through DaVita’s StarLearning platform Performance-based pay and advancement opportunities Start making a difference today. Apply now to join a team that values your skills and supports your career. #LI-SA1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $40.00 - $55.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
PIH Health

Case Manager Registered Nurse (RN) or Licensed Vocational Nurse (LVN) Full-Time, 8:30 AM - 5:00 PM

$33.35 - $87.50 / hour
The RN or LVN Care Manager participates in a continuum of care from pre-admission through post-discharge for assigned patients. Assure that patients and families proceed efficiently throughout the course of hospitalization. Assists in the appropriate utilization of hospital services, maximizing reimbursement from all third-party payors, and education of medical/hospital staff about healthcare options. Salary range varies by license: RN: $55.00 - $87.50/hour LVN: $33.35 - $55.75/hour PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Broad knowledge of disease process, pathophysiology, and treatment plan Well-honed organizational skills and familiarity with medical assessment Familiarity with the discharge process and care options Required Experience Required: Maintain an active California RN or LVN license (as applicable). Computer proficiency Minimum of 3 years clinical nursing experience. Preferred: Previous experience in case management preferred. Understands treatment plans and healthcare delivery system. Address 11500 Brookshire Ave. Salary 33.35-87.05 Shift Days Zip Code 90241
PIH Health

License Vocational Nurse (LVN) Home Health, PIH Health - LA/Orange County - Full-Time, 8:00 AM - 4:30 PM

$29 - $46.75 / hour
Home Health: The Home Health Licensed Vocational Nurse provides direct patient care in a patient’s place of residence under the direction/supervision of a Registered Nurse. Provides nursing care within the scope of practice for licensed vocational nursing and accepts responsibility of individual nursing actions, competence, decisions and behavior in the course of vocational nursing practice. Demonstrates performance consistent with the PIH Health vision of Patients First. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook , Twitter , or Instagram . Required Skills Home Health: Ability to work well with others, ability to organize and make effective use of time. With consideration to age, utilizes the approved process to resolve biophysical, psychological, educational and environmental needs to patient/significant others when administering care. Competent to complete basic nursing procedures. Cognizant of home health standards and practices. Computer skills and ability to navigate an electronic health record. Required Experience Home Health: Required: Current California license as a Licensed Vocational Nurse in good standing. A minimum of one year nursing experience, preferably in an acute care facility with a medical-surgical background. Current CPR card. Current California driver's license and valid auto insurance. Home Health experience preferred. Address 12401 Washington Blvd. Salary 29.00-46.75 Shift Days Zip Code 90602
AHMC Healthcare

Case Manager RN

Overview The RN Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge. She/he assures correct level of care: critical, telemetry, acute, observation, for all patients. The Case Manager provides an efficient, coordinated approach to clinical management, with an emphasis on discharge planning, care coordination and utilization management activities for select patient populations across the continuum of programs and services at AHMC. The essential functions of the RN Case Manager require constant collaboration with the Social Workers, Nursing staff, Financial Counselors, Medical Staff to coordinate the care of patients in a proactive manner. Responsibilities The position requires the full understanding and active participation in fulfilling the mission of AHMC- Anaheim Regional Medical Center. It is expected that the employee demonstrate behavior consistent with the core values. The employee shall support AHMC- Anaheim Regional Medical Center strategic plan and goals and direction of the performance improvement plan. Qualifications 2 years Utilization Management/Case Management experience preferred in acute care setting. Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria. Working knowledge of Title XVII and Title XIX. Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care is required. Ability to negotiate orders with the physicians in order to assign alternate levels of care. Working knowledge of community resources. Working knowledge of methods to resolve patient needs such as discharge planning, Home Health, DME and SNF’s. Ability to case manage smoothly and increase patient/physician satisfaction while staying within guidelines. Ability to track outcomes and report findings. Able to problem solve effectively. Ability to use clinical knowledge to identify potential quality issues, delays in service, post-acute care needs required. Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, and positive personal influence and negotiation skills. Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs. Must have the ability to work in a high volume caseload environment and deal effectively with rapidly changing priorities. Excellent computer skills with word, excel and power point.
Prime Healthcare

Registered Nurse (RN) - Surgery

$51.57 - $69.32 / hour
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! West Anaheim Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1964, West Anaheim Medical Center is a 219-bed acute-care hospital dedicated to providing the community with high-quality, compassionate healthcare. Key services include general medical and surgical inpatient care and treatment, emergency services, surgical services, behavioral health, comprehensive heart center, and diagnostic imaging. For more information visit www.westanaheimmedctr.com. Responsibilities Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS (AHA) certificate upon hire and maintain current.3. Current ACLS (AHA) certificate 30 days upon hire and maintain current.4. Minimum of one year previous Perioperative experience or on the job training5. Certified Nurse OR (CNOR) Certification (AORN) preferred.6. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency West Anaheim Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $51.57 to $69.32. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Part Time < 60 Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Carbon Health

Urgent Care Nurse Practitioner or Physician Assistant

$61.75 - $85.75 / hour
Join Our National Network as a Per Diem Urgent Care Clinician (PA/NP) Are you ready to advance your career in a dynamic, supportive, and innovative healthcare environment? Start as a per diem clinician and discover endless opportunities to grow with us. Whether you’re seeking flexibility now or envisioning a pathway to a rewarding part-time or full-time role, we offer the tools and support to help you succeed. About Us At Carbon Health, we are transforming healthcare by combining exceptional care, advanced technology, and a supportive culture to create the best experience for both patients and clinicians. Our mission is to make high-quality healthcare accessible to everyone. To achieve this, we’ve built a thriving national network of urgent care clinics and a collaborative culture that fosters innovation, compassion, and excellence. At Carbon Health, clinicians work together to redefine healthcare standards, ensuring that patients receive the best care possible. A key element of our innovation is CarbyOS , our proprietary electronic health record (EHR) system, built from the ground up with providers in mind. Designed to reduce administrative burden, CarbyOS empowers providers to focus on patient care while saving hours of work on documentation. AI tools like our hands-free note-writer are embedded throughout CarbyOS, making it one of the most advanced and user-friendly systems in healthcare. At Carbon Health , we’re committed to creating a workplace where clinicians feel supported, valued, and empowered to grow. Your Role As an essential member of our clinical team, you’ll provide exceptional, patient-centered care while being part of a high-performing team committed to excellence. What You’ll Do: Conduct thorough assessments, diagnoses, and treatments for a variety of urgent care conditions. Order and interpret diagnostic tests, including x-rays, labs, and EKGs. Perform typical urgent care procedures, such as wound closures, I&Ds, and splint applications. Collaborate with a network of peers and specialists to enhance patient outcomes. At Carbon Health, you’ll never truly work solo—you’ll always have immediate access to a supervisor or experienced colleague if you ever need support. Triage and manage patients efficiently to maintain a smooth clinic flow. Why Start as a Per Diem Clinician? We know flexibility is key, and starting as a per diem clinician lets you explore our organization while enjoying these benefits: 401(k) Match: Eligible for a 2% employer match to support your financial goals. Weekend & Holiday Differential: Earn a 6.1% bonus on top of your base hourly rate for working weekends and holidays. Vibrant Culture: Engage with a collaborative, nationwide network of professionals. Path to Growth: Opportunities to transition to part-time or full-time employment when available, unlocking more benefits and earning potential. Opportunities for Growth When you’re ready to grow with us, part-time and full-time clinicians gain access to: Productivity Bonuses: Earn up to 28% of your base salary in additional incentives. Comprehensive Benefits : Includes Health Insurance, PTO, Sabbatical, Disability, and Parental Leave. Educational Advancement: Participate in weekly didactics, topical grand rounds, and hands-on procedure labs. Career Development: Explore leadership pathways and training opportunities within our expanding network. What We Offer At Carbon Health, we’re committed to creating a workplace designed with clinicians in mind: National Leader in Urgent Care Medicine: With clinics across the nation, you’ll have access to credentialing in multiple markets, offering opportunities to pick up shifts across various locations. Cutting-Edge Technology: Work with CarbyOS , our proprietary AI-powered EHR, designed to save time and enhance accuracy. Supportive Environment: Join a high-functioning , team-oriented workplace where your success and well-being are prioritized. Dynamic Community: Be part of a network of passionate professionals dedicated to making a difference. About You We’re looking for motivated clinicians eager to grow with us, contribute to a culture of excellence, and embrace opportunities for continuous learning and career development. Qualifications: Physician Assistant: Medical/Master’s degree with a valid state license and national certification. Nurse Practitioner: RN license, NP certification, and a valid state license. Requirements: Valid, unrestricted medical and DEA licenses. Ability to treat patients of all ages. DOT Certification: Must be obtained prior to your start date. Carbon will cover the course and exam fees and provide a roadmap and resources to help you succeed. BLS and/or ACLS certification is required and must be obtained before your first day with Carbon Health. Start Your Path with Carbon Health Today! Begin your journey as a per diem clinician and experience the freedom to explore while gaining access to a career full of opportunities. Join a team committed to innovation, growth, and making a difference—one patient at a time. Apply today and see how far your career can go with Carbon Health! Per Diem Base Rate : $61.75 - $85.75 Compensation offers include an hourly rate and a balance of factors such as level of education, experience, work history, and geographic location. The Company complies with all state and local wage and hour laws. Carbon Health will consider all qualified applicants without regard to race, color, religion, sex, national origin, or any other status protected by law.
Prime Healthcare

Registered Nurse (RN) - Non-Critical Float Pool

$47.39 - $63.70 / hour
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation, and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients; He/She communicates with the physician about changes in the patient’s clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality. Registered Nurses in the Float Pool will be assigned as needed to the following departments, MedSurg, Behavioral, Telemetry, may also float to, ICU/CCU, and Emergency Department. Floating to the departments will be based on competencies. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License. 2. Current BLS certificate upon hire and maintain current. 3. Current ACLS certificate upon hire and maintain current. 4. Previous Acute Care hospital experience preferred. 5. Ventilator Management experience preferred. 6. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency La Palma Intercommunity Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $47.39 to $63.70. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Emanate Health

R.N. II ICU - Full Time - Nights - 12hr QVH

$48.97 - $74.88 / hour
Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary The Staff RN is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. He/she is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner consistent with the unit's standard of care. Utilizes nursing skills to determine the biophysical, psychosocial, environmental, self-care and educational needs of the patient/family/significant other to develop, implement and revise the plan of care. Job Requirements Minimum Experience Requirement: All (1) newly graduated nurses, (2) re-entry nurses, and (3) nurses new to the U.S. healthcare system must satisfactorily complete the Emanate Health R.N. New Grad Program. One year critical care experience is preferred. Excellent customer service skills required. Minimum License Requirement: Current RN license in the State of California. BLS certification required. AC L S required w ithin three (3) m o nth s of hire/transfer . Nation a l I n s t i tut e s of Heal t h ( N IH) Stro k e S c a le Cer t if i c a t ion " A" req u ired w ith i n three (3) m o n ths of hire/t r an s fer. Annual eight (8) hours of Stroke Education required for those working at QVH. SICU/Ambulatory ACLS certification within 3 months. National Institutes of Health (NIH) Stroke Scale Certification "A" required within three (3) months of hire/transfer. Emergency Services - ACLS and PALS Certification required within 3 months of hire. Assaultive Behavior Training Certification that meets AB508 and SB1299 required within 30 days of hire/transfer. New hires that have completed Assaultive Behavior training outside of Emanate Health will be required to complete Emanate Health Work Place Violence online awareness module within 30 days of hire/transfer. CEN preferred. National Institutes of Health (NIH) Stroke Scale Certification "A" required within 3 months of hire/transfer. Annual 8 hours of Stroke Education required for those working at QVH. Must be available to work every other weekend Delivering world-class health care one patient at a time. Pay Range: $48.97 - $74.88
Integral Senior Living

Med Tech

Integral Senior Living (ISL) proudly manages care and lifestyle-focused Independent Living, Assisted Living and Memory Care communities across California and surrounding areas serving thousands of residents and families throughout the region. Guided by our foundational “Culture Keepers”, we cultivate purpose-driven environments where residents thrive and Team Members feel valued, empowered, and supported. As part of one of the largest senior living organizations in the nation, our communities have earned Great Place to Work® certifications from 2022–2026. At ISL, purpose fuels every role, culture inspires every team, and continuous growth shapes every career. We continually aspire and invest in learning and development opportunities that support our team members’ professional growth, ensuring every team member has the tools to build a meaningful and rewarding career. We offer rewarding career opportunities that include: Competitive wages Access to wages before payday Flexible scheduling options with full-time and part-time hours Paid time off and Holidays (full-time) Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time) 401(K) with employer matching Paid training Opportunities for advancement Meals and uniforms Employee Assistance Program Our community is looking for a Care/Medication Technician to join our team. The Care Giver/Med Tech role includes providing hands on care, physical and emotional support to each resident while maintaining a safe and comfortable home like environment. Responsibilities: Care Giver: Responsible for a designated group of residents during the shift; knows where their residents are and physically checks on them throughout the shift. Observes, reports and documents symptoms and conditions of residents for changes in condition such as skin, behavior, alertness, weight, dietary and participation in activities. Responds to security system and resident call bells promptly. Notifies supervisor and/or Health Care Coordinator if a resident has increased care needs. Assists with continence management and disposes of all continence products properly to ensure sanitation of resident suite and community restrooms. Serves and collects food trays and assists as needed; reports refusal of meals or loss of appetite. Maintains cleanliness of resident’s room and work areas. Practices good standard care precautions of cleanliness, hygiene and health. Helps residents maintain independence, promotes dignity and physical safety of each resident. Actively participates/leads and assists residents with activities of daily living (i.e. bathing, dressing, toileting, grooming, ambulation, transferring, eating) as instructed. Engages residents in life skills and other life enrichment activities. Greets and assists all internal and external customers, guests, family members, residents, vendors and team members. Does resident laundry as assigned and needed. Medication Tech duties: Reviews service plan to learn pertinent information about residents. Assists/observes medications and treatments for each resident using the medication observation record and the Six Rights of Medication Pass. Documents and initials form as medications are given including appropriate documentation for refusal or missed doses. Maintains confidentiality of all resident information including resident medication. Reports all resident concerns made while assisting resident with the medication to the Nurse and/or Health Care Coordinator (HCC). Restocks medication cart after all medication passes. Assists in checking medication regardless of packaging system. Counts all narcotics with another Medication Care Manager or Nurse each shift. Maintains and cleans the Medication Room, med charts, treatment carts for neatness cleanliness, availability of medications and expired medications. Follows re-fill process for medications. Participates in the development of the Service Plan and monthly updates. Takes and records temperature, blood pressure, weight, pulse and respiration rates. Reports occupational exposures to blood, body fluids, infectious materials, sharp sticks and hazardous chemicals immediately. Other duties as assigned by the Supervisor. Qualifications: Certified Nurse’s Aid certification preferred. High School diploma/GED Must be 18 years of age. CPR Certification preferred First Aid Certification preferred Previous experience working with seniors preferred. If having a direct impact on the lives of others is appealing to you, apply today and join our team! EOE D/V
Prime Healthcare

Certified Nursing Assistant (CNA) - Psych Acute

$21 - $22.89 / hour
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com. Responsibilities The Certified Nursing Assistant in the Behavioral Health department is a licensed assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current Certified Nursing Assistant certificate upon hire, required.2. Current BLS upon hire and maintain current.3. Possesses knowledge of Medical Terminology.4. Minimum six months’ previous experience in an acute care hospital or physician’s office preferred. Pay Transparency La Palma Intercommunity Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $22.89. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Provider Solutions & Development

Per Diem Nurse Practitioner Interventional Cardiology

$78.43 - $100.83 / hour
St. Joseph Hospital is seeking a Per Diem nurse practitioner to join a highly skilled Interventional Cardiology team at the St. Joseph Hospital campus in Orange, California. This role is focused on inpatient care and provides the opportunity to work collaboratively with interventional cardiologists in a fast-paced, high-acuity environment. The Nurse Practitioner will function as an advanced practice provider delivering comprehensive cardiovascular care across the continuum, with a strong emphasis on interventional and procedural cardiology. Essential Responsibilities: Provide advanced inpatient cardiovascular care for patients undergoing interventional cardiology and electrophysiology procedures Manages the care of the patient, collaborating with the physician when necessary, according to SJO approved standardized procedures Assess the status of the patient and intervenes with appropriate orders and interventions. Monitors patient progress to ensure clinical and financial outcomes. Orders and evaluates appropriate diagnostic studies. Orders appropriate therapeutic interventions. Assists in tracking and trending outcome performance data on patient populations. Assist in the maintenance of databases specific to assigned patient populations. Participates in cost quality analysis making recommendations. Develops and implements action plan for practice changes to enhance patient outcomes Perform and maintain competencies in procedures as indicated, including MCS management and sheath removals Respond to emergencies, including groin complications, post op care emergencies, and inpatient consults Assist with pre- and post-operative care, including patient assessment, monitoring, and follow-up Conduct independent patient rounding after intake and assist with stress testing Collaborate closely with interventional cardiologists and the multidisciplinary care team to manage complex cardiac patients Serve as a clinical expert in interventional cardiology, electrophysiology, and acute cardiac care Document care accurately and in compliance with regulatory and organizational standards Schedule & Work Environment: Per Diem role Variable schedule No weekends Inpatient-only role Qualifications & Requirements: Required to be an Adult-Gerontology Acute Care Nurse Practitioner or Acute Care Nurse Practitioner license Ability to work independently and make sound clinical decisions in acute and emergent settings Strong collaboration skills and ability to function effectively within both large interdisciplinary teams and smaller focused care groups Experience or demonstrated competence in interventional cardiology or acute cardiac care preferred Compensation & Benefits: Compensation is between $78.43 and $100.83 per hour Salary range is provided in accordance with state law and may vary based on experience and other qualifying factors Can work independently, make critical decisions in acute setting and work well within a larger team and small groups The posted salary reflects the starting range of total compensation and may include productivity bonuses, incentives related to quality and performance, hospital/ED call stipends, extra shift incentives, and other forms of cash compensation as applicable to the position. In addition, providers typically receive a CME allowance and other benefits offered by their medical group employer. Please note that this salary range is provided in accordance with State law and is subject to variation due to the factors noted above. Where You’ll Work St. Joseph’s Health Hospital is the backbone of the St. Joseph's/Trinity Health integrated system, delivering award-winning care and enhanced value to its primary, specialized and urgent care facilities. A nationally recognized leader in cardiovascular and orthopedic surgical care, the 451-bed comprehensive medical care institution also has two state-of the-art ambulatory surgery centers offering outpatient surgery services. St. Joseph's Health Hospital is ranked a “Best Regional Hospital” by US News and World Report and is one of Becker's Hospital Review's “100 Great Community Hospitals.” It is the only Magnet-designated hospital in central New York. Where You’ll Live Only a few private orange orchards remain, but the city of Orange, located in central Orange County, still has plenty of character and attractions. This suburban stronghold basks in the moderate Mediterranean climate created by its proximity to the Pacific and the Santa Ana Mountains to the east. In addition to ample shopping, parks and fine dining, the city features a historic district dating to the early 20th century, with expertly preserved homes and buildings. Who You’ll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission — to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Check out our benefits page for more information. Equal Opportunity Employer including disability/veteran Job ID Number: 30603 Facility Name: St. Joseph's Health Hospital Location Name: Orange (the city) Brand Name: Providence Provider Profession: Nurse Practitioner Medical Specialty: Cardiology Job Setting: Hospital Type of Role: Clinical Email: christian.anderson@psdrecruit.org Phone Number: (503) 203-0807 Schedule: Per Diem Compensation: $78.43 - $100.83 Per Hour CP: Yes CB: Yes NP: Yes HC: Yes IS: No YM: Yes J1: No H1B: No Let’s get in touch If you have questions about this specific job or others, I'm all ears. Send me a note and we'll be one step closer to the right opportunity. Christian Anderson Provider Recruiter (503) 203-0807 christian.anderson@psdrecruit.org Contact Me
AHMC Healthcare

Chief Nursing Officer - Exempt (FT, Days) Monterey Park Hospital

Overview Under the administrative direction of the Chief Operating Officer (COO), the Chief Nursing Officer (CNO) serves as the highest-level senior manager over various nursing-related patient care departments/units within Monterey Park Hospital. The CNO manages, directs, plans, and coordinates the functions and activities of assigned areas; oversees and administers assigned patient care programs and services; assists the hospital’s COO and the hospital’s Board of Directors and other corporate administrators in the development, formulation, and implementation of hospital strategic plans, and serves as part of the hospital’s senior management team. The CNO may act for the Chief Operating Officer in her absence; provides direct input on the hospital's organizational structure; provides expert professional assistance to hospital executives on nursing-related matters; and performs other related duties as assigned. The CNO participates in executing administrative decisions as these functions relate to and impact the provision of total patient care and works collaboratively with all departments and members of the Medical Staff to accomplish strategic goals and advance the mission of Monterey Park Hospital. The CNO creates and maintains an ambiance that encourages, practices, and exudes the best efforts of professional nursing standards. The CNO promotes efficiency through sound and effective cost measures with a primary focus on providing quality health care. This position requires a full understanding and active participation in fulfilling the mission of Monterey Park Hospital. It is expected that the CNO demonstrates behavior consistent with the Hospital's Core Values. The CNO shall support the Hospital’s strategic plan and the goals and direction of the Performance Improvement Plan. Responsibilities TASKS/DUTIES/RESPONSIBILITIES Plans, organizes, and directs the hospital’s nursing units and other departments as assigned. Directs the personnel management activities of assigned areas; guides subordinate directors, managers, and supervisors in the selection, hiring, training, and development of staff as well as performance appraisal, documentation of deficiencies, performance recognition, and disciplinary actions. Works with Human Resources staff as appropriate. Makes recommendations to the COO regarding the evaluation, promotion, transfer, or discipline of nursing personnel. In coordination with nursing services units’ directors and managers, the CNO ensures appropriate nurse staffing and clinical care per regulatory and hospital policies. Establishes and directs the nursing model; reviews and evaluates administrative and clinical nursing procedures within the hospital; directs and oversees the development and implementation of clinical and operational policies, procedures, and standards, including quality assurance activities, and initiates changes as needed. Ensures subordinates follow approved processes and procedures. Confers with other hospital management and supervisory personnel to discuss management and patient care issues; confers with hospital administrative and medical staff regarding nursing program needs and administrative matters. Participates in hospital-wide strategic planning activities to ensure the delivery of comprehensive and coordinated health services. Monitors and evaluates new or revised regulatory agency and industry laws, regulations, and standards applicable to assigned areas and ensures that assigned activities comply with all requirements. Represents assigned areas to Corporate by identifying issues, resolving problems, and sharing information. Represents the organization positively and professionally at all times. Directs the preparation and maintenance of nursing records, reports, and statistics in accordance with administrative and nursing/ancillary policies as well as Joint Commission and Title 22, and CMS regulations. Oversees and reports on risk management strategies, including identification and monitoring of nursing-sensitive quality and safety indicators. Confers with education to ensure the education and training needs for clinical and nonclinical staff are met. Conducts and/or participates in a variety of staff and committee meetings as assigned. Directs and participates in the preparation and administration of nursing services and ancillary department budgets and capital outlay requests; evaluates staffing, equipment, and supply needs; prepares justifications and cost benefit analyses; reviews and recommends approval of expenditures; oversees the procurement of supplies and equipment for assigned areas. Prepares or reviews special studies, reports, and documents; reviews and ensures proper completion of reports, records, and other documentation. Ensures compliance with quality assurance, safety, infection control, and environmental procedures in accordance with regulatory requirements. Ensures development of subordinates and succession planning. Responsible for nursing staff morale, staff absenteeism management, and low nursing turnover. Develops strategies to promote nursing recruitment and retention, and recognition of excellence in nursing. Prioritizes projects and uses time management to maximize efficiencies. Ensure nursing, Title 22, and TJC standards are established and communicated to staff to ensure the effectiveness of the departments. Possesses the technical knowledge to appropriately develop spreadsheets, reports, and budgets. Works collaboratively with Human Resources to effectively handle administrative/labor proceedings. Actively engages in self-improvement and training activities for subordinates to ensure the strategic goals and objectives are met. Holds direct reports accountable for fulfilling their job responsibilities. Performs other duties as assigned. Qualifications EDUCATION/EXPERIENCE Bachelor's in Nursing required, Master's in Nursing required. Five years of increasingly responsible nursing, clinical, and administrative nursing management experience in an acute care hospital setting, overseeing multiple nursing areas, including but not limited to Education, Emergency Department, Intensive Care Unit, Medical/Surgical, and Perioperative Services, Infection Control, Nursing Administration, and Telemetry Excellent written/verbal communication and computer skills Experience in budget preparation and hospital operations. Thorough knowledge of: Principles and practices of personnel management, including planning and organizing work, delegating authority, motivating subordinates, appraising performance, and administering discipline. Principles and practices of nursing that optimize patient care. Principles of nursing administration and organization. Patient care standards mandated by regulatory agencies. Acute care hospital policies, procedures, and routines. Laws and regulations governing hospital operations, nursing practices, administering and accounting for medication, consents for treatment and related matters, such as Title 22 of the General Acute Care Hospital Regulations, the Joint Commission, CMS, and the Nurse Practice Act. Knowledge of healthcare wage and hour regulations, workers' compensation, leave of absence protected time off. LICENSES/CERTIFICATIONS Current California license as a Registered Nurse Current BLS and ACLS certification from the American Heart Association.
MemorialCare

Licensed Vocational Nurse (LVN), Telemetry

$32.19 - $46.68 / hour
Title: Licensed Vocational Nurse Location: Laguna Hills, CA Department: Telemetry Status: Full Time Shift: Variable Nights including weekends and holidays (8hr) Pay Range: $32.19/hr to $46.68/hr [$5,000] signing bonus available to external hires new to MHS employment, contingent upon satisfaction of employment requirements. MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups – consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork. Position Summary This position requires the full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee will demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback Medical Center’s strategic plan and participate in and advocate performance improvement/patient safety activities. The Licensed Vocational Nurse, (LVN) provides nursing care to patients within the LVN scope of practice as delegated by the Registered Nurse, (RN). The LVN performs tasks such as taking vital signs, administering medications, assisting with patient hygiene, and documenting patient care under the supervision of a Registered Nurse (RN) and in accordance with the LVN scope of practice. Responsibilities include directing unlicensed employee activity, collecting patient information, performing focused patient assessments, assisting the RN in planning and implementing interventions/MD orders, assisting the RN with teaching patients/family, and evaluating the care rendered according to the LVN scope of practice. The LVN must effectively communicate and document data relevant to the care of the patient. The LVN utilizes knowledge of patient age, cultural diversity, and psychosocial and/or spiritual needs into the patient’s care to support the RN and the nursing process. The LVN collaborates with other professional disciplines to ensure safe and effective patient care delivery and the achievement of desired patient outcome. Provides nursing care within the scope of the LVN Practice. Essential Job Outcomes Collects data and uses scope of practice to appropriately deliver interventions and when necessary to escalate to the RN or MD. (Utilizes Chain of Command) Demonstrates the ability to utilize effective critical thinking skills. Demonstrates accountability in the coordination of patient care across the healthcare continuum with progress towards meeting desired patient outcomes. Collaborates with licensed and unlicensed personnel. Demonstrates knowledge of the clinical information system and applies principles to patient documentation. Follows a teaching plan and evaluates effectiveness of learning in collaboration with the RN; family is included in teaching plan as necessary. Serves as a role model and mentors new staff members. Demonstrates the ability to integrate knowledge of job specific competencies. Identifies, develops and implements an action plan for self-development/professional growth. Identifies subtle as well as obvious patient problems and reports to an appropriate resource person considering multidisciplinary team members and/or Chain of Command. Addresses the age specific needs of all populations served: adolescent, adult, and geriatric. Contributes to an effective and safe working environment. Demonstrates tact, sensitivity and discretion to maintain good relations with others. Ability to interact in a positive and constructive manner. Ability to prioritize and multitask. Ability to be at work and be on time. Ability to follow company policies, procedures, and directives. Performs other duties as assigned. *Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Prime Healthcare

Certified Nursing Assistant (CNA) - Psych Acute

$21 - $22.89 / hour
Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! La Palma Intercommunity Hospital, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute-care community hospital and the only hospital in La Palma. Our highly qualified team is committed to providing outstanding service in a safe, comfortable, and caring environment. Patients treated at La Palma Intercommunity Hospital benefit from the expertise of a large hospital system in a smaller, more personal setting. For more information visit www.lapalmaintercommunityhospital.com. Responsibilities The Certified Nursing Assistant in the Behavioral Health department is a licensed assistive person who assists with activities of daily living, provides basic nursing care to non-critical patients and assists in maintenance of a safe environment under the direction and supervision of the Registered Nurse in charge of the team and/or unit. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current Certified Nursing Assistant certificate upon hire, required.2. Current BLS upon hire and maintain current.3. Possesses knowledge of Medical Terminology.4. Minimum six months’ previous experience in an acute care hospital or physician’s office preferred. Pay Transparency La Palma Intercommunity Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $22.89. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
AHMC Healthcare

NICU Clinical Nurse Specialist

Overview The Clinical Nurse Specialist (CNS) is an advanced practice nurse who functions in the role of expert clinician, educator, consultant and researcher. In collaboration with the Medical and Nursing Staff, the CNS monitors the clinical care of patients and provides clinical support to improve patient care and outcomes. With in-depth knowledge and skills, advanced judgment and clinical experience in a nursing specialty, the CNS assists patients and provides clinical support to improve patient care and outcomes. With in-depth knowledge and skills, advanced judgment and clinical experience in a nursing specialty, the CNS assists patients, families, staff, physicians and leadership in providing solutions for complex patient care issues. The CNS serves as a role model, patient advocate, change agent, and leader to enhance patient care. The CNS position practices within the scope of the California Nursing Practices Act and in accordance with AHMC-Anaheim Regional Medical Center policies. Qualifications: Master’s degree in Nursing with expertise in clinical nursing specialty. Requires a minimum of three years related experience. Prefer 5 years of increasingly responsible experience which demonstrates proficiency in the skills and knowledge required to perform the job. Current CA Registered Nurse license Current BLS-HCP, ACLS, NRP & Certification Qualifications Qualifications: Master’s degree in Nursing with expertise in clinical nursing specialty. Requires a minimum of three years related experience. Prefer 5 years of increasingly responsible experience which demonstrates proficiency in the skills and knowledge required to perform the job. Current CA Registered Nurse license Current BLS-HCP, ACLS, NRP & Certification
AHMC Healthcare

OR Clinical Shift Manager

Overview his position is a first line management position. The incumbent has 12-hour responsibility for the coordination of care for patients and families. In conjunction with the area’s Operations Manager or Director, the incumbent shall plan, organize, direct, andevaluate people and activities for the department to ensure the delivery of high quality, cost-effective patient care. In conjunction with the area’s Operations Manager or Director, the incumbent has fiscal responsibility for resources that are defined during the budget process. The position is accountable for scheduling, coordinating, and maintaining the resources necessary on a daily, weekly, and monthly basis.This position’s primary focus is with employees, patients, families, physicians and the key contributors from other departments who impact the services of the department. The success of the department depends significantly on the incumbent’s ability toparticipate well with others and/or collaborate with other managers w ithin the Division of Nursing and the Medical Center.The employee is expected to support and implement organizational expectations including but not limited to: customer service,patient rights, confidentiality of information, safe environment of care and AHMC initiatives. Responsibilities The Clinical Shift Manager reports to the area’s Operations Manager or Director. The Vice President, Patient Care Services/CNO is accountable for planning, developing new services, policy formation, human resources management and organization, financial performance, patient care services operations, and medical management staff relations within his/her area of responsibility. In addition, the area’s Operations Manager or Director is responsible to provide leadership to redesign the health care delivery structure to position the organization to be a leader in an integrated delivery netw ork. Qualifications Bachelor’s Degree or Master’s preferred. Associates Degree in Nursing. Minimum of two years direct patient care experience in designated area. In lieu of this experience, consideration will be made for staff with strong education and associated experiential background. Effective written and verbal communication skills. Management style that is open, team-oriented, collaborative, and based on trust and personal integrity. Highly developed sense of initiative and flexibility, along with good judgment and analytical skills. Current BLS–HCP; national certification in specialty area preferred. ACLS/PALS/NRP/advanced fetal monitoring/NIH certification as per specialty area.
ScionHealth

LA Float Pool Med Tele Registered Nurse RN FT Nights

Description LA Float pool supports our LA, San Gabriel, South Bay, Baldwin Park & Paramount Hospitals At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. Directs, supervises, provides and evaluates nursing care provided to patients. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated. Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications. Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Receives physician’s orders, ensures transcription is accurate and documents completion. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Performs treatments and provides services to level of licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Initiates or assists with emergency measures for sudden adverse developments in patients’ condition. Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off. Communicates appropriately and clearly to management, co-workers, and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Participates in orientation, instruction/training of new personnel. Manages and operates equipment safely and correctly. Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Must read, write and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned. Pay Range: $44.38 - $55.18/Hr + $8hr to work float pool ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Postsecondary certificate, diploma, or program graduation from an accredited school of nursing. (Required) Associate’s Degree or Bachelor’s Degree in Nursing. (Preferred) Licenses/Certifications Registered Nurse (RN) – State Licensure and/or Compact State Licensure in the state of practice. (Required upon hire) Basic Life Support (BCLS). (Required upon hire) Advanced Cardiac Life Support (ACLS). (Preferred upon hire) Experience Six (6) months of Medical/Surgical nursing experience in an acute care setting. (Preferred) Experience demonstrating critical thinking, decision-making, and effective prioritization in a fast-paced clinical environment. (Preferred)
ScionHealth

Registered Nurse - Full Time Nights

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention, and Evaluation. Develops nursing care plans in coordination with patient, family and interdisciplinary staff as necessary. Communicates changes in patient’s clinical condition with Physicians, Nursing Supervisor/Manager, and co-workers as appropriate. Participates in discharge planning process. Essential Functions Maintains the standard of nursing care and implements policies and procedures of the hospital and nursing department. Directs, supervises, provides and evaluates nursing care provided to patients. Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, complexity of the task, and within scope of practice of the staff to whom the task is delegated. Assigns nursing care team members in accordance with patient needs, team member’s capabilities and qualifications. Documents patient admission assessment and reassessments, patient care plans and other pertinent information, completely in the patient’s medical record according to nursing standards and policies. Performs assessment on all patients on admission and reassessments as per policy. Makes referrals to other disciplines based on assessment. Develops nursing care plan of assigned patient on admission, updates plan of care as needed and ensures plan of care is coordinated with patient, family, and other members of the team. Assesses and reassesses pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. Revises the plan of care as indicated by the patient’s response to treatment and evaluates overall plan daily for effectiveness. Performs patient care responsibilities considering needs specific to the standard of care for patient’s age. Receives physician’s orders, ensures transcription is accurate and documents completion. Administers medication utilizing the five rights of medication administration reducing the potential for medication errors. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate. Assists physicians with examinations, treatments and special procedures and performs services requiring technical and manual skills within scope of practice. Performs treatments and provides services to level of licensure. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers. Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Interprets data about the patient’s status to identify each patient’s age specific needs and provide care needed by the patient group. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Initiates or assists with emergency measures for sudden adverse developments in patients’ condition. Answers telephone, paging system, patients’ call lights, anticipates patients’ needs, and makes rounds of assigned patients and responds as appropriate. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Provides end of shift report to oncoming nurse, narcotics are counted, documentation is complete, and physician orders signed off. Communicates appropriately and clearly to management, co-workers, and physicians. Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs. Participates in orientation, instruction/training of new personnel. Manages and operates equipment safely and correctly. Knowledge/Skills/Abilities/Expectations Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Must read, write and speak fluent English. Must have good and regular attendance. Performs other related duties as assigned. Pay Range: $44.38 - $56.28/Hr $15k Sign on bonus ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Postsecondary certificate, diploma, or program graduation from an accredited school of nursing. (Required) Associate’s Degree or Bachelor’s Degree in Nursing. (Preferred) Licenses/Certifications Registered Nurse (RN) – State Licensure and/or Compact State Licensure in the state of practice. (Required upon hire) Basic Life Support (BCLS). (Required upon hire) Advanced Cardiac Life Support (ACLS). (Preferred upon hire) Experience Six (6) months of Medical/Surgical nursing experience in an acute care setting. (Preferred) Experience demonstrating critical thinking, decision-making, and effective prioritization in a fast-paced clinical environment. (Preferred)
Prime Healthcare

Registered Nurse (RN) - Telemetry

$43.25 - $59.37 / hour
Overview Chino Valley Medical Center is a 112-bed community hospital established in 1972 and centrally located in Southern California’s Chino Valley. A nine-time recipient of the Healthgrades Patient Safety Excellence Award (2014-2022), Chino Valley Medical Center has been recognized nationally for its quality, including as among the 100 Great Community Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health. Chino Valley Medical Center is committed to serving the community’s health care needs with top-rated emergency care as well as senior services, orthopedics, surgical services and more. Learn more at www.cvmc.com. Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community ! Why Prime Healthcare? Chino Valley Medical Center , a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs Our Total Rewards package includes, but is not limited to: Paid Time Off 401K retirement plan Outstanding Medical Dental Vision Coverage Tuition Reimbursement Many more Voluntary Benefit Options! Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. Chino Valley Medical Center is nationally recognized, locally preferred, and community focused. Responsibilities The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in Telemetry Unit. The Registered Nurse is directly responsible and accountable for the care given to their assigned patients. They communicate with the physician about changes in the patient’s clinical condition including cardiac monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License. 2. Current BLS certificate upon hire and maintain current. 3. Basic Arrythmia Interpretation within 30 days of hire. 4. Current ACLS certificate 30 days upon hire and maintain current. 5. Previous Acute Care hospital experience preferred. 6. Ventilator Management experience preferred. 7. Medical-Surgical Nurse-Board Certified (RN-BC) or similar certification; preferred. 8. Bachelor of Science in Nursing (BSN) preferred. #LI-DNI Pay Transparency Chino Valley Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $43.25 to $59.37. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
ScionHealth

Certified Nursing Assistant - Full Time Nights

$21 - $23.60 / hour
Description Kindred Hospital Paramount and Acute Rehabilitation Unit (ARU) is 177-bed hospital. With 159 long-term acute care hospital (LTACH) beds, we offer the same in-depth care you would receive in a traditional hospital, but for an extended recovery period. Our 18-bed ARU is designed for people who have experience the debilitating effects of an acute injury, impairment or illness and like the LTACH, we partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. Job Summary Assists professional nursing personnel in providing patient care in assigned area. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of professional nursing personnel. Essential Functions Consults with and keeps supervisor informed of unit activities, needs, and problems related to patient care. Provides general nursing care such as positioning the patient, lifting, turning, applying/utilizing special equipment, assisting in the use of bed pan, urinal or commode, ambulating the patient, pre operative and post operative care, and application of binder or anti embolic stockings, bed bath, oral/hair/back care, changing bed linens, cleaning over bed table, and bedside stand, straightening patient room and other general care necessary during the shift. Takes and records temperature, pulse, respiration, weight, height, blood pressure, and intake and output measurements accurately. Documents in a timely manner. Prepares patient room and bed for admission and transfers and ensures all necessary equipment is in room. Maintains an attractive and comfortable environment for patients with special consideration to cleanliness of room, ventilation, and lighting. Assists in patient admission, transfer, and discharge procedures. Assist with handling and care of patient belongings and other personal property. Answers patient call lights, telephone, and paging system and responds as appropriate. Under the direction of the Registered Nurse, performs routine treatment procedures such as enemas, application of appliances for heat and cold. Able to release, remove, and reapply restraints to patient under the direction of an RN. Ensures patient is in proper position and alignment. Assist Registered Nurse and/or LVN/LPN with complicated patient treatment procedures. Serves and removes patient meal tray in timely manner. Assists with feeding and/or preparing items such as opening milk container, cutting food for patient. Knowledge/Skills/Abilities/Expectations Must read, write and speak fluent English. Must have good and regular attendance. Excellent oral and written communication and interpersonal skills Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Performs other related duties as assigned. Pay Range: $21.00 - $23.60/Hr S7,500 Sign on bonus ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications Education Completion of course for nursing assistants. Licenses/Certification Current Nursing Assistant Certification BLS Certification Experience Minimum six months’ experience in acute or long-term care facility.
AHMC Healthcare

Nurse Practitioner

Overview The position will work in collaboration with the medical director of cardiothoracic surgery and hospital staff to provide comprehensive care including medical procedures that may be required for a specialty area, utilizing approved standardized procedures as outlined in the NPA, Section 2834 including Furnishing Drugs and Devices, and CCR Section 1480. Primary responsibilities include but are not limited to the following: Provides leadership, clinical guidance and professional expertise to staff. Analyze pathophysiology for various cardiovascular disease processes Develop cardiovascular diagnoses, formulate a treatment plan and evaluate patient response to treatment Monitor the effectiveness of therapeutic interventions Utilize evidence-based medicine practices using quality, cost-effective care Educate patients and families regarding the cardiovascular disease process, including primary and secondary cardiac prevention, while remaining cognizant of the patient's emotional, physical and cultural needs Develop organizational skills to manage a patient caseload Develop effective communication and presentation skills with the interdisciplinary team Prescription of pharmacological agents and treatments and non-pharmacological therapies, Counseling and education to meet patient needs The position has responsibility for providing administrative expertise in the coordination and delivery of patient care to pre and post op open heart patients in collaboration with the staff caring for the patients and the cardiothoracic surgeon. Additional responsibilities include pre and post-operative teaching, working on the admission process, and patient and family teaching. The Cardiovascular Nurse Practitioner is also responsible for collecting STS and CCORP data and presenting this data at department meetings. This position is an 8 hour and On Call. Qualifications Minimal two years of experience of direct patient care. Broad understanding of patient care process. Minimal one year experience in management position and ability to apply principles of managerial and leadership theory. Possesses good cognitive and technical knowledge and the ability to progressively manage care delivery across the continuum of care. Able to retrieve, communicate and present data and information both verbally and in writing. Must be flexible with work scheduling. Involve discretion and independent action within prescribed limits MN/MSN required. DNP preferred. Current CA RN license. Current CA NP license. Current furnishing preferred at time of hiring but required within 3 months of hiring. Current DEA license preferred at time of hiring but required within 3 months of hiring. Current BLS Current ACLS
AHMC Healthcare

RN First Assistant

Overview The role of the RN First Assistant to the surgeon requires the performance of a combination or nursing and medical functions. The RNFA practices advanced surgical assisting skills such as providing exposure, tissue handling, suturing, providing hemostasis, and using surgical instruments. The RNFA is involved in all aspects of pre-operative, intra-operative and post-operative patient care within the scope of the privileges approved by the Medical Center. The RNFA participates in the daily activities of the department as an active team member and assists in any other capacity according to established procedures. This position requires the full understanding and active participation in fulfilling the mission of AHMC Anaheim Regional Medical Center. The employee will also be expected to support all organizational expectations including, but not limited to; Customer Service, Patient’s Rights, Confidentiality of Information, Environment of Care and Anaheim Regional Medical Center initiatives. Registered Nurse First Assistants must abide by the Principles of Medical Ethics of the American Medical Association, or any other appropriate Code of Ethics consistent with the laws of the United States and the State of California. Qualifications Minimum of 3-5 years of diversified OR experience. Proficiency in perioperative nursing practice as both a scrub and circulating nurse.Knowledge of surgical anatomy, physiology, pathophysiology, and operative technique related to the operativeprocedures in which the RN assists.Ability to demonstrate skill in behaviors unique to the RN first assistant (as defined) Meets requirements of statutes, regulations and institutional policies relevant to RN First Assistants. Successful completion of an RNFA program and internship that meet the “AORN recommended education standards for RN first assistant programs.”