Nursing Jobs in Visalia, CA

Kaweah Health

Certified Nurse Midwife

$75.81 - $113.71 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 10 Hour Shift (United States of America) Department 7183 RHC-Exeter Health Clinic Under a collaborative agreement with a physician, provides prenatal and postnatal medical care, treatment, and education to obstetrical and gynecological patients in accordance with established midwifery practice guidelines. QUALIFICATIONS License/Certifications Required: CA Registered Nurse CA Nurse Midwife CA Nurse Midwife Furnishing Number or Nurse Practitioner Furnishing Number Certified Nurse-Midwife from American Midwifery Certification Board Drug Enforcement Administration (DEA) registration BLS Education Preferred: Master's degree Experience Required: One year of experience as a Certified Nurse Midwife Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. JOB RESPONSIBILITIES Essential Provides direct prenatal, intrapartum, and postpartum patient services and primary care to low risk and at-risk obstetrical and gynecological patients using general accepted standards of practice, which includes assessment, diagnosis, treatment consultation and co-management of at-risk patients, and referral when appropriate to either MD/DO only management or referral to consultant, such as Maternal Fetal Medicine. Assists with the follow-up care of referrals and provides the appropriate information to the referral source. Provides discharge instructions. Provides outpatient/inpatient care for obstetrical patients in accordance with hospital protocols for Certified Nurse Midwife care. Obtains patient health histories and completes physical exams. Orders and interprets appropriate diagnostic and laboratory tests. Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family, staff, and healthcare learners. Participates in call rotation for OB/GYN department per individual contract obligation and with MD/DO backup. Monitors quality of patient records and ensures inclusion of all appropriate findings, recommendations, follow-up care and referral. Provides educational and other related services for well women care; manages well women care for essentially healthy women through their life cycle. Provides staff and student education. Documents the necessary components to meet documentation standards for the assigned DRG and Perinatal Core Measures. Participates in quality improvement/assurance activities. Assists in the review and development of standing orders and policies and procedures. Provides consultative direction as needed. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Participates in a team approach to patient care and provides for effective communication to other KD staff to ensure continuity of care. Assumes additional responsibility and performs other duties consistent with the requirements of state licensure. Initiates necessary emergency interventions to stabilize patient in conjunction with the rapid response team. Utilizes current research and evidenced-based decision-making in all clinical practice settings. Incorporates research findings in the development and implementation of standards of care. Supports IRB approved clinical research/trials through a variety of activities. Participates in and support accreditation, compliance, and regulatory activities of Kaweah Health. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $75.81 -$113.71 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Certified Nurse Midwife

$75.81 - $113.71 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 10 Hour Shift (United States of America) Department 7191 KH Medical Clinic - Willow Women's Health Under a collaborative agreement with a physician, provides prenatal and postnatal medical care, treatment, and education to obstetrical and gynecological patients in accordance with established midwifery practice guidelines. QUALIFICATIONS License/Certifications Required: CA Registered Nurse CA Nurse Midwife CA Nurse Midwife Furnishing Number or Nurse Practitioner Furnishing Number Certified Nurse-Midwife from American Midwifery Certification Board Drug Enforcement Administration (DEA) registration BLS Education Preferred: Master's degree Experience Required: One year of experience as a Certified Nurse Midwife Knowledge/Skills/Abilities Must complete credentialing through Medical Staff Interdisciplinary Practice Committee. JOB RESPONSIBILITIES Essential Provides direct prenatal, intrapartum, and postpartum patient services and primary care to low risk and at-risk obstetrical and gynecological patients using general accepted standards of practice, which includes assessment, diagnosis, treatment consultation and co-management of at-risk patients, and referral when appropriate to either MD/DO only management or referral to consultant, such as Maternal Fetal Medicine. Assists with the follow-up care of referrals and provides the appropriate information to the referral source. Provides discharge instructions. Provides outpatient/inpatient care for obstetrical patients in accordance with hospital protocols for Certified Nurse Midwife care. Obtains patient health histories and completes physical exams. Orders and interprets appropriate diagnostic and laboratory tests. Explains the necessity, preparation, nature and anticipated effects of procedure(s) to patient, family, staff, and healthcare learners. Participates in call rotation for OB/GYN department per individual contract obligation and with MD/DO backup. Monitors quality of patient records and ensures inclusion of all appropriate findings, recommendations, follow-up care and referral. Provides educational and other related services for well women care; manages well women care for essentially healthy women through their life cycle. Provides staff and student education. Documents the necessary components to meet documentation standards for the assigned DRG and Perinatal Core Measures. Participates in quality improvement/assurance activities. Assists in the review and development of standing orders and policies and procedures. Provides consultative direction as needed. Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Participates in a team approach to patient care and provides for effective communication to other KD staff to ensure continuity of care. Assumes additional responsibility and performs other duties consistent with the requirements of state licensure. Initiates necessary emergency interventions to stabilize patient in conjunction with the rapid response team. Utilizes current research and evidenced-based decision-making in all clinical practice settings. Incorporates research findings in the development and implementation of standards of care. Supports IRB approved clinical research/trials through a variety of activities. Participates in and support accreditation, compliance, and regulatory activities of Kaweah Health. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $75.81 -$113.71 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
United Health Centers of the San Joaquin Valley

Medical Assistant (MA)

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

Medical Assistant (MA)

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

Medical Assistant (MA)

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

RN-Trauma PI Coordinator

$44.66 - $66.99 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 8 Hour or less Shift (United States of America) Department 7013 Trauma Department The Trauma Performance Improvement (PI) Coordinator works in collaboration with trauma program leadership to coordinate all aspects of the Trauma Department’s Performance Improvement and Patient Safety Program. This position ensures compliance with the regulatory requirements of the American College of Surgeons Committee on Trauma and the State of California to maintain a consistent state of verification readiness at all times. Communication, leadership, critical thinking and clinical skills are all vital to the Trauma Performance Improvement Coordinator position. QUALIFICATIONS License /Certification Required: CA RN license Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) within six months of hire/transfer Trauma Nursing Core Course (TNCC) provider card within one year of hire/transfer Preferred: ATCN/TNCC Instructor Education Preferred: BSN within two years of hire/transfer Experience Required: Two years of Trauma Nursing experience. Preferred: Experience with quality and/or performance improvement initiatives and methodologies, such as: FOCUS PDCA, RCA, FMEA, CQI method and tools, group facilitation. Previous trauma administrative experience. Trauma Nursing Experience – Emergency Department or Intensive Care Knowledge/Skills/Abilities Excellent oral and written communication skills. A wide degree of creativity and latitude is expected. Relies on experience and judgment to plan and accomplish goals. JOB RESPONSIBILITIES Essential Coordinates activities with the Trauma Medical Director and Trauma Program Manager to facilitate overall Trauma Program quality and consistency. Executes the Trauma PI Plan to monitor, evaluate and improve the performance of the Trauma Program. Manages the Trauma PI database in accordance with ACS-COT guidelines. Ensures data collection, management, analysis and performance improvement requirements are met for Trauma Center verification and designation. Conducts the collection, surveillance, data entry, analysis and reporting of trauma quality and performance improvement information from medical records as well as other resources. Communicates existing or potential trauma performance improvement issues and opportunities identified in trauma case evaluation and reports trending to the Trauma Medical Director and Trauma Program Manager. Coordinates multidisciplinary monthly Trauma Systems & Operations Committee and Peer Review meetings and ensures correspondence and communication to associated parties is current. Prepares various PI reports for meetings, data analysis, issue identification and issue resolution, including loop closure. Provides direct assistance to the physician during all phases of patient care rounding, including assessment, diagnosis, treatment and follow-up, while simultaneously serving as a patient advocate. Provides indirect oversite of the Trauma Registry to ensure data is accurate and timely. May respond to Trauma Activations during normal working hours to act as a resource person and liaison for the Emergency Department and pre-hospital care providers, including EMT's, paramedics and flight crews. Participates in the planning and presentation of continuing education programs in the community, outlying hospitals and EMS agencies on trauma topics. Participates in hospital education programs for nurses and resident physicians caring for trauma patients. Serves as a liaison to the clinical areas responsible for the care of the trauma patient. Collaborates with the Trauma Medical Director and Trauma Program Manager to develop and maintain a set of quality indicators for the trauma program and to ensure that teammates in all departments dealing with the care of trauma patients are knowledgeable about the Trauma Program and standards of care. Assists with training of other trauma program staff members with respect to the trauma database, data collection, report-writing, and trauma PIPS processes. Validates, prepares, and submits data to various required trauma data repositories. Additional Prepares and coordinates data and activities surrounding verification surveys, provides support for all aspects of the Trauma Program. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan of Provision of Care. Performs other duties as assigned. Pay Range $44.66 -$66.99 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Skin and Cancer Institute

Physician Assistant - Rheumatology - Porterville, CA

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

Registered Nurse-Cardiovascular ICU-CVICU

$46.44 - $69.66 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Part-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 6030 Cardiovascular ICU-CVICU The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process-assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Nurse Practitioner- Exeter Health Clinic

$72.90 - $109.36 / hour
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Part-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7183 RHC-Exeter Health Clinic To function as a member of a health care team to deliver quality health care while working alongside and under the supervision of a physician. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS NP Certification by national certification board and Master’s degree in Nursing or Doctor of Nursing Practice degree; or obtained Medicare billing privileges as an NP before Jan 1, 2003 and NP Certification by national certification board; or obtained Medicare billing privileges prior to Jan 1, 2001. Knowledge/Skills/Abilities Prior to hire, HR must receive clearance from KH Medical Staff office that the medical staff credentialing process is complete. Bilingual preferred. JOB RESPONSIBILITIES Essential Secures a complete health history, including but not limited to, obstetric, gynecologic, contraceptive, medical, surgical, family health and psychosocial aspects, and records findings accurately and succinctly. Performs appropriate general examinations, diagnostic tests, and other types of more specialized procedures as may be indicated by patient history and complaints, according to protocol. Provides specialized and or advanced practice services within the scope of training. Provides relevant patient instruction and education. This may include medication information, disease education, health promotion, care instructions, etc. Follows up on all abnormal findings within a timely manner, responds to patient clinical needs, and refers to other providers as appropriate. Charts all information with regard to the client's examination and plans for treatment within the electronic medical record. Chart review meets quality improvement standards. Completes timely chart documentation. Consults with assigned supervising physician when necessary. Reviews complex cases with the supervising physician in accordance with appropriate protocols (e.g. NP protocols or PA service agreement) as indicated. Pursues and completes ongoing, high-level continuing medical education activities. Shares new clinical practice updates or information with the APP team and clinical leadership. Attends APP and clinical site meetings to keep current with organization communication and priorities. Participates and engages in organizational quality improvement initiatives. Provides feedback and input on clinical processes. Coordinates clinic coverage with other providers. Provide backup coverage as needed. Provides care delivery within a team-based, patient-centered approach. Engages the patient and their family in the decision-making process regarding their care. Utilizes care team members appropriately (e.g. pharmacy, care coordinators, dieticians, etc.). Utilizes evidence-based practice guidelines and resources for clinical practice. Additional Works collaboratively with all members of the care team and support staff. Acts as a clinical team leader for safety, training, and support of staff as indicated. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $72.90 -$109.36 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Registered Nurse- Medical/Sugical-3N

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 6172 Medical/Surgical-3N The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. Shifts: Day- 0600-1830 Night-1800-0630 QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. JOB RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Per Diem RN-Nurse Practitioner

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

Registered Nurse- Cardiovascular ICU-CVICU Various Shifts, Sign on Bonus up to $10K and Relocation Assistance Available.

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 6030 Cardiovascular ICU-CVICU The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. ICU-CVICU Shifts: Day- 0600-1830 Night-1800-0630 QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS within one year of hire/transfer. Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process-assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Per Diem Registered Nurse - Hospice

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Not Benefits Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7310 Hospice The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Job Responsibilities Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $53.41 -$80.12 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Nurse Practitioner-Clinics

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7193 RHC-Dinuba Health Clinic To function as a member of a health care team to deliver quality health care while working alongside and under the supervision of a physician. QUALIFICATIONS License /Certification Required: CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number Drug Enforcement Administration (DEA) registration CA RN license BLS NP Certification by national certification board and Master’s degree in Nursing or Doctor of Nursing Practice degree; or obtained Medicare billing privileges as an NP before Jan 1, 2003 and NP Certification by national certification board; or obtained Medicare billing privileges prior to Jan 1, 2001. Knowledge/Skills/Abilities Prior to hire, HR must receive clearance from KH Medical Staff office that the medical staff credentialing process is complete. Bilingual preferred. JOB RESPONSIBILITIES Essential Secures a complete health history, including but not limited to, obstetric, gynecologic, contraceptive, medical, surgical, family health and psychosocial aspects, and records findings accurately and succinctly. Performs appropriate general examinations, diagnostic tests, and other types of more specialized procedures as may be indicated by patient history and complaints, according to protocol. Provides specialized and or advanced practice services within the scope of training. Provides relevant patient instruction and education. This may include medication information, disease education, health promotion, care instructions, etc. Follows up on all abnormal findings within a timely manner, responds to patient clinical needs, and refers to other providers as appropriate. Charts all information with regard to the client's examination and plans for treatment within the electronic medical record. Chart review meets quality improvement standards. Completes timely chart documentation. Consults with assigned supervising physician when necessary. Reviews complex cases with the supervising physician in accordance with appropriate protocols (e.g. NP protocols or PA service agreement) as indicated. Pursues and completes ongoing, high-level continuing medical education activities. Shares new clinical practice updates or information with the APP team and clinical leadership. Attends APP and clinical site meetings to keep current with organization communication and priorities. Participates and engages in organizational quality improvement initiatives. Provides feedback and input on clinical processes. Coordinates clinic coverage with other providers. Provide backup coverage as needed. Provides care delivery within a team-based, patient-centered approach. Engages the patient and their family in the decision-making process regarding their care. Utilizes care team members appropriately (e.g. pharmacy, care coordinators, dieticians, etc.). Utilizes evidence-based practice guidelines and resources for clinical practice. Additional Works collaboratively with all members of the care team and support staff. Acts as a clinical team leader for safety, training, and support of staff as indicated. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $72.90 -$109.36 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

RN-Acute Wound Care Nurse II

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 12 Hour Shift (United States of America) Department 6191 Acute Wound Care IP Services The purpose of this position is to provide expert level nursing care, clinical assessment, and recommendations for the treatment of patients with complex wounds, ostomy, or incontinence issues. The acute wound care nurse works in partnership with other registered nurses, ancillary staff, and physicians to provide education and recommendations for an individualized plan of care for patients who require their specialized training and expertise. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Required: Clinical nursing experience with acute wound care. JOB RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department: Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, documentation: Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation. The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice: Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals: Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Is a primary clinical expert and resource for patients with complex wounds, or ostomy care issues, along with incontinence issues. Is a resource for staff and physicians to provide guidance and recommendations for treatment within this patient population, helping to provide an individualized treatment plan utilizing the approved and available products within our organization. Assists staff with the use of these products and ensures the team understands how to follow the treatment plan. Manages and prioritizes orders to ensure the service is provided to patients with the greatest need first to maximize quality of care, and minimize length of stay. Ensures collaboration between staff, physicians, other disciplines and departments involved in the care of the patient. Keeps lines of communication open. Provides staff with support, guidance, and educations regarding wound/ostomy/incontinence care and alerts the Nurse Manager as needed for any remediation issues. Makes fiscally responsible decisions regarding use of time, supplies, and equipment, and considers the organizational fiscal issues when making decisions regarding treatment plans, and the prevention of increase length of stay in the hospital. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Manages Staff and Patient flow: Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $48.30 -$72.45 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

Physician Assistant or Nurse Practitioner

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

Certified Nursing Assistant (CNA) / Restorative Nursing Assistant (RNA) Full-Time Rotation

We are seeking compassionate and reliable Certified Nursing Assistants (CNA) / Restorative Nursing Assistants (RNA) to join our skilled nursing team. This is a full-time position with a rotating schedule , including every other weekend . Responsibilities Assist residents with activities of daily living (ADLs) Provide compassionate, safe, and respectful care Observe and report changes in resident condition Follow individualized care plans and safety guidelines Provide supportive services to nurses and other staff as needed and perform duties as assigned Assist with weighing residents according to facility policy and record weights in designated locations Report significant weight changes to the nurse and supervisor For RNA: assist with restorative nursing programs as assigned Maintain resident dignity, privacy, and rights Qualifications Active CNA certification in the state of [State] RNA certification Ability to work a rotating schedule with every other weekend Strong communication and teamwork skills Skilled nursing or long-term care experience preferred Benefits Competitive pay Full-time benefits package Supportive leadership team Opportunities for growth and advancement
Kaweah Health

Registered Nurse- Home Health

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Day - 8 Hour or less Shift (United States of America) Department 7290 Home Health Agency The purpose of this position is to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment. Demonstrates leadership in the professional practice setting through oversight of the interdisciplinary health care team to provide holistic care and advocate for patients and families served. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. JOB RESPONSIBILITIES Essential The nurse's practice is guided by the Code of Ethics. Professional behavior including interactions with co-workers. Displays our values; treats everyone respectfully. Identifies high risk patients and initiates intervention of ancillary department. Decisions and actions on behalf of patients/residents are determined in an ethical manner. Maintains patient confidentiality within legal and regulatory parameters. Acts as a patient/resident advocate and assists patients/residents in developing skills so they can advocate for themselves. Delivers care in a nonjudgmental and nondiscriminatory manner that preserves patient autonomy, dignity and rights. Utilizes nursing process - assessed via direct observation, peer reviews, audits, and documentation. Assessment-successful completion of Physical Assessment validation. Diagnosis Planning Outcome identification Implementation Evaluation The nurse uses the results of quality of care/performance improvement activities to initiate changes in nursing practice. Collects clinical data to monitor quality and effectiveness of nursing care. Identifies aspects of care that are important for quality monitoring and formulates recommendations to improve nursing practice or patient/resident outcomes. Assists in development and implementation of policies, procedures, and practice guidelines to improve quality of care and nursing practice. Participates on interdisciplinary teams that evaluate clinical practice or health services relating to patient/resident care. Participates in QI studies: involved in task force or committee. Implements suggestions for improving outcomes per unit study results. Independently identifies problematic areas and recommends problem solving. Shares findings of studies, audits with others. Seeks improvement independently. Collaborates and communicates with the patient/resident, family, and other health care providers. Utilizes peer review and observation. Monitors documentation for appropriate referrals. Formulates the plan of care and involves patient/residents in decisions related to care and the delivery services. Makes referrals, including provisions for continuity of care, as needed. Addendum (essential for specific dept) TEAM LEADER: Is a primary clinical resource for staff on assigned unit. Is a role model and mentor for staff. Acts as the Nurse Manager Representative in his/her absence. Provides leadership and support for staff through effective problem solving and decision making. Is a resource for staff: Is a clinical resource Is a role model Provides leadership and support for staff Supports nurse preceptors and new employees during orientation Provides input on employee evaluations Assures float staff receive orientation to the floor and feel welcome. Manages Staff and Patient flow: Makes and adjusts staff assignments based on the abilities of staff and needs of the patient population. Assigns admissions and arranges transfers in coordination with the Nurse Manager, House Supervisor and/or Bed Coordinator. Assures that shift report starts on time. Monitors breaks to provide adequate staffing. Determines staffing needs for the next shift and communicates those needs to the Staff Facilitator or Nursing Supervisor. Assigns staff to ensure equipment checks are completed: PCX controls, crash cart, refrigerator temps, red books and narcotic counts. Coordinates care in high-risk/emergent situations and keeps Nurse Manager/Director/Nursing Supervisor aware of critical patients and any unit issues. Ensures collaboration between staff, physicians, other providers, and departments involved in the care of patients on their unit. Keeps lines of communication open. Ensures patient care issues are documented and reported. Assures the appropriate nurse completes a Statement of Concern. Understands and utilizes Medical Staff and Kaweah Health's chain of command. Provides employee guidance and alerts the Nurse Manager of counseling needs. Provides patient care as needed. Makes fiscally responsible decisions regarding staffing and use of patient supplies. IF ASSIGNED TO THE INFUSION CENTER RESPONSIBLE FOR: Assigns patients to infusion chairs and initiates nursing intake. Educates patients on upcoming medications and therapies. Starts peripheral IVs or access Central Venous Access Devices (PICC, Port-a-Cath) lines and administers infusions per physician orders. Monitors vital signs and patient status throughout treatment. Performs medication reconciliation and obtains patient history. Administers medications (IV, IM, SQ, PO), IV hydration, blood transfusions, and dressing changes. Completes all infusion documentation, discontinue IVs, and provides discharge instructions. Maintains competency in IV therapy, infusion pumps, and emergency response procedures. Provides telephone triage and patient education on side effects, symptom management, and resources. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Nurse Next Door Fresno North

CNA Hanford/Lemoore

$17 / hour
Do you want to make lives better and have the ability to drive your career? Do you love working with seniors? Nurse Next Door has the perfect opportunity for you! At Nurse Next Door, we truly believe that Caregivers are at the heart of what we do. Our focus on care-giving as a career makes Nurse Next Door different from other home care companies. We believe in shifting the mindset in the industry. As a Nurse Next Door employee, you receive: Flexible schedules: Work when and where you want – with longer visits in the same place One-on-one care: Work directly with the client to provide the best care possible Support: 24-hour access to the Nurse Next Door Care Services Center On-boarding and training: eLearning, Shadow Shifts, mentoring Caregiving as a career: Growth and development opportunities are awarded to support our team in achieving your professional goals and dreams Duties Meal preparation, light housekeeping, and/or provide companionship and personal care Execute on the client’s care plan as outlined by the Care Designer Help clients with their ADL's (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide Assist clients with transfers, ambulation and exercises Meet the safety needs of the client and use equipment safely and properly Function within the limits of your own experience and knowledge, while practicing safely and competently within the job description Complete records and documentation accurately and thoroughly Requirements for position: Home Care Aide certified (Employer can also assist with getting HCA certified) Background or Criminal Record Check (less than 1 year old) Negative TB skin test (less than 2 years old) 2 Professional references We Make Lives Better – so let’s start with yours! Job Types: Full-time, Part-time Salary : From $17.00 per hour Benefits : Flexible schedule Schedule : 4 hour shift 8 hour shift Choose your own hours Day shift Evening shift Monday to Friday On call Overnight shift Weekend availability Work Location: In person
Kaweah Health

RN-Admissions/Transfer Center

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Variable - 12 Hour Shift (United States of America) Department 8755 Bed Allocation In collaboration with multidisciplinary team determines appropriate placement using clinical data and utilization admission guidelines. Coordinates patient transfers, authorizations and transportations to and from other facilities for higher level of care. QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN, MSN, or currently enrolled in RN-BSN program. Experience Required: Three years of med/surg experience in an acute care setting as an RN. Preferred: Case Management, ER, or ICU experience. Extensive clinical experience in patient physical assessment. Knowledge/Skills/Abilities Must have at least basic understanding and skills related to use of computers pertinent to the needs and requirements of the department. JOB RESPONSIBILITIES Essential ADMISSIONS COORDINATOR FUNCTIONS Determines placement of patient to a bed utilizing utilization guidelines/criteria, diagnosis, and physician preference, unit activity, and staffing factors. Attends a.m. and p.m. housewide report. Assists to ensure admission/UR criteria are consistent with reimbursement objectives. Identifies potentially inappropriate admissions, working with physician and physician office staff for correct classification of patient. When an admission designation cannot be made or agreed upon, utilizes Physician Advisor in making a determination. Notifies attending physician and Case Manager on patient care unit of pending problems and UR issues. Initiates unit assignment for appropriate level of care, i.e., based upon patient status and previous admission activity. Communicates pertinent information, such as infections, diseases. Acts as a liaison with physician office staff for the purpose of promoting the KH concept of continuity of care by supporting the ADT based process. (Acts as a patient advocate in determining that the level/classification of care is correct and appropriate.) Attends Physician Office Staff meeting. Educates physician and office staff on admitting process, required information, etc. Communicates with appropriate physicians, nursing managers, house supervisor and staffing facilitators when a shortage of available beds or staffing occurs. Works with the nursing staff and physicians to transfer or discharge patients if appropriate, during bed shortage. Follows disaster plan as appropriate. Accepts and records physician orders when necessary and is responsible for the delivery of orders to the appropriate nursing unit. Completes order communication before the patient has arrived. Ensures patients are assigned rooms in an expedient manner utilizing all critical resources within the organization. Assists as needed with coordination of patients entering and leaving via the transfer center. TRANSFER CENTER FUNCTIONS Triages and prioritizes calls based upon patient needs including level of care and bed availability. Asks appropriate questions and clinical decisions made are based upon utilization guidelines, diagnosis, level of care and bed availability. Coordinates the transfer, authorization and transportation of inpatients transferred to and from other facilities for higher level of care and tests (i.e. PET scans, ERCP procedures) not available at KH. Collaborates with Physicians, Admitting, House Supervisors, Case Management and Bed Allocation to prioritize patient needs by diagnosis and level of care to facilitate transfer. Works with the transferring facility to ensure all necessary paperwork, studies are sent with the patient. Makes alternate recommendations for patients when transferring to KH is not an option. Documents all calls in the electronic documentation system and accurately enters data into the transfer center database including but not limited to medical, demographic, and insurance information. Coordinates with Bed Allocation and physician offices and other transfer centers to facilitate efficient bed management and appropriate bed placement. Maintains physician on-call list and uses list to communicate with the on-call physicians regarding patient and bed status. Has knowledge of overall hospital policies, services at KH, surrounding hospitals and tertiary facilities in California. Utilizes knowledge and understanding of EMTALA / Compliance issues to coordinate transfers. Starts transfer process by clarifying correct patient status, level of care and availability and service required by patient. Assures transfer agreements are signed by outlying facilities transferring patients to KH for higher level of care. Gathers accurate information from referring facility and communicates to all involved KH personnel, including accepting physicians and staff. Coordinates the successful transfer and placement of patients entering and leaving via the Transfer Center. CONTINUUM OF CARE Starts admission process by clarifying correct patient status. Assures transfer agreements are signed by outlying facilities that are transferring patients to Kaweah Health for higher level of care. Has knowledge of bed availability via the electronic bed monitoring system. Additional TEAM MEMBER OF PATIENT ACCESS Facilitates and enhances communication, displaying honesty and respect. No complaints received. Promotes a cooperative working relationship with the patient care areas, physician/clinic office staff, physicians, other disciplines and public. Maintains focus on patient. No complaints received. Assists with training of other staff members on electronic bed monitoring system and job functions, attaining correct admission orders and diagnosis. Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care. Performs other duties as assigned. Pay Range $46.44 -$69.66 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Nurse Next Door Fresno North

Caregivers

Do you want to make lives better and have the ability to drive your career? Do you love working with seniors? Nurse Next Door has the perfect opportunity for you! At Nurse Next Door, we truly believe that Caregivers are at the heart of what we do. Our focus on care-giving as a career makes Nurse Next Door different from other home care companies. We believe in shifting the mindset in the industry. As a Nurse Next Door employee, you receive: Flexible schedules: Work when and where you want – with longer visits in the same place One-on-one care: Work directly with the client to provide the best care possible Support: 24-hour access to the Nurse Next Door Care Services Center On-boarding and training: eLearning, Shadow Shifts, mentoring Caregiving as a career: Growth and development opportunities are awarded to support our team in achieving your professional goals and dreams Duties Meal preparation, light housekeeping, and/or provide companionship and personal care Execute on the client’s care plan as outlined by the Care Designer Help clients with their ADL's (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide Assist clients with transfers, ambulation and exercises Meet the safety needs of the client and use equipment safely and properly Function within the limits of your own experience and knowledge, while practicing safely and competently within the job description Complete records and documentation accurately and thoroughly Requirements for position: Home Care Aide certified (Employer can also assist with getting HCA certified) Background or Criminal Record Check (less than 1 year old) Negative TB skin test (less than 2 years old) 2 Professional references We Make Lives Better – so let’s start with yours! Job Types: Full-time, Part-time Salary : From $17.00 per hour Benefits : Flexible schedule Schedule : 4 hour shift 8 hour shift Choose your own hours Day shift Evening shift Monday to Friday On call Overnight shift Weekend availability Work Location: In person
Nurse Next Door Fresno North

Caregiver/CNA

Do you want to make lives better and have the ability to drive your career? Do you love working with seniors? Nurse Next Door has the perfect opportunity for you! At Nurse Next Door, we truly believe that Caregivers are at the heart of what we do. Our focus on care-giving as a career makes Nurse Next Door different from other home care companies. We believe in shifting the mindset in the industry. As a Nurse Next Door employee, you receive: Flexible schedules: Work when and where you want – with longer visits in the same place One-on-one care: Work directly with the client to provide the best care possible Support: 24-hour access to the Nurse Next Door Care Services Center On-boarding and training: eLearning, Shadow Shifts, mentoring Caregiving as a career: Growth and development opportunities are awarded to support our team in achieving your professional goals and dreams Duties Meal preparation, light housekeeping, and/or provide companionship and personal care Execute on the client’s care plan as outlined by the Care Designer Help clients with their ADL's (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide Assist clients with transfers, ambulation and exercises Meet the safety needs of the client and use equipment safely and properly Function within the limits of your own experience and knowledge, while practicing safely and competently within the job description Complete records and documentation accurately and thoroughly Requirements for position: Home Care Aide certified (Employer can also assist with getting HCA certified) Background or Criminal Record Check (less than 1 year old) Negative TB skin test (less than 2 years old) 2 Professional references We Make Lives Better – so let’s start with yours! Job Types: Full-time, Part-time Salary : From $17.00 per hour Benefits : Flexible schedule Schedule : 4 hour shift 8 hour shift Choose your own hours Day shift Evening shift Monday to Friday On call Overnight shift Weekend availability Work Location: In person
Nurse Next Door Fresno North

Urgent CNA/Caregiver

$17 / hour
Do you want to make lives better and have the ability to drive your career? Do you love working with seniors? Nurse Next Door has the perfect opportunity for you! At Nurse Next Door, we truly believe that Caregivers are at the heart of what we do. Our focus on care-giving as a career makes Nurse Next Door different from other home care companies. We believe in shifting the mindset in the industry. As a Nurse Next Door employee, you receive: Flexible schedules: Work when and where you want – with longer visits in the same place One-on-one care: Work directly with the client to provide the best care possible Support: 24-hour access to the Nurse Next Door Care Services Center On-boarding and training: eLearning, Shadow Shifts, mentoring Caregiving as a career: Growth and development opportunities are awarded to support our team in achieving your professional goals and dreams Duties Meal preparation, light housekeeping, and/or provide companionship and personal care Execute on the client’s care plan as outlined by the Care Designer Help clients with their ADL's (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide Assist clients with transfers, ambulation and exercises Meet the safety needs of the client and use equipment safely and properly Function within the limits of your own experience and knowledge, while practicing safely and competently within the job description Complete records and documentation accurately and thoroughly Requirements for position: Home Care Aide certified (Employer can also assist with getting HCA certified) Background or Criminal Record Check (less than 1 year old) Negative TB skin test (less than 2 years old) 2 Professional references We Make Lives Better – so let’s start with yours! Job Types: Full-time, Part-time Salary : From $17.00 per hour Benefits : Flexible schedule Schedule : 4 hour shift 8 hour shift Choose your own hours Day shift Evening shift Monday to Friday On call Overnight shift Weekend availability Work Location: In person
Kaweah Health

RN- Lead Mentor- Medical/ Surgical

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 10 Hour Shift (United States of America) Department 8741 Clinical Inservice Education To serve as a primary mentor in the learning continuum for oversight and clinical development of newly hired staff members in the unit. Job Description QUALIFICATIONS License /Certification Required: CA RN license BLS Education Preferred: BSN Experience Required: Minimum of two years recent clinical experience and experience as an RN preceptor. Preferred: Experience in shared governance process and/or unit quality/safety improvement processes. Knowledge/Skills/Abilities Advanced Fetal Monitoring completed within the past year. Effective critical clinical decision-making skill. Knowledge and expertise in performance of clinical procedures in the assigned clinical setting. Strong interpersonal skills and ability to interface effectively with all members of the interdisciplinary team, including the ability to maintain confidentiality. The ability to promote a healthy work environment conducive to professional growth and development. JOB RESPONSIBILITIES Essential Collaborates with the unit Management Team and Clinical Educator(s) in identification and need for modification of orientation pathway and individual clinical competence of the orientee. Assists the unit Clinical Educator through utilization of adult learning principles in evaluating barriers to progression of clinical skill of the orientee. Utilizes skills checklists, orientation plan, and weekly goal review as primary pathway for assisting development progression. Ability to utilize a variety of learning methods to facilitate skill development and competency in the unit setting. Provides concise written and verbal feedback regarding orientee’s performance at defined intervals, and other nurses identified as needing additional support or remediation. Facilitates communication between multiple preceptors of orientee to maintain consistency during the orientation process. Promotes orientee's induction in the social environment of the department. Serves as a role-model and utilizes constructive feedback in a supportive manner and promotes individual personal accountability. Mentors new nurses in their early transition to the unit with a focus on safety and developing confidence in providing safe patient care. Mentors and regularly follows up with preceptors and assists them in developing strong clinical and precepting skills. Takes the lead in problem solving any issues that arise including a mismatch of preceptor and preceptee. Partners with unit Educator(s) in weekly debriefing with preceptees, preceptor follow up, and evaluations. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan of Provision of Care. Performs other duties as assigned. Pay Range $47.35 -$71.03 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
Kaweah Health

RN-Lead Mentor- Critical Care

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care. It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community. Benefits Eligible Full-Time Benefit Eligible Work Shift Night - 10 Hour Shift (United States of America) Department 8741 Clinical Inservice Education To serve as a primary mentor in the learning continuum for oversight and clinical development of newly hired staff members in the unit. QUALIFICATIONS License /Certification Required: CA RN license BLS ACLS Education Preferred: BSN Experience Required: Minimum of two years recent clinical experience and experience as an RN preceptor. Minimum of three years CVICU or ICU experience. Preferred: Experience in shared governance process and/or unit quality/safety improvement processes. Knowledge/Skills/Abilities Advanced Fetal Monitoring completed within the past year. Effective critical clinical decision-making skill. Knowledge and expertise in performance of clinical procedures in the assigned clinical setting. Strong interpersonal skills and ability to interface effectively with all members of the interdisciplinary team, including the ability to maintain confidentiality. The ability to promote a healthy work environment conducive to professional growth and development. JOB RESPONSIBILITIES Essential Collaborates with the unit Management Team and Clinical Educator(s) in identification and need for modification of orientation pathway and individual clinical competence of the orientee. Assists the unit Clinical Educator through utilization of adult learning principles in evaluating barriers to progression of clinical skill of the orientee. Utilizes skills checklists, orientation plan, and weekly goal review as primary pathway for assisting development progression. Ability to utilize a variety of learning methods to facilitate skill development and competency in the unit setting. Provides concise written and verbal feedback regarding orientee’s performance at defined intervals, and other nurses identified as needing additional support or remediation. Facilitates communication between multiple preceptors of orientee to maintain consistency during the orientation process. Promotes orientee's induction in the social environment of the department. Serves as a role-model and utilizes constructive feedback in a supportive manner and promotes individual personal accountability. Mentors new nurses in their early transition to the unit with a focus on safety and developing confidence in providing safe patient care. Mentors and regularly follows up with preceptors and assists them in developing strong clinical and precepting skills. Takes the lead in problem solving any issues that arise including a mismatch of preceptor and preceptee. Partners with unit Educator(s) in weekly debriefing with preceptees, preceptor follow up, and evaluations. Additional Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan of Provision of Care. Performs other duties as assigned. Pay Range $47.35 -$71.03 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.