Nursing Jobs in Washington State

ARNP - Cardiology

Salary Range $64.90 - $78.37 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager. Essential Functions Outpatient Practice Duties Staff outpatient office clinic in Wenatchee Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) 1-4 days per month Provide comprehensive history and physical examinations on new cardiology patients Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure Provide post-operative evaluation (i.e after cardiac operations/procedures) Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc Evaluate cardiac patient’s medical history, physical exam findings and diagnostic/laboratory data Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic) Act as preceptor for physician assistant/nurse practitioner students Actively recruit patients for cardiology-oriented research studies Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc Educate Cardiac Rehab participants on cardiovascular disease and prevention Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible Inpatient Practice Duties Staff hospital services as assigned, 4–10-hour shift rotation, including weekends Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc Perform cardiac patient’s medical history, physical exam findings, and evaluate diagnostic/ laboratory data Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED Generate daily progress notes to be used as shared-visits with on-call cardiologist Notify on-call cardiologist of any change in patient condition Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients Admit and perform History and Physical on Antiarrhythmic therapy patients Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis Assist on-call cardiologist with triage of patients consults and needs Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700 Assist in ACLS/BLS codes, as directed by supervising physician(s) Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s) Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s) Stress Testing Practice Duties Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing Possess knowledge/competency of appropriate contraindications, risk assessment of testing Possess knowledge/competency of BLS/ACLS on an annual basis Possess knowledge/competency of Cardiovascular and Exercise Physiology Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. CPR/ACLS Certification. Desired: Related experience. Cardiology Specialty Certification. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes

Nurse Practitioner - Family Medicine 2nd Floor

Confluence Health Wenatchee, WA

Salary Range $62.98 - $73.08 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides primary and appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide primary and specialized health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities. Participates in decisions, planning, and policies related to clinical care. Maintains accurate and complete patient records in compliance with organizational policy. Refers patients to specialty services when appropriate. Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies. Support physicians with on-call responsibilities as required. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. Desired: Related experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes

NP

Per Diem

1 year ago

Nurse Practitioner/Physician Assistant - Kirkland, WA (PRN)

Connections Health Solutions Kirkland, WA

Overview ***PRN*** $9.00/hr shift differential - Weekend Nights $4.50/hr shift differential - Weekday Nights We’re not just behavioral health people—we’re crisis people. Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery. Founded by emergency room psychiatrists Dr. Chris Carson and Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. Our commitment remains consistent, to improve access, inspire hope, and provide the right support. Our values shape our decisions, define our culture, and foster continuous learning and growth. We accept people as they are, creating safe spaces where they feel valued and respected. We inspire hope by walking with people side-by-side, showing them grace and compassion. We act with intention, holding ourselves and each other accountable, and doing the right thing. We work as one team, trusting and supporting each other. We embrace change and innovation, striving to find better ways to fulfill our mission. We are on a mission to change the face of behavioral health. Help us save lives and make a difference. Responsibilities What You'll Do: We are hiring a Nurse Practitioner or Physician Assistant who will direct, coordinate, and provide medical/clinical services to specified individuals within the facility, including, but not limited to intervention, psychiatric evaluation and assessment, differential diagnosis, treatment planning, medication management, engagement, family meetings, supportive psychotherapy, individual education, risk assessment, and discharge planning. Serves as the attending clinician to specified individuals. Completes initial psychiatric assessments, crisis interventions, family interventions, focused crisis diagnostic assessments, assessments of capacity for consent to treatment, risk assessments, individual education, progress toward treatment goals, discharge planning including medical, psychological, social, behavioral and developmental aspects of the individual’s care, treatment, and services. Documents individual’s progress in the clinical record including admission orders, progress notes, and discharge orders. Oversees delivery of medication education and consent, according to established policy. Orders laboratory tests according to standards of clinical practice. Reviews the health assessment completed by nursing staff, obtains a past and current medical history, and conducts a focused physical examination as indicated, according to established guidelines. Initiates contact with Primary Care Physicians and Emergency Room clinicians according to established guidelines. Assesses individual's needs and guides the clinical team while managing treatment plan updates, in addition to initiating contact with Outpatient Behavioral Health Provider according to established guidelines. Reviews and utilizes all available documents from the crisis clinical team. Provides necessary information to clinical team regarding inpatient utilization. Utilizes appropriate medication based on best practices. Collaborates with other personnel to ensure that each treatment modality is appropriate for the individual in addition to working with outside psychiatric providers in crisis and inpatient services. Works with the community to review involuntary petitions, assess involuntary patients, and coordinate with the legal system to follow established guidelines for Involuntary Evaluation and Treatment. Participates in medical staff meetings including regional and quarterly meetings; participates in all required meetings; and participates in any meeting as requested by Medical Leadership. Performs all other duties as assigned. Qualifications What You'll Bring: NP: Unrestricted Registered Nursing license in the State. Completion of an accredited Nurse Practitioner program with a Master’s level certification in Psychiatric Mental Health (PMHNP). PA: Completion of an accredited Physician Assistant program. Licensed in State of employment and National Certifications. Experience in the delivery of crisis mental health and/or delivery of family health treatment to children, adolescents, and/or adults. Unrestricted DEA license. The Company has a mandatory vaccination policy. All successful applicants must be fully vaccinated, including showing proper documentation, or otherwise be exempt pursuant to the Company’s exemption process prior to their start date as a condition of employment. Complete all credentialing requirements within the required time period, including but not limited to obtaining a National Provider Identifier (NPI), Medallion enrollment, Medicare enrollment, and any other necessary credentials as required for the role. It would be great if you had: NP: Dual certified as a Family Nurse Practitioner. Doctorate of Nursing Practice. DEA X license. Experience working in addiction treatment and recovery. What We Offer: Full-time only: Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity CHS pays for Basic Life, AD&D, Short and Long-Term Disability Voluntary Life insurance option for employees and their families Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan) Flexible Spending Accounts (health care and dependent care) 401k company match after 6 months (50% of deferrals up to 6% of compensation) Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays All employees (Pool, Part-time and Full-time): Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support After 90 days, you are auto enrolled in the 401k Plan The typical hiring range for this role in Washington is $79.00 to 97.00 per hour #indwa EEO Statement Connections Health Solutions is an equal opportunity employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive and welcoming environment for all employees and applicants.