Nursing Jobs in Waterville, WA

Salary Range $28.77 - $45.93 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. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position with no guarantee of hours. A clinically competent, licensed, practical nurse who delivers care as a team member to the acutely ill patient under the direction of an RN. Is knowledgeable in the nursing process of assessment, nursing diagnosis, outcome identification, planning, implementation and evaluation. Effectively interacts with patients, significant others, and other health team members, while maintaining standards of professional nursing. Essential Functions Provides care to acutely ill patients, the LPN is knowledgeable of care goals and objectives. Utilizes a Team approach. Follows the plans of care as developed by the RN and contributes data to the RN in the development of the plan of care. Develops and maintains effective communications with the primary nurse, physician, patient, family and others members of the health care team. Seeks direction in the delivery of patient care and informs designated RN of current developments and problems, utilizing proper communication system. Assist in assessment of patient's condition, reactions, and in planning individual care. Review transfer and admission information, daily progress and HCT notes. Assist, as necessary, in the initial nursing assessment of patient (History & Physical). Provide information for establishing and re-evaluating nursing goals and Nursing Care Plans. Documents and reports pertinent information. Medications; aware of potential side effects Uses Nursing Care Plans as guides (present status, new problems, education). Orders, per physician; requests, per therapies (include response of patient) Measures and records vital signs, I & O's, weights, and administers treatments, including sterile procedures. Assists other disciplinaries in evaluation and implementation of specific goals for the patient (physical, occupational, speech and recreational therapy and dietary). Participates in patient education (and family education, when indicated). ADL's Skin Care Medication Disease process (CVA, diabetes, UTI, etc) Reviews and implements physician's orders under direction of the primary RN. Administers medication, IV's if certified in-house. Document (including response and/or side effects) Knows unit dose procedures Renders basic nursing care, accurately charting same. Provides care for patients including: Demonstrates necessary skills and knowledge to provide care for patients according to Nursing policy and procedure. Demonstrates necessary skills and knowledge to provide care for patients according to unit specific competencies and Standards of Care, i.e., glucometer, telemetry, scanners and pulse oximeter, etc. Demonstrates ability to handle and assist in emergency situations in a prompt, precise and professional manner. Compassionately gives personal patient care to provide comfort and well being to the patient, acknowledging physiological and psychosocial needs. Administers medications according to Nursing policy and procedure. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and Nursing policy and procedure. (Done in a timely manner). Exhibits interpersonal skills that promote a positive functioning department. Communicates effectively with peers, health team members, management and physicians. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Interacts effectively with patients families and/or significant others. Always greets patients in a courteous and respectful manner; responds to patients with empathy and positive interpersonal skills. Consistently handles all request in a positive manner. Adapts to changes in a positive, professional manner. Supports problem solving approach to both department and patient needs. Follows through on problems that may compromise patient care by using the appropriate chain of command. Accurately and concisely processes information. Communicates appropriate information to Primary Nurse as appropriate. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to form guidelines. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to department policies. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Collaborates with hospital personnel and physicians. Communicates effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to assure the patient's well being. Adheres to Hospital/Nursing Policy. Observes departmental guidelines concerning unscheduled absences, overtime and tardiness. Dresses according to CWH dress code for nursing. Is conscientious in regard to personal hygiene. Complies with specific hospital policy and procedure concerning infection control. Assumes responsibility for self-evaluation/self improvement. Has 100% attendance at mandatory inservices, including CPR certification meeting, and annual safety inservice. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an approved LPN program or in an RN program. Current nursing license in the state of Washington. Completion of hospital orientation program. Must be currently certified in CPR, and recertify annually. Desired: Not Specified 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 - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - Not specified Carrying: 25 pounds to 50 pounds - Not specified Carrying: Over 50 pounds - Not specified Crawling/Kneeling - Not specified Bending/Stooping/Crouching - F Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Applies principles of safety in daily work. Service requires patient care 24 hours a day, seven days a week, therefore, scheduling calls for rotation of days with possible rotation of shifts for vacation, illness, etc. occasional overtime as needed. May be asked to float to other units to provide balanced staffing or assist as needed. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified 
Salary Range $20.00 - $31.00 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 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 Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To : Nursing Manager Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. 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: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes 
Salary Range $20.00 - $31.00 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 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 Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To : Nursing Manager Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. 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: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes 
Salary Range $39.33 - $61.57 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. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position. No guarantee of hours. Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Washington state Department of Health -RN license must be active by start date. Required to maintain active Basic Life Support (CPR) certification. Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Desired : Not specified. 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 - F 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 - O 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 - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and 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. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly 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 
Salary Range $41.37 - $77.74 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 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 Up to $6,000 in Bonuses! Applies to external candidates. *Requires one year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. 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: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes 
Salary Range $42.61 - $80.07 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 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 Up to $6,000 in Bonuses! Applies to external candidates. *Requires one year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. 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: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes 
Salary Range $39.33 - $61.57 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. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position. No guarantee of hours. Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Washington state Department of Health -RN license must be active by start date. Required to maintain active Basic Life Support (CPR) certification. Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Desired : Not specified. 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 - F 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 - O 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 - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and 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. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly 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 
Salary Range $41.37 - $77.74 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. Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. 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: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes 
Salary Range $28.77 - $45.93 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. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position. A clinically competent, licensed, practical nurse who delivers care as a team member to the acutely ill patient under the direction of an RN. Is knowledgeable in the nursing process of assessment, nursing diagnosis, outcome identification, planning, implementation and evaluation. Effectively interacts with patients, significant others, and other health team members, while maintaining standards of professional nursing. Essential Functions Provides care to acutely ill patients, the LPN is knowledgeable of care goals and objectives. Utilizes a Team approach. Follows the plans of care as developed by the RN and contributes data to the RN in the development of the plan of care. Develops and maintains effective communications with the primary nurse, physician, patient, family and others members of the health care team. Seeks direction in the delivery of patient care and informs designated RN of current developments and problems, utilizing proper communication system. Assist in assessment of patient's condition, reactions, and in planning individual care. Review transfer and admission information, daily progress and HCT notes. Assist, as necessary, in the initial nursing assessment of patient (History & Physical). Provide information for establishing and re-evaluating nursing goals and Nursing Care Plans. Documents and reports pertinent information. Medications; aware of potential side effects Uses Nursing Care Plans as guides (present status, new problems, education). Orders, per physician; requests, per therapies (include response of patient) Measures and records vital signs, I & O's, weights, and administers treatments, including sterile procedures. Assists other disciplinaries in evaluation and implementation of specific goals for the patient (physical, occupational, speech and recreational therapy and dietary). Participates in patient education (and family education, when indicated). ADL's Skin Care Medication Disease process (CVA, diabetes, UTI, etc.) Reviews and implements physician's orders under direction of the primary RN. Administers medication, IV's if certified in-house. Document (including response and/or side effects) Knows unit dose procedures Renders basic nursing care, accurately charting same. Provides care for patients including: Demonstrates necessary skills and knowledge to provide care for patients according to Nursing policy and procedure. Demonstrates necessary skills and knowledge to provide care for patients according to unit specific competencies and Standards of Care, i.e., glucometer, telemetry, scanners and pulse oximeter, etc. Demonstrates ability to handle and assist in emergency situations in a prompt, precise and professional manner. Compassionately gives personal patient care to provide comfort and well being to the patient, acknowledging physiological and psychosocial needs. Administers medications according to Nursing policy and procedure. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and Nursing policy and procedure. (Done in a timely manner). Exhibits interpersonal skills that promote a positive functioning department. Communicates effectively with peers, health team members, management and physicians. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Interacts effectively with patients families and/or significant others. Always greets patients in a courteous and respectful manner; responds to patients with empathy and positive interpersonal skills. Consistently handles all request in a positive manner. Adapts to changes in a positive, professional manner. Supports problem solving approach to both department and patient needs. Follows through on problems that may compromise patient care by using the appropriate chain of command.. Accurately and concisely processes information. Communicates appropriate information to Primary Nurse as appropriate. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to form guidelines. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to department policies. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Collaborates with hospital personnel and physicians. Communicates effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to assure the patient's well being. Adheres to Hospital/Nursing Policy. Observes departmental guidelines concerning unscheduled absences, overtime and tardiness. Dresses according to CWH dress code for nursing. Is conscientious in regard to personal hygiene. Complies with specific hospital policy and procedure concerning infection control. Assumes responsibility for self-evaluation/self improvement. Has 100% attendance at mandatory inservices, including CPR certification meeting, and annual safety inservice... Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an approved LPN program or in an RN program. Current nursing license in the state of Washington. Completion of hospital orientation program. Must be currently certified in CPR, and recertify annually. Desired: Not Specified 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 - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - Not specified Carrying: 25 pounds to 50 pounds - Not specified Carrying: Over 50 pounds - Not specified Crawling/Kneeling - Not specified Bending/Stooping/Crouching - F Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Applies principles of safety in daily work. Service requires patient care 24 hours a day, seven days a week, therefore, scheduling calls for rotation of days with possible rotation of shifts for vacation, illness, etc. occasional overtime as needed. May be asked to float to other units to provide balanced staffing or assist as needed. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified 
Salary Range $42.61 - $80.07 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. Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. 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: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes 
Salary Range $62.02 - $72.12 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 medical services in the general care and treatment of patients in outpatient clinic setting. Provides comprehensive medical services for patients on a continuing basis. Examines patients using medical instruments and equipment. Elicits, records, reviews and communicates to patient information about patient’s medical history. Orders or executes various tests to provide information on patient’s condition. Analyzes reports and findings of tests and examination, and diagnoses condition of patient. Administers or prescribes treatments and medications. Promotes health by advising patients concerning diet, hygiene, and methods of prevention of disease. Inoculates and vaccinates patients to immunize patients from communicable diseases. Performs outpatient procedures commensurate with outpatient privileging. Refers patients to specialist for consultant services when necessary for the patient’s well being. Refers patients to Emergency Department for emergent or life threatening conditions. Works collaboratively and cooperatively with ancillary and support staff, peer providers and within the organization. Position Reports To: Practice Manager Essential Functions Provides care to patients and assigns appropriate aspects of care to non-physician staff. Based on diagnosis and evaluation of the patients, plans and carries out plan for treatment/therapy, informing and educating the patient, making referrals for specialized treatment and following up on progress. Completes all charts and dictation (if applicable) within 3 days of visit assuring completeness and accuracy. Each chart will contain a problem list, medication list, and progress notes following a problem-oriented format. Is responsible for comprehensive and accurate coding of each patient encounter submitted the day of encounter. Coordination of orders being placed in a timely manner. 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. Minimum of 3 years’ experience with women’s health services. Desired: Advanced Registered Nurse Practitioner Midwife License. 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 - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - C Climbing - O Pulling/Pushing: 25 pounds or less - C Pulling/Pushing: 25 pounds to 50 pounds - F 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 - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F 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 - No Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes 
Salary Range $66.35 - $76.92 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 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. 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: 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 
Salary Range $62.02 - $72.12 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 medical services in the general care and treatment of patients in outpatient clinic setting. Provides comprehensive medical services for patients on a continuing basis. Examines patients using medical instruments and equipment. Elicits, records, reviews and communicates to patient information about patient’s medical history. Orders or executes various tests to provide information on patient’s condition. Analyzes reports and findings of tests and examination, and diagnoses condition of patient. Administers or prescribes treatments and medications. Promotes health by advising patients concerning diet, hygiene, and methods of prevention of disease. Inoculates and vaccinates patients to immunize patients from communicable diseases. Performs outpatient procedures commensurate with outpatient privileging. Refers patients to specialist for consultant services when necessary for the patient’s well being. Refers patients to Emergency Department for emergent or life threatening conditions. Works collaboratively and cooperatively with ancillary and support staff, peer providers and within the organization. Position Reports To: Practice Manager Essential Functions Provides care to patients and assigns appropriate aspects of care to non-physician staff. Based on diagnosis and evaluation of the patients, plans and carries out plan for treatment/therapy, informing and educating the patient, making referrals for specialized treatment and following up on progress. Completes all charts and dictation (if applicable) within 3 days of visit assuring completeness and accuracy. Each chart will contain a problem list, medication list, and progress notes following a problem-oriented format. Is responsible for comprehensive and accurate coding of each patient encounter submitted the day of encounter. Coordination of orders being placed in a timely manner. 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. Minimum of 3 years’ experience with women’s health services. Desired: Advanced Registered Nurse Practitioner Midwife License. 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 - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - C Climbing - O Pulling/Pushing: 25 pounds or less - C Pulling/Pushing: 25 pounds to 50 pounds - F 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 - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F 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 - No Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes 
Salary Range $66.35 - $76.92 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 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. 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: 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 
Salary Range $41.37 - $77.74 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 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 Up to $6,000 in Bonuses for recent NICU experience! Applies to external candidates. *Requires one year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director. Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes 
Salary Range $42.61 - $80.07 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 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 Up to $6,000 in Bonuses for recent NICU experience! Applies to external candidates. *Requires one year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director. Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes 
Salary Range $45.59 - $85.67 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 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 A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Charge RN promotes a professional team-based environment within and with other departments and ensures collaboration with department leadership that patients receive high quality, safe care. Position Reports To : Clinical Manager/Director Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Serves as a consultant, mentor and role model to staff. Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s). Active participation in problem-solving identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assists with the orientation of nursing personnel to the unit and contributes to the educational experience of students assigned to the unit. Coordinates and makes assignments for patient care taking into account patient needs, acuity, and skill mix of staff. Actively participates in quality improvement programs. Demonstrate ethical conduct and practices. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. May be assigned to respond/lead in a Code Blue or RRT depending on the department. Preforms/assist with duties outlined within the Inpatient Registered Nurse Job Description Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. 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: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes 
Salary Range $133,000 - $154,000 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 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! In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. Summary Provides primary appropriate specialized outpatient Spine Health Care Services. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic tests; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provides specialty outpatient spine care by evaluating, diagnosing, and treating patients with back and spine conditions. Conducts comprehensive, problem focused histories and physical examinations for new patients with acute and chronic spine disorders. Develops and implements treatment plans, orders and interprets diagnostic studies, and manages non operative spine care within scope of practice. Identifies conditions requiring escalation and refers to or collaborates with spine surgeons or physicians as appropriate. Formulates a differential diagnosis and establishes a working diagnosis. Orders laboratory and diagnostic tests. Develops a treatment plan for spinal conditions within the scope of practice and in conjunction with the Physiatrist. Refers patients to specialty services when appropriate. Writes prescriptions and perform procedures within the scope of expertise, protocols, and available equipment. Maintains accurate and complete patient records in compliance with organizational policy. Required to maintain active Basic Life Support (CPR) certification. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families on spine conditions, treatment options, recovery expectations, and self management strategies, addressing both physical and emotional aspects of care. Actively supports health promotion by reinforcing injury prevention, ergonomics, lifestyle modifications, and adherence to treatment plans related to spine health. Refers patients to specialty services when appropriate. Performs 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, by start date. Basic Life Support (CPR) certification. 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 – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes 
Salary Range $133,000 - $154,000 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 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! In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. Summary Provides primary appropriate specialized outpatient Spine Health Care Services. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic tests; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provides specialty outpatient spine care by evaluating, diagnosing, and treating patients with back and spine conditions. Conducts comprehensive, problem focused histories and physical examinations for new patients with acute and chronic spine disorders. Develops and implements treatment plans, orders and interprets diagnostic studies, and manages non operative spine care within scope of practice. Identifies conditions requiring escalation and refers to or collaborates with spine surgeons or physicians as appropriate. Formulates a differential diagnosis and establishes a working diagnosis. Orders laboratory and diagnostic tests. Develops a treatment plan for spinal conditions within the scope of practice and in conjunction with the Physiatrist. Refers patients to specialty services when appropriate. Writes prescriptions and perform procedures within the scope of expertise, protocols, and available equipment. Maintains accurate and complete patient records in compliance with organizational policy. Required to maintain active Basic Life Support (CPR) certification. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families on spine conditions, treatment options, recovery expectations, and self management strategies, addressing both physical and emotional aspects of care. Actively supports health promotion by reinforcing injury prevention, ergonomics, lifestyle modifications, and adherence to treatment plans related to spine health. Refers patients to specialty services when appropriate. Performs 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, by start date. Basic Life Support (CPR) certification. 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 – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes 
Salary Range $68.27 - $82.69 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 In addition to the base salary, this position may receive additional compensation based on call pay and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Also provides surgical assistance as needed. Participates in shared department call schedule as needed. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; performs in office procedures within the scope of their licensure, instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide 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. Provides surgical assistance as needed. Provides surgical assistance as needed. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities, community events, and committees as needed. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. 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, 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 – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes 
Salary Range $68.27 - $82.69 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 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. Also provides surgical assistance as needed. Participates in shared department call schedule as needed. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; performs in office procedures within the scope of their licensure, instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide 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. Provides surgical assistance as needed. Provides surgical assistance as needed. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities, community events, and committees as needed. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. 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, 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 – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes $88,453 - $198,356 / year
JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Provides general medical care and care coordination to various and/or specific patient member populations – adult, women’s health, pediatric, and geriatric. • Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments. • Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. • Establishes and documents reasonable medical diagnoses. • Seeks specialty consultation as appropriate. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately. • Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed. • Creates and implements a medical plan of care. • Schedules appointments for visits when appropriate. • Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization. • Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations. • Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations. • Orders bulk laboratory orders to target specific member populations. • Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care. • Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care. • Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay. • Obtains and maintains cross-state license in other states besides home state based on business need. • Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively. • Actively participates in regional meetings. • May prescribe medications and perform procedures as appropriate. • Performs timely medical records documentation in electronic medical record (EMR) computer system. • On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment. • Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws. • Local travel required (based upon state/contractual requirements). Required Qualifications • At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience. • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC). • Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice. • Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice. • Current Basic Life Support (BLS) certification. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication. • Ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience. Preferred Qualifications • Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting. • Experience in home health as a licensed clinician, especially in management of chronic conditions. • Experience with underserved populations facing socioeconomic barriers to health care. • Immunization and point of care testing skills. • Bilingual. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $88,453 - $198,356 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 
Salary Range $42.61 - $80.07 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 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 2026 Cohort Start Dates : July 20th Residency Completion Bonus of $5,000 to be paid out at completion of Residency. Requires a two year commitment to Confluence Health. *Only applicable to New Graduates* Designed to transition a new graduate or an experienced nurse wishing to enter/reenter acute inpatient care, emphasizing high quality, evidence-based patient care. The Nurse Resident will work with a preceptor to deliver care to patients on multiple units, assuming increasing responsibility. Utilizes Nursing process of assessment, planning, intervention, implementation and evaluation to achieve patient goals and optimize outcomes. Effectively interacts with patient, significant others and other health team members, while maintaining standards of professional nursing (Washington State Nurse Practice Act, WAC, ANA scope and standards of practice). The Residency Program supports the RN resident through their first six month of practice. Includes online and classroom-based learning, clinical simulation, skills development, direct clinical experiences and mentorship. Position Reports To : Residency Manager/Director Essential Functions Demonstrates communication and interactions in accordance with Confluence Health’s Code of Conduct in all aspects of job performance. Maintain a safe and sanitary work environment. In collaboration with assigned preceptor, provides all aspects of nursing care to patients with increasing independence during progression in the program. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Demonstrate competency of the ANA standards of practice: assessment, diagnosis, outcome identification, planning, implementation, coordination of care, evaluation. Including professional standards of performance: ethics, cultural congruent practice, communication, collaboration, leadership, education, evidence-based practice, quality of practice, resource utilization and environmental health. Develops, implements, and continually reassesses patient’s individualized plan of care. Sets priorities for nursing action in a logical sequence according to patient's needs and formulates an appropriate plan of nursing care as defined by nursing policy. Teaches patient/family and/or caregiver appropriate health information. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Document’s care provided, assessments, plan of care, interventions, and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Demonstrates ability to delegate care to other licensed or non-licensed assistive personal based on Washington and Central Washington’s Guideline on scope of practice. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and nursing policy and procedure. Administers medications in accordance with WA State WAC and current licensure scope of practice unless under direct supervision of Preceptor. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. 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 : Graduate of an accredited school of nursing, or due to graduate within 30 days with proof supplied upon graduation. Licensure: Current LPN, or RN licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). If LPN licensure, eligible to sit for NCLEX exam. Clinical experiences with a preceptor will be tailored to their level of licensure. Active Washington State RN licensure by the end of 90 days. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Not Specified 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute care nursing. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes 
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1.0, Shift: Day, Schedule: Day This position includes a $7500 Sign-On Bonus for eligible Medical Assistants! Position Summary The Certified Medical Assistant (CMA) is an ideal opportunity for those seeking to be an integral part of a providers’ office team. If you love variety, have a customer service attitude, and exemplify professional diplomacy, this is the role for you. The Medical Assistant position at MultiCare will allow you to engage with patient customers while working closely with your clinical team to provide excellent customer service and patient care. Responsibilities You will perform safe clinical skills within the scope of practice of the CMA, including clinical duties in the management of ambulatory patients You will be an integral part of the team working under the direction of a licensed health care practitioner You will utilize your knowledge towards the integration of available standards, resources, and data You will assist with front office duties as needed, applying your discretion, good judgment, and diplomacy towards the excellent office and patient care management Requirements Completion of an accredited program for Medical Assistants Washington State Medical Assistant-Certified (MA-C) Minimum one (1) year of experience in physician's office or other medical facility preferred About Rockwood Clinic MultiCare Rockwood Clinic is one of the region’s largest outpatient diagnostic and treatment centers, serving communities across eastern Washington, northern Idaho and western Montana. With more than 350 physicians and providers across 50 specialties and multiple primary and urgent care locations, Rockwood delivers more than 160,000 patient visits annually. This diverse and growing outpatient network offers a wide range of meaningful career opportunities. About the Spokane Community Spokane, in eastern Washington along the Spokane River and near the Selkirk Mountains, offers a vibrant city experience with endless access to outdoor adventure. Residents enjoy lakes, rivers, ski resorts, golf courses, wineries, and nearby national parks, combined with a thriving arts and culture scene. Spokane delivers the perfect balance of city living and Pacific Northwest recreation year-round. Why MultiCare? Rooted in the local community – Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years Growth and education – Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future Well-being and support – Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life Living our values – Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other Belonging for all – Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued Pacific Northwest lifestyle – Work and live where natural beauty, adventure and strong community connections are part of everyday life Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $22.12 - $31.82 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here . 
Salary Range $42.61 - $80.07 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 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 This position is eligible for up to a $20k sign on bonus with a 2- year commitment to Confluence Health. Must have prior ICU experience and be a external applicant. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. INTENSIVE CARE UNIT REGISTERED NURSE ESSENTIAL FUNCTIONS Intensive Care RNs will complete a formal orientation program for care of the critically ill patient. Intensive Care Unit RNs will be able to apply the principles / techniques of critical patient care assessment, planning, intervention, and evaluation. Intensive Care Unit nurses will be able to provide care within the ICU Standards of Practice, Section B for the infant, pediatric, adolescent, and adult patient. Intensive Care RNs will demonstrate knowledge and competency of all new equipment, policies, and procedures specific to Intensive Care nursing. Intensive Care nurses are certified in ACLS, PALS, and TNCC (within 1 year of ICU employment unless an alternative education plan is determined). Intensive Care RNs will serve as Trauma Team members after completing TNCC course. CCRN Certification will be endorsed and encouraged for all ICU nursing staff. Intensive Care RNs will demonstrate competency by attending an annual skills lab and review of selected equipment and procedures. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN 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 - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes