LVN Jobs in Fresno, CA

$32 - $34 / hour

Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare. Job Title: Part-Time Licensed Vocational Nurse / Licensed Psychiatric Technician Division/Program: Fresno Psychiatric Health Facility (Fresno PHF) Starting Compensation: 32.00 - 34.00 USD Per Hour Working Location: Fresno, CA Working Hours/Shift: Every Sunday, 6 am to 6:30 pm Why Join Our Team? Competitive Compensation : Offering a salary that matches your skills and experience. Generous Time Off : Enjoy ample vacation and holiday pay. Comprehensive Benefits Package : Employer-paid medical, dental, and vision coverage. Additional voluntary benefits to support your lifestyle. Professional Growth Opportunities : On-the-job training with access to paid CEU opportunities. Career development programs designed to help you grow. Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable). Employee Recognition & Rewards : A culture that celebrates and rewards your hard work and dedication What you bring to SBHG: High School diploma or equivalent (e.g. GED, HiSET, etc.) required Graduation from an accredited school of licensed vocational nursing, graduation from an accredited school of psychiatric technology, or associate’s degree in nursing or social sciences preferred. One (1) year nursing experience required, preferably treating the mentally ill in an inpatient setting. (Clinical nursing school rotations may be substituted for work experience) One (1) year medication administration experience preferred. A valid California LVN or LPT license is required. Valid CPR certification required within 30 days of employment. Valid ProAct certification required within 30 days of employment. How you will make a difference: Visually and audibly observes, documents in writing, and reports orally or in writing the physical or mental condition to the Registered Nurse in charge of the facility on the shift and the attending physician. Orders, prepares, administers, and documents the administration of medication for clients according to physician’s orders. Confirms delivery of all ordered medication from pharmacy on shift worked. Attend and participate in morning rounds, change of shift meetings, and treatment team meetings as scheduled on the assignment sheet. Makes written or oral shift assignments and plans, organizes, and directs the nursing activities of the unit, assuring quality care delivery. Provides other nursing duties including first aid and medical intervention within scope of licensure as necessary for each individual client. Supports admission processes to ensure PHF beds remain full, including reviewing admission packets and securing approval, scheduling admissions, and completing all required verifications & forms upon arrival in facility. Division/Program Overview: 24/7 inpatient involuntary program 16-bed facility for youth (ages 12-17) dealing with acute psychiatric symptoms Intensive treatment programs with individualized care plans Available for contracting Central Valley counties Moves clients through five phases: admission; engagement; learning; stabilization and linkage to resources and aftercare Learn more about SBHG at : https://www.starsinc.com/stars-inc/ For Additional Information: CencalJobs@Starsinc.com

Part-Time Licensed Vocational Nurse

$32 - $34 / hour

Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare. Job Title: Part-Time Licensed Vocational Nurse / Licensed Psychiatric Technician Division/Program: Fresno Psychiatric Health Facility Starting Compensation: 32.00 - 34.00 USD Per Hour Working Location: Fresno, CA Working Hours/Shift: Every Wednesday, Midshift 10:30am to 11:00pm Why Join Our Team? Competitive Compensation : Offering a salary that matches your skills and experience. Generous Time Off : Enjoy ample vacation and holiday pay. Comprehensive Benefits Package : Employer-paid medical, dental, and vision coverage. Additional voluntary benefits to support your lifestyle. Professional Growth Opportunities : On-the-job training with access to paid CEU opportunities. Career development programs designed to help you grow. Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable). Employee Recognition & Rewards : A culture that celebrates and rewards your hard work and dedication What you bring to SBHG: High School diploma or equivalent (e.g. GED, HiSET, etc.) required Graduation from an accredited school of licensed vocational nursing, graduation from an accredited school of psychiatric technology, or associate’s degree in nursing or social sciences preferred. One (1) year nursing experience required, preferably treating the mentally ill in an inpatient setting. (Clinical nursing school rotations may be substituted for work experience) One (1) year medication administration experience preferred. A valid California LVN or LPT license is required. Valid CPR certification required within 30 days of employment. Valid ProAct certification required within 30 days of employment. How you will make a difference: Visually and audibly observes, documents in writing, and reports orally or in writing the physical or mental condition to the Registered Nurse in charge of the facility on the shift and the attending physician. Orders, prepares, administers, and documents the administration of medication for clients according to physician’s orders. Confirms delivery of all ordered medication from pharmacy on shift worked. Attend and participate in morning rounds, change of shift meetings, and treatment team meetings as scheduled on the assignment sheet. Makes written or oral shift assignments and plans, organizes, and directs the nursing activities of the unit, assuring quality care delivery. Provides other nursing duties including first aid and medical intervention within scope of licensure as necessary for each individual client. Supports admission processes to ensure PHF beds remain full, including reviewing admission packets and securing approval, scheduling admissions, and completing all required verifications & forms upon arrival in facility. Division/Program Overview: 24/7 inpatient involuntary program 16-bed facility for youth (ages 12-17) dealing with acute psychiatric symptoms Intensive treatment programs with individualized care plans Available for contracting Central Valley counties Moves clients through five phases: admission; engagement; learning; stabilization and linkage to resources and aftercare Learn more about SBHG at : https://www.starsinc.com/stars-inc/ For Additional Information: CencalJobs@Starsinc.com

Full-Time Licensed Vocational Nurse

$32 - $34 / hour

Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare. Job Title: Full-Time Licensed Vocational Nurse / Licensed Psychiatric Technician Division/Program: Fresno Psychiatric Health Facility (Fresno PHF) Starting Compensation: 32.00 - 34.00 USD Per Hour Working Location: Fresno, CA Working Hours/Shift: Midshift: 10:30 AM-11:00 PM, Thursday, Friday, Saturday Why Join Our Team? Competitive Compensation : Offering a salary that matches your skills and experience. Generous Time Off : Enjoy ample vacation and holiday pay. Comprehensive Benefits Package : Employer-paid medical, dental, and vision coverage. Additional voluntary benefits to support your lifestyle. Professional Growth Opportunities : On-the-job training with access to paid CEU opportunities. Career development programs designed to help you grow. Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable). Employee Recognition & Rewards : A culture that celebrates and rewards your hard work and dedication What you bring to SBHG: High School diploma or equivalent (e.g. GED, HiSET, etc.) required Graduation from an accredited school of licensed vocational nursing, graduation from an accredited school of psychiatric technology, or associate’s degree in nursing or social sciences preferred. One (1) year nursing experience required, preferably treating the mentally ill in an inpatient setting. (Clinical nursing school rotations may be substituted for work experience) One (1) year medication administration experience preferred. A valid California LVN or LPT license is required. Valid CPR certification required within 30 days of employment. Valid ProAct certification required within 30 days of employment. How you will make a difference: Visually and audibly observes, documents in writing, and reports orally or in writing the physical or mental condition to the Registered Nurse in charge of the facility on the shift and the attending physician. Orders, prepares, administers, and documents the administration of medication for clients according to physician’s orders. Confirms delivery of all ordered medication from pharmacy on shift worked. Attend and participate in morning rounds, change of shift meetings, and treatment team meetings as scheduled on the assignment sheet. Makes written or oral shift assignments and plans, organizes, and directs the nursing activities of the unit, assuring quality care delivery. Provides other nursing duties including first aid and medical intervention within scope of licensure as necessary for each individual client. Supports admission processes to ensure PHF beds remain full, including reviewing admission packets and securing approval, scheduling admissions, and completing all required verifications & forms upon arrival in facility. Division/Program Overview: 24/7 inpatient involuntary program 16-bed facility for youth (ages 12-17) dealing with acute psychiatric symptoms Intensive treatment programs with individualized care plans Available for contracting Central Valley counties Moves clients through five phases: admission; engagement; learning; stabilization and linkage to resources and aftercare Learn more about SBHG at : https://www.starsinc.com/stars-inc/ For Additional Information: CencalJobs@Starsinc.com

Full-Time Licensed Vocational Nurse

$32 - $34 / hour

Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare. Job Title: Full-Time Licensed Vocational Nurse / Licensed Psychiatric Technician Division/Program: Fresno Psychiatric Health Facility Starting Compensation: 32.00 - 34.00 USD Per Hour Working Location: Fresno, CA Working Hours/Shift: Full time, Midshift, 10:30am-11:00pm Sun, Mon, Tues Why Join Our Team? Competitive Compensation : Offering a salary that matches your skills and experience. Generous Time Off : Enjoy ample vacation and holiday pay. Comprehensive Benefits Package : Employer-paid medical, dental, and vision coverage. Additional voluntary benefits to support your lifestyle. Professional Growth Opportunities : On-the-job training with access to paid CEU opportunities. Career development programs designed to help you grow. Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable). Employee Recognition & Rewards : A culture that celebrates and rewards your hard work and dedication What you bring to SBHG: High School diploma or equivalent (e.g. GED, HiSET, etc.) required Graduation from an accredited school of licensed vocational nursing, graduation from an accredited school of psychiatric technology, or associate’s degree in nursing or social sciences preferred. One (1) year nursing experience required, preferably treating the mentally ill in an inpatient setting. (Clinical nursing school rotations may be substituted for work experience) One (1) year medication administration experience preferred. A valid California LVN or LPT license is required. Valid CPR certification required within 30 days of employment. Valid ProAct certification required within 30 days of employment. How you will make a difference: Visually and audibly observes, documents in writing, and reports orally or in writing the physical or mental condition to the Registered Nurse in charge of the facility on the shift and the attending physician. Orders, prepares, administers, and documents the administration of medication for clients according to physician’s orders. Confirms delivery of all ordered medication from pharmacy on shift worked. Attend and participate in morning rounds, change of shift meetings, and treatment team meetings as scheduled on the assignment sheet. Makes written or oral shift assignments and plans, organizes, and directs the nursing activities of the unit, assuring quality care delivery. Provides other nursing duties including first aid and medical intervention within scope of licensure as necessary for each individual client. Supports admission processes to ensure PHF beds remain full, including reviewing admission packets and securing approval, scheduling admissions, and completing all required verifications & forms upon arrival in facility. Division/Program Overview: 24/7 inpatient involuntary program 16-bed facility for youth (ages 12-17) dealing with acute psychiatric symptoms Intensive treatment programs with individualized care plans Available for contracting Central Valley counties Moves clients through five phases: admission; engagement; learning; stabilization and linkage to resources and aftercare Learn more about SBHG at : https://www.starsinc.com/stars-inc/ For Additional Information: CencalJobs@Starsinc.com

Vineyards at Fowler Fowler, CA

Per Diem

1 week ago

LICENSED VOCATIONAL NURSE (LVN) PRN NEEDED FOR 8 HOUR SHIFTS

PRN STAFF NEEDED! COME JOIN OUR FAMILY NEW PAY SCALE We are looking for a Licensed Vocational Nurses (LVN) to join our team!! A newly aquired, Family owned and operated facility in the beatiful small town of Fowler, Ca. With an experienced Administrator and Director of Nursing. Our 49 bed facility is looking for your help to provide the best care in Fowler. New Graduates encouraged to Apply! Competive Salary Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing experience preferred.

Per Diem Licensed Vocational Nurse

$32 - $34 / hour

Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare. Job Title: Per Diem Licensed Vocational Nurse / Licensed Psychiatric Technician Division/Program: Fresno Psychiatric Health Facility (PHF) Starting Compensation: 32.00 - 34.00 USD Per Hour Working Location: Fresno, CA Working Hours/Shift: Every Sunday, 6 am to 6:30 pm Why Join Our Team? Competitive Compensation : Offering a salary that matches your skills and experience. Generous Time Off : Enjoy ample vacation and holiday pay. Comprehensive Benefits Package : Employer-paid medical, dental, and vision coverage. Additional voluntary benefits to support your lifestyle. Professional Growth Opportunities : On-the-job training with access to paid CEU opportunities. Career development programs designed to help you grow. Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable). Employee Recognition & Rewards : A culture that celebrates and rewards your hard work and dedication What you bring to SBHG: High School diploma or equivalent (e.g. GED, HiSET, etc.) required Graduation from an accredited school of licensed vocational nursing, graduation from an accredited school of psychiatric technology, or associate’s degree in nursing or social sciences preferred. One (1) year nursing experience required, preferably treating the mentally ill in an inpatient setting. (Clinical nursing school rotations may be substituted for work experience) One (1) year medication administration experience preferred. A valid California LVN or LPT license is required. Valid CPR certification required within 30 days of employment. Valid ProAct certification required within 30 days of employment. How you will make a difference: Visually and audibly observes, documents in writing, and reports orally or in writing the physical or mental condition to the Registered Nurse in charge of the facility on the shift and the attending physician. Orders, prepares, administers, and documents the administration of medication for clients according to physician’s orders. Confirms delivery of all ordered medication from pharmacy on shift worked. Attend and participate in morning rounds, change of shift meetings, and treatment team meetings as scheduled on the assignment sheet. Makes written or oral shift assignments and plans, organizes, and directs the nursing activities of the unit, assuring quality care delivery. Provides other nursing duties including first aid and medical intervention within scope of licensure as necessary for each individual client. Supports admission processes to ensure PHF beds remain full, including reviewing admission packets and securing approval, scheduling admissions, and completing all required verifications & forms upon arrival in facility. Division/Program Overview: 24/7 inpatient involuntary program 16-bed facility for youth (ages 12-17) dealing with acute psychiatric symptoms Intensive treatment programs with individualized care plans Available for contracting Central Valley counties Moves clients through five phases: admission; engagement; learning; stabilization and linkage to resources and aftercare Learn more about SBHG at : https://www.starsinc.com/stars-inc/ For Additional Information: CencalJobs@Starsinc.com

Vineyards at Fowler Fowler, CA

1 week ago

PRN LVN ALL SHIFTS AVAILABLE

We are looking for a Licensed Vocational Nurses (LVN) to join our team!! A newly aquired, Family owned and operated facility in the beatiful small town of Fowler, Ca. With an experienced Administrator and Director of Nursing. Our 49 bed facility is looking for your help to provide the best care in Fowler. PRN Shifts. Competive Salary Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing management experience preferred.

LVN MDS Coordinator, Skilled Nursing

Community Medical Centers Fresno, CA

Overview Opportunities for you! Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Free Continuing Education and certification Tuition reimbursement, education programs and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Great food options with on-demand ordering Free parking and electric charging Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities The LVN Minimum Data Set (MDS) Nurse supports the MDS assessment process by assisting with the collection, documentation, and entry of resident assessment data. This role ensures timely and accurate completion of assigned MDS sections in compliance with federal and state regulations. The LVN MDS Nurse collaborates with the MDS Coordinator, interdisciplinary team, and nursing leadership to facilitate a smooth and compliant assessment process that promotes high-quality resident care and accurate clinical documentation. Qualifications Education• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required• Completion of an accredited Vocational Nursing School program OR become licensed by equivalency required Experience• 2 years of Long Term Care experience required• Experience in completion of MDS assessments preferred• Experience utilizing electronic health record systems (PCC) (e.g., PointClickCare) preferred Licenses and Certifications• LVN - Current State of California Licensed Vocational Nurse License required• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required Disclaimers • Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

1 week ago

LVN NOC shift (10:45 PM to 07:00 AM)

DaVita Kidney Care Fresno, CA

**NEW WAGE SCALE** Health Benefits Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LVN in state One-year prior nursing management experience preferred.

Licensed Vocational Nurse

$28 - $40 / hour

Posting Date 06/25/2026 4679 W Spruce AveSte 101, Fresno, California, 93722-8425, United States of America DaVita is seeking a Licensed Vocational Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic Float to various clinics during and after your training You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays What you can expect: Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. Be a part of a team that supports and relies on each other in a positive environment. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more Paid training Requirements: Current LPN-LVN license in the state of practice required Current CPR certification required IV certification required High school diploma or equivalent required Completed training program approved by the medical director and the governing body as required by CMS guidelines prior to operating the water treatment system BONENT or CHT certification preferred or as required by state regulation Minimum of one year's experience in a hospital or clinical setting preferred Basic computer skills and proficiency in MS Word and Outlook required; functional proficiency in computer systems of DaVita within 90 days of hire required) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-EQ1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $28.00 - $40.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Adventist Health Reedley, CA

2 weeks ago

LVN - Emergency Department (Full-Time, Night Shift)

Job Description Lying just inland between the State's coastal mountain ranges and the Sierra Nevada Mountains, Adventist Health Reedley has been serving the Central Valley since 2011. We are comprised of a 49-bed acute care hospital and 60 clinics in 27 rural communities with primary and specialty care services. Reedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary Performs procedures which require specialized training for general nursing care and related services for assigned patients, under the direction of a Registered Nurse (RN) or Medical Doctor (MD), in accordance with established policy. Participates in the planning for and provision of patient care. Uses knowledge of asepsis in performance of treatments, such as sterile dressings, irritations and cauterizations. Provides functional direction to ancillary personnel. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Bachelor's Degree or equivalent combination of education/related experience: Preferred Licenses/Certifications Licensed Vocational Nurse (LVN) licensure in the state of practice: Required Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required Arrhythmia certification: Preferred Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to established standard and nursing process. Performs admission assessments, and ongoing re-assessments based on departmental specific policy and procedures. Assists in the development of a prioritized interdisciplinary plan of care on each patient. Implements and coordinates plan of care utilizing appropriate organizational skills and reporting mechanisms. Implements individual teaching plans, including Patient Teaching Protocols and discharge Plans, based on mutual goal setting and with emphasis on patient decision making. Performs assigned clinical procedures (i.e. phlebotomy, injections, drug screens, etc.) Administers medications. Orders/restocks supplies as assigned, according to established par levels. Maintains neatness/cleanliness in assigned areas, i.e., Pre-op, PACU, soiled corridor, utility rooms, lounges, locker rooms and restrooms. Performs daily, weekly, and monthly cleaning throughout department, according to established schedule and assigned area. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

North Point Healthcare & Wellness Centre Fresno, CA

2 weeks ago

Licensed Vocational Nurse (LVN) Staff Nurse

Licensed Vocational Nurse (LVN) Staff Nurse is a licensed professional nurse under the supervision of a Registered Nurse who provides nursing care and services to residents in a long-term care setting. Licensed Vocational Nurse (LVN) Staff Nurse Qualifications: • Graduate of an accredited school of nursing or an approved LVN program • Current nursing licensure in good standing with the State licensing board • Strong communication and organizational skills • Ability to provide quality patient care in accordance with applicable standards, policies, and procedures • Ability to identify and report problems, use initiative and good judgment to reach quality decisions • Comprehensive knowledge of applicable nursing principles and practices to ensure the quality of care standards for residents are • Possess the willingness to work with professional and non-professional personnel. Proficiency of the English language including the ability to speak, read, write, and comprehend the language with minimal to no difficulty • Valid CPR certification Licensed Vocational Nurse (LVN) Staff Nurse General Duties and Responsibilities: GENERAL • Provides nursing care as prescribed by physician/health care professional in accordance with the legal scope of practice, any Board of Licensing restrictions, and within established standards of care, policies, and procedures • Administers professional services and provides care consistent with allowing residents to attain or maintain his or her highest practicable physical, mental, and emotional well-being. Provides clinical data and observations to contribute to the nursing plan of care CLINICAL • Admits, transfers, and discharges residents in accordance with policy and procedure • Orients new residents/families as necessary • Gives/receives nursing reports upon beginning and ending of assigned shift. Reviews daily patient report and assignments with Nursing Assistants upon the beginning of assigned shift • Assures that the unit area is maintained in a clean and safe manner for resident comfort and convenience. • Conducts daily resident rounds to observe the resident’s physical and emotional status • Collects clinical data and reports significant clinical findings according to policy • Performs manual and technical skills according to the scope of practice under the direction of a Registered Nurse • Records care information accurately, timely and concisely. Completes all required documentation including resident observations, interventions, and patient response(s) in the medical record in accordance with policy • Assists in developing, reviewing, revising, and updating resident Plans of Care as indicated. Contributes to the evaluation of the patient’s progress towards specific goals and the adjustment of the nursing plan of care as necessary • Receives and transcribes orders accurately from attending/alternate physician. • Assists in making rounds with the attending physician, as necessary. • Prepares/administers medications as ordered by the physician and within the legal scope of practice. • Completes medical treatments as indicated and ordered by the physician. • Evaluates response and report adverse reactions to medication or treatments in accordance with the policy. • Assures that narcotic and controlled drugs are secure, inventory counts are accurate and narcotic register documentation is timely and accurate • Orders prescribed medications, supplies and equipment as established by the facility’s policies and procedures. • Requisitions and arranges for diagnostic and therapeutic services as ordered by the physician. • Notifies the attending/alternate physician, as well as the resident’s legal guardian/representative, when the resident becomes critically ill, injured, etc., or has a significant change in condition as outlined within established policies. • Notifies the attending/alternate physician of resident incidents/unusual occurrences. Completes Accident/Incident Report forms as indicated and documents relevant information in the resident’s medical record as outlined in established policies and procedures. Initiate investigation of accidents and unusual occurrences • Informs RN Supervisor or RN in charge of the facility of significant changes in resident condition, unusual occurrences, incidents, or accidents as indicated and per facility policy and procedure • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required. • Reports allegations of abuse or unusual occurrence per State and Federal Regulations and facility policy. Assists with a gathering of information relative to the event. • Initiates emergency procedures (including basic CPR) and provide emergency patient treatments • Participates in the facility’s infection control program for monitoring communicable and/or infectious disease among residents and staff. • Participates in procedures for reporting hazardous conditions or equipment. • Assists in orientation of newly assigned personnel as requested. • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assigned. • Supervise CNAs SUPERVISION • Make resident rounds to ensure appropriate care is being rendered, identifying, and making corrections as necessary • Meet with nursing personnel to assist in identifying and correcting problem areas and/or the improvement of resident care • Assist the Charge Nurse in revision and distribution of nursing assignments as needed • Assist in the supervision and direction of nursing personnel • Participate in disciplinary action and evaluation of nursing personnel CONSUMER SERVICE • Presents a professional image to consumers through dress, behavior, and speech. • Treats residents/family members with dignity and respect • Responds to Resident and family concern(s) and assists in resolving grievances. Records grievances per facility policy Licensed Vocational Nurse (LVN) Staff Nurse ADDITIONAL DUTIES • Participate in the facility's Quality Assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing. Actively participates in Quality Assurance Performance Improvement teams and activities • Ensures the protection of health information as required by the Health Insurance Portability and Accountability Act (HIPAA) • Participates in the facility’s Infection Control Program for monitoring communicable and/or infectious disease among residents and staff • Participate in procedures for reporting hazardous conditions or equipment. • Orient new staff members upon request • Participate in the facility's quality assurance (QA) program as requested or needed. Assist in correcting findings and deficiencies from the Department of Health Services, Consultants, and the Quality Assurance Team as directed by the Director of Nursing • Attend various facility meetings (care conferences, stand-up meetings, staff meetings, Medicare meetings, discharge plan meetings, etc.) as required • Attends in-services and educational classes to maintain nursing skills competency, and current knowledge for the standard of care and effective practices • Assumes Charge responsibility following orientation period as requested. • Performs other position-related duties as assign

Adventist Health Reedley, CA

2 weeks ago

LVN Emergency Department (Per Diem, Variable Shift)

Job Description Lying just inland between the State's coastal mountain ranges and the Sierra Nevada Mountains, Adventist Health Reedley has been serving the Central Valley since 2011. We are comprised of a 49-bed acute care hospital and 60 clinics in 27 rural communities with primary and specialty care services. Reedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities. Job Summary Performs procedures which require specialized training for general nursing care and related services for assigned patients, under the direction of a Registered Nurse (RN) or Medical Doctor (MD), in accordance with established policy. Participates in the planning for and provision of patient care. Uses knowledge of asepsis in performance of treatments, such as sterile dressings, irritations and cauterizations. Provides functional direction to ancillary personnel. Job Requirements Education and Work Experience: High School Education/GED or equivalent: Preferred Bachelor’s Degree or equivalent combination of education/related experience: Preferred Licenses/Certifications Licensed Vocational Nurse (LVN) licensure in the state of practice: Required Basic Life Support (BLS) Health Care Provider certification from approved vendor per AH policy: Required Arrhythmia certification: Preferred Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to established standard and nursing process. Performs admission assessments, and ongoing re-assessments based on departmental specific policy and procedures. Assists in the development of a prioritized interdisciplinary plan of care on each patient. Implements and coordinates plan of care utilizing appropriate organizational skills and reporting mechanisms. Implements individual teaching plans, including Patient Teaching Protocols and discharge Plans, based on mutual goal setting and with emphasis on patient decision making. Performs assigned clinical procedures (i.e. phlebotomy, injections, drug screens, etc.) Administers medications. Orders/restocks supplies as assigned, according to established par levels. Maintains neatness/cleanliness in assigned areas, i.e., Pre-op, PACU, soiled corridor, utility rooms, lounges, locker rooms and restrooms. Performs daily, weekly, and monthly cleaning throughout department, according to established schedule and assigned area. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Licensed Vocational Nurse

Stars Behavioral Health Group Roosevelt, CA

$32 - $34 / hour

Partner with us in making a positive change! Join a team where your work truly matters. We're proud to have been certified as a Great Place to Work for 8 years by our own employees. We invite you to partner with us in our mission to improve mental healthcare. Job Title: Part-Time Licensed Vocational Nurse / Licensed Psychiatric Technician Division/Program: Crisis Residential Treatment Facility Starting Compensation: 32.00 - 34.00 USD Per Hour Working Location: Fresno, CA Working Hours/Shift: Every Wednesday, 1800-0630 NOC/Overnight. $2 NOC Shift Differential Why Join Our Team? Competitive Compensation : Offering a salary that matches your skills and experience. Generous Time Off : Enjoy ample vacation and holiday pay. Comprehensive Benefits Package : Employer-paid medical, dental, and vision coverage. Additional voluntary benefits to support your lifestyle. Professional Growth Opportunities : On-the-job training with access to paid CEU opportunities. Career development programs designed to help you grow. Supervision for BBS hours for AMFT, ACSW, and APCC professionals (where applicable). Employee Recognition & Rewards : A culture that celebrates and rewards your hard work and dedication What you bring: High School diploma or equivalent (e.g. GED, HiSET, etc.) required Associate degree in nursing or social science field preferred. One (1) year nursing experience required, preferably treating the mentally ill in an inpatient setting. (Clinical nursing school rotations may be substituted for a portion of work experience.) One (1) year medication administration experience preferred. Valid California LVN or LPT license required. How you will make a difference Provides direct nursing care and supervises same provided by all nursing staff on the shift worked. Makes written or oral shift assignments and plans, organizes, and directs the nursing activities of the unit, assuring quality care delivery. Visually and audibly observes, documents in writing, and reports orally or in writing the physical or mental condition to the Program Manager and the attending physician or nurse practitioner. Orders, prepares, administers, and documents the administration of medication for clients according to physicians’ or nurse practitioners’ orders. Confirms delivery of all ordered medication from pharmacy on shift worked. Responsible for writing a weekly summary on clients as assigned. Monitors and maintains appropriate nursing documentation in the medical record for shift worked. Division/Program Overview: 24/7 inpatient voluntary program 16-bed facility for adults (ages 18-59) Rehabilitation/recovery services, including substance use rehabilitation services Pre-vocational or vocational counseling Medication evaluation and support services Learn more about SBHG at : https://www.starsinc.com/stars-inc/ For Additional Information: CencalJobs@Starsinc.com

Per Diem

3 weeks ago

LVN (all shifts)

Job description About us *Under new management* Evergreen Care Center is family owned 49 bed skilled nursing facility in Fresno, CA. Staff is tight knit and welcomes new employees with open arms! Start working right away! No experience needed, training offered for new LVNs! Position Description Responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations and licensing requirements. Operates within the scope of practice defined by the state Nurse Practice Act. Responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, working with physicians and other medical professionals. Principal Responsibilities Conduct the daily nursing functions in accordance with Company, State, Federal and local rules, regulations, and guidelines. Admit, transfer and discharge residents with documentation regarding care and service provided. Participate in the orientation of new residents/family members to the facility. Participate in facility surveys (inspections) as scheduled. Ensures delivery of high-quality, positive clinical outcomes, and resident/family satisfaction during shift. Serves as a resource to all staff within the facility regarding the quality of services provided. Ability to administer medications and treatment timely and according to facility policy; Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act. Effectively manages nursing personnel on shift to limit use of overtime and agency personnel. Assesses the work performance of nursing staff as it relates to unit standards of care and goals. Conducts unit huddles to promote communication programs and provides updates to DON. Participates in shift-to-shift communication between incoming and outgoing nursing staff. Coordinates shift assignments, resident assignments, rest and meal break for Certified Nurse’s Aides. Collaborates with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences. Assumes nursing administrative responsibilities of the center for weekend and holiday coverage as requested. Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of residents. Ensures timely and accurate compliance of the MDS process and that it reflects the resident’s plan of care. Ensures Point Click Care (PCC) is utilized according the company process. Ensures that physician orders are followed as prescribed. Effectively carries out medication management to ensure adequate supplies and that all medications are handled in accordance with company policy. Ensures that resident's attending physician and family or responsible party are promptly notified of any significant change in the resident's health condition. Ensures complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing. Ensures that resident's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with company policies and procedures and the Federal/State rules and regulations. Investigates resident/family complaints and takes appropriate actions to bring to resolution. Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Evaluates the effectiveness of the care interventions, identifies problems and trends and develops alternative interventions. Other duties, responsibilities and activities may change or assigned at any time with or without notice. Direct Care Responsibilities Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response to care. Follows established procedure for charting and reporting all reports of incident/accidents (residents & employees). Identifies and reports changes in condition to supervisor, physician and family. Accurately identifies skin changes and follows the Company skin management protocols. Orders and reports diagnostic tests timely. Counts narcotics at the beginning and completion of each shift with the nurse leaving and coming on to the shift. Follows Pharmacy policy and procedures for ordering and delivering medications. Follows established procedures for restraint reduction. Assists with meal service; Identifies residents at risk for nutritional problems and implements preventative measures; Checks items and food that is brought in by family members to assure it complies with resident’s orders, dietary needs, and safety; Monitors residents with significant weight loss and gain and reports this to the physician and dietary. Documents in progress notes any exceptions to resident’s condition, including daily charting on ill residents, 24, 48, or 72-hour follow up charting on residents with infections, incidents or new admits. Completes documentation to reflect progress or lack of progress of residents participating in Quality of Life programs. Accurately completes and is familiar with the forms used throughout the resident’s chart. Participates and conducts (as appropriate) investigations related to any alleged abuse. Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed. Special Nursing Care Responsibilities * Demonstrates knowledge and ability to work with: NG/tube: insertion, placement, irrigation; Colostomy care: irrigation; Foley catheter care: insertion, Irrigation; Catheter application; Straight catheterization; Demonstrates knowledge and ability to work with: Tube feeding: hanging and labeling, operation of pump, calculating intake and output, assuring dietary, recommended feeding allowances are maintained, monitoring the weights of residents, assessing for abdominal distention, feeding tube placement, residual. Demonstrates knowledge and ability to implement: Positioning techniques; Transfer techniques; ROM exercises. Demonstrates knowledge and ability to implement: Emergency procedures: properly administer s O2, suctions, performs CPR, and uses the ambu bag; glucometer checks. Demonstrates knowledge and ability to work with: IVs: conducts IV site care, applies and monitors a Heparin Lock, mixes, hangs and administers IV solutions to residents, can compute rate of IV fluid administration, operates the infusion pump. Demonstrates knowledge and ability to work with: Suctioning: tracheotomy, nasotracheal; Tracheotomy care; Gastrostomy care: irrigation, placement check; Sterile technique. Demonstrates knowledge and ability to implement: Collection of lab specimens; Isolation techniques. Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy. Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor. Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy. Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Adheres to established employee policies. Adheres to established dress code.

3 weeks ago

LVN / License Vocational Nurse

Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing management experience preferred.

Charge Nurse LVN / 6a-2p

**NEW WAGE SCALE** Dental, Vision, Health Paid Time Off POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary.

Part-time

3 weeks ago

LVN / Licensed Vocational Nurse

**NEW WAGE SCALE** Health Benefits Position Description Responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations and licensing requirements. Operates within the scope of practice defined by the state Nurse Practice Act. Responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, working with physicians and other medical professionals. Principal Responsibilities • Conduct the daily nursing functions in accordance with Company, State, Federal and local rules, regulations, and guidelines. • Admit, transfer and discharge residents with documentation regarding care and service provided. • Participate in the orientation of new residents/family members to the facility. • Participate in facility surveys (inspections) as scheduled. • Ensures delivery of high-quality, positive clinical outcomes, and resident/family satisfaction during shift. • Serves as a resource to all staff within the facility regarding the quality of services provided. • Ability to administer medications and treatment timely and according to facility policy; Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act. • Effectively manages nursing personnel on shift to limit use of overtime and agency personnel. • Assesses the work performance of nursing staff as it relates to unit standards of care and goals. • Conducts unit huddles to promote communication programs and provides updates to DON. • Participates in shift-to-shift communication between incoming and outgoing nursing staff. • Coordinates shift assignments, resident assignments, rest and meal break for Certified Nurse’s Aides. • Collaborates with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences. • Assumes nursing administrative responsibilities of the center for weekend and holiday coverage as requested. • Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of residents. • Ensures timely and accurate compliance of the MDS process and that it reflects the resident’s plan of care. • Ensures Point Click Care (PCC) is utilized according the company process. • Ensures that physician orders are followed as prescribed. General Responsibilities • Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy. • Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor. • Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy. • Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment.

LVN Charge Nurse 2:45 pm -11:15 pm

New wage scale $32-$36 based on experience PTO Dental, Health and Vision POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary.

On-Call Afterhours Hospice LVN/RN

Anchor Health CA

Full job description The after hours nurse supports our patients and families needs after hours. After hours is qualified as 5 p.m. to 8 a.m. and weekends. If you would prefer to work with an agency that honors and cares for its clinicians, with the strong communications and teamwork this is your place . Anchor Health is seeking a Registered Nurse and Licensed Vocational Nurse to serve in the San Mateo County . The Registered Nurse will plan, organize and direct hospice care. They will also build from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. Position Responsibilities: - Coordinating the care of the patients assigned to you. - Making regular visits to patients' homes to assess patients' physical, emotional, spiritual, and social needs. - Working collaboratively with the hospice physician and your supporting LVNs to carry out appropriate interventions. - Helping the agency to continuously increase the quality of care. Position Requirements: - Licensed as a Registered Nurse/RN - Valid Driver's License and reliable vehicle with current insurance. - Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. - CPR Certified. Hospice LVN Duties Include: -Service a range of patients and family during transition of life -Ensure quality and safe delivery of Hospice services -Implements current nursing practices and provide direct hands-on care within scope of practice -Obtains orders as needed to promote comfort and quality of life -Keep Case Manager informed of all changes in condition and orders obtained PLEASE VISITE TO OUR WEBSITE FOR MORE INFORMATION www.anchorhpc.com Job Types: PRN, Per diem Medical Specialty: Hospice & Palliative Medicine Physical Setting: Inpatient Outpatient