Job Summary: As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect. Essential Responsibilities: The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors: Leadership: Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability. Understands own and team members scope of practice and escalates issues as appropriate. Demonstrates professional, supportive behavior. Champions new ideas. Leads and directs others through the change process. Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes. Participates in problem identification and resolution. Mentors, orients, and coaches others in unit specific operations and patient care activities Shares responsibility and authority with subordinates and holds him/her accountable for performance. Demonstrates ability to problem solve with other departments in order to assist member problem resolution. Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities. Complies with regulatory requirements, policies, procedures, and standards of practice. Nursing Process: Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan. Ensures plan shows multidisciplinary planning, consultation, and education. Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity. Ensures plan is discussed with patient, family/significant others, and completed in a timely manner. Monitors the patients progress based on the plan. Revises plan on ongoing basis based on patient condition and evaluation of progress. Ensures care meets standards of practice. Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan. Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections. Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge. Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge . Documentation: Charting is accurate, legible, dated, and timed. Documentation reflects nursing process and interventions and evaluations taken. Utilizes computer systems effectively and efficiently for optimal patient care. Clinical Outcomes: Discusses patient findings and progress toward outcomes with physicians and other members of the health care team. Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation. Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes. Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving. Workplace Safety: Adherence to LMP Workplace Safety principles and practices. Applies standard precautions; maintains a safe environment for self and others Patient Care Experience: Practices customer service standards as defined by the Service Area, Medical Center, and specified department. Promptly answers call lights, alarms, and patient requests. Makes appropriate referrals and facilitates the customers ability to utilize resources. Maintains and protects patient confidentiality Ensures clean, orderly, and functional work environment. Treats all families of patients with courtesy, respect, kindness and compassion. Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs. Gives patients information in a way they can understand and ensures comprehension. Provides a patient care experience that exceeds members expectations. Team Commitment: Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others. Confronts difficult or conflict situations constructively and seeks appropriate assistance. Takes accountability for own actions and accepts constructive criticism. Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members. Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff). Participates with the assessment of current and future unit learning needs and development of an annual education plan. Keeps self informed of activities on the unit and makes recommendations for change. Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift. Supports a collaborative Labor-Management Partnership environment through unit based teams. Fiscal Responsibility Organizes work to minimize the use of overtime. Identifies and assists in systems improvement that needs simplification or correction. Utilizes payroll and non-payroll resources to their maximum potential.
Scripps Mercy Hospital has served central and downtown San Diego since 1890 and is the oldest medical center in the county. The San Diego campus is located near the corner of 5th Avenue and Washington Street in Hillcrest. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista. Scripps Mercy Hospital San Diego’s campus includes the O’Toole Breast Care Center, a 24-hour emergency room that is a Level I Trauma Center, outpatient physical rehabilitation, minimally invasive robotic surgery and our childbirth unit (including a Level II neonatal intensive care unit). This is a Full-Time (72 hours per pay period), with a 12-hour NIGHT shift, on variable days of the week including holidays and weekends. Located at Scripps Mercy Hospital San Diego (Hillcrest). At Scripps Health, your ambition is empowered, and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. We invite you to join our highly engaged Medical/Surgical Acute Overflow team of Patient Care Assistant’s and be a key member of an outstanding clinical care team. The ideal candidate will thrive in a fast-paced environment and provide excellent service to patients. The Patient Care Assistant (PCA) provides excellent service to patients as a key member of the clinical care team. Assists patients with personal needs and activities of daily living, collects data, and ensures the patient has a safe, organized environment. Assists with patient care within the scope permitted and under the direction of a clinician. Supports the unit with a variety of patient logistic, clerical, equipment/supply, and charge reconciliation duties. Preferred Education/Experience/Specialized Skills/Certification CNA certification. Prefer at least 6 months of CNA experience. Required Education/Experience/Specialized Skills One year of recent experience working under the license of a licensed healthcare provider OR current enrollment or completion of Nursing Assistant training from a recognized school OR current enrollment in an RN program with completion of the second semester, including nursing fundamentals. Must be able to speak, read and follow instruction in English. Excellent interpersonal skills with a service aptitude. Current American Heart Association (AHA) Basic Life Support (BLS) for health care provider At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work. You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential. Position Pay Range: $25.48-$30.89/hour
Located less than 10 miles from the US-Mexico border, the Chula Vista campus of Scripps Mercy serves the cities of Chula Vista, Otay Mesa, National City, Imperial Beach, Bonita and beyond. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista. Scripps Mercy Hospital Chula Vista provides a variety of medical and surgical services, including inpatient and outpatient care. Within the hospital you’ll find our 24-hour emergency room and many other specialty services ranging from cancer care to stroke care. This is a Full-Time position (72 hours per pay period), with a 12-hour NIGHT shift schedule that includes weekends and holidays located at our Scripps Mercy Hospital in Chula Vista. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. At Scripps Health, you will experience the pride, support, and respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work. Scripps Mercy Hospital Chula Vista is located in the county’s fastest-growing community with the utmost care and consideration. You will thrive in an environment where team members are engaged and committed to providing excellent care and making a difference in the lives of their patients and their teammates So, if you’re open to change, go ahead and unlock your potential. Why join Scripps Health? Award-winning Workplace Made Becker's 150 Top Places to Work for 2024 #78 in PEOPLE Companies that Care 2023 Nearly a quarter of our employees have been with Scripps Health for over 10 years As a Patient Care Assistant, you will; Provide excellent service to patients as a key member of the clinical care team. Assist patients with personal needs and activities of daily living, collects data, and ensures the patient has a safe, organized environment. Assist with patient care within the scope permitted and under the direction of a clinician. Support the unit with a variety of patient logistic, clerical, equipment/supply, and charge reconciliation duties. Preferred CNA certification preferred. Multiple patient care skills preferred. One-year acute care experience preferred. Required One year of recent experience working under the license of a licensed healthcare provider OR current enrollment or completion of Nursing Assistant training from a recognized school OR current enrollment in an RN program with completion of the second semester, including nursing fundamentals. Must be able to speak, read and follow instruction in English. Excellent interpersonal skills with a service aptitude. Current American Heart Association (AHA) Basic Life Support (BLS) for health care provider At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work. You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential. Position Pay Range: $25.48-$30.89/hour
Posting Date: 5/21/2026 Internal Closing Date: 5/28/2026 * Internal candidates must apply by midnight on the Closing Date in order to have bidding rights. Primarily responsible for the delivery of coordinated nursing care for a patient or an assigned group of patients within an assigned unit and for the day-to-day management and supervision of the related clinical activities. Coordinates plan of care with the client, their family and the interdisciplinary team. Also responsible for supervising and responsibly directing the activities of various levels of assigned nursing and ancillary personnel, utilizing both professional and supervisory discretion and independent judgment. Understands and adheres to the California Nurse Practice Act, The American Nurses Association (ANA) Code of Ethics for Nurses, the ANA Bill of Rights for Registered Nurses and the ANA Scope and Standards of Practice for Nursing. The Registered Nurse shall be responsible for the observation and direction of patient lifts and mobilization and shall participate as needed in patient handling. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health. Job Requirements Minimum Education: As required by certification and/or licensure Preferred Education: Bachelor's Degree Minimum Experience: 1 year of directly related RN experience in area of specialty Preferred Experience: 2+ years of directly related RN experience in area of specialty Required Certification: American Heart Association recognized BLS - Healthcare Provider Preferred Certification: Not Applicable Required License: Current CA RN License Preferred License: Not Applicable