Registered Nurse (RN) Jobs in Hawaii

RN Full-time
Fresenius Medical Care

Registered Nurse - RN - Dialysis

Fresenius Medical Care Waimea, HI
$42 - $60 / hour
PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $42.00 - $60.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Full-time
Fresenius Medical Care

Registered Nurse - RN - Dialysis

Fresenius Medical Care Hilo, HI
PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $42 - 60 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Full-time
Fresenius Medical Care

Charge Registered Nurse - RN

Fresenius Medical Care Mililani, HI
PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. PRINCIPAL DUTIES AND RESPONSIBILITIES: General and Staff Related: Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate. Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients. Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift. Participate in patient care plan meetings. Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services. Train and orient staff as necessary. Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures. Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment. Maintain overall shift operation in a safe, efficient, and effective matter. With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care. Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information. Supervise all documentation of patient information. Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity. Patient Care: Assess daily patient care needs and develop and distribute patient care assignments appropriately. Assume primary responsibility in an emergency situation. Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed. Monitor and supervise all patient care activity during dialysis and assist as necessary. Collaborate with direct patient care team in making decisions to benefit patient care. Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis. Administer medications to patients per physician's orders. Act as the subject matter expert and as a resource for staff members. Supervise and participate in completion of short- and long-term care plans. Admit new patients according to facility procedure. Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication. Technical: Supervise the safe and effective use of all equipment involved in direct patient care. Operate all dialysis related and emergency equipment safely and efficiently when needed. Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual. Complete Nurse's Technical Training Program/Water Quality Facility Training. Other: Assist with special projects or other duties as assigned by the Clinical Manager Assist with the interviewing of potential direct patient care staff as requested. Promote efficient use of medical supplies. Attend and participate in monthly Quality Assurance meetings. Other duties as assigned. Relationships: Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP) External Contacts: Physicians, Back-up Hospitals Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. SUPERVISION: Direct Patient Care Staff, Ward Clerk as assigned. EDUCATION : Graduate of an accredited school of Nursing (R.N.) Current appropriate state licensure. EXPERIENCE AND REQUIRED SKILLS: Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience. Supervisory or management experience preferred. Successfully completea training course in the theory and practice of hemodialysis. Good communication skills - verbal and written. Must meet appropriate state requirements (if any). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $90,000.00 - $151,000.00 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Full-time
Fresenius Medical Care

Registered Nurse - RN - Dialysis

Fresenius Medical Care Lanai City, HI
$42 - $60 / hour
PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $42.00 - $60.00 Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Manager/Supervisor Full-time
Fresenius Medical Care

Dialysis Clinical Manager Registered Nurse - RN

Fresenius Medical Care Kapaʻa, HI
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. Training and advancement: You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning for our managers. The curriculum will cover onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager, you may advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our employees are our most important asset — we value, care about, and support our people. We are there when you may need us most, from tuition reimbursement to support your education goals, granting scholarships to family members, delivering relief when natural disasters strike, or providing financial support when personal hardship hits, we take care of our people. Our focus on diversity: We have built a nurturing environment that welcomes every age, race, gender, sexual orientation, background, and cultural tradition. We have a diverse range of employee resource groups (ERGs) to encourage employees with similar interests, goals, social and cultural backgrounds, or experiences to come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, and inclusion for all, which is a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in the lives of people living with kidney disease. If this sounds like the career and company you have been looking for, and you want to be a vital part of the future of healthcare, apply today. PURPOSE AND SCOPE: Manage and oversee the daily operations of the facility ensuring cost-effective facility operations in accordance with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Manager/Charge Nurse regarding the provision of quality patient care in the dialysis facility incorporating all activities from admission through to discharge. As the clinic leader, has the authority to make daily decisions to ensure the appropriate continuity of care and patient and staff safety. Markets available services through presentations to physicians and dialysis facilities. You will ensure that quality patient care is delivered while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing end stage renal disease or chronic kidney disease. PRINCIPAL DUTIES AND RESPONSIBILITIES: Clinic Operations: Provides leadership, coaching, and development plans for all direct reports. Partners with internal Human Resources, Quality, Education, and Technical Services departments. Collaborates with the Home Therapies Program Manager to oversee the facility’s Home Therapies Program. Maintains integrity of medical and operations records and complies with all data collections and auditing activities. Accountable for completion of the Internal Classification of Disease (ICD) coding. Responsible for all required network reporting and on-site state or federal surveys. Manages the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing. Responsible for the administration of the daily business operations of the dialysis clinics including managing the functions and actions related to the center staff, quality of overall provision of patient care, maintenance of the physical plant and center equipment, and inventory control. Manages the profit and loss and other related financial aspects for the center, ensuring optimal facility. operations to achieve or exceed the budget and key performance indicators. Patient Care: Coordinates all aspects of patient care with the appropriate staff members, from admission through discharge of the patient. Acts as a resource for the patient and family to address concerns and questions. Oversee the timely completion of patient care assessments and care plans. Manages timely patient schedules to ensure facility efficiency and develop action plans for missed treatments. Reports changes in patient status regarding any clinical, insurance, or travel and transportation issues. Staff: Participates in the selection and hiring of new team members and ensures completion of new hiring orientation and mandatory training. Responsible for all patient care employees completing appropriate training courses and that licensures/certifications are current. Provides support for all clinical staff members at regular intervals and encourages professional growth. Maintains current knowledge regarding company benefits, policies, procedures, and processes. Obtains clinical feedback for employee evaluations and establishes annual goals and conducts employee evaluations. Documents any disciplinary actions and confers with the clinic Director of Operations and Human Resources when needed. Manages staff scheduling and payroll. Physicians: Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. Responsible for strong physician relationships and ensures regular and effective communication. Participates in Governing Body, an interdisciplinary team for each region including MDs, DOs etc. that governs policies. Other: Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. Collaboration activities include: Coordinating all aspects of patient care from admission through discharge of the patient. Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. Developing and communicating efficient and timely patient schedules to ensure maximization of facility efficiency. Assisting as needed with patient workflow. Implementing and maintaining a Continuous Quality Improvement (CQI) Process and Quality Assessment and Improvement Program (QAPI) Improvement Team that involves staff and pertinent physicians in problem solving activities meeting on a regular basis to address identified issues. Continually review Center operations to ensure compliance with Federal and State laws. Develops and maintains strong Medical Director and physician relationships, facilitating staff relationships with physicians, and ensuring regular and effective communication with all physicians including participating in regular meetings with Medical Directors. Supports and drives FMS quality standards through meeting regulatory requirements and the practice of CQI, including the use of the appropriate company CQI tools. Works with the Charge RN and Medical Director to implement FMS quality FKC goals and develop facility specific action plans to achieve FMS quality standards. Oversees and monitors the provision of the appropriate training according to FMS policy to ensure ongoing compliance with all company and FMS risk management initiatives. Collaborates with the Charge RN to ensure the aggressive treatment of, and actions taken, regarding adverse safety events and action thresholds. Ensures all Quality policies and procedures are communicated to and implemented by the facility staff. Maintains integrity of medical records and other FMS administrative and operational records. Complies and assists with all data collection and auditing activities. Manages the day-to-day activities and workload of the facility staff providing guidance and leadership as appropriate to ensure the effective, efficient and timely execution of duties and tasks. Creates, maintains, and communicates efficient and timely employee schedules according to the staffing needs of the facility to ensure adequate staffing daily. Consults with Charge RN and Medical Director to optimize clinical staffing. Provides informal feedback to staff on an ongoing basis and formal feedback in the form of the annual performance evaluation during the focal merit review process. Obtains feedback and input regarding the staff performance from the Medical Director and Charge RN and acts on the feedback as appropriate. Collaborates with staff and Charge RN and Medical Director to set annual goals for staff. Manages the department staffing through the appropriate hiring, firing and disciplinary actions. Maintains written documentation of all disciplinary meetings in accordance with the established personnel policies and confers with Human Resources and Director of Operations regarding the nature of the disciplinary decisions. Ensures successful execution of new hire orientation and training, and ICD-9 code training when ICD-10 applicable for new hires and works with Medical Director to ensure mandatory in-services are completed. Ensures appropriate documentation is completed for current licensure, annual in-service and policy and procedure in-service updates. Responsible for ensuring all facility employees receive appropriate training according to company policy including company risk management initiatives. Provides training and guidance to facility staff members to ensure development of clinical competences, providing opportunities for professional growth and encouraging personal growth. Collaborates with HR regarding providing information to staff pertaining to FMS/FMCNA benefits, Human Resources policies and procedures. Participates in Corporate and Division specific employee recognition and satisfaction programs. Maintains a close working relationship with Division and Corporate office personnel and ensures appropriate communication of FMS, Division, and Corporate initiatives, policies and procedures to facility staff. Utilizes knowledge of FMCNA and FMS services and products to contribute to the growth of the business. Maintains facility environmental integrity and safety. Schedules the maintenance and repair of equipment, operating systems, and physical structure of the facility, as needed. Monitors the security of the facility. Coordinates inventory/supply management by reviewing monthly inventory count and approving purchase orders for necessary items to ensure cost containment, timely distribution and competitive pricing. Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals following all guidelines established in the FMS/FMS formularies. Contributes to the development and revision of any applicable policies and procedures for the facility and the pertinent updating and maintenance of the related manuals. Directs any necessary information gathering, as required, to support billing, billing issues and collection activities. Coordinates and approves facility payroll. Responsible for participating in all on-site internal and external (state and federal) surveys. Reviews new and existing provider contracts for various vendor services, including but not limited to, insurance, laboratory, and facility cleaning. Performs other related duties as assigned. SUPERVISION: Supervises Charge RN and DPC Staff PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work, and interaction with patients, facility staff and physicians. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials The position requires frequent prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required with assistance to move patients and equipment of up to 200 lbs. There is a two-person assist program and “material assist” devices for the heavier items. Travel to regional, Business Unit and Corporate meetings may be required. EDUCATION: Graduate of an accredited School of Nursing (RN) Current RN state licensure Must complete Fresenius Internal Clinical Leadership Training (Milestone I and Milestone 2) EXPERIENCE AND REQUIRED SKILLS: Minimum 2 years Clinical Manager experience at FME Additional 6 months chronic or acute dialysis nursing experience. Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making. Demonstrated management skills necessary to provide leadership in the supervision of facility personnel and to ensure the delivery of maximum quality care to all patients. Successfully passed the Ishihara Color Blind Test. Preferred: Experience in a supervisory/management role, in a medical facility preferred. Med/surg or ICU/CCU experience preferred. Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred. The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Annual Rate: $111,300.80 - $185,390.4 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Infusion Home Health Part-time
Option Care Health

Home Infusion Nurse - Part Time - Kona and Hilo

Option Care Health Honolulu, HI
$40.78 - $67.97 / hour
Extraordinary Careers. Endless Possibilities. With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members. Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare. Job Description Summary: An Infusion Nurse II is a licensed registered nurse who coordinates and provides intermediate direct patient care to patients in the home, or in an alternate infusion suite, to ensure patient safety with continuity and compliance under a physician’s plan of care. Works under structured supervision of the designated supervisor. Job Description: ​ Job Responsibilities (listed in order of importance and/or time spent) Initiates, develops, and implements intermediate nursing plan of care treatments, evaluating patient progress towards goals. Organizes and participates in the provision of direct patient care, performs treatments, administers medications, and educates patients and families/caregivers. Modifies plan of treatment in response to changing patient status or physician orders to achieve established or revised patient care goals. Assesses patient needs and physical status at each skilled visit through health data access and patient interview. Re-evaluates patient needs through physical reassessment, response to therapy, and supplemental physician orders. Obtains and clarifies physician orders for plan of treatment revisions, informs physician promptly of significant changes in patient's condition, and provides written summary to physician within supplemental order. Provides training and mentorship to Infusion Nurse I’s as needed to ensure patient safety and compliance. Provides effective and safe teaching using patient-centered care approach for patient and family to achieve independence with prescribed therapy and care needs through active participation per plan of treatment goals. Effectively and timely communicates with Option Care’s Clinical team, medical providers, patients, and families/caregivers to facilitate continuity of care. Prepares clinical documentation in real-time during visits and submits to the nursing department to comply with established timelines for billing optimization. Completes all documentation legibly and applies approved abbreviations and documentation error correction practices per Option Care’s policy. Coordinates discharge planning and prepares discharge summaries with patient instructions and thoroughly reports patient care needs, progress and goals when transferring care. Demonstrates compliance with agency operations, Option Care’s policies and procedures, professional standards, local, state, federal regulations/guidelines, and accreditation standards. Maximizes work efficiency through the use of computers and other automation technologies to validate plan of treatment orders, communicates patient care provided, and follows assigned visit schedule. Responds promptly and appropriately to patient requests. Initiates emergency procedures as necessary. Accepts accountability for own practice through ethical and professional conduct. Follows established programs and practice within policies and procedures reflective of Option Care’s mission, values, and objectives. Observes legal and ethical guidelines for safeguarding the confidentiality of patient and proprietary Option Care information including adherence to HIPAA regulations. Speaks knowledgeably about Option Care’s scope of services and effectively instructs patients about related financial obligations for care and service charges. Attends and completes required training modules, in-services, and continuing education to maintain competency and professional licensure for demonstrated knowledge regarding the care and management of patients in the home and/or alternate care settings. Effectively provides oversight and coordination of paraprofessionals in the home setting and may act as the Supervisor in the absence of the Supervisor or Nurse Manager as applicable in accordance with state and federal regulations. Participates in multidisciplinary team conferences and provides precepting, training, and mentoring to other nurses for orientation, and onboarding and supervisory activities as assigned. Participates in nursing department on-call responsibilities. Performs other related duties as directed by supervisor. If applicable: Inserts PICC/Midlines per physician order. Troubleshoots/declots obstructed central line catheters. Monitors PICC/Midline and educates on prevention of line infection and routine care. Supervisory Responsibilities Does this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) No - X Yes Basic Education and/or Experience Active and unrestricted RN license in the state of practice. Minimum of 1 years of nursing experience. Current CPR certification required. Basic Qualifications Demonstrated competency in patient care standards required for safe delivery of services and infusion skill sets applicable to agency programs and service needs. Advanced certification and training as applicable. Required licensure to operate a motor vehicle in the state of practice with access to a vehicle for business travel with proof of liability insurance. Basic knowledge of computer operating systems and software applications with the abilityn self-evaluation for annual appraisal and jointly sets professional growth goals with nurse manager. to apply knowledge in the effective use of nursing technology tools to communicate and document care provided. Physical Demand Requirements Ability to lift up to 50 pounds with a maximum lifting of 75 pounds. Exerting up to 20 pounds of force occasionally, or up to 10 pounds of force frequently. Physical demands may involve walking, standing, crouching, kneeling, turning, pivoting, balancing, stooping, reaching overhead, grasping, pushing, pulling, lifting and carrying. Fine motor skills and visual acuity required by this job include ability to see up close and from a distance, color and peripheral vision, depth perception and the ability to adjust focus. Team members in this job classification have the likelihood of occupational exposure to blood, body fluids and other potentially infectious materials. Possible exposure to hazardous substances with possible effect on reproduction, injury from needles, other sharps, fumes, chemicals, humidity, cold, heat, adverse weather elements, animals, secondhand smoke/vape and unpredictable home environments. Safety requirements include closed toe-shoes, facemask, goggles, gown and/or gloves and functioning device for communication in both routine and emergency situations. Travel Requirements: (if required) Willing to travel up to 100 % of the time for business purposes. Preferred Qualifications & Interests (PQIs) Bachelor of Science in Nursing as granted by an accredited school of nursing preferred. 1-2 years of previous infusion nursing experience preferred. Due to state pay transparency laws, the full range for the position is below: Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data. Pay Range is $40.78-$67.97 Benefits: -401k Retirement Savings With Company Match -Paid Time off -Flexible Spending Accounts -Mental Health Services -Award/Recognition Programs -myFlexPay Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information. ​
RN Med-Surg
Kaiser Permanente

Staff Nurse - Med/Surg

Kaiser Permanente Honolulu, HI
Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any nursing task requiring nursing knowledge, judgment, and skill. Administers medications. As appropriate, may administer intradermal local anesthetic for IV placement. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the KP Vision, Model and Values through out their Nursing Practice. Performs administrative and other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
RN Full-time
Ohana Pacific Health

Minimum Data Set Coordinator / RN

Ohana Pacific Health Lihue, HI
$100,692.80 - $104,977.60 / year
Are you looking to work for mission driven and passionate MDS Coordinators like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for passionate Minimum Data Set (MDS) Coordinators, who ensure timely completion of accurate MDS assessments, care plans and electronic MDS transmission for residents. Additional duties include: Our MDS team coordinates the Interdisciplinary Team (IDT) team in development of RAI process in accordance with federal and state regulation. Reviews, edits, corrects, and ensures assessments are signed appropriately signifying completeness and accuracy of all MDS, CAA's, Care Plans and care conference notes. Appropriately maximizes reimbursement and resident-centered quality of care delivery based on best-practice standards of care and accurate capture of resident acuity and complete documentation of services provided through accurate MDS review. Requirements: Graduate of an accredited school of nursing. Minimum of 1 year of professional nursing experience required. Current license as a Registered Nurse in the State of Hawaii required. Maintain active RAC-CT through the American Association of Nurse Assessment Coordination (AANAC). The Benefits: Paid Time Off (PTO) benefits Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.
RN Temporary
Ohana Pacific Health

Resident Care Manager (RN)

Ohana Pacific Health Kaneohe, HI
$52.53 - $54.60 / hour
Join our team as a Part-time Weekend Resident Care Manager! The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for a passionate Resident Care Manager responsible for the supervision of nursing team and who oversees the operation of a nursing unit and the daily delivery of care to residents. Keeps Director of Nursing informed of both progress and potential problems. Coordinates unit admissions, discharges, and transfers. Plans, develops and organizes work tasks; coordinates supervise and evaluates employees. Coordinates the unit's services and activities in consultation with the Director of Nursing. Plans and supervises resident care. Continually assesses residents' physical conditions and participates in resident planning conferences. Monitors quality indicators and ensures positive outcomes to the extent possible. Actively participates in and supports continuous quality improvement efforts. Participates in admission and discharge planning. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. At least three (3) years' experience in a hospital or a long term care facility. Supervisory experience preferred. Current and valid 2 Step TB clearance and health review (can be done in-house). First Aid and CPR preferred. (can be done in-house). The Benefits: Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401(k) match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.
RN Oncology Telemetry Full-time
Hawai'i Pacific Health

Registered Nurse, Telemetry - Oncology Care Unit

Hawai'i Pacific Health Makiki/Lower/ Punchbowl/Tantalus, HI
$53.17 - $70.89 / hour
Founded in 1921, Straub Benioff Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, vascular and urology. Straub is home to the Pacific Region’s only multidisciplinary burn treatment center. The hospital consistently brings new technologies and innovative medical practices to Hawai'i, such as minimally invasive cardiac surgery and total joint replacement. The Oncology Care Unit department strives to provide competent and safe care to patients admitted for acute nursing interventions of 24 hours or more. Our highly trained and professional staff treats people recovering from serious illness requiring telemetry monitoring, oncology treatment, orthopedic and major surgeries. Medication and treatments are provided in a warm and caring environment that facilitates swift recovery. As the Registered Nurse, you will have the opportunity to provide professional and compassionate nursing services to the Straub community through the assessment, planning, implementation, evaluation and documentation of patient care in our Oncology Care Unit. You will also function as an associate to a charge nurse and begin to assume charge nurse responsibilities with time. We are looking for someone with excellent patient care and communication skills and a commitment to creating a healthier Hawai‘i. Location: Straub Benioff Medical Center Work Schedule: Night - 12 Hours Work Type: Full Time Regular FTE: 0.900000 Bargaining Unit: Hawaii Nurses Association Exempt: No Req ID 34329 Pay Range: 53.17 - 70.89 USD per hour Category: Nursing Minimum Qualifications: Current Hawai’i Registered Nurse license. Current American Heart Association Health Care Provider Basic Life Support (BLS) CPR card. One (1) year recent acute care Registered Nurse experience in Telemetry. Preferred Qualifications: One (1) year recent acute care Registered Nurse experience in Oncology. Two (2) years of recent acute care Registered Nurse experience in Telemetry. EOE/AA/Disabled/Vets Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
RN
Ohana Pacific Health

Registered Nurse

Ohana Pacific Health Koloa, HI
$48.50 - $50.30 / hour
Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for passionate Registered Nurses to help us with providing professional nursing care to residents following established policies and procedures of the facility. Administers medications/treatments as ordered by the physician and according to policy and procedures. Takes telephone orders from physicians and transcribes orders to new medication administration record, the pre-printed physician order sheet, resident chart, treatment/care plans as appropriate. Maintains & orders appropriate inventory of resident medications and medical stock supplies. Conducts accurate physical assessments of residents, determines their needs and implements appropriate interventions to meet those needs. Performs assessments on admission, transfer and/or discharges. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. Experience in geriatrics and current nursing standards of practice preferred. Knowledge of medical terminology and abbreviation required. First Aid and CPR preferred (can be done in-house). The Benefits: Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.
RN Director of Nursing
Ohana Pacific Health

Director of Nursing (SNF)

Ohana Pacific Health Kaneohe, HI
$130,000 - $140,000 / year
Are you looking to work for mission driven and passionate Nursing leader like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for an experienced and passionate Director of Nursing to manage, direct and coordinate the delivery of nursing and clinical care to residents in conjunction with state and federal guidelines. Responsibilities include: Oversees admission, discharge, and transfer processes. Provides oversight of MDS assessments, care planning and RAI process. Oversees Infection Control processes. Ensures continuity in provision of nursing services to meet established standards of quality such as reviews incident reports, accident and injury reports and 24-hour reports from units daily to ensure timely, effective responses to changes and resident events. Oversees resident care and implementation of and compliance with resident-specific care plans. Conducts daily resident rounds, including regulatory compliance rounds, in all nursing units and assures follow-up on identified issues. Requirements: Minimum of 3 years professional nursing experience required. Experience in geriatrics, or long-term care preferred; management experience preferred. Graduate of an accredited school of nursing. Current unencumbered license as a Registered Nurse in the State of Hawaii required. The Benefits: Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.
RN PACU
Kaiser Permanente

Staff Nurse - PACU

Kaiser Permanente Honolulu, HI
This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any nursing task requiring nursing knowledge, judgment, and skill. Administers medications. As appropriate, may administer intradermal local anesthetic for IV placement. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the KP Vision, Model and Values throughout their Nursing Practice. Performs administrative and other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
RN OR Per Diem
Hawai'i Pacific Health

Registered Nurse, First Assist - Perioperative Services

Hawai'i Pacific Health Makiki/Lower/ Punchbowl/Tantalus, HI
$70.89 - $73.89 / hour
Founded in 1921, Straub Benioff Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, vascular and urology. Straub is home to the Pacific Region’s only multidisciplinary burn treatment center. The hospital consistently brings new technologies and innovative medical practices to Hawai'i, such as minimally invasive cardiac surgery and total joint replacement. Our Perioperative Services department provides full support throughout the duration of a patient's surgical procedure, spanning ward admission, anesthesia, surgery and recovery. Professional care services include identification of the patient’s individual needs, patient care plan development and implementation and the coordination of nursing service to restore each patient’s health before, during and after a surgical procedure. If you have exceptional patient care skills and enjoy working as part of a dedicated nursing team, you can help us ensure a safe, comfortable and therapeutic environment for patients and their families as a Registered First Assist Nurse. In this role, you will have the opportunity to provide direct and necessary patient care to surgical patients, with primary emphasis on the intra-operative period and responsibility for preoperative assessment. We are looking for someone qualified and sensitive, with strong patient care and communication skills, willingness to work in a team-oriented atmosphere and a commitment to delivering the highest quality health care to Hawai‘i’s people. Location: Straub Benioff Medical Center Work Schedule: Rotating - 12 Hours Work Type: Per Diem FTE: 0.475000 Bargaining Unit: Hawaii Nurses Association Exempt: No Req ID 34291 Pay Range: 70.89 - 73.89 USD per hour Category: Nursing Minimum Qualifications: Current Hawai‘i Registered Nurse License. Current American Heart Association Health Care Provider Basic Life Support (BLS) CPR card. Three (3) years recent acute care scrub and circulating Registered Nurse experience in the Operating Room or related experience. Preferred Qualifications: Current Registered Nurse First Assist certification. EOE/AA/Disabled/Vets Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
RN PACU
Kaiser Permanente

Staff Nurse - PACU

Kaiser Permanente Honolulu, HI
This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. Temporary positions have no guarantee of duration and employees hired into temporary positions are not guaranteed to return to their former position once the temporary position (assignment) is completed. Employees that transfer into temporary positions shall maintain their seniority. Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any nursing task requiring nursing knowledge, judgment, and skill. Administers medications. As appropriate, may administer intradermal local anesthetic for IV placement. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the KP Vision, Model and Values throughout their Nursing Practice. Performs administrative and other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
RN Wound Care Full-time
CentralCare Inc

Registered Nurse – Wound Ostomy & Continence (WOC)

CentralCare Inc Moanalua, HI
$70.09 / hour
Registered Nurse – Wound, Ostomy & Continence (WOC) | Honolulu, Hawaii Tripler Army Medical Center (TAMC) Civilian Contractor | Central Care Incorporated Schedule: Monday–Friday | 7:15 AM –3:45 PM (1-hour lunch) Take your nursing career to the next level at one of the most respected military medical centers in the country—while living in beautiful Honolulu, Hawaii This is a unique opportunity to combine advanced clinical practice, leadership, and purpose-driven care while supporting active-duty service members and their families. Compensation & Benefits $70/hour base rate $5.09/hour Health & Welfare (H&W) 80 hours PTO (accrued annually) 56 hours Sick Leave (accrued annually) 11 Paid Federal Holidays Consistent weekday schedule – strong work/life balance Key Responsibilities Plan, implement, and evaluate specialized care for patients requiring wound, ostomy, and continence management Provide care across inpatient and ambulatory settings Collaborate with physicians, surgeons, and interdisciplinary teams to deliver evidence-based, cost-effective care Perform and support advanced wound care techniques including: Negative pressure wound therapy (NPWT) Conservative sharp debridement Compression therapy and offloading techniques Use of specialty support surfaces and orthotics Educate patients, families, and staff on wound care management and prevention strategies Develop and implement individualized care plans and make clinical recommendations to providers Train and mentor nursing and therapy staff in wound and ostomy care best practices Support quality improvement initiatives and promote clinical excellence Plans, implements, and evaluates nursing care to inpatient and ambulatory patients in treatment of wound care. Collaborates with the primary care provider, surgeons, and other professional health care providers, in one or more surgical services, to assess, coordinate, plan, and implement the newest approaches and practices to deliver efficient, cost-effective wound care for the patient population. Plans, organizes, directs, and evaluates nursing activities and services that relate to wound care and enterostomal therapy. Incorporates teaching and learning activities into care plan Makes recommendations to the physician for changes in wound/ostomy care orders/patient care plans, and provides evidence-based research support, as needed, in collaboration with a licensed independent provider. Through training and support, empowers clinical staff to effectively assess patients, as related to wounds, ostomies, and incontinence; recommend appropriate protocols and advocate with physicians. Provides basic wound/ostomy care training and orientation to all new nursing and therapy staff Knowledge of, and skill in, the management of complex, delicate machinery and life-saving equipment, and wound care specific equipment, used for ultrasonic treatment, conservative sharps debridement, adaptive/off-loading orthotics (contact casts/ shoes/ boots, specialty support surfaces, negative (sub-atmospheric) pressure wound therapy, compression therapy/units and obtaining an arterial/brachial index. Qualifications Active Registered Nurse (RN) license Must be a U.S Citizen Must hold current American Heart Association Basic Life Support (BLS) for Healthcare Provider, Advanced Cardiovascular Life Support (ACLS) Graduate of an accredited WOCN education program (WOCNEP) Current WOCN certification (WOCNCB required) Minimum 2 years of recent WOC RN experience (within the last 4 years) Strong clinical knowledge of advanced wound care equipment and techniques Ability to work independently and within a multidisciplinary team What Makes You a Great Fit Detail-oriented with strong clinical judgment Passionate about patient education and improving outcomes Skilled in collaboration and mentoring others Comfortable in a fast-paced, mission-driven healthcare environment Make a Meaningful Impact This is more than a clinical role—it’s an opportunity to directly improve healing outcomes and quality of life for those who serve our country. Your expertise will support readiness, recovery, and resilience within the military community. Ready to Combine Purpose + Paradise? Bring your expertise to Tripler Army Medical Center and experience a career that is both professionally rewarding and personally fulfilling.
RN Full-time
Adventist Health

RN, Surgery, Full-time, Day Shift

Adventist Health Kailua, HI
$56.72 - $77.80 / hour
Job Description Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. 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. JOB INFO Job Identification : 71340 Job Category : RN Posting Date : 2026-08-21T23:02:52+00:00 Job Shift : Day Shift Locations : Kailua, HI, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $56.72 to $77.80. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Surgery Shift Length : 10 Hours
RN Full-time
Adventist Health

RN, Surgery, Full-time, Variable Shift

Adventist Health Kailua, HI
$56.72 - $77.80 / hour
Job Description Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. 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. JOB INFO Job Identification : 71338 Job Category : RN Posting Date : 2026-08-21T23:25:24+00:00 Job Shift : Variable Shift Locations : Kailua, HI, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $56.72 to $77.80. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Surgery Shift Length : 12 Hours
RN Full-time
Adventist Health

RN, Surgery, Full-time, Day Shift

Adventist Health Kailua, HI
$56.72 - $77.80 / hour
Job Description Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. 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. JOB INFO Job Identification : 71339 Job Category : RN Posting Date : 2026-08-21T23:19:47+00:00 Job Shift : Day Shift Locations : Kailua, HI, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $56.72 to $77.80. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Surgery Shift Length : 12 Hours
RN Urgent Care Urgent Care
Kaiser Permanente

Staff Nurse - ED/Urgent Care

Kaiser Permanente Lanai City, HI
Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any task requiring nursing knowledge, judgment, and skills. Administers medications. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the Maui Health Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned within the scope of their practice. May be assigned to another cost center; that may include other work locations on a shift by shift basis to meet patient care requirements.
RN
Ohana Pacific Health

Resident Care Manager RN

Ohana Pacific Health Honolulu, HI
$109,262.40 - $113,568 / year
Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for a passionate Resident Care Manager responsible for the supervision of nursing team and who oversees the operation of a nursing unit and the daily delivery of care to residents. Keeps Director of Nursing informed of both progress and potential problems. Coordinates unit admissions, discharges, and transfers. Plans, develops and organizes work tasks; coordinates supervise and evaluates employees. Coordinates the unit's services and activities in consultation with the Director of Nursing. Plans and supervises resident care. Continually assesses residents' physical conditions and participates in resident planning conferences. Monitors quality indicators and ensures positive outcomes to the extent possible. Actively participates in and supports continuous quality improvement efforts. Participates in admission and discharge planning. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. At least three (3) years' experience in a hospital or a long term care facility. Supervisory experience preferred. Current and valid 2 Step TB clearance and health review (can be done in-house). First Aid and CPR preferred. (can be done in-house). The Benefits: Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.
RN Telehealth
Kaiser Permanente

Staff Nurse - Med /Tele

Kaiser Permanente Honolulu, HI
This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any nursing task requiring nursing knowledge, judgment, and skill. Administers medications. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the KP Vision, Model and Values through out their Nursing Practice. Performs administrative and other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.
RN OR Full-time
Hawai'i Pacific Health

Registered Nurse - Perioperative Services

Hawai'i Pacific Health Aiea, HI
$56.36 - $75.15 / hour
With 118 beds and more than 400 physicians on its medical staff, Pali Momi Medical Center offers a full range of services for the communities of Central and West O'ahu. The hospital has delivered many medical firsts for the community, including Central and West O'ahu’s only interventional cardiac catheterization unit to detect and treat heart disease, a fully integrated minimally invasive surgical suite, a comprehensive women’s center, CT scan and MRI services, and the state’s first retina center. Pali Momi is the only facility in Hawai'i that uses a team triage approach in its emergency room, where patients are promptly evaluated by an emergency physician. Our Perioperative Services department provides full support throughout the duration of a patient's surgical procedure, spanning ward admission, anesthesia, surgery and recovery. Professional care services include identification of the patient’s individual needs, patient care plan development and implementation and the coordination of nursing service to restore each patient’s health before, during and after a surgical procedure. As a Registered Nurse in our Perioperative Services department, you will have the opportunity to provide professional and compassionate nursing services through the assessment, planning, implementation, evaluation and documentation of patient care. You will also function as an associate to a charge nurse and begin to assume charge nurse responsibilities with time. We are looking for someone with excellent patient care and communication skills and a commitment to delivering the highest quality health care to Hawai‘i’s people. Location: Pali Momi Medical Center Work Schedule: Day/Evening - 12 Hours Work Type: Full Time Regular FTE: 0.900000 Bargaining Unit: Non-Bargaining Exempt: No Req ID 34193 Pay Range: 56.36 - 75.15 USD per hour Category: Nursing Minimum Qualifications: Current Hawai‘i Registered Nurse License. Current American Heart Association Health Care Provider Basic Life Support (BLS) CPR cards. One (1) year recent acute care Registered Nurse experience in Operating Room. Preferred Qualifications: Bachelor’s degree in Nursing or related field. Two (2) years recent Registered Nurse experience in the Operating Room. Certified Nurse Operating Room (CNOR) and three (3) to five (5) years in Operating Room scrub and circulating experience. Current American Heart Association Pediatrics Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) CPR cards. EOE/AA/Disabled/Vets Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.
RN
Ohana Pacific Health

SNF RN

Ohana Pacific Health Lihue, HI
$48.50 - $50.30 / hour
Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for passionate Registered Nurses to help us with providing professional nursing care to residents following established policies and procedures of the facility. Administers medications/treatments as ordered by the physician and according to policy and procedures. Takes telephone orders from physicians and transcribes orders to new medication administration record, the pre-printed physician order sheet, resident chart, treatment/care plans as appropriate. Maintains & orders appropriate inventory of resident medications and medical stock supplies. Conducts accurate physical assessments of residents, determines their needs and implements appropriate interventions to meet those needs. Performs assessments on admission, transfer and/or discharges. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. Experience in geriatrics and current nursing standards of practice preferred. Knowledge of medical terminology and abbreviation required. First Aid and CPR preferred (can be done in-house). The Benefits: Paid Time Off (PTO) & Extended Sick Leave (ESL) benefits Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.
RN ER Full-time
Hawai'i Pacific Health

Registered Nurse - Emergency Room

Hawai'i Pacific Health Makiki/Lower/ Punchbowl/Tantalus, HI
$53.17 - $70.89 / hour
Founded in 1921, Straub Benioff Medical Center includes a 159-bed hospital in Honolulu, a network of neighborhood clinics and a visiting specialist program that reaches throughout the state of Hawai'i. With over 200 physicians who are leaders in their fields, Straub provides its patients with diagnoses and treatments for more than 32 different medical specialties, including bone and joint, heart, cancer, endocrinology/diabetes, family medicine, gastroenterology, geriatric medicine, internal medicine, vascular and urology. Straub is home to the Pacific Region’s only multidisciplinary burn treatment center. The hospital consistently brings new technologies and innovative medical practices to Hawai'i, such as minimally invasive cardiac surgery and total joint replacement. The Emergency Room department at Straub Clinic & Hospital includes 13 treatment areas that attend to approximately 60 to 80 patients per day for issues ranging from cardiac or surgical care to acute injuries. Patients can go to any emergency room in Hawai‘i, but many chose Straub for its service excellence and longstanding commitment to providing the best quality care. The independent national hospital rating service HealthGrades.com has rated Straub as #1 in the treatment of stroke, heart attack, angioplasty, heart by-pass surgery and respiratory infection. As the Registered Nurse, you would have the opportunity to provide professional and compassionate nursing services in Straub’s Emergency Room through the assessment, planning, implementation, evaluation and documentation of patient care. You would also function as an associate to a charge nurse and begin to assume charge nurse responsibilities with time. We are looking for an individual with excellent patient care and communication skills and a commitment to delivering the highest quality health care to Hawai‘i’s people. Location: Straub Benioff Medical Center Work Schedule: Night - 12 Hours Work Type: Full Time Regular FTE: 0.900000 Bargaining Unit: Hawaii Nurses Association Exempt: No Req ID 34130 Pay Range: 53.17 - 70.89 USD per hour Category: Nursing Minimum Qualifications: Current Hawai’i Registered Nurse license. Current American Heart Association Health Care Provider Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) and Pediatrics Advanced Life Support (PALS) CPR cards. One (1) year recent registered nurse experience in an Emergency Department setting. Preferred Qualifications: Two (2) years recent registered nurse experience in an Emergency Department. Bachelor’s degree in Nursing or related field. Current Neonatal Resuscitation Program (NRP) CPR card. EOE/AA/Disabled/Vets Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.