Job Description In the heart of The Dalles, Oregon, Adventist Health Columbia Gorge has served the Columbia River Gorge community since 1901. We are comprised of a 49-bed hospital, various medical offices, home health, a birthing center and a vast scope of services located throughout The Dalles and the surrounding areas. The Dalles is known for its picturesque views of the Columbia River, local charm and delicious downtown restaurants and bakeries. There is something for everyone in this scenic community. Job Summary Provides overall supervision of the organization in collaboration with and in the absence of the administrative/executive team. Makes administrative decisions, collaborates with the Nursing Directors and other departments, ensures patient and staff safety, and oversees the functioning of the organization. Assists with/facilitates clinical functions. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment. Job Requirements Education and Work Experience: Bachelor’s Degree in nursing or equivalent combination of education/related experience: Required Master's Degree: Preferred Five years' technical experience: Preferred One year's experience working in a critical care setting: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS OR HS-BLS OR RQIBLS) certification from approved vendor per AH policy: Required Advanced Cardiovascular Life Support (ACLS OR HS-ACLS OR RQIACLS) certification from approved vendor per AH policy: Required for all facilities, except Behavioral Health Clinical specialty and/or nursing administration certification: Preferred Facility Specific License/Certifications AHA-BLS or ARC-BLS: Required AHA-ACLS or ARC-ALS: Required Essential Functions Supervises nursing personnel and operations by making rounds on a regular basis. Assesses routine and non-routine conditions of patients through identification of symptoms and behavioral changes, reviewing histories of physiological/psychological, cultural and spiritual information, reviewing medical data such as medical history, physical exams, plan of care, etc. Works with staff in unusual cases to develop a prioritized interdisciplinary plan of care. May assist staff to revise the plan of care to meet changing needs of patients, making appropriate referrals, i.e. dietary, spiritual care, etc. Responds to all acute unit codes. Attends to medical emergencies for inpatients. Works with other area supervisors when needed to provide advice or assistance. Facilitates hospital throughput including providing resources, managing bed placement, and patient transfers/discharges. Coordinates "bed huddles" as needed. Participates in discharge planning with patients, physicians, social workers, patient education, utilization review and other personnel as appropriate. Supervises professional and ancillary personnel. Assists with orientation and training of registry/traveler staff, new and existing employees, assisting them in learning department routines, policies and procedures, etc. Supervises the quality and effectiveness of patient care delivered throughout the Hospital, using such methods as: direct observation, rounds, reviewing reports, checking documentation in the medical record, and exerting influence and giving direction to employees as needed. Ensures compliance of team with applicable laws, rules and regulations. Maintains and adjusts unit-based staffing in order to meet patient needs, while observing regulatory mandates, budget guidelines and needs throughout the hospital. Evaluates employee, patient, family, and physician complaints. Responds courteously and promptly and resolves problems within the scope of delegated authority, consulting with administration as required. In the review of patient conditions, works with patients, family, physician, and healthcare team members in order to maintain standards of acceptable quality care. 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. JOB INFO Job Identification : 67886 Job Category : RN Posting Date : 2026-07-10T18:33:58+00:00 Locations : The Dalles, OR, United States Assignment Category : Per Diem Pay Range : The estimated base pay for this position is $55.77 to $83.59. 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 : Clinical Operations Shift Length : 12 Hours
Are you a compassionate Registered Nurse (RN) who has incredible assessment skills and enjoy meeting the needs of patients and families? Join our growing Bristol Hospice Team and make a positive impact in the lives of others. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn . Flexible PRN Schedule Coverage Area: Wasco, Sherman, Hood River, Skamania, and Klickitat Counties Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On an An Average Day you Will: (Includes, but not limited to) Complete an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs Provide a complete physical assessment and history of current and previous illness(es) Provide professional nursing care by utilizing all elements of the nursing process Assess and evaluate patient’s status by: Writing and initiating plan of care Regularly re-evaluating patient and family/caregiver needs Participating in revising the plan of care, as necessary Initiate the plan of care and make necessary revisions as patient status and needs change Use health assessment data to determine nursing diagnosis Develop a care plan that establishes goals, based on nursing diagnosis Include the patient and the family in the planning process Record pain/symptom management and changes/outcomes as appropriate Communicate with the physician regarding the patient’s needs and report changes in the patient’s condition; obtain/receive physicians’ orders, as required Teach the patient and family/caregiver self-care techniques, as appropriate Work in concert with the interdisciplinary group All other duties as assigned Requirements: Must have at least one (1) year of acute care experience in an institutional setting One (1) year of experience in home care preferred Must have a current licensure in the state Must understand the philosophy of hospice concept and understand needs of the terminally ill Must be flexible in work hours Must demonstrate nursing skills per competency checklist Must demonstrate a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs Ability to travel throughout the Bristol Hospice Service Area We Got the Perks: Some benefits apply to full-time employees only Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
Are you a Registered Nurse who thrives on providing compassionate, whole-person care—and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families? At Bristol Hospice, we believe hospice is not the end—it’s a meaningful journey. We're seeking dedicated RN Case Managers who are passionate about walking beside their patients through every step of this sacred path. If you’re ready to rediscover your purpose and join a team that feels like home, you’re in the right place. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit www.bristolhospice.com and follow us on LinkedIn . Schedule: Monday - Friday 8am - 5pm & on-call rotation Coverage Area: Wasco, Sherman, Hood River, Skamania, and Klickitat Counties Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. On An Average Day You Will: (includes, but not limited to) Make a true difference— one patient, one family, one compassionate moment at a time. Develop and implement individualized care plans based on current and prior medical history Deliver attentive, one-on-one support to patients and their families, ensuring comfort, dignity, and understanding Conduct thorough assessments of physical, emotional, and spiritual needs throughout the care journey Accurately monitor and document vital signs including temperature, pulse, respiration, and blood pressure Administer physician-ordered medications and treatments with skill and empathy Educate patients and their families on care techniques and symptom management Track and communicate changes in patient condition, ensuring timely and effective responses Keep detailed and up-to-date clinical notes to reflect patient progress and quality of care provided Collaborate with interdisciplinary teams to ensure comprehensive care delivery And contribute to other supportive duties as part of a compassionate, mission-driven team And additional duties as assigned What You'll Bring to The Team: A heart for hospice care and a commitment to exceptional service A valid Registered Nurse license in good standing in the state you will work in A valid driver’s license and reliable transportation CPR certification (current) Strong observational and communication skills—both written and verbal A flexible, team-oriented attitude and willingness to support additional duties as needed What You'll Get in Return (Perks & Benefits): Some benefits apply to full-time employees only Tuition Reimbursement – We invest in your continued growth Paid Time Off & Holidays – Because your well-being matters Comprehensive Health Benefits – Medical, Dental, Vision, Life Insurance, Disability 401(k) & HSA – Plan for your future with confidence Mileage Reimbursement – For applicable travel and visits Advanced Training Programs – Elevate your skills, expand your impact A Mission-Driven Culture – Be part of a passionate, purpose-filled team providing the highest standard of end-of-life care Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.
