RN Jobs in Sandy, OR

RN Full-time
Cedar Sinai Park

Resource Nurse

Cedar Sinai Park Portland, OR
Join Our Team: Resource Nurse Cedar Sinai Park-Robison Jewish Health Center, Portland, OR About Us: We are a well maintained (seriously our maintenance and housekeeping teams are amazing) 92 bed facility with private rooms and bathrooms in a super weird layout : ) part of our charm. Your coworkers are pretty easy to work with; I legit love everyone here. We like to keep the drama to a dull roar and overall everyone has a wicked sense of humor but still professional. Obviously residents come first but we look out for our staff and advocate for them. Our residents are pretty amazing funny people who love to be interacted with. (Hi, I am Niki the DON. I hijacked the job posting. Don't tell anyone : ) Job Summary: The resource/admission nurses complete their primary duties and responsibilities (admissions) but are also leaders on the floor here at RJHC. Setting an example and a tone on the floor is important because we all mirror energy- gotta keep it positive. You will be the face for all new and returning residents that are rolling into our humble abode. It is super important that if you find yourself in this role you are kind, empathetic, and respectful to the residents and their families who will undoubtedly have a ton of questions and in all fairness some fear! Nobody wakes up and decides they want to come to a SNF, we need to be positive and welcoming validate and help resolve their concerns. Scheduling Info: Schedule is flexible right now but need you to work at least 1 weekend day, or the whole weekend and a few weekdays if you want the weekend diff (needs to be consecutive days). It is an 8 hour position, right now it is set to be either 4 or 5 days then I am hiring a part time for the other 2 or 3. Training Info: What will training look like? This depends on prior SNF experience but I can give an overview. Training will start spending time with a CNA for a half day so you can see where stuff is, understand their communication, meal ticket process etc. Then you will spend a few days with a CMA to see med processes and get acquainted with our pharmacy. Then we will do floor training with a nurse, you know, for nurse stuff, some time with the wound nurse as well. You get to hang out with the RCMs, SDC, and me next to learn the clinical process, admission auditing (boring stuff- but important stuff). Meet everyone in stand up- share some weird fun fact like favorite ice-cream. Then you will start in your role with nurse mgmt present so we can help you be successful.
RN Psych Part-time
Telecare Corporation

On Call Registered Nurse - Mental Health 202

Telecare Corporation Portland, OR
$46.28 - $57.17 / hour
“They made it easier for me to live, breathe, eat, and stay clean. Without them, I’d be waiting somewhere, waiting for someone to give me a chance to live...” - Client from Telecare What You Will Do to Change Lives The Registered Nurse (RN) provides recovery-focused services related to the safe and appropriate administration of medical treatment (including medications) as prescribed by the physician. Shifts Available: On-Call | 12-Hour Shift | Shifts: 7:00 AM - 7:30 PM | Days vary as needed Expected starting wage range is $46.28 - $57.17. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. What You Bring to the Table (Must Have) Licensure as a Registered Nurse in the state of program operations What’s In It For You* Paid Time Off: Eligible employees (20+ hours/week) earn PTO each pay period for vacation and personal needs, with pro-rated accrual for part-time schedules and annual carryover up to set caps. Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for NOC Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend NOC Shift) Free CEUs, coaching and mentorship Online University Tuition Discount and Company Scholarships Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan For more information visit: https://www.telecarecorp.com/benefits Join Our Compassionate Team Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems. The 72nd Ave Recovery Center is a subacute program that serves 16 adult males, 18+, with a primary psychiatric Axis I diagnosis, and an extensive background of institutional experiences. EOE AA M/F/V/Disability *May vary by location and position type Full Job Description will be provided if selected for an interview. Registered Nurse, RN, Psych Nurse, Psychiatry, Nursing, Nurses If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
RN Manager/Supervisor Home Health
Brookdale Senior Living

Area Nurse Manager

Brookdale Senior Living Portland, OR
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Full-time associates in role are also eligible for an annual bonus incentive. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Supports the District Director of Clinical Services (DDCS) in managing the healthcare operations of the communities in an assigned district. Helps ensure residents’ healthcare needs are met in compliance with state and federal regulations as well as Brookdale standards. Travels within the district as assigned to support management vacancy, training, auditing and any other area identified to ensure clinical excellence and meet state requirements. Travels throughout the district weekly to communities as assigned by the DDCS. Fills the role of HWD in assigned communities when an HWD is on leave, extended vacation or the position is vacant. Provides clinical support and guidance for communities with regulatory deficiencies. Audits community clinical compliance and partners with other leaders to design and implement action plans as needed. Provides root cause analysis and hands on support to ensure clinical outcome are meeting standards and key areas are current, which may include: service plans, orders, PCC compliance, MAR clarification, weights, skins, etc. Ensures compliance post-cleanup as needed. Supports clinical initiatives and roll-outs by leading training for the district and/or individual communities as assigned by DDCS. In some states coordinates and signs resident assessments. This may include completing comprehensive assessments including personal interview with the resident and other if the resident due to any impairment needs assist with history, etc. Facilitates RN Delegations for medications and care per state regulations. Participates in a variety of meetings with the division, district and individual communities. Provides training, coaching and guidance to clinical leaders and front line staff. Participates in clinical training and audits compliance; including facilitating Med Tech/QMAP/Med. Aide training and competency evaluations. May assist DDCS in clinical Quality Assurance (QA) site visits. Provides insight to DDCS on overall assessment of community strengths, weaknesses, opportunities, and threats (SWOT). May be asked to provide regular reports. Provides support in clinical investigations and may participate in disciplinary actions. Supports DDCS with special projects as assigned. Provide district clinical support when DDCS is unavailable which may include responding to questions, support move in/out discussions etc. Ensures proper and timely documentation in accordance with Brookdale policies and procedures and federal and state requirements. Maintains a working knowledge of and adheres to company policies, procedures and Clinical Systems. Utilizes the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge in accordance with state nursing regulations. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by their supervisor. Education and Experience Associate’s degree in nursing, health education or related field or Diploma RN. Two or more years of direct nursing experience with older adults. Certifications, Licenses, and Other Special Requirements Current nurse (RN) license, issued by appropriate state licensing agency. Must have a valid driver’s license and access to a private vehicle for business use. Management/Decision Making Applies existing guidelines and procedures to make varied decisions within a department. Uses sound judgment and experience to solve moderately complex problems based on precedent, example, reasonableness or a combination of these. If serving in single community, may directly supervise associates who are certified or trained to pass medications. Knowledge and Skills Possesses extensive knowledge of a distinct skill or function and a thorough understanding of the organization and work environment. Has working knowledge of a functional discipline. Basic typing skills along with a working knowledge of personal computing and word processing software are required, preferably in a Microsoft Windows environment. Ability to read and interpret documents. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or associates of company. Ability to effectively communicate in English and understand and follow written and oral instructions. Physical Demands and Working Conditions Standing Walking Sitting Use hands and fingers to handle or feel Reach with hands and arms Climb or balance Stoop, kneel, crouch, or crawl Talk or hear Ability to lift: up to 50 pounds Vision Requires interaction with co-workers, residents or vendors Occasional weekend, evening or night work if needed to ensure shift coverage On-Call on an as needed basis Possible exposure to communicable diseases and infections Potential injury from transferring, repositioning, or lifting residents Exposure to latex Possible exposure to blood-borne pathogens Possible exposure to various drugs, chemical, infectious, or biological hazards Requires Travel: Frequently Brookdale is an equal opportunity employer and a drug-free workplace.
RN Med-Surg Per Diem
CareRev

Med-Surg Nurse in Oregon City, OR (Per Diem Shifts)

CareRev Oregon City, OR
$57 - $58 / hour
The CareRev app empowers healthcare professionals to find and claim local shifts on demand right from their phones. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin working Med-Surg Nurse shifts in Oregon City, OR.
RN Correctional Part-time
NaphCare, Inc.

Registered Nurse (RN) - Part Time

NaphCare, Inc. Oregon City, OR
Overview NaphCare is hiring a Registered Nurse (RN) to join our team of medical professionals in Oregon City, Oregon, where we manage all aspects of healthcare for the individuals who are currently incarcerated in the Clackamas County Jail. We currently have a Part Time Weekend Nights position available! As a Correctional Registered Nurse (RN) , you will work alongside correctional officers and other medical professionals to provide care to the individuals in residence. Working within a controlled environment, where security is top priority and the days are never dull, you will have various duties to keep you engaged including performing physical assessments, administering medications, managing chronic illnesses, and responding to emergencies. This is a unique position where you can make a difference to this diverse population of patients with complex medical needs. *New grads are encouraged to apply - we'll train you in the exciting field of correctional healthcare! * Responsibilities As a Registered Nurse you will play a critical role in our continued mission to provide quality care that protects the rights, dignity, and health of our unique patient population. Duties and responsibilities may include and are not limited to: Performing initial health screenings and physical assessments of newly detained individuals. Monitoring and documenting patient health including vital signs, medical histories. Providing direct patient care, triaging, assessing patient needs, developing care plans, and coordinating services. Managing acute and chronic conditions such as asthma, hypertension, and diabetes. Responding to medical emergencies, providing first aid, and ensuring timely transport to appropriate healthcare facilities. Educating patients on preventative care, healthy lifestyle choices, and substance abuse prevention. Understanding and adhering to correctional facility security protocols, while working closely with correctional officers and other healthcare professionals, to ensure the safety and well-being of patients. Maintaining accurate medical records, documenting treatment plans, and reporting any relevant information. Qualifications Experience / Requirements / Qualifications Holds a current, unrestricted license as a Registered Nurse within the State Must possess an active BLS CPR Certification (AHA preferred) Knowledge of nursing practice principles and techniques, occupational health and safety standards, infectious disease management, applicable health care laws, regulations, and procedures for direct health care services. Ability to maintain confidentiality of all proprietary and/or confidential information Excellent communication, organizational, and problem-solving skills Able to work independently and in a team Flexible schedule and availability to work overtime when needed Integrity, professionalism and ability to adhere to a Code of Conduct and comply with all facility(s) correctional healthcare policies, procedures, and legal requirements Must pass the facility’s criminal background check and drug screening Physical Capabilities: Must have the ability to stand for long periods, lift and move patients (up to 50 pounds), bend, squat, reach, push, pull, walk significant distances, and perform physically demanding tasks like CPR, all while maintaining good balance and endurance throughout a shift. Why Join NaphCare? NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time! In addition to competitive salaries and generous employee benefits, we have opportunities for new graduates and experienced medical professionals, promote educational growth, and strongly support career advancement within the company. Want a better idea of what it’s like to work in a jail? See what our RNs do: NaphCare - Life as an RN - YouTube If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process , and I’ll be in touch. Equal Opportunity Employer: disability/veteran Follow Us: Instagram | Facebook | LinkedIn | Advancing Correctional Healthcare | NaphCare
RN Outpatient Full-time
DaVita Kidney Care

Registered Nurse

DaVita Kidney Care Portland, OR
Posting Date 09/09/2026 2737 NE Martin Luther King Jr Blvd, Portland, Oregon, 97212-3037, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-CM7 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
RN Correctional Part-time
NaphCare, Inc.

Registered Nurse (RN) - Part Time

NaphCare, Inc. Oregon City, OR
Overview NaphCare is hiring a Registered Nurse (RN) to join our team of medical professionals in Oregon City, Oregon, where we manage all aspects of healthcare for the individuals who are currently incarcerated in the Clackamas County Jail. We currently have a Part Time Weekend Days position available! As a Correctional Registered Nurse (RN) , you will work alongside correctional officers and other medical professionals to provide care to the individuals in residence. Working within a controlled environment, where security is top priority and the days are never dull, you will have various duties to keep you engaged including performing physical assessments, administering medications, managing chronic illnesses, and responding to emergencies. This is a unique position where you can make a difference to this diverse population of patients with complex medical needs. *New grads are encouraged to apply - we'll train you in the exciting field of correctional healthcare! * Responsibilities As a Registered Nurse you will play a critical role in our continued mission to provide quality care that protects the rights, dignity, and health of our unique patient population. Duties and responsibilities may include and are not limited to: Performing initial health screenings and physical assessments of newly detained individuals. Monitoring and documenting patient health including vital signs, medical histories. Providing direct patient care, triaging, assessing patient needs, developing care plans, and coordinating services. Managing acute and chronic conditions such as asthma, hypertension, and diabetes. Responding to medical emergencies, providing first aid, and ensuring timely transport to appropriate healthcare facilities. Educating patients on preventative care, healthy lifestyle choices, and substance abuse prevention. Understanding and adhering to correctional facility security protocols, while working closely with correctional officers and other healthcare professionals, to ensure the safety and well-being of patients. Maintaining accurate medical records, documenting treatment plans, and reporting any relevant information. Qualifications Experience / Requirements / Qualifications Holds a current, unrestricted license as a Registered Nurse within the State Must possess an active BLS CPR Certification (AHA preferred) Knowledge of nursing practice principles and techniques, occupational health and safety standards, infectious disease management, applicable health care laws, regulations, and procedures for direct health care services. Ability to maintain confidentiality of all proprietary and/or confidential information Excellent communication, organizational, and problem-solving skills Able to work independently and in a team Flexible schedule and availability to work overtime when needed Integrity, professionalism and ability to adhere to a Code of Conduct and comply with all facility(s) correctional healthcare policies, procedures, and legal requirements Must pass the facility’s criminal background check and drug screening Physical Capabilities: Must have the ability to stand for long periods, lift and move patients (up to 50 pounds), bend, squat, reach, push, pull, walk significant distances, and perform physically demanding tasks like CPR, all while maintaining good balance and endurance throughout a shift. Why Join NaphCare? NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US, and we are growing. If you have never considered a career in correctional healthcare, now may be the time! In addition to competitive salaries and generous employee benefits, we have opportunities for new graduates and experienced medical professionals, promote educational growth, and strongly support career advancement within the company. Want a better idea of what it’s like to work in a jail? See what our RNs do: NaphCare - Life as an RN - YouTube If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process , and I’ll be in touch. Equal Opportunity Employer: disability/veteran Follow Us: Instagram | Facebook | LinkedIn | Advancing Correctional Healthcare | NaphCare
RN NICU
Kaiser Permanente

Temp RN, NICU (36hrs, Days)

Kaiser Permanente Happy Valley, OR
Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.
RN OR Outpatient
SCA Health

Registered Nurse Operating Room II, Part-Time - Mt. Scott Surgery Center

SCA Health Happy Valley, OR
$56 - $58 / hour
Overview At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization. As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. What sets SCA Health apart isn’t just what we do, it’s how we do it . Each decision we make is rooted in seven core values : Clinical quality Integrity Service excellence Teamwork Accountability Continuous improvement Inclusion Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America. At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits. Your ideas should inspire change. If you join our team, they will . Responsibilities We are actively hiring for an Registered Nurse (RN) Operating Room. Promote the mission, vision, and values of SCA . Assess p atient status throughout the perioperative episode of care . Develop an individualized perioperative patient plan of care. Serve as a member of a multidisciplinary team in planning perioperative patient care. Qualifications Graduate of an a ccredited s chool of n ursing . O ne year of OR and/or medical / surgical nursing experience preferred . Current state nursing licensure to practice in good standings . Successful completion of Basic Life Support (BLS) within 90 of employment or documentation of current BLS certification. Successful completion of Advanced Cardiovascular Life Support (ACLS) Course within 90 days of employment or documentation of current ACLS certification. Successful completion of Pediatric Advance Life support (PALS) course is required when pediatric care is included in the facility scope of services within 90 days of employment or documentation of current PALS certification. Specialty certification in Perioperative Nursing is preferred. USD $56.00/Hr. USD $58.00/Hr.
RN Hospice Hospice Full-time
Shalom Hospice of Washington

Hospice Admission RN

Shalom Hospice of Washington Southwest Portland, OR
$105,000 - $115,000 / year
Job Title/Position: Admission RN Reports To: Clinical Director JOB DESCRIPTION SUMMARY The Admission RN plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of the nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 5. Provides and maintains a safe environment for the patient. 6. Assists the patient and family/caregiver and other team members in providing continuity of care. Additional Duties 1. Ensures that arrangements for equipment and other necessary items and services are available. 2. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 3. Fulfills the obligation of requested and/or accepted case assignments. 4. Actively participates in quality assessment performance improvement teams and activities.
RN Outpatient OR Outpatient
Kaiser Permanente

RN, First Assist-Ambulatory Surgery

Kaiser Permanente Happy Valley, OR
Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. Essential Responsibilities: Practice standards of performance: Pre-operative: Performs pre-operative assessment and evaluation if required. Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Intra-operative: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Practice standards of performance: Post-Operative: Apply post-op splints and/or braces. During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Have available patient X-rays/MRIs. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. are not available. Assists in patient transport to the operating room and transfer to the operating room table. Assists in patient positioning. Assists in patient preparation, i.e., prepping, catheterization, clipping, as necessary. Participates in briefing/time out and debriefing. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the circulating nurse and scrub person. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed.
RN OR Outpatient
Kaiser Permanente

RN, FIRST ASSIST-AMB SURGERY

Kaiser Permanente Happy Valley, OR
Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. Essential Responsibilities: Practice standards of performance: Pre-operative: Performs pre-operative assessment and evaluation if required. Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Intra-operative: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Practice standards of performance: Post-Operative: Apply post-op splints and/or braces. During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Have available patient X-rays/MRIs. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. are not available. Assists in patient transport to the operating room and transfer to the operating room table. Assists in patient positioning. Assists in patient preparation, i.e., prepping, catheterization, clipping, as necessary. Participates in briefing/time out and debriefing. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the circulating nurse and scrub person. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed.
RN OR Outpatient
Kaiser Permanente

RN, FIRST ASSIST-AMB SURGERY

Kaiser Permanente Happy Valley, OR
Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. Essential Responsibilities: Practice standards of performance: Pre-operative: Performs pre-operative assessment and evaluation if required. Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Intra-operative: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Practice standards of performance: Post-Operative: Apply post-op splints and/or braces. During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Have available patient X-rays/MRIs. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. are not available. Assists in patient transport to the operating room and transfer to the operating room table. Assists in patient positioning. Assists in patient preparation, i.e., prepping, catheterization, clipping, as necessary. Participates in briefing/time out and debriefing. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the circulating nurse and scrub person. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed.
RN Telehealth Full-time
Honest

Registered Nurse (RN) Care Manager - Future Opportunities (OR, WA, & AK)

Honest OR
$84,260 - $97,790 / year
This is not an active opening. We’re building a talent community of experienced RN Care Managers for future opportunities supporting patients in Oregon , Washington , and Alaska . If you’re interested in being considered as positions become available in these markets, we’d love for you to apply. Who You Are You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? Let’s connect. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that’s just an Honest day’s work. Your Role You will manage patients’ specialized needs based on their individual condition(s) and/or reason for recent utilization in collaboration with physicians, advanced practice providers, and care coordination team members. Your job duties will include taking full ownership of assigned patients with complex chronic conditions, serious illness, advanced frailty, or recent healthcare utilization with the goal of avoiding preventable admissions, reducing unnecessary healthcare use, and optimizing patient outcomes. Through standardized assessments and workflows you will work with the patient to identify needs based on their values, goals and preferences. From this assessment, and in partnership with the patient and provider, you will develop an effective, and comprehensive nursing care plan for each member. These care plans will be used to coordinate patient care delivery with network providers, contracted vendors, and community-based services. This work takes place remotely, but you must be licensed in the state(s) where the role is based: Washington, Oregon, and/or Alaska Primary Functions of the Nurse Care Manager Include: Quickly build empathetic relationships with patients and families. Evaluate and identify patients’ needs based on their respective values, goals, and preferences, then translate these needs into clinical needs. Interface with primary care physicians, advanced practice providers (APP), specialists, and various disciplines on the development of case management plans/programs. In conjunction with the physician/APP, implement care/treatment plans by coordinating access to health services across multiple providers/ disciplines. Refer patients to internal Honest team members for care management activities as outlined by defined procedures. Monitor care and identify cost-effective measures, including recommendations for alternative levels of care and utilization of resources. In partnership with Honest team members, effectively coordinate patient admissions and discharges from hospitals or skilled nursing facilities via coordination with respective facility clinicians and case managers. Build relationships across network hospitals, SNFs, home health companies, and DME vendors within the respective community. Monitor and evaluate the effectiveness of the nurse care plans based on quality and cost drivers and modify as necessary. Coordinate the interdisciplinary approach to providing continuity of care, including transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families. Act as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care. Develop individualized patient/family education plan focused on self-management and deliver patient/family education specific to a disease state. Engage internal resources to identify and respond to social determinants of health such as lack of transportation, stable housing, or food resources. Participate in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participate in the formulation and implementation and monitoring of action strategies and outcomes of care or customer service. Ensure that accurate records are maintained of the care associated with each patient. Actively participate in huddles, interdisciplinary team (IDT) sessions, and patient case conferences. Commendably represents Honest to patients, their families, and the community. Perform other related responsibilities as assigned. How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. ​​ Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity Active Registered Nurse license is required in the state(s) where the role is based: Washington, Oregon, and/or Alaska Willing and able to obtain additional state nursing license(s) as business needs dictate, with support from Honest leadership and reimbursement for required fees Experience and high level of comfort with engaging patients virtually using different technologies including phone, text, video, etc. is required Bachelor’s of Science in Nursing preferred Certified Case Manager (CCM) credential preferred 3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly preferred Case management experience with a senior population preferred Disease management and/or physician office experience highly preferred Prior experience with electronic health records or health registries required Microsoft Office skills, including Excel, Word, PowerPoint, Outlook required. Experience with PowerPoint preferred The base pay range for this role is $84,260 - $97,790. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package. Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@Honesthealth.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.
RN Telehealth Full-time
Honest

Registered Nurse (RN) Care Manager - Future Opportunities (OR, WA, & AK)

Honest OR
$84,260 - $97,790 / year
This is not an active opening. We’re building a talent community of experienced RN Care Managers for future opportunities supporting patients in Oregon , Washington , and Alaska . If you’re interested in being considered as positions become available in these markets, we’d love for you to apply. Who You Are You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? Let’s connect. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we’re creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that’s just an Honest day’s work. Your Role You will manage patients’ specialized needs based on their individual condition(s) and/or reason for recent utilization in collaboration with physicians, advanced practice providers, and care coordination team members. Your job duties will include taking full ownership of assigned patients with complex chronic conditions, serious illness, advanced frailty, or recent healthcare utilization with the goal of avoiding preventable admissions, reducing unnecessary healthcare use, and optimizing patient outcomes. Through standardized assessments and workflows you will work with the patient to identify needs based on their values, goals and preferences. From this assessment, and in partnership with the patient and provider, you will develop an effective, and comprehensive nursing care plan for each member. These care plans will be used to coordinate patient care delivery with network providers, contracted vendors, and community-based services. This work takes place remotely, but you must be licensed in the state(s) where the role is based: Washington, Oregon, and/or Alaska Primary Functions of the Nurse Care Manager Include: Quickly build empathetic relationships with patients and families. Evaluate and identify patients’ needs based on their respective values, goals, and preferences, then translate these needs into clinical needs. Interface with primary care physicians, advanced practice providers (APP), specialists, and various disciplines on the development of case management plans/programs. In conjunction with the physician/APP, implement care/treatment plans by coordinating access to health services across multiple providers/ disciplines. Refer patients to internal Honest team members for care management activities as outlined by defined procedures. Monitor care and identify cost-effective measures, including recommendations for alternative levels of care and utilization of resources. In partnership with Honest team members, effectively coordinate patient admissions and discharges from hospitals or skilled nursing facilities via coordination with respective facility clinicians and case managers. Build relationships across network hospitals, SNFs, home health companies, and DME vendors within the respective community. Monitor and evaluate the effectiveness of the nurse care plans based on quality and cost drivers and modify as necessary. Coordinate the interdisciplinary approach to providing continuity of care, including transfer coordination, discharge planning and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families. Act as a patient advocate and educator to assure that the patient has the knowledge to care for his/her condition and patient is educated and empowered to be responsible for participating in the plan of care. Develop individualized patient/family education plan focused on self-management and deliver patient/family education specific to a disease state. Engage internal resources to identify and respond to social determinants of health such as lack of transportation, stable housing, or food resources. Participate in data collection and analysis of clinical outcomes of care and customer satisfaction standards. Participate in the formulation and implementation and monitoring of action strategies and outcomes of care or customer service. Ensure that accurate records are maintained of the care associated with each patient. Actively participate in huddles, interdisciplinary team (IDT) sessions, and patient case conferences. Commendably represents Honest to patients, their families, and the community. Perform other related responsibilities as assigned. How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. ​​ Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity Active Registered Nurse license is required in the state(s) where the role is based: Washington, Oregon, and/or Alaska Willing and able to obtain additional state nursing license(s) as business needs dictate, with support from Honest leadership and reimbursement for required fees Experience and high level of comfort with engaging patients virtually using different technologies including phone, text, video, etc. is required Bachelor’s of Science in Nursing preferred Certified Case Manager (CCM) credential preferred 3+ years of clinical practice in a hospital, clinic, home care, or nursing home setting highly preferred Case management experience with a senior population preferred Disease management and/or physician office experience highly preferred Prior experience with electronic health records or health registries required Microsoft Office skills, including Excel, Word, PowerPoint, Outlook required. Experience with PowerPoint preferred The base pay range for this role is $84,260 - $97,790. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package. Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@Honesthealth.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.
RN OR Outpatient
Kaiser Permanente

OR RN Circulator On Call

Kaiser Permanente Portland, OR
Job Summary: Participates with the Health Care Team in delivering quality health care to patients in a manner which reflects Kaiser Permanentes mission, vision, and values while supporting the Labor Management Partnership (LMP) principles and practice. Participates in creating a high-performance culture based on a joint decision making process. Provides support and assistance to the patient and Health Care team to promote population-based care, continuity of care, customer satisfaction, and self-care. Demonstrates strong interpersonal and communication skills with a caring, courteous, flexible, supportive, respectful, open minded, appreciative attitude that is committed to a team environment. The RN is responsible for assessing, planning, directing, providing and evaluating the nursing care for patients during the inter-operative phase and coordinating care activities with other ASC professionals. Essential Responsibilities: Representative Functions or Duties: Professional Practice Standards of Performance. Complies with shift, unit and organizational policies and procedures including reliability and attendance standards. Monitors and takes corrective action to prevent recurring absences. Returns promptly from breaks and schedules them to provide adequate coverage. Restricts personal business to non-patient care areas during break times. Complies with Kaisers Time Keeping Policy to accurately reflect productive time worked. Takes responsibility to keep informed of organizational policies and current information as provided by employer. Complies with contractual responsibilities related to work schedule. Participates in clinic and nursing Quality Assurance Programs. Maintains current knowledge and skill base with personal commitment to continuous learning and professional development. Utilizes professional communication techniques. Maintains confidentiality of all patient and organizational records. (HIPPA Standards). Promotes collaboration and professional interaction with the health care team. Promotes professional conduct, knows and complies with department Standards of Behavior. (group norms). Attends and constructively participates in staff meetings. Demonstrates awareness of new information posted in the communication notebook. Planning Standard of Performance: Utilizes assessment data when instituting plan of care. Nursing Plan of Care is sensitive to the developmental needs of the patient. Utilizes knowledge of type of procedure to plan for appropriate set up. Obtains and demonstrates the skills and knowledge needed to provide age-appropriate care to patients and families through education, training, and experience. Implementation Standard of Performance: Applies principles of correct body alignment in positioning and transferring patient. Organizes nursing activities in an efficient manner in both circulating and scrub role. Records and documents relevant information according to policy and procedure. Evaluation Standard of Performance: Demonstrates an ability to evaluate and document patient outcomes. Participates in unit quality assurance activities on a monthly basis. Safety Management Standard of Performance: Maintains safety in use of all equipment according to manufacturers instructions and policy and procedures. Complies with all Kaiser and unit specific policies and procedures.
RN Hospice Part-time
Bristol Hospice

Registered Nurse Case Manager (RN)

Bristol Hospice Clackamas, OR
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, 8:00am - 5:00pm Coverage Area: Portland Area 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): 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.
RN ER
Kaiser Permanente

Emergency Room RN (36hrs, Evenings)

Kaiser Permanente Happy Valley, OR
Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.
RN ER
Kaiser Permanente

Emergency Dept RN (36hrs, Days)

Kaiser Permanente Happy Valley, OR
Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.
RN Outpatient PACU Outpatient
Kaiser Permanente

RN, Outpatient ON Call - SPA/PACU

Kaiser Permanente Happy Valley, OR
Job Summary: The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanentes mission, vision and values. The RN provides a variety of nursing services both in person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor. Essential Responsibilities: Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines. Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies. Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize and utilize data to provide optimal nursing care. Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families and groups. Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs and unlicensed personnel in the health care team. Demonstrates commitment to customer service. Participates in population-based care activities: Participates in out reach and in reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention and ongoing health education for panel population, individual patient and family. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention. Demonstrates technological literacy in using computerized information systems. Accesses, evaluates and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members use of health care technologies. Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as resource, mentor and role model for other members of the health care team. Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards. Applies effective oral and written communication skills in interacting with patients, families and members of the health care team. This includes effective negotiation and conflict management skills. Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patients health care needs. Acts as an advocate for individuals and groups with unmet health needs. Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care.
RN ER
Kaiser Permanente

Emergency Room RN (Part Time, Evenings)

Kaiser Permanente Happy Valley, OR
Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.
RN ER
Kaiser Permanente

Emergency Dept RN (36hrs, Evenings)

Kaiser Permanente Happy Valley, OR
Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment. Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients. Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations. Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities.
RN Outpatient Outpatient Part-time
Providence

Clinic RN - Immediate Care

Providence Happy Valley, OR
$44.97 - $68.87 / hour
Description Accountable for the direct and indirect quality care for patients according to the individualized needs of the patient. Follows the nursing process in accordance with the Nurse Practice Act. Demonstrates the knowledge and skills necessary to consistently provide care appropriate to the age of the patient, including neonate, pediatric, adolescent, adult and geriatric. Competent in analyzing patient data with an understanding of cognitive, physical, emotional/psychosocial, and spiritual aspects. Accepts professional development as an integral part of nursing practice. Coordinates patient care activities with other members of the health care team in a collegial relationship. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. 3 ,000 Sign-on Bonus for eligible rehire and external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment. Required Qualifications: Education to meet certification, license or registration requirement. Upon hire: Washington Registered Nurse License. License in states wherever care is delivered, or Upon hire: Oregon Registered Nurse License. License in states wherever care is delivered Upon hire: National Provider BLS - American Heart Association Preferred Qualifications: 2 years of Nursing experience in an acute care area. Emergency department or urgent care nursing experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits . Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act . About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer . We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 451917 Company: Providence Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Part time Job Shift: Day Career Track: Nursing Department: 5011 PMG N IC HAPPY VALLEY Address: OR Happy Valley 16180 SE Sunnyside Rd Work Location: Happy Valley Clinic-Happy Valley Workplace Type: On-site Pay Range: $44.97 - $68.87 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
RN Director of Nursing Full-time
Confidential Healthcare Nursing Center

Director of Nursing

Confidential Healthcare Nursing Center Portland, OR
$130,000 - $150,000 / year
Job Title: Director of Nursing Position Overview: We are seeking a dedicated and experienced Director of Nursing (DON) to oversee our nursing department and ensure the delivery of high-quality patient care. The DON will play a pivotal role in the leadership of our nursing staff, compliance with regulatory standards, and the overall management of nursing operations within our facility. Key Responsibilities: Leadership & Management: Provide visionary leadership to the nursing team, promoting a culture of excellence and collaboration. Recruit, train, and mentor nursing staff, fostering professional development and enhancing clinical competencies. Conduct performance evaluations and implement strategies for improvement. Clinical Oversight: Ensure the delivery of safe, effective, and patient-centered nursing care. Develop and implement nursing protocols, policies, and procedures in accordance with regulatory standards and best practices. Monitor patient care outcomes, quality metrics, and patient satisfaction surveys, addressing any areas for improvement. Compliance & Regulatory Affairs: Stay abreast of state and federal regulations and ensure the nursing department complies with all applicable laws and standards. Coordinate and prepare for regulatory surveys and audits, ensuring all documentation and practices meet required standards. Collaboration & Communication: Work closely with interdisciplinary teams to develop comprehensive care plans and enhance patient care. Communicate effectively with patients, families, and staff regarding care plans and health outcomes. Address any patient or family concerns in a timely and professional manner. Budgeting & Resource Management: Assist in the development and management of the nursing department budget, ensuring efficient use of resources. Monitor staffing levels and make recommendations for staffing adjustments based on patient needs. Quality Improvement: Lead initiatives aimed at improving nursing care quality and patient safety. Implement and monitor quality assurance programs to evaluate the effectiveness of nursing practices. Qualifications: Current RN licensure in the state. Bachelor’s degree in Nursing; Master’s degree preferred. Minimum of 5 years of nursing experience, with at least 2 years in a leadership role in a long-term care or rehabilitation setting. Strong knowledge of nursing practices, regulations, and quality improvement methodologies. Exceptional interpersonal and communication skills. Exciting Benefits Await You: Attractive Compensation: Enjoy competitive pay that truly values your contributions. Generous Paid Time Off: Recharge and prioritize your well-being with ample PTO. 401(k) Plan: Secure your financial future with our strong retirement plan. Flexible Daily Pay: Access your earnings whenever you need them. Comprehensive Benefits Package: Benefit from a wide range of options, including dental, health, vision, and disability insurance. Wellness Program Access: Prioritize your health with resources designed to support your well-being. Inclusive Workplace Culture: Thrive in a supportive environment that champions diversity and collaboration. Career and Educational Development: Unlock your potential with numerous opportunities for growth and advancement. Why Join Us? We value our staff and are committed to providing a supportive work environment. We offer competitive compensation, comprehensive benefits, and opportunities for professional growth. We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.
RN Hospice Hospice Full-time
Providence

Hospice Access RN

Providence Northeast Portland, OR
$53.27 - $74.30 / hour
Description The Hospice Access Field and Triage RN will complete medical requirements while coordinating a whole-person plan of care. Care is according to the individualized needs of the patient, following the nursing process and in accordance with the Nurse Practice Act. In Field role, the RN will visit patients in their homes (private or facility) to present the hospice program and conduct eligibility assessments, coordinating care with Hospice MD, family and facility caregivers, and interdisciplinary team (IDT). Field RNs will also make urgent and routine home visits to patients already on hospice service. In Triage role, RNs will take patient calls from Halsey Building in NE Portland. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Home Services Oregon and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Education sufficient for licensure Upon hire: Oregon Registered Nurse License Within 6 months (180 days) of hire: Washington Registered Nurse License Upon hire: National Provider BLS - American Heart Association Upon hire: In compliance with the Providence Health and Services-OR, criminal background check is required for this position, based on assigned duties. 2 years Acute care and/or hospice, home health, or long-term care RN experience Preferred Qualifications: Bachelor's Degree Nursing Call Center experience. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits . Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. Requsition ID: 452858 Company: Providence Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Full time Job Shift: Night Career Track: Nursing Department: 5015 HOSPICE PT ACCESS OR Address: OR Portland 6410 NE Halsey St Work Location: Halsey Bldg-Home Service East Portland Workplace Type: On-site Pay Range: $53.27 - $74.30 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.