Confluence Health

Certified Nursing Assistant - Progressive Care Unit CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary This position is for CNA's currently enrolled in the Nursing Program. 72 working hours required per quarter. Please Note: This a pool position. No guarantee of hours. Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To : Nursing Manager Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Nurse Clinical Supervisor RN - Emergency Services

Salary Range $50.20 - $78.52 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Under the general direction of the Clinical Nurse manager, the Clinical Supervisor is a member of the unit managerial team and assists that Nurse Manager in providing continuity of operational management and patient care management of a specified unit/service. The Clinical Supervisor is a Registered Nurse who has successfully completed the unit and department nursing competencies with a comprehensive understanding and competent skill level in patient care principles and evaluation of work performance to assure effective behavior in this leadership role. The Clinical Nursing Supervisor exhibits behaviors that enhance professional development, critical thinking and performance that reflect the key moral commitment, ethical principles, values and philosophy of Confluence Health. Promotes staff productivity through a defined care delivery system, and facilitation of the professional practice model and governance structure. Position Reports To: Hospital Director Emergency/ICU/PCU, Intensive Care Essential Functions Provides supervision of staff assigned to the unit for patient care and serves as a liaison between the manager and director for the staff. Provides time and attendance review, editing and approving timecards within the cycle of pay periods for staff. Collaborates with the Director/Clinical Manager to determine staffing needs for the department. Prepares schedule of work assignments. Assists Clinical Manager with updating/creating unit specific policies. Collaborates with the Manager, Director, staff, and Charge RNs to develop and maintain standards of nursing care, updates staff on accepted standards, and monitors compliance. Participates in improvement projects focused on achievement of annual goals and ensure implementation of and adherence to improvement changes, leads tests of change (pdsa cycles). Participates in activities related to the patient experience, conducting patient rounding and responding to issues to resolve in a timely manner. Assists Manager and Director with annual budget development and management to assist/assures cost effective daily operations and allocation of department resources; participate in weekend on call rotation with the leadership team if requested. Assists manager in review of quality data, addresses variances and issues, gathers, and reports information on specific events in RL Datix. Assists with ongoing survey readiness on the unit; helps to gather data to support this effort as needed. Provides input to clinical manager for staff evaluations. Provides coaching, counseling to staff to facilitate safe and effective patient care, participates in progressive disciplinary meetings. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards. Maintains required certifications specific to work unit (BLS, NRP, PALS). Demonstrates communication and interpersonal interactions in accordance with Confluence Health's Code of Conduct. Participates in Daisy award and other staff recognition strategies to promote staff satisfaction. Acts as a clinical resource to Materials Management (Product Review Committee) as needed. Assist with research and analysis of institutional reports, plans and programs as directed. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). 4 years’ experience in related clinical setting. National certification required for clinical specialty within 3 years of hire. Desired: Bachelor's Degree in Nursing. National Certification in clinical area. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – C Sitting/Standing – C Reaching: Shoulder height – F Reaching: Above shoulder height – F Reaching: Below shoulder height – F Climbing – O Pulling/Pushing: 25 pounds or less – O Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – F Twisting/Turning – F Repetitive Movement – F Working Conditions: Work is primarily on the clinical unit but may be in offices and meeting rooms. There may be travel between campuses. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – Yes Hazardous Substances –Yes Blood Borne Pathogens Exposure Potential – Yes Lighting – Yes Noise – Yes Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Confluence Health

Registered Nurse (RN) - Labor and Delivery

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Certified Nursing Assistant - Surgical Unit CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Position Requirements For employees working on site at any CH location, being fully vaccinated against COVID-19 is an essential requirement. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Certified Nursing Assistant - Progressive Care Unit CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To : Nursing Manager Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Surgical Unit

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $20,000. **Requires a two year commitment to Confluence Health. Applies to external candidates only. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse - Charge (RN) - Emergency Services

Salary Range $44.26 - $83.17 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Charge RN promotes a professional team-based environment within and with other departments and ensures collaboration with department leadership that patients receive high quality, safe care. Position Reports To : Nurse Manager Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Serves as a consultant, mentor and role model to staff. Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s). Active participation in problem-solving identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assists with the orientation of nursing personnel to the unit and contributes to the educational experience of students assigned to the unit. Coordinates and makes assignments for patient care taking into account patient needs, acuity, and skill mix of staff. Actively participates in quality improvement programs. Demonstrate ethical conduct and practices. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. May be assigned to respond/lead in a Code Blue or RRT depending on the department. Preforms/assist with duties outlined within the Inpatient Registered Nurse Job Description Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Nurse Resident - Acute Care

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary 2026 Start Dates : April 27th Residency Completion Bonus of $8,000 to be paid out at completion of Residency. Requires a two year commitment to Confluence Health. *Only applicable to New Graduates* Designed to transition a new graduate or an experienced nurse wishing to enter/reenter acute inpatient care, emphasizing high quality, evidence-based patient care. The Nurse Resident will work with a preceptor to deliver care to patients on multiple units, assuming increasing responsibility. Utilizes Nursing process of assessment, planning, intervention, implementation and evaluation to achieve patient goals and optimize outcomes. Effectively interacts with patient, significant others and other health team members, while maintaining standards of professional nursing (Washington State Nurse Practice Act, WAC, ANA scope and standards of practice). The Residency Program supports the resident through their first six month of practice. Includes online and classroom-based learning, clinical simulation, skills development, direct clinical experiences and mentorship. Position Reports To: Residency Manager/Director Essential Functions Demonstrates communication and interactions in accordance with Confluence Health’s Code of Conduct in all aspects of job performance. Maintain a safe and sanitary work environment. In collaboration with assigned preceptor, provides all aspects of nursing care to patients with increasing independence during progression in the program. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Demonstrate competency of the ANA standards of practice: assessment, diagnosis, outcome identification, planning, implementation, coordination of care, evaluation. Including professional standards of performance: ethics, cultural congruent practice, communication, collaboration, leadership, education, evidence-based practice, quality of practice, resource utilization and environmental health. Develops, implements, and continually reassesses patient’s individualized plan of care. Sets priorities for nursing action in a logical sequence according to patient's needs and formulates an appropriate plan of nursing care as defined by nursing policy. Teaches patient/family and/or caregiver appropriate health information. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Document’s care provided, assessments, plan of care, interventions, and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Demonstrates ability to delegate care to other licensed or non-licensed assistive personal based on Washington and Central Washington’s Guideline on scope of practice. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and nursing policy and procedure. Administers medications in accordance with WA State WAC and current licensure scope of practice unless under direct supervision of Preceptor. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : Graduate of an accredited school of nursing, or due to graduate within 30 days with proof supplied upon graduation. Licensure: Current LPN, or RN licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). If LPN licensure, eligible to sit for NCLEX exam. Clinical experiences with a preceptor will be tailored to their level of licensure. Active Washington State RN licensure by the end of 90 days. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute care nursing. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Certified Nursing Assistant - Medical/Oncology CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary ***Need CNA inpatient hospital experience to be considered for this role.*** Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Inpatient Licensed Practical Nurse - Progressive Care Unit

Salary Range $28.77 - $45.93 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position with no guarantee of hours. A clinically competent, licensed, practical nurse who delivers care as a team member to the acutely ill patient under the direction of an RN. Is knowledgeable in the nursing process of assessment, nursing diagnosis, outcome identification, planning, implementation and evaluation. Effectively interacts with patients, significant others, and other health team members, while maintaining standards of professional nursing. Essential Functions Provides care to acutely ill patients, the LPN is knowledgeable of care goals and objectives. Utilizes a Team approach. Follows the plans of care as developed by the RN and contributes data to the RN in the development of the plan of care. Develops and maintains effective communications with the primary nurse, physician, patient, family and others members of the health care team. Seeks direction in the delivery of patient care and informs designated RN of current developments and problems, utilizing proper communication system. Assist in assessment of patient's condition, reactions, and in planning individual care. Review transfer and admission information, daily progress and HCT notes. Assist, as necessary, in the initial nursing assessment of patient (History & Physical). Provide information for establishing and re-evaluating nursing goals and Nursing Care Plans. Documents and reports pertinent information. Medications; aware of potential side effects Uses Nursing Care Plans as guides (present status, new problems, education). Orders, per physician; requests, per therapies (include response of patient) Measures and records vital signs, I & O's, weights, and administers treatments, including sterile procedures. Assists other disciplinaries in evaluation and implementation of specific goals for the patient (physical, occupational, speech and recreational therapy and dietary). Participates in patient education (and family education, when indicated). ADL's Skin Care Medication Disease process (CVA, diabetes, UTI, etc) Reviews and implements physician's orders under direction of the primary RN. Administers medication, IV's if certified in-house. Document (including response and/or side effects) Knows unit dose procedures Renders basic nursing care, accurately charting same. Provides care for patients including: Demonstrates necessary skills and knowledge to provide care for patients according to Nursing policy and procedure. Demonstrates necessary skills and knowledge to provide care for patients according to unit specific competencies and Standards of Care, i.e., glucometer, telemetry, scanners and pulse oximeter, etc. Demonstrates ability to handle and assist in emergency situations in a prompt, precise and professional manner. Compassionately gives personal patient care to provide comfort and well being to the patient, acknowledging physiological and psychosocial needs. Administers medications according to Nursing policy and procedure. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and Nursing policy and procedure. (Done in a timely manner). Exhibits interpersonal skills that promote a positive functioning department. Communicates effectively with peers, health team members, management and physicians. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Interacts effectively with patients families and/or significant others. Always greets patients in a courteous and respectful manner; responds to patients with empathy and positive interpersonal skills. Consistently handles all request in a positive manner. Adapts to changes in a positive, professional manner. Supports problem solving approach to both department and patient needs. Follows through on problems that may compromise patient care by using the appropriate chain of command. Accurately and concisely processes information. Communicates appropriate information to Primary Nurse as appropriate. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to form guidelines. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to department policies. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Collaborates with hospital personnel and physicians. Communicates effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to assure the patient's well being. Adheres to Hospital/Nursing Policy. Observes departmental guidelines concerning unscheduled absences, overtime and tardiness. Dresses according to CWH dress code for nursing. Is conscientious in regard to personal hygiene. Complies with specific hospital policy and procedure concerning infection control. Assumes responsibility for self-evaluation/self improvement. Has 100% attendance at mandatory inservices, including CPR certification meeting, and annual safety inservice. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an approved LPN program or in an RN program. Current nursing license in the state of Washington. Completion of hospital orientation program. Must be currently certified in CPR, and recertify annually. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - Not specified Carrying: 25 pounds to 50 pounds - Not specified Carrying: Over 50 pounds - Not specified Crawling/Kneeling - Not specified Bending/Stooping/Crouching - F Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Applies principles of safety in daily work. Service requires patient care 24 hours a day, seven days a week, therefore, scheduling calls for rotation of days with possible rotation of shifts for vacation, illness, etc. occasional overtime as needed. May be asked to float to other units to provide balanced staffing or assist as needed. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - Not specified Heat - Not specified Cold - Not specified Mechanical Hazards - Not specified Hazardous Substances - Not specified Blood Borne Pathogens Exposure Potential - Not specified Lighting - Not specified Noise - Not specified Ionizing/Non-Ionizing Radiation - Not specified Infectious Diseases - Not specified
Confluence Health

Registered Nurse (RN) - Emergency Services

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $20,000 with recent Emergency Department experience. **Requires a two year commitment to Central Washington Hospital. Applies to external candidates only. ER Experience preferred. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Emergency Services Clinical Manager Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedure. Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Hospital Care Registered Nurse (RN) - Surgical Unit

Salary Range $39.19 - $70.67 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $6,000 in Bonuses! Applies to external candidates. *Requires one year commitment to Confluence Health.* **Relocation Assistance Available.** A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the system. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN)

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Sign On Bonuses and Relocation Allowances Available for Full Time Positions (Dependent on Experience, Department and Shifts) *Requires a one or two year commitment to Confluence Health Hospital* Essential Functions A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). We have positions posted in the following Departments : Emergency Services Operating Room/Surgery Medical/Oncology Progressive Care Unit Surgical Unit Intensive Care Unit Labor and Delivery Pediatrics Qualifications Required: RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Required to maintain active Basic Life Support (CPR) certification. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN.
Confluence Health

Registered Nurse (RN) - Progressive Care Unit

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $15,000 in Bonuses with recent PCU experience! Applies to external candidates. *Requires a two year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Medical/Oncology

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $20,000. **Requires a two year commitment to Central Washington Hospital. Applies to external candidates only. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - Family Practice

Salary Range $62.98 - $73.08 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides primary and appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide primary and specialized health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities. Participates in decisions, planning, and policies related to clinical care. Maintains accurate and complete patient records in compliance with organizational policy. Refers patients to specialty services when appropriate. Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies. Support physicians with on-call responsibilities. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. Desired: Related experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Resource Unit

Salary Range $40.24 - $75.61 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $15,000 with recent Resource experience. **Requires a two year commitment to Central Washington Hospital. Applies to external candidates only. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patient, significant others, and other health team members, while maintaining standards of professional nursing (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Resource Unit Clinical Manager Essential Functions Performs related assignments as requested in order to promote positive visitor, family and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures. Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Department Leadership. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Actively participates in quality improvement programs. Adheres to Confluence Health policies and unit standards as applicable. Resource Nurse 7% will be expected to function independently with a full patient load on at least 4 core units. At least one of the core units must be Medical/Oncology, Surgical/Orthopedics, Progressive care, or Mother-Baby. Will maintain certifications (i.e. TNCC, PALS, ACLS) as required by the units tiered to and keep up to date on the changes happening on units tiered to by reading hot topics, participating in daily huddles, and knowing the information from staff meetings. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Required to maintain active Basic Life Support (CPR) certification. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-Exempt Hourly/Salar y: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - CVOR

Salary Range $37.61 - $70.67 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $20,000 in Bonuses! Applies to external candidates. *Requires a two year commitment to Central Washington Hospital.* Previous CVOR experience desired. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director Essential Functions Perform related assignments as requested to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit/department specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions, and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures. Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Department Leadership. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients, and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit/department policies. Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Required to maintain active Basic Life Support (CPR) certification. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - Yes Cold - Yes Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - Behavioral Health

Salary Range $65.38 - $75.96 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. Summary To provide consultation and direct patient care including diagnostic assessment, preventative and educational services, and medication evaluation and management to the diverse population of the North Central Washington region, in accordance with best care practices, industry standards, organizational guidelines, and state and federal laws. Position Reports To : Practice Manager Essential Functions Provide timely, comprehensive charting of patient treatment in a manner consistent with department guidelines. Coordinate and communicate patient care effectively with interdisciplinary team of medical providers (primary and specialty care), psychiatrists, psychologists, therapists, and outside agencies. Participate in all required agency and departmental meetings (e.g., multidisciplinary staffing, family team meetings, staff meetings, quality improvement teams, etc.) as required by supervisor. Maintain required monthly production levels (averaged per quarter). Complete specific tasks as instructed by Manager. Participate in regular supervision. Required to maintain active Basic Life Support (CPR) certification. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current Washington State Advanced Registered Nurse Practitioner (ARNP) license with prescriptive privileges or eligibility to obtain licensure upon hire. Master’s Degree in nursing with specialty in psychiatric nursing from an accredited program. Valid DEA Controlled Substance Registration Certification. Desired : Minimum two years experience post Master’s degree under supervision of licensed/certified mental health and substance professionals. Current certification from the American Nurses Credentialing Center. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - O Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - F Working Conditions: The position requires a combination of working independently, as well as working closely with others as part of a multi-disciplinary team. Hours may be irregular at times, including occasionally working beyond normal business hours. Requires working under occasionally stressful conditions. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Confluence Health

Physician Assistant - Moses Lake Internal Medicine

Salary Range $66.35 - $76.92 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Provides primary health care services to hospital and clinic patients. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide primary health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families and helps them understand issues related to physical and emotional health and promotes wellness. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. Refers patients to specialty services when appropriate. Collaborates with staff and physicians to identify patient’s needs and help develop a plan to meet those needs. Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies. Facilitate call requirements as designated to include nights, weekends, and holidays. Required to maintain active Basic Life Support (CPR) certification. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Physician Assistant licensure with prescriptive authority in the state of Washington, required by start date. Desired: Related experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes
Confluence Health

Physician Assistant - Omak Cardiology

Salary Range $67.31 - $81.73 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Outpatient Practice Duties Staff outpatient office clinic in Wenatchee Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) 1-4 days per month Provide comprehensive history and physical examinations on new cardiology patients Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure Provide post-operative evaluation (i.e after cardiac operations/procedures) Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc Evaluate cardiac patient’s medical history, physical exam findings and diagnostic/laboratory data Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic) Act as preceptor for physician assistant/nurse practitioner students Actively recruit patients for cardiology-oriented research studies Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc Educate Cardiac Rehab participants on cardiovascular disease and prevention Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible Inpatient Practice Duties Staff hospital services as assigned, 4–10-hour shift rotation, including weekends Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc Perform cardiac patient’s medical history, physical exam findings, and evaluate diagnostic/ laboratory data Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED Generate daily progress notes to be used as shared-visits with on-call cardiologist Notify on-call cardiologist of any change in patient condition Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients Admit and perform History and Physical on Antiarrhythmic therapy patients Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis Assist on-call cardiologist with triage of patients consults and needs Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700 Assist in ACLS/BLS codes, as directed by supervising physician(s) Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s) Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s) Stress Testing Practice Duties Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing Possess knowledge/competency of appropriate contraindications, risk assessment of testing Possess knowledge/competency of BLS/ACLS on an annual basis Possess knowledge/competency of Cardiovascular and Exercise Physiology Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Physician Assistant licensure with prescriptive authority in the state of Washington, required by start date. CPR/ACLS Certification. Desired: Related experience. Cardiology Specialty Certification. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - Omak Cardiology

Salary Range $64.90 - $78.37 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Outpatient Practice Duties Staff outpatient office clinic in Wenatchee Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) 1-4 days per month Provide comprehensive history and physical examinations on new cardiology patients Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure Provide post-operative evaluation (i.e after cardiac operations/procedures) Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc Evaluate cardiac patient’s medical history, physical exam findings and diagnostic/laboratory data Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic) Act as preceptor for physician assistant/nurse practitioner students Actively recruit patients for cardiology-oriented research studies Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc Educate Cardiac Rehab participants on cardiovascular disease and prevention Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible Inpatient Practice Duties Staff hospital services as assigned, 4–10-hour shift rotation, including weekends Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc Perform cardiac patient’s medical history, physical exam findings, and evaluate diagnostic/ laboratory data Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED Generate daily progress notes to be used as shared-visits with on-call cardiologist Notify on-call cardiologist of any change in patient condition Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients Admit and perform History and Physical on Antiarrhythmic therapy patients Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis Assist on-call cardiologist with triage of patients consults and needs Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700 Assist in ACLS/BLS codes, as directed by supervising physician(s) Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s) Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s) Stress Testing Practice Duties Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing Possess knowledge/competency of appropriate contraindications, risk assessment of testing Possess knowledge/competency of BLS/ACLS on an annual basis Possess knowledge/competency of Cardiovascular and Exercise Physiology Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. CPR/ACLS Certification. Desired: Related experience. Cardiology Specialty Certification. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - Moses Lake Internal Medicine

Salary Range $63.94 - $74.04 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides primary health care services to hospital and clinic patients. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide primary health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families and helps them understand issues related to physical and emotional health and promotes wellness. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. Refers patients to specialty services when appropriate. Collaborates with staff and physicians to identify patient’s needs and help develop a plan to meet those needs. Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies. Facilitate call requirements as designated to include nights, weekends, and holidays. Required to maintain active Basic Life Support (CPR) certification. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. Desired: Related experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - Moses Lake Cardiology

Salary Range $64.90 - $78.37 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Outpatient Practice Duties Staff outpatient office clinic in Wenatchee Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) 1-4 days per month Provide comprehensive history and physical examinations on new cardiology patients Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure Provide post-operative evaluation (i.e after cardiac operations/procedures) Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc Evaluate cardiac patient’s medical history, physical exam findings and diagnostic/laboratory data Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic) Act as preceptor for physician assistant/nurse practitioner students Actively recruit patients for cardiology-oriented research studies Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc Educate Cardiac Rehab participants on cardiovascular disease and prevention Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible Inpatient Practice Duties Staff hospital services as assigned, 4–10-hour shift rotation, including weekends Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc Perform cardiac patient’s medical history, physical exam findings, and evaluate diagnostic/ laboratory data Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED Generate daily progress notes to be used as shared-visits with on-call cardiologist Notify on-call cardiologist of any change in patient condition Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients Admit and perform History and Physical on Antiarrhythmic therapy patients Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis Assist on-call cardiologist with triage of patients consults and needs Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700 Assist in ACLS/BLS codes, as directed by supervising physician(s) Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s) Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s) Stress Testing Practice Duties Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing Possess knowledge/competency of appropriate contraindications, risk assessment of testing Possess knowledge/competency of BLS/ACLS on an annual basis Possess knowledge/competency of Cardiovascular and Exercise Physiology Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. CPR/ACLS Certification. Desired: Related experience. Cardiology Specialty Certification. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – No Infectious Diseases - Yes
Confluence Health

Inpatient Licensed Practical Nurse - Medical/Oncology

Salary Range $26.29 - $41.01 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position with no guarantee of hours. A hospital competent, licensed, practical nurse who delivers care to the acutely ill, as a team member under the direction of a RN. Is knowledgeable in the nursing process of assessment, nursing diagnosis, outcome identification, planning, implementation and evaluation. Effectively interacts with patients, significant others, and other health team members, while maintaining standards of professional nursing. Position Reports To : Nurse Clinical Supervisor-RN, Medical/Oncology Essential Functions Provides care to acutely ill patients, the LPN is knowledgeable of care goals and objectives. Utilizes a Team approach. Follows the plans of care as developed by the RN and contributes data to the RN in the development of the plan of care. Develops and maintains effective communications with the primary nurse, physician, patient, family and other. Seeks direction in the delivery of patient care and informs designated RN of current developments and problems, utilizing proper communication system. Assist in assessment of patient's condition, reactions, and in planning individual care. Review transfer and admission information, daily progress, and team notes. Assist, as necessary, in the initial nursing assessment of patient (History & Physical). Provide information for establishing and re-evaluating nursing goals (Nursing Care Plans). Documents and reports pertinent information. Medications; aware of potential side effects. Uses Nursing Care Plans as guides (present status, new problems, education). Orders, per physician; requests, per therapies (include response of patient). Measures and records vital signs, I & O's, weights, and administers treatments, including sterile procedures. Assists other disciplinaries in evaluation and implementation of specific goals for the patient (physical, occupational, speech and recreational therapy and dietary). Participates in patient education (and family education, when indicated). ADL's Skin Care Medication Disease process (CVA, diabetes, UTI, etc) Receives and implements physician's orders. Administers medication, IV's if certified in-house. Document (including response and/or side effects). Knows unit dose procedures. Renders total nursing care, accurately charting same. Provides care for patients including: Demonstrates necessary skills and knowledge to provide care for patients according to Nursing policy and procedure. Demonstrates necessary skills and knowledge to provide care for patients according to unit specific competencies, i.e., glucometer, telemetry, scanners and pulse oximeter, etc. Demonstrates ability to handle and assist in emergency situations in a prompt, precise and professional manner Compassionately gives personal patient care to provide comfort and well being to the patient, acknowledging physiological and psychosocial needs. Administers medications according to Nursing policy and procedure. Observes and documents patient's response to pertinent medications. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and Nursing policy and procedure. (Done in a timely manner). Exhibits interpersonal skills that promote a positive functioning department. Communicates effectively with peers, health team members, management and physicians. Maintain confidentiality of all patient-hospital or physician related information. Refrain from gossip and speak in low tones in all appropriate areas. Interacts effectively with patients' families and/or significant others. Always greets patients in a courteous and respectful manner; responds to patients with empathy and positive interpersonal skills. Consistently handles all request in a positive manner. Adapts to changes in a positive, professional manner. Supports problem solving approach to both department and patient needs. Follows through on problems that may compromise patient care by using the appropriate chain of command. Accurately and concisely processes information. Communicates appropriate information to Primary Nurse as appropriate. Communicates appropriate information to physicians and other health team members in a timely manner. Demonstrates accurate and timely documentation neatly and legibly according to form guidelines. Accurately charges for patient supplies. Maintain a safe and sanitary work environment. Maintains a clean, neat, and safe environment for patient and staff according to department policies. Complies with specific hospital and departmental policies concerning safety and/or disaster plans. Insures that supplies and equipment necessary for patient care are stored in an organized and efficient manner. Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals. Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Collaborates with hospital personnel and physicians. Communicates effectively on a daily basis, patient needs, nursing assessments, and recommendations. Collaborates with other nurses and health team members to assure the patient's well being. Adheres to Hospital/Nursing Policy. Observes departmental guidelines concerning unscheduled absences, overtime and tardiness. Dresses according to CWH dress code for nursing. Is conscientious in regard to personal hygiene. Complies with specific hospital policy and procedure concerning infection control. Assumes responsibility for self-evaluation/self-improvement. Has 100% attendance at mandatory inservices, including CPR certification meeting, and annual safety inservice. Consistently advocates and functions within the guidelines of the Washington Nurse Practice Act and keeps current with the legal aspects of nursing. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an approved LPN program or in an RN program. Current nursing license in the state of Washington. Completion of hospital orientation program. Must be currently certified in CPR, and recertify annually. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - F Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - O Repetitive Movement - O Working Conditions: Applies principles of safety in daily work. Service requires patient care 24 hours a day, seven days a week, therefore, scheduling calls for rotation of days with possible rotation of shifts for vacation, illness, etc. occasional overtime as needed. May be asked to float to other units to provide balanced staffing or assist as needed. Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes