All jobs

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 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 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 Mandatory weeknight and weekend call obligation. Current PACU or recent within the last 3 years ICU/ER or equivalant experience highly 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 : Perianesthesia Endoscopy Manager 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 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 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 policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR), PALS, and ACLS certifications. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Pediatric Advanced Life Support (PALS) certification (within 6 mo of hire). Advanced cardiovascular Life Support (ACLS) certification (within 6 mo of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Bachelor's Degree (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

1 month ago

Certified Nursing Assistant - Resource CNA

$20.09 - $31.01 / hour

Salary Range $20.09 - $31.01 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. 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 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 manner. 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. 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. 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 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

1 month ago

Certified Nursing Assistant - Resource CNA

$20.09 - $31.01 / hour

Salary Range $20.09 - $31.01 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. 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 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 manner. 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. 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. 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 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

Registered Nurse (RN) - Home Care Services

Confluence Health Moses Lake, WA

$49.01 - $92.08 / hour

Salary Range $49.01 - $92.08 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. 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 position. No guarantee of hours. 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: Nurse Clinical Supervisor - RN 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 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 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 policies and unit standards as applicable. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Current, valid driver's license and access to an insured vehicle with the minimum coverage by law. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Bachelor's Degree (BSN). Home Health, Hospice or Acute Care 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 - 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 - C Repetitive Movement - O Working Conditions: Work is performed primarily in the patient's home environment or a facility. May also work from the office as needed. Involves continuous contact with patients. Interaction is constant with frequent interruptions. Contact involves dealing with ill people. Driving in all seasons of weather. 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

Nurse Practitioner - Moses Lake Orthopedics

$68.27 - $82.69 / hour

Salary Range $68.27 - $82.69 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. Also provides surgical assistance as needed. Participates in shared department call schedule as needed. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; performs in office procedures within the scope of their licensure, instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide 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. Provides surgical assistance as needed. Provides surgical assistance as needed. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities, community events, and committees as needed. 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. 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, 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 – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes

Nurse Infusion RN

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 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 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 The Infusion Therapy RN is responsible for the comprehensive holistic care of oncology and non-oncology patients being infused with chemotherapy, biologic therapy agents, blood products, fluids, and other medications. The nurse provides care coordination and direct patient care; consults with physicians and colleagues; and educates patient/family on symptom management and new therapies, for oncology and non-oncology patients, treated in the infusion department. This position provides longitudinal comprehensive nursing care to oncology/hematology patients and to non-oncology patients requiring infusion therapy and complex cancer treatments. This position works in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To : Clinical Practice Manager Essential Functions Demonstrates a high level of understanding of oncology illnesses and treatment modalities. Demonstrates the ability to assess baseline physical, emotional and social needs. Provides clinical and technical oversight to patients requiring infused or injected chemotherapy, biologic therapy, blood products, and other agents: Performs a nursing assessment prior to and during each infusion or treatment per policy and procedure of the medical center. Has knowledge of agents infused including the potential drug toxicities, side effects, proper methods of administration, and interventions necessary for the safety of the patient. Safely prepares infusion and pump set-up for each drug that is infused. Follows parental administration policy and procedure of the medical center for the medications given. Monitors patient during and after the infusion, observing for any adverse effects. Provides anaphylactic/life-saving interventions to potential hypersensitivity reactions following correctly administered medications. Provides comprehensive care to patients as part of the overall care team. Manages patient symptoms, concerns and/or reactions and effectively communicates the entire picture to nurse navigator and/or provider for that patient. Demonstrates ability to develop a plan of care to respond to patient symptoms and reactions resulting from the disease or the treatment. Demonstrates capability to multitask with accuracy and deal effectively with unpredictable situations. Demonstrates ability to effectively intervene and direct colleagues during a patient crisis. Provides patient and family education about treatments and side effects, procedures such as bone marrow aspiration and ommaya taps/intrathecal chemotherapy in collaboration with the other members of the healthcare team. Informs Clinical Practice Manager of high-risk patient situations. Reviews and implements the treatment and therapy plans. Maintains a working knowledge of current protocols related to the patient population. Knows research resources and how to access. Monitors the patient response to cycled therapies including lab values and symptom assessment. Administers medications and therapies as ordered. Documents necessary information supporting the care, including assessment, response, complications, interventions and resolutions per guidelines and policy of the medical center and department. Maintains and Develops IV/CVAD skills. Maintains knowledge of current ONS and INS standards. Follows the ONS/ASCO and INS guidelines for infusions, injections, and procedures. Provides education on access and maintenance of central lines to all departments of the medical center. Follows policy and procedures for IV and Central lines of the medical center. Takes an active role in professional development to stay current with medications, oncology care and treatment and current standards of ONS, ASCO, and INS. Serves as resource in their area of expertise for staff and colleagues. Actively engages in PI and LEAN processes. Demonstrates effective and professional communication and collaboration with colleagues and providers. Assures the safety of patients and other staff. Follows all policy and procedures of the Medical Center related to verification of orders and products when administering chemotherapy, biotherapy, and other infusion agents. Demonstrates an awareness of the potentially hazardous nature of many of the agents administered and follows safe handling and disposal policy and procedures of the medical center. Prepares and protects patients and families during infusions through the strict adherence of the infection control policy, universal precautions, and standards applied to procedures of the Medical Center and the Oncology Department. Required to maintain active Basic Life Support (CPR) certification. Required to take call as rotation requires on weekends. Required to travel as rotation requires to Infusion Oncology clinics within two hours of main campus. 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). Current BLS Health Provider card and renewal every two years. Chemotherapy/Biotherapy certification within the first year of employment. Additional certifications may be required dependent on department needs. Ability to work independently and to use critical thinking; the ability to practice the cognitive skills of analyzing, applying standards, discriminating, information seeking, logical reasoning, predicting, and transforming knowledge. Ability to develop clinical judgment. Ability to communicate effectively by looking and listening for cues, asking open-ended questions, exploring cues, using pauses, screening responses, and clarifying response. Ability to effectively listen by using reflecting, acknowledging, summarizing, empathizing, and paraphrasing skills. Ability to effectively provide information by checking what information the person knows already, giving small amounts of detail at a time, using clear terms, avoiding jargon, avoiding detail unless requested, checking for understanding, pausing, and waiting for a response. Ability to effectively utilize time management skills; the ability to organize and manage time constraints, to independently manage tasks including basic computer skills and EMR. Demonstrates capability to multitask with accuracy and deal effectively with unpredictable situations. Desired: IV/Central Line experience and Oncology experience. Knowledge of infused and injectable medications for the treatment of various diagnoses ordered by Specialty providers. OCN 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 – O Reaching: Above shoulder height – F Reaching: Below shoulder height – O Climbing – O Pulling/Pushing: 25 pounds or less – F 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 – F Lifting: Over 50 pounds – F Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – F Bending/Stooping/Crouching – F Twisting/Turning – F Repetitive Movement – F Working Conditions: Open Infusion Suite, with minimal private room settings. Infusion Pharmacy located within the same department. Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly 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

Nurse Navigator - Cardiology

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 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 The Nurse Navigator is accountable for navigation and coordination of care utilizing evidenced-based clinical pathways for cardiology patients along the continuum of care for their cardiac condition from diagnosis through treatment. They will provide longitudinal comprehensive nursing care to a designated case of cardiac patients. They will have primary nursing responsibilities for the coordination of care, symptom management and education of patients and families. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To : Practice Manager Essential Functions Manage, develop, implement and evaluate initial patient plan of care following clinical pathways in collaboration with the physician and the health care team, to determine the effective utilization of resources and outcome achievement. Facilitate and/or conduct patient, family, and team conferences to develop and monitor a plan of action as necessary. This includes patient education on the disease, treatment options, procedures and medication regimens and side effects. Ongoing assessment of patients for unmet social needs with appropriate referral and communication to social services, community resources, etc. Determine need for further diagnostic work-up; communicate and coordinate necessary tests or procedures to the patient and the healthcare team. Obtain, review and scan outside patient records for new newly referred cardiology patients. Coordinate simple and complex patient care issues in conjunction with other parts of the healthcare system, working interdepartmentally as well as with other members of the cardiovascular team. Determine timeliness/time appropriateness of appointments. Ensures effective and appropriate utilization of resources and efficient patient throughput along continuum of care. Coordinate and continue to develop an established virtual care/telemedicine program for patients in the region, in conjunction with community clinical resources. Assist with patient registry work as it pertains to chronic disease management. Document interim progress notes reflecting coordination of care/services. Intervene when the clinical pathway is not being followed, either due to patient constraints or ineffective follow-through. Provide triage services and symptom management to patients as needed, in-person, telemedicine or over the phone.Communicate symptomology to appropriate team members. 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Current BLS Health Provider and ACLS card. Competent in basic computer skills. 3 years of clinical experience. Ability to work independently and perform role with minimal guidance Desired: Previous department 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 - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F 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 - O Twisting/Turning - O Repetitive Movement - F Working Conditions: Work is performed at a workstation desk and in patient exam/treatment rooms, where space may be limited and confined. Requires a combination of working independently and close communication with providers. Hours may be irregular at times; overtime may be required. General supervision is provided by the Practice Manager with additional instructions, guidance, and direction by the physicians or providers with whom the RN is working. Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly 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 – Yes Infectious Diseases – Yes

1 month ago

Registered Nurse (RN) - GI Procedures

Confluence Health Moses Lake, WA

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 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 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: Practice Manager 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 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 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 policies and unit standards as applicable. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Maintain active Basic Life Support (CPR) certification (within 90 days of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Bachelor's Degree (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

GI Procedure Nurse RN - Moses Lake Ambulatory Surgery Center

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 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 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 Ensures quality patient care by assisting in the performance of all procedures in the GI department. Assess, plans, implements and evaluates the care of patients in the GI department. Communicates with the gastroenterologists as needed about patient’s condition, assists with procedures, and assists with maintaining equipment and inventory. Participates in performance improvement projects, maintains regulatory agency requirements, nursing and medical center policies and standards. Position Reports To: Practice Manager Essential Functions Ensures quality patient care by following department policies and guidelines. Maintains IV competency. Obtains/maintains conscious sedation competency. Prepares each suite prior to each case by following the daily schedule and procedure requirements. Ensures safe patient care by placing blood pressure cuff, sensor for pulse oximeter, nasal cannula, surgical cautery pad and cardiac electrodes appropriately. Assists with positioning of patients. Assists the MD in the procedure rooms, including but not limited to: biopsies, polypectomy, dilation, charting vitals/patient status and the collection and labeling of specimens. Delegate’s tasks to the GI tech, recognizing what duties are within their scope of practice. Ensures optimal outcomes by proper handling of instruments and equipment. Maintains manufacturer’s recommendations and WVMC policies by proper processes-cleans, disinfects and reprocesses scoped and other instruments, per policy #5510. Understands the inventory of sterile, non-sterile and disinfected instruments by demonstrating proper handling, function, availability and location. Prioritizes activities based on knowledge and comprehension of the endoscopy schedule. Understands operation, function and handling of special equipment according to manufacturer’s recommendations. Provide assessment by troubleshooting malfunctioning equipment. If further service is required, process equipment, complete paperwork and calls biomed. Assists where needed to insure efficient and safe care in the GI patient continuum. Maintains adequate inventory based on department need. Demonstrates economic use of equipment and supplies. Maintain confidentiality of all pertinent patient care information to assure patient’s rights are protected. Communicate appropriate information to other members of the healthcare team in a timely manner. Participate in overall GI ASC functions including, but not limited to, scheduling of procedures, training of new staff, maintaining appropriate statistics, assisting with Quality Assurance projects, education to improve self and others, and attending staff meetings and annual education in-services as required. Comply with attendance requirements. Channel suggestions, criticism and questions to appropriate individuals. Accept and act on constructive criticism to improve professional abilities. Respond appropriately to emergency situations, recognizing the need for assistance and obtaining support from GI personnel and/or physician as needed. Recognize legal responsibilities and function within limitations as specified by law. Responsible for complete and thorough performance of assigned tasks. Demonstrates an awareness of safe conditions and safe acts as related to WVMC employment. Exhibits cooperation, self-control, and courtesy in relating to coworkers and job-related contacts. Maintains BLS certification, obtains and maintains ACLS certification within 1 year of employment. Compliance with universal precautions and the use of personal protective equipment Understands the safety precautions associated with the use of OPA and other chemicals in the healthcare environment. 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 RN license. ACLS training (within a year). Desired: Previous experience in ambulatory care setting or endoscopy lab desirable. 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 - F 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 - F Carrying: Over 50 pounds - O Crawling/Kneeling - Not specified Bending/Stooping/Crouching - Not specified Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Most of the work is done where space is limited and confined. Working conditions are stressful at times. Requires a combination of working alone and also working closely with others. Overtime may occasionally be required. General supervision is provided by the area manager with additional instructions, guidance, and direction provided by the physicians and nurses in the GI Department. 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

GI Procedure Nurse RN - Omak Ambulatory Surgery Center

Confluence Health Omak, WA

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 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 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 Ensures quality patient care by assisting in the performance of all procedures in the GI department. Assess, plans, implements and evaluates the care of patients in the GI department. Communicates with the gastroenterologists as needed about patient’s condition, assists with procedures, and assists with maintaining equipment and inventory. Participates in performance improvement projects, maintains regulatory agency requirements, nursing and medical center policies and standards. Position Reports To: Practice Manager Essential Functions Ensures quality patient care by following department policies and guidelines. Maintains IV competency. Obtains/maintains conscious sedation competency. Prepares each suite prior to each case by following the daily schedule and procedure requirements. Ensures safe patient care by placing blood pressure cuff, sensor for pulse oximeter, nasal cannula, surgical cautery pad and cardiac electrodes appropriately. Assists with positioning of patients. Assists the MD in the procedure rooms, including but not limited to: biopsies, polypectomy, dilation, charting vitals/patient status and the collection and labeling of specimens. Delegate’s tasks to the GI tech, recognizing what duties are within their scope of practice. Ensures optimal outcomes by proper handling of instruments and equipment. Maintains manufacturer’s recommendations and WVMC policies by proper processes-cleans, disinfects and reprocesses scoped and other instruments, per policy #5510. Understands the inventory of sterile, non-sterile and disinfected instruments by demonstrating proper handling, function, availability and location. Prioritizes activities based on knowledge and comprehension of the endoscopy schedule. Understands operation, function and handling of special equipment according to manufacturer’s recommendations. Provide assessment by troubleshooting malfunctioning equipment. If further service is required, process equipment, complete paperwork and calls biomed. Assists where needed to insure efficient and safe care in the GI patient continuum. Maintains adequate inventory based on department need. Demonstrates economic use of equipment and supplies. Maintain confidentiality of all pertinent patient care information to assure patient’s rights are protected. Communicate appropriate information to other members of the healthcare team in a timely manner. Participate in overall GI ASC functions including, but not limited to, scheduling of procedures, training of new staff, maintaining appropriate statistics, assisting with Quality Assurance projects, education to improve self and others, and attending staff meetings and annual education in-services as required. Comply with attendance requirements. Channel suggestions, criticism and questions to appropriate individuals. Accept and act on constructive criticism to improve professional abilities. Respond appropriately to emergency situations, recognizing the need for assistance and obtaining support from GI personnel and/or physician as needed. Recognize legal responsibilities and function within limitations as specified by law. Responsible for complete and thorough performance of assigned tasks. Demonstrates an awareness of safe conditions and safe acts as related to WVMC employment. Exhibits cooperation, self-control, and courtesy in relating to coworkers and job-related contacts. Maintains BLS certification, obtains and maintains ACLS certification within 1 year of employment. Compliance with universal precautions and the use of personal protective equipment Understands the safety precautions associated with the use of OPA and other chemicals in the healthcare environment. 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 RN license. ACLS training (within a year). Desired: Previous experience in ambulatory care setting or endoscopy lab desirable. 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 - F 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 - F Carrying: Over 50 pounds - O Crawling/Kneeling - Not specified Bending/Stooping/Crouching - Not specified Twisting/Turning - Not specified Repetitive Movement - Not specified Working Conditions: Most of the work is done where space is limited and confined. Working conditions are stressful at times. Requires a combination of working alone and also working closely with others. Overtime may occasionally be required. General supervision is provided by the area manager with additional instructions, guidance, and direction provided by the physicians and nurses in the GI Department. 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

Registered Nurse (RN) - Post Anesthesia Care

Salary Range $42.61 - $80.07 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 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 Mandatory weeknight and weekend call obligation. Current PACU or recent within the last 3 years ICU or equivalant experience highly 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 : Perianesthesia Endoscopy Manager 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 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 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 policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR), PALS, and ACLS certifications. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Pediatric Advanced Life Support (PALS) certification (within 6 mo of hire). Advanced cardiovascular Life Support (ACLS) certification (within 6 mo of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Bachelor's Degree (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

Nurse Navigator - Cardiology

$39.33 - $61.57 / hour

Salary Range $39.33 - $61.57 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 position. No guarantee of hours. The Nurse Navigator is accountable for navigation and coordination of care utilizing evidenced-based clinical pathways for cardiology patients along the continuum of care for their cardiac condition from diagnosis through treatment. They will provide longitudinal comprehensive nursing care to a designated case of cardiac patients. They will have primary nursing responsibilities for the coordination of care, symptom management and education of patients and families. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To : Practice Manager Essential Functions Manage, develop, implement and evaluate initial patient plan of care following clinical pathways in collaboration with the physician and the health care team, to determine the effective utilization of resources and outcome achievement. Facilitate and/or conduct patient, family, and team conferences to develop and monitor a plan of action as necessary. This includes patient education on the disease, treatment options, procedures and medication regimens and side effects. Ongoing assessment of patients for unmet social needs with appropriate referral and communication to social services, community resources, etc. Determine need for further diagnostic work-up; communicate and coordinate necessary tests or procedures to the patient and the healthcare team. Obtain, review and scan outside patient records for new newly referred cardiology patients. Coordinate simple and complex patient care issues in conjunction with other parts of the healthcare system, working interdepartmentally as well as with other members of the cardiovascular team. Determine timeliness/time appropriateness of appointments. Ensures effective and appropriate utilization of resources and efficient patient throughput along continuum of care. Coordinate and continue to develop an established virtual care/telemedicine program for patients in the region, in conjunction with community clinical resources. Assist with patient registry work as it pertains to chronic disease management. Document interim progress notes reflecting coordination of care/services. Intervene when the clinical pathway is not being followed, either due to patient constraints or ineffective follow-through. Provide triage services and symptom management to patients as needed, in-person, telemedicine or over the phone.Communicate symptomology to appropriate team members. 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: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Current BLS Health Provider and ACLS card. Competent in basic computer skills. 3 years of clinical experience. Ability to work independently and perform role with minimal guidance Desired: Previous department 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 - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F 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 - O Twisting/Turning - O Repetitive Movement - F Working Conditions: Work is performed at a workstation desk and in patient exam/treatment rooms, where space may be limited and confined. Requires a combination of working independently and close communication with providers. Hours may be irregular at times; overtime may be required. General supervision is provided by the Practice Manager with additional instructions, guidance, and direction by the physicians or providers with whom the RN is working. Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly 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 – Yes Infectious Diseases – Yes

Registered Nurse (RN) - Surgical Unit

$41.37 - $77.74 / hour

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. 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 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

Registered Nurse (RN) - Labor & Delivery

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 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 This position offers a sign on bonus up to $6,000.00 **Requires a one 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 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 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 policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR), and NRP certifications. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Neonatal Resuscitation Provider (NRP) certification (within 6mo of hire). Advanced cardiovascular Life Support (ACLS) certification (within 6 mo of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Bachelor's Degree (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

Certified Nursing Assistant - Home Health CNA

$20 - $31 / hour

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 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. 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

Registered Nurse (RN) - Pre-Op

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 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 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 ACLS and PALS preferred but not required. Will obtain within the first year. 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 : Perianesthesia Endoscopy Manager 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 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 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 policies and unit standards as applicable. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Desired: Bachelor's Degree (BSN). Pediatric Advanced Life Support (PALS) certification (within 6 mo of hire). Advanced cardiovascular Life Support (ACLS) certification (within 6 mo of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. 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

Registered Nurse (RN) - Surgery

$41.37 - $77.74 / hour

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. 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 This position offers a sign on bonus up to $10,000 with recent OR experience. **Requires a one 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 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

Registered Nurse (RN) - Resource Unit

$45.59 - $85.67 / hour

Salary Range $45.59 - $85.67 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. 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 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 3 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. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Maintain active Basic Life Support (CPR) certification (within 90 days of hire). Pediatric Advanced Life Support (PALS) certification (within 6 months of hire) for ED, PEDS, and ICU tiers. Advanced Cardiovascular Life Support (ACLS) certification (within 6 months of hire) for ICU, ED, PCU tiers. Trauma Nurse Core Course (TNCC) certification (within 6 months of hire) for ED, AND ICU tiers. Neonatal Resuscitation Provider (NRP) certification (within 6 months of hire) for MBU, and PEDS tiers. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Bachelor's Degree (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

Per Diem

Certified Nursing Assistant - Surgical Unit CNA

$20 - $31 / hour

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: 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

Part-time

Registered Nurse (RN) - Surgical Unit

Confluence Health Moses Lake, WA

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 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. 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 - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes

Nurse Practitioner - Moses Lake Family Practice

$66.35 - $76.92 / hour

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 Please Note: Eligibility to work in Grant County is 4 years of experience. 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 as required. 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

Registered Nurse (RN) - Rehab Unit

$42.61 - $80.07 / hour

Salary Range $42.61 - $80.07 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 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: Practice Manager 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 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 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 policies and unit standards as applicable. 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 licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Maintain active Basic Life Support (CPR) certification (within 90 days of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Bachelor's Degree (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

NP

Nurse Practitioner - Orthopedics

$68.27 - $82.69 / hour

Salary Range $68.27 - $82.69 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. Also provides surgical assistance as needed. Participates in shared department call schedule as needed. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; performs in office procedures within the scope of their licensure, instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide 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. Provides surgical assistance as needed. Provides surgical assistance as needed. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities, community events, and committees as needed. 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. 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, 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 – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes

Per Diem

Nurse Assistant Resident