NP Psych Full-time
Barton Health

Nurse Practitioner - Full Time- Psychiatry and Mental Health

Barton Health South Lake Tahoe, CA
Summary of Position: The Nurse Practitioner (NP) – Psychiatry provides direct patient care within state and scope of practice guidelines at assigned Barton HealthCare System outpatient clinic facilities. The NP works independently as well as collaboratively with other providers to provide patient assessment and diagnosis, formulate treatment plans, prescribe medications, order tests, interpret test results, provide patient education, prepare medical records and refer patients in accordance with statutes, regulations and protocols regulating the profession. The NP utilizes appropriate authorization protocols when performing medical functions. The NP demonstrates the knowledge and skill necessary to identify and meet the individualized needs of the population served. Qualifications Education: ● Completion of an accredited Nurse Practitioner training program ● Masters of Science in Nursing (MSN) or Doctor of Nurse Practice (DNP). Experience: ● Minimum two years of recent outpatient clinic experience as a NP preferred. Knowledge/Skills/Abilities: ● Computer literacy in common office applications ● Knowledge of electronic medical record (EMR) database or equivalent required; Epic experience preferred ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. Certifications/Licensure: ● Current National Certification as a Nurse Practitioner through the National Certification Corporation (NCC), American Nurses Credentialing Center (ANCC), or American Academy of Nurse Practitioners (AANPCB) ● Currently licensed as a Nurse Practitioner in applicable home location (California or Nevada), or ability to obtain prior to start date as required. ● Must be licensed as an RN in applicable state prior to start date as required. ● Psychiatric Mental Health Nurse Practitioner (PMHNP) certification required ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) ● Must have any additional licenses and certifications as required per Med Staff bylaws and applicable state laws (CA and/or NV). Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious diseases. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and interprets results to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan when indicated. Works in collaboration with the health care team. 3. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and Medical Staff. 4. Prescribes and monitors medications as required by California law, as allowed by DEA licensure and Barton Health policies. 5. Provides patient education regarding care and treatment plan. 6. Participates and collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. 7. Refers patients as appropriate for consultation or for specialized health resources and treatment. 8. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. 9. Participates in quality monitoring through the review of records and treatment plans for patient outcomes to assure quality care. 10. Promotes translation of evidence-based practices, guidelines, and research. 11. May serve as clinical preceptor for students or other Advanced Practice Providers. 12. Administers treatment plans in accordance with standardized procedures. 13. Provides direct patient care, evaluates outcomes, consults with physicians as required and adjusts care processes as indicated to ensure optimal patient care. 14. Maintains timely and accurate charting of clinical encounters in Barton Health’s Electronic Health Record (EHR) platform. Ensures that all aspects of patient care and observations are documented. Documentation is complete, accurate and timely. Signs off medical record within 48 hours of seeing patient. 15. Accurately code clinical encounters with CPT and ICD-10 codes. 16. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth and development over the life span of the patient and possesses the ability to identify each patient’s age- specific needs. 17. Performs comprehensive psychiatric evaluations that include evaluation of mental status, current psychiatric symptoms and functioning, as well as psychiatric and other relevant health histories. 18. Prescribes psychotropic medications and short-term therapies to treat mental health conditions in accordance with standardized procedures. 19. Provides brief psychotherapeutic interventions in conjunction with evaluation and management services in accordance with standardized procedures. 20. Participates in quality improvement activities; assists in maintaining compliance with The Joint Commission, State Agencies and other internal and external regulatory standards. 21. Supports and upholds established organizational policies, procedures, and objectives related to quality improvement, safety, environmental and infection control. 22. Responds to the needs of the department by performing other duties, as necessary.
RN Full-time
Barton Health

Registered Nurse - ER- Seasonal- Full Time hours- June- September- Variable shifts

Barton Health South Lake Tahoe, CA
***These are 2 Seasonal positions, full time hours, variable shifts- June-September*** Summary of Position: The Emergency Department Staff Nurse provides professional nursing care to patients within the Emergency Department, utilizing established policies and procedures, ensuring safe and effective care. The Emergency Department RN assesses, plans, implements and evaluates care in collaboration with the multidisciplinary care team. Qualifications Education: ● Completion of an accredited nursing program ● Bachelor’s degree in Nursing (BSN) preferred Experience: ● Minimum two year recent ER experience preferred Knowledge/Skills/Abilities: ● Highly effective written and verbal communications skills. ● Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system. ● Requires critical thinking skills, decisive judgment and ability to work with minimal supervision. ● Must be able to receive direction and assignments from physicians and prioritize tasks. ● Must be able to work in a stressful environment and take appropriate action. ● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred. Certifications/Licensure: ● Current California RN license or ability to obtain prior to hire date ● Current CPR/BLS, ACLS and PALS certification by the American Heart Association ● TNCC or must obtain within 6 months of hire ● MICN within 1 year of start date ● If New Grad RN, must obtain required certifications (BLS, ACLS and PALS) within 6 months. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Provides patient care, evaluates outcomes, consults with others as required and adjusts care plan as necessary to ensure optimal care. 3. Performs systems assessment at designated and appropriate intervals on all assigned patients, recognizing disturbed physiology and abnormal parameters. 4. Assesses pain levels on all patients per Barton’s policy. 5. Assesses psychosocial needs of patients, expressing interest in their progress and comfort, makes the appropriate referrals and prepares them for disposition. 6. Recognizes those patients at risk and makes appropriate referrals to community agencies per federal and state law and Barton Memorial Hospital policies. 7. Based on assessment findings, initiates appropriate nursing actions. Correctly analyzes, prioritizes and implements standing, temporary and emergency job tasks in a timely fashion and according to policy. 8. Follows Barton policies on medication administration and documentation. 9. Monitors patient reaction and compliance with physician orders. Reports any untoward change in patient condition to appropriate individual. 10. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors. 11. Functions as a team leader ● Communicates effectively with team members; ● Completes assessments in a timely manner ● Supports team members offering assistance and guidance 12. Effectively coordinates procedures and care activities. 13. Assists physicians with examinations, procedures and other processes related to direct patient care. 14. Keeps patient/family informed of progress, procedures, and disposition. Focuses on customer service needs. 15. The patients learning needs, abilities, preferences and readiness to learn is assessed. 16. Effectively educates patients, families: ● Medication use and safety ● Nutrition interventions ● Safe use of medical equipment ● Management of pain ● Rehabilitation techniques ● Use of other resources 17. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately documented: ● Documents all parts of the triage assessment on each patient including a complete set of vital signs, height/weight, previous history and medications ● Assigns the appropriate Triage Level to each patient per the Emergency Severity Index ● Recognizes and follows all of the tenets of Triage Assessment and accurately assures that all patients reach the correct resources within the appropriate period of time ● Documents all parts of the nursing assessment on each patient, and that charting is accurate and complete ● Documents all nursing interventions including procedures accurately and includes the patient’s response to same ● Documents all discharge teaching including the patient’s condition upon discharge 18. Operates equipment and performs job related duties in a safe manner. Insures proper functioning of equipment and follows procedure when equipment malfunctions. 19. Accurately assesses patient’s condition and recognizes serious situations that call for immediate intervention by nursing or the physician. 20. Orients, instructs and trains assigned personnel to Emergency Department functions as needed. 21. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards 22. Participates in Unit activities. Attends staff meetings, in service classes and Base Station meetings per the MICN license requirements. 23. Responds to the needs of the department by performing other duties, as necessary.
CMA Outpatient Full-time
Barton Health

Medical Assistant - Full Time- Primary Care 4th Street

Barton Health South Lake Tahoe, CA
Summary of Position: The Medical Assistant (MA) works with all members of the care team by performing a variety of clinical and administrative patient-related duties as established in the roles and responsibilities defined below. The MA works to fulfill a variety of patient needs and ensures smooth patient flow within the department. The MA provides comfortable, safe, professional care for clinic patients, and provides all assistance required to successfully schedule and complete patient appointments. The MA demonstrates the ability to meet the needs and provide services to all age-groups from infancy to geriatrics and is competent in providing services to a culturally diverse population. Qualifications Education: ● High school diploma or GED preferred. ● College level coursework in the delivery of care in a medical clinic preferred. ● Medical Assistant certification as recognized by The Medical Board of California or a nationally recognized certification agency. ● OR completion of a Medical Assistant program including a clinical externship ● OR one year of recent Medical Assistant experience. ● Ability to obtain certification as recognized by the Medical Board of California or a nationally recognized certification agency within 18 months of hire. Minimum Experience: ● One to three years’ recent experience as a Medical Assistant preferred ● Float MA positions require at least two years of recent MA experience ● Ambulatory care/physician office experience preferred. ● Patient Centered Medical Home or Patient Centered Specialty Practice experience preferred. Knowledge/Skills/Abilities: ● Proficiency in clinical skills and office procedures. ● Computer and keyboard experience, including charting in electronic medical records. ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. ● Working knowledge of quality improvement measures and the Patient-Centered Medical Home. Certifications/Licensure: ● Current Basic Life Support for Healthcare Providers certification from the American Heart Association, or ability to obtain prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, or crouch for extended periods of time. ● Specific vision abilities required by this job include close vision, adequate near and distant vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of urgent, emergent or crisis situations. ● Subject to pressure due to irregular hours, (Urgent Care: weekend hours, holiday hours) frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Support the quality programs and processes of the Barton Patient Centered Medical Home (PCMH) or Patient Centered Specialty Practice teams 3. Assists the care team by collecting patient care data and reports findings to licensed staff. Escorts patients to exam rooms, takes weight and vital signs and obtains chief complaint/ reason for visit. Obtains social, family, personal and surgical history, reviews current medications with dosage, documents pharmacy preference, allergies and adverse drug reactions, conducts all appropriate health screenings and documents fall risk, performs point of care testing. 4. Assists licensed staff with minor diagnostic procedures and treatments, including sterilizing and setting up instruments, preparing examination rooms and instruments, assisting provider with procedure and stocking supplies. 5. At the direction of licensed staff, provides understandable explanations, and educates patients and families regarding treatments and interventions. 6. Schedules patients for testing procedures. Obtains tests results and ensures that lab reports, x-rays, outside progress notes/medical records, and other information is in the medical record prior to the appointment. 7. Labels and maintains proper storage for specimens and tests. 8. Processes requests for prescription medication refills according to protocol. 9. Administers medications within scope of practice and training. 10. Cleans and disinfects room counters, exam tables and instruments after each use. 11. Recognizes signs and symptoms of acute medical or physiological conditions and immediately reports such circumstances to a registered nurse, mid-level provider or physician. 12. Documents all aspects of patient care in the electronic medical record system. Assists with charge capture entry as needed. 13. Cross trains to cover other departments and flexibility to cover as needed. 14. Actively participates in team huddles and care team meetings. 15. Responds to the needs of the department by performing other duties, as necessary.
RN Home Health Hospice Full-time
Barton Health

Registered Nurse - Full Time- Home Health and Hospice- 4-10's

Barton Health South Lake Tahoe, CA
Summary of Position: Provides professional nursing care to home health and hospice patients in a variety of settings including their own home, SNF/LTC, and Acute Care settings utilizing established policies and procedures, ensuring safe and effective care. The RN Case Manager assesses, develops, implements, plans, and evaluates care in collaboration with the interdisciplinary care team, in accordance with CMS, State regulations and The Joint Commission guidelines for Home Health and Hospice. Services are provided based on the age of the population served; Adults at least 18 years old through geriatric (65 years or older). Qualifications Education: ● Completion of an accredited Nursing program. ● Bachelor’s degree in Nursing (BSN) preferred. Experience: ● One year of acute care experience in a hospital setting or similar healthcare setting preferred ● One year home health and hospice experience preferred ● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred Knowledge/Skills/Abilities: ● Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system. ● Requires critical thinking skills, decisive judgment and ability to work with minimal supervision. ● Must be able to work in a stressful environment and take appropriate action. ● Excellent oral and written communication skills. ● Excellent interpersonal skills. ● Ability to collaborate with various departments in and outside of the Barton Health System in order to provide consistently exceptional patient care. ● Attention to detail, meticulous development and maintenance of regulatory paperwork. Certifications/Licensures ● Current California and Nevada RN license or ability to obtain prior to start date ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date ● Valid California or Nevada Driver’s license (depending on state of employee’s residence) or ability to obtain prior to start date ● Current vehicle insurance Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfers patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of blood borne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Driving in inclement weather and icy/snow-covered roads. Essential Functions 1. Provide consistently exceptional care at all times. 2. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served. 3. Directs the delivery of nursing care and verifies that appropriate measures are instituted for each patient for whom clinician is responsible. Initiates appropriate preventative and rehabilitative nursing measures. 4. Provides direct patient care, evaluates outcomes, consults with others as required and adjusts care plan as necessary to ensure optimal outcomes. 5. Performs initial assessment and repeat assessments at designated and appropriate intervals on all assigned patients, recognizing disturbed physiology and abnormal parameters. 6. The patients learning needs, abilities, preferences and readiness to learn is assessed. Effectively educates patients and families. 7. Assesses pain levels on all patients: a. Upon initial assessment b. Reassesses according to standards c. Evaluates location, severity, intensity and quality of pain. d. Uses the approved pain scale for measurement e. Reevaluates pain level in response to intervention/ treatment 8. Conducts the comprehensive overview of Hospice services, including evaluating the appropriateness and patient family acceptance of terminal process. Provides patient and family teaching on Hospice philosophy. 9. Provides education to community and/or other healthcare professionals regarding Hospice. 10. Monitors and ensures accuracy of documentation in patient medical record. Assures patient records are complete and accurate. 11. Medication administration is safe, accurate and timely 12. Supervises the day-to-day work of home health aids. 13. Required to work on-call shifts and respond to Emergency and urgent patients needs 24 hours a day. 14. Responds to the needs of the department by performing other duties, as necessary.
NP Outpatient Full-time
Barton Health

Nurse Practitioner - GI Outpatient Clinic & Urology- Full Time

Barton Health South Lake Tahoe, CA
Summary of Position: The Nurse Practitioner (NP) – GI & Specialty Clinics position provides direct patient care within state and scope of practice guidelines at assigned Barton HealthCare System outpatient clinic facilities. The NP works independently as well as collaboratively with other providers to provide patient assessment and diagnosis, formulate treatment plans, prescribe medications, order tests, interpret test results, provide patient education, prepare medical records and refer patients in accordance with statutes, regulations and protocols regulating the profession. The NP utilizes appropriate authorization protocols when performing medical functions. The NP demonstrates the knowledge and skill necessary to identify and meet the individualized needs of the population served. Qualifications Education: ● Completion of an accredited Nurse Practitioner training program ● Masters of Science in Nursing (MSN) or Doctor of Nurse Practice (DNP). Experience: ● Minimum two years of recent outpatient clinic experience as a NP preferred. Knowledge/Skills/Abilities: ● Computer literacy in common office applications ● Knowledge of electronic medical record (EMR) database or equivalent required; Epic experience preferred ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. Certifications/Licensure: ● Current National Certification as a Nurse Practitioner through the National Certification Corporation (NCC), American Nurses Credentialing Center (ANCC), or American Academy of Nurse Practitioners (AANPCB) ● Currently licensed as a Nurse Practitioner in California and Nevada, or ability to obtain prior to start date. ● Must be licensed as an RN in applicable state prior to start date as required. ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) ● Must have any additional licenses and certifications as required per Med Staff bylaws and applicable state laws (CA and/or NV). Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious diseases. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and interprets results to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan when indicated. Works in collaboration with the health care team. 3. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and Medical Staff. 4. Prescribes and monitors medications as required by California and Nevada laws, as allowed by DEA licensure and Barton Health policies. 5. Provides patient education regarding care and treatment plan. 6. Participates and collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. 7. Refers patients as appropriate for consultation or for specialized health resources and treatment. 8. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. 9. Participates in quality monitoring through the review of records and treatment plans for patient outcomes to assure quality care. 10. Promotes translation of evidence-based practices, guidelines, and research. 11. May serve as clinical preceptor for students or other Advanced Practice Providers. 12. Administers treatment plans in accordance with standardized procedures. 13. Provides direct patient care, evaluates outcomes, consults with physicians as required and adjusts care processes as indicated to ensure optimal patient care. 14. Maintains timely and accurate charting of clinical encounters in Barton Health’s Electronic Health Record (EHR) platform. Ensures that all aspects of patient care and observations are documented. Documentation is complete, accurate and timely. Signs off medical record within 48 hours of seeing patient. 15. Accurately code clinical encounters with CPT and ICD-10 codes. 16. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth and development over the life span of the patient and possesses the ability to identify each patient’s age- specific needs. 17. Participates in quality improvement activities; assists in maintaining compliance with The Joint Commission, State Agencies and other internal and external regulatory standards. 18. Supports and upholds established organizational policies, procedures, and objectives related to quality improvement, safety, environmental and infection control. 19. Responds to the needs of the department by performing other duties, as necessary.
RN Per Diem
Barton Health

Registered Nurse - GI Lab- Per Diem- 8 hour shifts to include Monday-Friday

Barton Health South Lake Tahoe, CA
Summary of Position: Provides professional nursing care to patients in the GI Lab requiring endoscopy, colonoscopy, Sigmoidoscopy, ERCP, TEE and Liver Clinic, utilizing established policies and procedures, ensuring safe and effective care. Accurately and safely administers moderate sedation/analgesia. Monitors patient response, ensures patient safety during procedure and documents according to policy & procedure. Services are provided based on the ages of the population served; Newborn through geriatric - 65 years or older and in collaboration with the multidisciplinary care team. Assesses, plans, implements and evaluates care in collaboration with the multidisciplinary care team. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served in the GI Lab. Qualifications Education: • Completion of an accredited Nursing program. • Bachelor’s degree in Nursing (BSN) preferred. Experience: • One year recent acute care nursing experience preferred • Previous GI Lab or surgical experience preferred Knowledge/Skills/Abilities: • Knowledge of nursing practices in the GI Lab department. • Highly effective written and verbal communications skills. • Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system; Epic experience preferred. • Must be able to work in a stressful environment and take appropriate action. • Ability to collaborate with various departments in and outside of the Barton Health System in order to provide consistently exceptional patient care. • In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred. Certifications/Licensure: • Current California license or ability to obtain prior to start date. • Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date. • Current ACLS certification prior to hire or must enroll and complete a Barton course within 30 days Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. • The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. • The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. • Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. • The employee is occasionally required to lift, position, push and/or transfer patients. • The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Routine Hospital/Healthcare and administrative conditions. • Contact with patients and guests under a wide variety of circumstances. • Regularly exposed to the risk of blood borne diseases. • Exposure to infections and contagious disease. • Exposed to hazardous anesthetic agents, body fluids and waste • Subject to hazards of flammable and explosive gases. • Exposure to chemicals known by the California Health Department to cause reproductive harm and cancer. • Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. • Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. • Occasional travel to various health system locations. Essential Functions 1. Provide consistently exceptional care at all times. 2. Provides professional nursing care to patients in designated department utilizing established policies and procedures, ensuring safe and effective care. 3. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards. 4. Performs systems assessment at intervals consistent with departmental standards of care and patient acuity, recognizing disturbed physiology and abnormal parameters. Assesses pain levels on all patients and assesses psychosocial needs of patients, expressing interest in their progress and comfort and prepares for disposition. 5. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served in the designated department. 6. Ensures medication administration is safe, accurate and timely to include: Follows all safety precautions related to patient ID, order confirmation, calculations and double-checking dose accuracy if applicable. Follows procedure when removing meds from floor stock (Narcotics, Pyxis, night lockers etc) Signs and ensures all narcotic wastage is witnessed. Documents all medication intervention to include rationale for PRN medications. Reports all Adverse Drug Events (ADE) according to policy. ADE=ADR (Adverse Drug Reaction) & Medication Errors. 7. Monitors patient reaction and compliance with physician orders. Reports any downward change in patient condition to appropriate individual. 8. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors. 9. Functions as a team leader by communicating effectively with team members, completes assessments in a timely manner and support team members offering assistance and guidance. 10. Effectively coordinates and prioritizes scheduled procedures and care activities. 11. Assists physicians with examinations, procedures and other processes related to direct patient care. 12. Accurately and safely administers sedation/analgesia. Monitors patient response, ensures patient safety during procedure and documents according to policy & procedure. 13. Assists physicians with examinations and GI procedures and other processes related to direct patient care. Ensures that all specimens are labeled and practice is compliant with OSHA standards. 14. Effectively coordinates procedure schedule allowing adequate time for procedure and room turnover. 15. Keeps patient/family informed of progress, procedures and disposition. Focuses on customer service needs. 16. The patients learning needs, abilities, preferences and readiness is assessed. Effectively educates patient and family in medication use and safety, nutrition interventions, safe use of medical equipment, management of pain and rehabilitation techniques and use of other sources. 17. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately and completely documented 18. Operates equipment and performs job related duties in a safe manner. Ensures proper functioning of equipment and follows procedure when equipment malfunctions. 19. Assists in the orientation, instructing and training of assigned personnel 20. Takes active role in shared governance including committee membership, task force contribution, staff meeting attendance, and development of policy and procedures that contribute to maintaining GI Lab Standards of Care. 21. Responds to the needs of the department by performing other duties, as necessary.
RN PACU Full-time
Barton Health

Registered Nurse - Perianesthesia PACU- Full Time- 4-10's

Barton Health South Lake Tahoe, CA
Summary of Position: Responsible for the delivery of safe, effective, and quality patient-family centered care in the preoperative and postoperative units. The Perianesthesia RN is responsible for providing professional nursing care to patients in the Surgery Department, utilizing established policies and procedures, ensuring safe and effective care. This position is responsible for accurately and safely administering sedation/analgesia, monitoring patients’ responses, ensuring patient safety during procedure and documenting according to policy & procedure. Services are provided based on the ages of the population served; 1 year through geriatric - 65 years or older and in collaboration with the multidisciplinary care team. The RN demonstrates the knowledge and skills necessary to identify and meet the individualized needs of all patients served in Surgery Department. Qualifications Education: ● Completion of an accredited Nursing program. ● Bachelor’s degree in Nursing (BSN) preferred. Experience: ● Candidates with previous acute care experience will be given preference. ● Previous PACU or ICU experience preferred. Knowledge/Skills/Abilities: ● Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. ● Must be able to work in a stressful environment and take appropriate action. ● Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system. ● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred. Certifications/Licensure: ● Current California and Nevada RN license or ability to obtain prior to start date. ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) required ● ACLS certification required ● PALS certification required ● Certified Post Anesthesia Nurse (CPAN) or Certified Ambulatory Perianesthesia Nurse (CAPA) certification preferred Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. ● Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Provides patient care, evaluates outcomes, consults with others as required and adjusts care plan as necessary to ensure optimal care. 3. Assess patients at intervals as stated in policies and procedures. 4. Based on assessment findings individualizes care plan for each assigned patients. 5. Medication administration is followed with departmental and hospital policy. 6. Monitors patient reaction to physician orders. Reports any untoward change in patient condition to appropriate individual(s). Correctly and concisely reports patient status. 7. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisor. 8. For urgent add-ons, functions as a preadmit nurse a. Performs nursing history and physical b. Provides patient pre-procedure education (i.e. NPO status, medication instructions, etc.) c. Obtains preoperative testing results d. If necessary, sends chart to anesthesia for review 9. Functions as a preoperative nurse a. Performs initial patient assessment b. Provides patient and procedure specific education c. Prepares patient for procedure (obtains vitals, starts IV, etc.) 10. Functions as a postoperative nurse. a. Performs initial patient assessment b. Apply the relevant scoring system/discharge criteria for patient transfer (e.g., Aldrete Score, Modified Aldrete Score [i.e., PARSAP], Post Anesthesia Discharge Scoring System [PADSS], White) score accurately as defined by organizational policy. c. Provides acute pain and comfort management as needed d. performing interventions to maintain the integrity of the patient’s wound and tissue perfusion at or above baseline levels; e. performing interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular, and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels; f. Performs interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period; 11. Accurately and safely administers sedation/analgesia. Monitors patient response, ensures patient safety during procedure and documents according to policy & procedure. Utilizes moderate sedation (following appropriate policy/procedure) while assisting with regional anesthesia placement or local with MAC. 12. Assists physicians with examinations, procedures, including sedation, and other processes related to direct patient care. Assists Anesthesiology with regional anesthesia. 13. Accurately and safely discharges patients utilizing the discharge criteria. 14. Keeps patient/family informed of progress, procedures, and disposition. Focuses on customer service needs. 15. The patients learning needs, abilities, preferences and readiness to learn is assessed. 16. Monitors and ensures accuracy of documentation in patient medical record. a. Ensure completeness of chart and electronic medical record to include surgical navigators. 17. Operates equipment and performs job related duties in a safe manner. Insures proper functioning of equipment and follows procedure when equipment malfunctions. 18. Orients, instructs and trains assigned personnel. 19. The staff member is able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. The individual demonstrates knowledge of the principles of growth and development over the lifespan and possesses the ability to identify each patient’s age-specific needs. 20. Transfer care as applicable. 21. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards (AORN, ASPAN, CDC, OSHA, Joint Commission, CDPH, Title XXII, and CMS). 22. Performs monthly outdates on medications and supplies. 23. Assists with ordering of supplies (to include medications and nutrition stock). 24. Environmental services duties to include cleaning of the preoperative and postoperative areas. 25. Delegate tasks according to the state Nurse Practice Act and job descriptions. 26. Document nursing care accurately, completely, and legibly. 27. Collaborate effectively with other disciplines as applicable. 28. Participate in quality review and performance improvement projects. 29. Participate in the performance appraisal process. 30. Use problem-solving and conflict resolution skills to foster effective work relationships with team members. 31. Maintain required competencies. 32. Responds to the needs of the department by performing other duties, as necessary.
CMA Psych Full-time
Barton Health

Medical Assistant - Psychiatry & Mental Health - Full Time (may be eligible for $1,000 sign on bonus)

Barton Health South Lake Tahoe, CA
*** 5 days a week - 8 hour days *** Summary of Position: The Medical Assistant (MA) works with all members of the care team by performing a variety of clinical and administrative patient-related duties as established in the roles and responsibilities defined below. The MA works to fulfill a variety of patient needs and ensures smooth patient flow within the department. The MA provides comfortable, safe, professional care for clinic patients, and provides all assistance required to successfully schedule and complete patient appointments. The MA demonstrates the ability to meet the needs and provide services to all age-groups from infancy to geriatrics and is competent in providing services to a culturally diverse population. Qualifications Education: ● High school diploma or GED preferred. ● College level coursework in the delivery of care in a medical clinic preferred. ● Medical Assistant certification as recognized by The Medical Board of California or a nationally recognized certification agency. ● OR completion of a Medical Assistant program including a clinical externship ● OR one year of recent Medical Assistant experience. ● Ability to obtain certification as recognized by the Medical Board of California or a nationally recognized certification agency within 18 months of hire. Minimum Experience: ● One to three years’ recent experience as a Medical Assistant preferred ● Float MA positions require at least two years of recent MA experience ● Ambulatory care/physician office experience preferred. ● Patient Centered Medical Home or Patient Centered Specialty Practice experience preferred. Knowledge/Skills/Abilities: ● Proficiency in clinical skills and office procedures. ● Computer and keyboard experience, including charting in electronic medical records. ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. ● Working knowledge of quality improvement measures and the Patient-Centered Medical Home. Certifications/Licensure: ● Current Basic Life Support for Healthcare Providers certification from the American Heart Association, or ability to obtain prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, or crouch for extended periods of time. ● Specific vision abilities required by this job include close vision, adequate near and distant vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of urgent, emergent or crisis situations. ● Subject to pressure due to irregular hours, (Urgent Care: weekend hours, holiday hours) frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Support the quality programs and processes of the Barton Patient Centered Medical Home (PCMH) or Patient Centered Specialty Practice teams 3. Assists the care team by collecting patient care data and reports findings to licensed staff. Escorts patients to exam rooms, takes weight and vital signs and obtains chief complaint/ reason for visit. Obtains social, family, personal and surgical history, reviews current medications with dosage, documents pharmacy preference, allergies and adverse drug reactions, conducts all appropriate health screenings and documents fall risk, performs point of care testing. 4. Assists licensed staff with minor diagnostic procedures and treatments, including sterilizing and setting up instruments, preparing examination rooms and instruments, assisting provider with procedure and stocking supplies. 5. At the direction of licensed staff, provides understandable explanations, and educates patients and families regarding treatments and interventions. 6. Schedules patients for testing procedures. Obtains tests results and ensures that lab reports, x-rays, outside progress notes/medical records, and other information is in the medical record prior to the appointment. 7. Labels and maintains proper storage for specimens and tests. 8. Processes requests for prescription medication refills according to protocol. 9. Administers medications within scope of practice and training. 10. Cleans and disinfects room counters, exam tables and instruments after each use. 11. Recognizes signs and symptoms of acute medical or physiological conditions and immediately reports such circumstances to a registered nurse, mid-level provider or physician. 12. Documents all aspects of patient care in the electronic medical record system. Assists with charge capture entry as needed. 13. Cross trains to cover other departments and flexibility to cover as needed. 14. Actively participates in team huddles and care team meetings. 15. Responds to the needs of the department by performing other duties, as necessary.
CMA Temporary
Barton Health

Medical Assistant - Rheumatology - Temporary (may be eligible for $1,000 sign on bonus)

Barton Health South Lake Tahoe, CA
Summary of Position: The Medical Assistant (MA) works with all members of the care team by performing a variety of clinical and administrative patient-related duties as established in the roles and responsibilities defined below. The MA works to fulfill a variety of patient needs and ensures smooth patient flow within the department. The MA provides comfortable, safe, professional care for clinic patients, and provides all assistance required to successfully schedule and complete patient appointments. The MA demonstrates the ability to meet the needs and provide services to all age-groups from infancy to geriatrics and is competent in providing services to a culturally diverse population. Qualifications Education: ● High school diploma or GED preferred. ● College level coursework in the delivery of care in a medical clinic preferred. ● Medical Assistant certification as recognized by The Medical Board of California or a nationally recognized certification agency. ● OR completion of a Medical Assistant program including a clinical externship ● OR one year of recent Medical Assistant experience. ● Ability to obtain certification as recognized by the Medical Board of California or a nationally recognized certification agency within 18 months of hire. Minimum Experience: ● One to three years’ recent experience as a Medical Assistant preferred ● Float MA positions require at least two years of recent MA experience ● Ambulatory care/physician office experience preferred. ● Patient Centered Medical Home or Patient Centered Specialty Practice experience preferred. Knowledge/Skills/Abilities: ● Proficiency in clinical skills and office procedures. ● Computer and keyboard experience, including charting in electronic medical records. ● Excellent communication and customer service skills, flexible, and strong sense of teamwork. ● Ability to effectively communicate in English, in compliance with patient safety standards. Bilingual abilities preferred. ● Working knowledge of quality improvement measures and the Patient-Centered Medical Home. Certifications/Licensure: ● Current Basic Life Support for Healthcare Providers certification from the American Heart Association, or ability to obtain prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. ● The employee is occasionally required to climb or balance; stoop, kneel, or crouch for extended periods of time. ● Specific vision abilities required by this job include close vision, adequate near and distant vision, color vision, and the ability to adjust focus. ● Lifts, positions, pushes and/or transfer patients. ● The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Routine Hospital/Healthcare & Office/Administrative conditions. ● Contact with patients and guests under a wide variety of circumstances. ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of urgent, emergent or crisis situations. ● Subject to pressure due to irregular hours, (Urgent Care: weekend hours, holiday hours) frequent interruptions and stressful situations due to multiple demands. ● Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Support the quality programs and processes of the Barton Patient Centered Medical Home (PCMH) or Patient Centered Specialty Practice teams 3. Assists the care team by collecting patient care data and reports findings to licensed staff. Escorts patients to exam rooms, takes weight and vital signs and obtains chief complaint/ reason for visit. Obtains social, family, personal and surgical history, reviews current medications with dosage, documents pharmacy preference, allergies and adverse drug reactions, conducts all appropriate health screenings and documents fall risk, performs point of care testing. 4. Assists licensed staff with minor diagnostic procedures and treatments, including sterilizing and setting up instruments, preparing examination rooms and instruments, assisting provider with procedure and stocking supplies. 5. At the direction of licensed staff, provides understandable explanations, and educates patients and families regarding treatments and interventions. 6. Schedules patients for testing procedures. Obtains tests results and ensures that lab reports, x-rays, outside progress notes/medical records, and other information is in the medical record prior to the appointment. 7. Labels and maintains proper storage for specimens and tests. 8. Processes requests for prescription medication refills according to protocol. 9. Administers medications within scope of practice and training. 10. Cleans and disinfects room counters, exam tables and instruments after each use. 11. Recognizes signs and symptoms of acute medical or physiological conditions and immediately reports such circumstances to a registered nurse, mid-level provider or physician. 12. Documents all aspects of patient care in the electronic medical record system. Assists with charge capture entry as needed. 13. Cross trains to cover other departments and flexibility to cover as needed. 14. Actively participates in team huddles and care team meetings. 15. Responds to the needs of the department by performing other duties, as necessary.
CNA Med-Surg Full-time
Barton Health

Certified Nursing Assistant - Med Surg Ortho - Full Time - Nights

Barton Health South Lake Tahoe, CA
*** 12 hour shifts - 3 days a week *** Summary of Position: The Certified Nursing Assistant (CNA) assists licensed staff in the provision of basic nursing care in the Medical/Surgical and Orthopedic unit, utilizing established policies and procedures, ensuring safe and effective care. The CNA demonstrates the skill necessary to meet the needs of patients served in the Medical/Surgical/Orthopedic unit through support of the nursing process; collects patient care data, reports findings, and assists team to meet patient care goals. The CNA is under the supervision of the licensed staff of the unit and reports to the Nurse Manager or designee. This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Qualifications Education: ● Completion of nursing assistant program Experience: ● Previous nursing assistance experience and/or completion of nursing assistant program required. Knowledge/Skills/Abilities: ● Provides personal care assistance to patients ● Communicates appropriate information regarding patient safety and infection control to RN or nurses manager. ● Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards. ● Operates within the confines of his/her scope of practice as determined by the knowledge, skills and ability obtained through job-related education and training and as approved by all governing, regulatory and, where appropriate, licensing authorities. ● Highly effective written and verbal communications skills. ● Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system. ● Requires critical thinking skills, decisive judgment and ability to work with minimal supervision. ● Must be able to work in a stressful environment and take appropriate action. ● In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred Certifications/Licensure: ● Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date ● Current CA Nursing Assistant Certification or provide proof of passing California certification process prior to start date. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. ● Prolonged, extensive or considerable standing/walking ● Lifts, positions, pushes &/or transfers patients ● Considerable reaching, stooping, bending, kneeling, crouching ● Must be able to lift a minimum of 50 lbs. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ● Contact with patients and guests under a wide variety of circumstances. ● Routine hospital/healthcare conditions ● Regularly exposed to the risk of bloodborne diseases. ● Exposure to infections and contagious disease. ● Exposed to hazardous anesthetic agents, body fluids and waste. ● Subject to hazards of flammable and explosive gases. ● Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. ● Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. Essential Functions 1. Provides consistently exceptional care at all times. 2. Responds to the needs of the department by performing other duties, as necessary. 3. As directed by licensed nursing staff, provides care in a manner that is safe and sensitive to the rights of each patient. 4. As directed, assists the care team by collecting patient care data at designated intervals on all assigned patients. Reports finding to licensed staff. 5. Recognizes and accurately reports relevant patient information to licensed staff. 6. Utilizes time, equipment, and supplies in an efficient manner. Completes all assigned duties during designated shift. 7. Responds to the needs of the department by performing other duties, as necessary.
RN Med-Surg Full-time
Barton Health

Registered Nurse - Med Surg Ortho- Full Time- Nights

Barton Health South Lake Tahoe, CA
Summary of Position: Provides professional nursing care to patients in the Medical-Surgical and Orthopedic unit(s) utilizing established policies and procedures, ensuring safe and effective care. Assesses, plans, implements and evaluates care in collaboration with the multidisciplinary care team in accordance with the Medical-Surgical and Orthopedic units’ scope of care, ensuring high visibility/accessibility for effective communication. Services are provided based on the ages of the population served, Newborn through geriatric in collaboration with the multidisciplinary care team. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served in the Medical-Surgical and Orthopedic unit(s). Qualifications Education: • Completion of an accredited Nursing program • Bachelor’s degree in Nursing (BSN) preferred. Experience: • One year recent acute care nursing experience preferred • Previous Orthopedic and/or Medical-Surgical experience preferred • Sufficient computer skills are required to document, enter information into the electronic medical records system, and complete annual and required online education modules. • In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred Knowledge/Skills/Abilities: • Knowledge of nursing practices in assigned department. • Highly effective written and verbal communications skills. • Proficient computer skills as are required to document, communicate and enter information into the electronic medical records system. • Must be able to work in a stressful environment and take appropriate action. • Ability to collaborate with various departments in and outside of the Barton Health System in order to provide consistently exceptional patient care. Certifications/Licensure: • Current California RN license or ability to obtain prior to start date • Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) or ability to obtain prior to start date • PEARS American Heart Association certification prior to start date or within 6 months of hire date Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. • The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. • The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. • Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. • Lifts, positions, pushes and/or transfer patients. • The employee must be able to lift and/or move a minimum of 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Routine Hospital/Healthcare & Office/Administrative conditions. • Contact with patients and guests under a wide variety of circumstances. • Regularly exposed to the risk of bloodborne diseases. • Exposure to infections and contagious disease. • Exposed to hazardous anesthetic agents, body fluids and waste. • Subject to hazards of flammable and explosive gases. • Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. • Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. • Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Provides nursing care by utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation. 3. Provides professional nursing care to patients in designated department utilizing established policies and procedures, ensuring safe and effective care. 4. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards. 5. Performs systems assessment at intervals consistent with departmental standards of care and patient acuity, recognizing disturbed physiology and abnormal parameters. Assesses pain levels on all patients and assesses psychosocial needs of patients, expressing interest in their progress and comfort and prepares for disposition. 6. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served in the designated department. 7. Ensures medication administration is safe, accurate and timely by following 5 rights of medication administration. 8. Monitors patient reaction and compliance with physician orders. Reports any downward change in patient condition to appropriate individual. 9. Recognizes unusual conditions outside of his/her expertise and seeks guidance of coworkers or supervisors. 10. Functions as a team leader by communicating effectively with team members, completes assessments in a timely manner and support team members offering assistance and guidance. 11. Effectively coordinates and prioritizes scheduled procedures and care activities. 12. Assists physicians with examinations, procedures and other processes related to direct patient care. 13. Keeps patient/family informed of progress, procedures and disposition. Focuses on customer service needs. 14. The patients learning needs, abilities, preferences and readiness is assessed. Effectively educates patient and family in medication use and safety, nutrition interventions, safe use of medical equipment, management of pain and rehabilitation techniques and use of other sources. 15. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately and completely documented. 16. Operates equipment and performs job related duties in a safe manner. Assures proper functioning of equipment and follows procedure when equipment malfunctions. 17. Assists in the orientation, instructing and training of assigned personnel 18. Takes active role in shared governance including committee membership, task force contribution, staff meeting attendance, and development of policy and procedures that contribute to maintaining department Standards of Care 19. As assigned, may function in the Resource Nurse role to assist in providing meal breaks and rest periods 20. Responds to the needs of the department by performing other duties as assigned.
RN Full-time
Barton Health

Registered Nurse- Quality & Patient Safety- Full Time- 5-8's

Barton Health South Lake Tahoe, CA
Summary of Position: This position supports, coordinates and facilitates quality management, patient safety, regulatory, and performance improvement activities. This role serves as a resource to employees, management, physicians and teams on quality management activities and will handle patient sensitive and confidential information. Qualifications Education: • Completion of an accredited nursing program required • Bachelor’s degree in healthcare related field preferred Experience: • Minimum of three (3) years acute care healthcare experience required • One (1) year healthcare-related quality management/performance improvement experience (e.g., participates in clinical ladder, PEP, or unit-based teams) Knowledge/Skills/Abilities: • Excellent critical thinking, data analysis, team building, and leadership change management skills preferred. • Experience in quality management/performance improvement methods, tools and techniques strongly preferred. • Experience as stroke coordinator, sepsis abstractor/coordinator, ACS trauma coordinator, STEMI/STS abstractor/coordinator, AAOS joints coordinator, patient safety officer, or performance improvement coordinator preferred. • Knowledge of The Joint Commission standards, California Title 22 regulations, and CMS Conditions of Participation preferred. • Knowledge of Word, Excel, PowerPoint and supporting computer programs. • Knowledge of data reporting and regulatory/accreditation requirements for acute and ambulatory care services and federal, state and local healthcare related laws and regulations • Excellent interpersonal and communication skills. • Presentation skills necessary for quality subject matter. Certifications/Licensure: • Current California RN licensure or ability to obtain prior to start date • Current Nevada RN licensure or ability to obtain within 6 months • Certified Professional in Healthcare Quality (CPHQ) and/or Certified Joint Commission Professional (CJCP) and/or Certified Professional Patient Safety (CPPS) and/or Lean Six Sigma certification preferred. • Current CPR/BLS certification by the American Heart Association (BLS for the Healthcare Provider) Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. • The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. • The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. • Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. • The employee must occasionally lift and/or move up to 25 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Normal office environment. The noise level in the work environment is usually quiet to moderate while in the office. • Occasional travel to various health system locations. Essential Functions 1. Provides consistently exceptional care at all times. 2. Gathers, analyzes and creates reports related to quality and performance improvement data, which meets reporting agency requirements. 3. Supports the patient safety program with duties to include, but not limited to, managing event reports, promoting culture of safety, performing investigations, completing chart reviews and conducting root cause analysis processes. 4. Performs accreditation, regulatory and licensing functions which include continuous readiness activities, leading and/or coordinating surveys, and serve as liaison to CDPH, TJC, and any other regulatory agencies. 5. Prepares quality-related reports, supports committees and task groups. 6. Communicates with all levels of staff, management and medical staff regarding quality, patient safety and regulatory activities. 7. Leads performance improvement committees, prepares materials and presents information. 8. Serves as back-up to the Quality & Patient Safety Director. 9. Responds to the needs of the department by performing other duties, as necessary.
CNA Full-time
Barton Health

Certified Nursing Assistant - SNF - Night Shift (may be eligible for $1,000 sign on bonus)

Barton Health South Lake Tahoe, CA
12 hour shifts - Night Shift *** ***Actual offered hourly wage will depend on experience of the applicant*** Summary of Position: Assists licensed staff in the provision of basic nursing and therapy care in Skilled Nursing, using the application of basic skills, restorative care, utilizing established policies and procedures, ensuring safe and effective care. Services are provided based on the ages of the population served -- adult through geriatric, 65 years or older -- and in collaboration with the multidisciplinary care team. Demonstrates the skill necessary to meet the needs of all residents served in Skilled Nursing through support of the nursing process; collects resident care data, reports findings, assists team in meeting resident care goals. The Certified Nursing Assistant SNF is under the supervision of the Skilled Nursing licensed staff and therapists and reports to the Skilled Nursing Director or designee. Qualifications Education: • Completion of an accredited Nursing Assistant program Experience: • Previous long term care experience preferred Knowledge/Skills/Abilities: • Experience or specialty training required in vital signs, bed making and resident transfer techniques • Strong computer skills to complete patient data entry and notes • In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred Certifications/Licensure: • Current CA Nursing Assistant Certification • Current CPR/BLS certification by the American Heart Association (BLS Provider) or ability to obtain prior to start date Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • While performing the duties of this job, the employee is frequently required to walk, stand, sit, and talk or hear. • The employee is occasionally required to use hands to finger, handle, feel or operate objects, tools, or controls; and reach with hands and arms. • The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl. • Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. • Lifts, positions, pushes and/or transfer patients. • The employee must occasionally lift and/or move up to 50 pounds. Working Conditions The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Routine Hospital/Healthcare conditions. • Contact with residents and guests under a wide variety of circumstances. • Regularly exposed to the risk of bloodborne diseases. • Exposure to infections and contagious disease. • Exposed to hazardous anesthetic agents, body fluids and waste. • Subject to hazards of flammable and explosive gases. • Subject to varying and unpredictable situations, including the handling of emergency or crisis situations. • Subject to pressure due to irregular hours, frequent interruptions and stressful situations due to multiple demands. • Occasional travel to various health system locations. Essential Functions 1. Provide consistently exceptional care at all times. 2. As directed by licensed nursing & therapy staff, provides care in a manner that is safe and sensitive to the rights of each resident. 3. Performs hourly rounding on all assigned residents consistently on every shift 4. As directed, assists the care team by collecting resident care data at designated and appropriate intervals on all assigned residents. Reports finding to licensed staff. 5. Recognizes and accurately reports relevant resident information to licensed staff. • Reports on all significant changes in resident condition or motivational level. • Notifies charge nurse of feeding problems, reassessment needs. • Notifies PT and charge nurse of any mobility problems, referral or reassessment needs. 6. Utilizes time, equipment, and supplies in an efficient & safe manner. 7. Completes all assigned duties during designated shift. Prioritizes resident care activities based on care needs. Recognizes need for purpose vs. task when caring for residents. 8. Provides personal care assistance to residents, encouraging self care and independence but offering and providing help as needed: • Personal hygiene – bathing, bathroom/bedpan, oral care, AM and PMcare • Positioning • Dressing • Ambulation & transfers • Eating • Transport 9. Under direction of the therapist and charge nurse, performs routine physical therapy treatments • Range of Motion • Strengthening Exercises • Ensures placement of restorative devices 10. Performs basic procedures & care to including: • Application of simple dressings within CNA scope of practice • Specimen collection • Reinforces team management of bowel/bladder program • Assists residents with nutritional intake. 11. Communicates appropriate information regarding resident safety to charge RN 12. Follows all appropriate infection prevention measures in place in the SNF at all times. 13. Ensures that all aspects of resident care are documented. Documentation is complete, accurate and timely. 14. Supplies and Equipment • Operates equipment and ensures proper functioning of equipment • Follows procedure when equipment malfunctions. • Ensures use of supplies are accurately documented 15. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the residents served. 16. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards 17. Adheres to all hospital and departmental policies regarding attendance and punctuality. 18. Responds to the needs of the department by performing other duties, as necessary.