RN Full-time
Barton Health

Registered Nurse - ER- Full Time- Nights

Barton Health South Lake Tahoe, CA
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.
RN Infusion Outpatient Part-time
Barton Health

Registered Nurse - Infusion- Per Diem

Barton Health South Lake Tahoe, CA
Summary of Position: Provides professional nursing care to patients within the Outpatient Infusion Center, utilizing established policies and procedures, ensuring safe and effective care. 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. The Infusion Center RN 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 Outpatient Infusion Center. Obtains insurance and medication preauthorization and pre-treatment physician screening appointments as needed. The scope of care provided in the Outpatient Infusion Center involves the care of patients with various health problems with varied levels of complexity. Takes an active role in shared governance. Qualifications Education: • Completion of an accredited Nursing program • Bachelor’s degree in Nursing (BSN) preferred. Experience: • One year recent acute care nursing experience preferred Knowledge/Skills/Abilities: • Knowledge of nursing practices in the Infusion Center Dept • 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 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 PEARS certification prior to hire or must enroll and complete the first available Barton University courses or upon completion of orientation 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. Oversees the provision of patient care. Evaluates outcomes, consults with healthcare team members as required and ensures adjustment of patient care plans to secure optimal care. 3. Ensures that systems assessments are performed at designated and appropriate intervals on all patients, recognizing disturbed physiology and abnormal parameters. 4. Ensures that appropriate nursing actions are initiated on patients based on assessment findings. Oversees staff practice to ensure that they are correctly analyzing, prioritizing and implementing standing, temporary and emergency job tasks in a timely fashion according to policy. 5. Medication administration is safe, accurate and timely; ensures Staff RN compliance to these standards: • 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 • 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. • Reports all Adverse Drug Events (ADE) according to policy. ADE=ADR (Adverse Drug Reaction) & Medication Errors 6. Monitors patient reaction and compliance with physician orders. Reports any untoward change in patient condition to appropriate individual. 7. Recognizes unusual conditions outside of his/her expertise and seeks guidance of colleagues or supervisors. 8. Functions as a team leader: • Communicates effectively with healthcare team members; • Ensures timeliness and completeness of care; • Ensures physical plant readiness; • Supports team members offering assistance and guidance 9. Effectively coordinates and prioritizes scheduled procedures and care activities. Initiates and follows through with insurance and medication preauthorization. Coordinates needed appointments with physician offices for pre-treatment screenings. 10. Assists physicians with examinations, procedures and other processes related to direct patient care. 11. Ensures overall effectiveness of communication with patients and family including; treatment plan progress, procedures, and disposition. Focuses on customer service needs and provides service recovery when indicated. 12. Oversees that the patients learning needs, abilities, preferences and readiness to learn is assessed. Effectively ensures education of patients, families, and significant others. Interfaces appropriately with Case Management to ensure effective discharge coordination. • Medication use and safety • Nutrition interventions • Safe use of medical equipment • Management of pain • Rehabilitation techniques • Use of other resources 13. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately and completely documented. 14. Operates equipment and performs job related duties in a safe manner. Ensures proper functioning of equipment and follows procedure when equipment malfunctions. • Reports malfunctions to appropriate ancillary personnel (i.e. Clinical Engineering) • Performs ongoing shift assessment providing effective inspection and follow for effective equipment operation 15. Orients, instructs and trains assigned personnel to unit functions. 16. Ensures completeness and accuracy of admitting information, consents for procedures, or any release forms. 18. Actively participates in Shared Governance. 19. Demonstrates the 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 and possesses the ability to identify each patient’s age-specific needs. All competencies are based on ages served and are detailed in the CBO document. 20. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards 21. Responds to the needs of the department by performing other duties, as necessary.
RN Full-time
Barton Health

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

Barton Health South Lake Tahoe, CA
***Actual offered hourly wage will depend on experience of the applicant*** 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.
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.
CMA Outpatient Full-time
Barton Health

Medical Assistant - Full Time - Physiatry NV (may be eligible for $1,000 sign on bonus)

Barton Health Stateline, NV
*** Travel to Carson City *** 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 Outpatient Full-time
Barton Health

Medical Assistant - Full Time - Rheumatology (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.
CMA Outpatient Full-time
Barton Health

Medical Assistant - Full Time - Specialty Clinic, Incline NV (may be eligible for $1,000 sign on bonus)

Barton Health Incline Village, NV
*** This position will rotate clinics in Incline Village, South Lake Tahoe and Stateline *** 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 Wound Care Outpatient Part-time
Barton Health

Registered Nurse - Wound Care Clinic- Per Diem

Barton Health South Lake Tahoe, CA
Summary of Position: This position provides professional wound care treatment to patients at the Wound Care Clinic, utilizing established policies and procedures, ensuring safe and effective care. The scope of care varies based on the levels of complexity. Services are provided based on the ages of the population served; adolescents through geriatric - 65 years or older and in collaboration with the multidisciplinary care team. This RN assesses, plans, implements and evaluates care in collaboration with the care team. Demonstrates the knowledge and skill necessary to identify and meet the individualized needs of all patients served in the Wound Care Clinic. Qualifications Education: • Completion of an accredited Nursing program • RN Wound Care Certification Course within 6 months of hire • Bachelors of Science in Nursing BSN required within 3 years of hire Experience: • Two (2) years minimum nursing experience required • Previous wound care experience preferred Knowledge/Skills/Abilities: • Knowledge of nursing practices in wound care • 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 • 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 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. • Certification in wound, continence and/or ostomy (CWN, CWON, CON, CCN, COCN, CWCN, WCC, CFCN or CWS) and or foot and nail services (CFNC is required within 3.5 years of hire. 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. Coordinates treatment to provide comprehensive wound assessment and plan of care, including goals, implementation of treatment, evaluation and outcomes for patients through the Wound Care Clinic. 3. Provides patient, family and staff education regarding wound management, prevention of infection, and dressing replacement. 4. Develops skin care programs to prevent skin breakdown of patients. 5. Evaluates outcomes, consults with healthcare team members as required and ensures adjustment of patient care plans to secure optimal care. 6. Ensures that appropriate nursing actions are initiated on patients based on assessment findings. 7. Recognizes unusual conditions outside of their expertise and seeks guidance of colleagues or supervisors. 8. Assists healthcare providers with examinations, procedures and other processes related to direct patient care. 9. Monitors and ensures accuracy of documentation in patient medical record. All aspects of patient care are accurately and completely documented. 10. Operates equipment and performs job related duties in a safe manner. Ensures proper functioning of equipment and follows procedure when equipment malfunctions. 11. Actively participates in Shared Governance. 12. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served. 13. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards. 14. Responds to the needs of the department by performing other duties, as necessary.
LVN Full-time
Barton Health

LVN - Full Time - Day Shift - Skilled Nursing Facility

Barton Health South Lake Tahoe, CA
*** 12 hour shifts - Days *** Summary of Position: The LVN provides basic nursing care to residents within Skilled Nursing, 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. Assists the RN to assess and plan care by collecting resident care data through observation and interview. At the direction of the RN and in collaboration with the multidisciplinary care team implements and evaluates care. The LVN demonstrates the skill necessary to meet the individualized needs of all residents served in Skilled Nursing. Qualifications Education: • Completion of accredited Vocational or Practical Nursing program Experience: • Previous experience in long term care preferred • Sufficient computer skills are required to complete an online application and the pre-employment/annual (LMS)requirements • In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred Certifications/Licensure: • Current California LVN license • 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. • 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. Provide consistently exceptional care at all times. 2. Demonstrates understanding of the role of the LVN as part of the care team. Communicates with team members to ensure optimum resident care. 3. Recognizes need for purpose vs. task when caring for residents. 4. Under the supervision of the RN, provides basic nursing care and evaluates outcomes. 5. Performs basic nursing procedures including thermal application, non-sterile soaks, and application of simple dressings, perineal care, and orthopedic splints. 6. Follows all appropriate infection prevention measures in place in the SNF at all times. 7. Collects resident care data at designated and appropriate intervals on all assigned residents, recognizing disturbed physiology and abnormal parameters. Reports finding to RN. 8. Evaluates psychosocial needs of residents, expressing interest in their progress and comfort and prepares them for disposition. Reports concerns to RN. 9. Monitors resident reaction and compliance with physician orders. Reports any untoward change in resident condition to charge nurse. 10. Recognizes unusual conditions outside of his/her expertise and seeks guidance of manager or RN. 11. Conducts hourly rounds on unit assigned every shift. 12. Medication administration is safe, accurate and timely, utilizing 5 rights of medication administration 13. Follows all safety precautions related to resident ID, order confirmation, calculations, and double-checking dose accuracy if applicable. 14. Follows procedure when removing medication from floor. 15. Documents all medication intervention to include rationale for PRN medications. 16. Reports all Adverse Drug Events (ADE) and medication errors according to policy. 17. Assists physicians with examinations, procedures and other processes related to direct resident care. 18. Keeps resident/family informed of progress, procedures, and disposition. Focuses on customer service needs. 19. . Based on the learning needs and abilities of the resident and/or the family, and in collaboration with the team, effectively educates residents, families 20. Medication use and safety 21. Nutrition interventions 22. Safe use of medical equipment 23. Management of pain 24. Rehabilitation techniques 25. Use of other resources 26. Monitors and ensures accuracy of documentation in resident medical record. All aspects of resident care are accurately and timely documented. Completes all end of shift documentation, including but not limited to behavior monitoring and alert charting for appropriate residents. 27. Operates equipment and performs job related duties in a safe manner. Ensures proper functioning of equipment and follows procedure when equipment malfunctions. 28. The staff member is able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the residents served. The individual demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to identify each resident’s age-specific needs. All competencies are based on ages served 29. Demonstrates a working knowledge of regulatory and licensing standards and ensures that practice is compliant with standards. 30. Responds to the needs of the department by performing other duties, as necessary.
NP Outpatient Full-time
Barton Health

Nurse Practitioner - Pediatrics- Full Time- (Start date is around January 2027)

Barton Health South Lake Tahoe, CA
Summary of Position: The Nurse Practitioner (NP) - Pediatric 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. ● Experience working in a Rural Health Clinic (RHC) or Federally Qualified RHC preferred for pediatrics. 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), Pediatric Nursing Certification Board (PNCB) or American Academy of Nurse Practitioners (AANPCB) ● Currently licensed as a Nurse Practitioner in California, 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. ● 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.