LVN Per Diem
Evergreen Care Center

LVN (all shifts)

Evergreen Care Center Fresno, CA
$29 - $33 / hour
Job description About us *Under new management* Evergreen Care Center is family owned 49 bed skilled nursing facility in Fresno, CA. Staff is tight knit and welcomes new employees with open arms! Start working right away! No experience needed, training offered for new LVNs! Position Description Responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations and licensing requirements. Operates within the scope of practice defined by the state Nurse Practice Act. Responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, working with physicians and other medical professionals. Principal Responsibilities Conduct the daily nursing functions in accordance with Company, State, Federal and local rules, regulations, and guidelines. Admit, transfer and discharge residents with documentation regarding care and service provided. Participate in the orientation of new residents/family members to the facility. Participate in facility surveys (inspections) as scheduled. Ensures delivery of high-quality, positive clinical outcomes, and resident/family satisfaction during shift. Serves as a resource to all staff within the facility regarding the quality of services provided. Ability to administer medications and treatment timely and according to facility policy; Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act. Effectively manages nursing personnel on shift to limit use of overtime and agency personnel. Assesses the work performance of nursing staff as it relates to unit standards of care and goals. Conducts unit huddles to promote communication programs and provides updates to DON. Participates in shift-to-shift communication between incoming and outgoing nursing staff. Coordinates shift assignments, resident assignments, rest and meal break for Certified Nurse’s Aides. Collaborates with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences. Assumes nursing administrative responsibilities of the center for weekend and holiday coverage as requested. Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of residents. Ensures timely and accurate compliance of the MDS process and that it reflects the resident’s plan of care. Ensures Point Click Care (PCC) is utilized according the company process. Ensures that physician orders are followed as prescribed. Effectively carries out medication management to ensure adequate supplies and that all medications are handled in accordance with company policy. Ensures that resident's attending physician and family or responsible party are promptly notified of any significant change in the resident's health condition. Ensures complete and prompt reporting of incidents, accidents, and adverse events to Administrator and Director of Nursing. Ensures that resident's accident/incident, adverse event and grievances/concerns are fully documented, investigated, reported and addressed in accordance with company policies and procedures and the Federal/State rules and regulations. Investigates resident/family complaints and takes appropriate actions to bring to resolution. Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Evaluates the effectiveness of the care interventions, identifies problems and trends and develops alternative interventions. Other duties, responsibilities and activities may change or assigned at any time with or without notice. Direct Care Responsibilities Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident’s response to care. Follows established procedure for charting and reporting all reports of incident/accidents (residents & employees). Identifies and reports changes in condition to supervisor, physician and family. Accurately identifies skin changes and follows the Company skin management protocols. Orders and reports diagnostic tests timely. Counts narcotics at the beginning and completion of each shift with the nurse leaving and coming on to the shift. Follows Pharmacy policy and procedures for ordering and delivering medications. Follows established procedures for restraint reduction. Assists with meal service; Identifies residents at risk for nutritional problems and implements preventative measures; Checks items and food that is brought in by family members to assure it complies with resident’s orders, dietary needs, and safety; Monitors residents with significant weight loss and gain and reports this to the physician and dietary. Documents in progress notes any exceptions to resident’s condition, including daily charting on ill residents, 24, 48, or 72-hour follow up charting on residents with infections, incidents or new admits. Completes documentation to reflect progress or lack of progress of residents participating in Quality of Life programs. Accurately completes and is familiar with the forms used throughout the resident’s chart. Participates and conducts (as appropriate) investigations related to any alleged abuse. Ensures that the progress notes are reflective of the care plan and that the approaches on the care plan are being followed. Special Nursing Care Responsibilities * Demonstrates knowledge and ability to work with: NG/tube: insertion, placement, irrigation; Colostomy care: irrigation; Foley catheter care: insertion, Irrigation; Catheter application; Straight catheterization; Demonstrates knowledge and ability to work with: Tube feeding: hanging and labeling, operation of pump, calculating intake and output, assuring dietary, recommended feeding allowances are maintained, monitoring the weights of residents, assessing for abdominal distention, feeding tube placement, residual. Demonstrates knowledge and ability to implement: Positioning techniques; Transfer techniques; ROM exercises. Demonstrates knowledge and ability to implement: Emergency procedures: properly administer s O2, suctions, performs CPR, and uses the ambu bag; glucometer checks. Demonstrates knowledge and ability to work with: IVs: conducts IV site care, applies and monitors a Heparin Lock, mixes, hangs and administers IV solutions to residents, can compute rate of IV fluid administration, operates the infusion pump. Demonstrates knowledge and ability to work with: Suctioning: tracheotomy, nasotracheal; Tracheotomy care; Gastrostomy care: irrigation, placement check; Sterile technique. Demonstrates knowledge and ability to implement: Collection of lab specimens; Isolation techniques. Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy. Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor. Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy. Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Adheres to established employee policies. Adheres to established dress code.
LVN Manager/Supervisor Full-time
Evergreen Care Center

Charge Nurse LVN / 6a-2p

Evergreen Care Center Fresno, CA
$33 - $35 / hour
**NEW WAGE SCALE** Dental, Vision, Health Paid Time Off POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary.
LVN Full-time
Evergreen Care Center

LVN / License Vocational Nurse

Evergreen Care Center Fresno, CA
Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LPN in state One-year prior nursing management experience preferred.
LVN Part-time
Evergreen Care Center

LVN / Licensed Vocational Nurse

Evergreen Care Center Fresno, CA
**NEW WAGE SCALE** Health Benefits Position Description Responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations and licensing requirements. Operates within the scope of practice defined by the state Nurse Practice Act. Responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, working with physicians and other medical professionals. Principal Responsibilities • Conduct the daily nursing functions in accordance with Company, State, Federal and local rules, regulations, and guidelines. • Admit, transfer and discharge residents with documentation regarding care and service provided. • Participate in the orientation of new residents/family members to the facility. • Participate in facility surveys (inspections) as scheduled. • Ensures delivery of high-quality, positive clinical outcomes, and resident/family satisfaction during shift. • Serves as a resource to all staff within the facility regarding the quality of services provided. • Ability to administer medications and treatment timely and according to facility policy; Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act. • Effectively manages nursing personnel on shift to limit use of overtime and agency personnel. • Assesses the work performance of nursing staff as it relates to unit standards of care and goals. • Conducts unit huddles to promote communication programs and provides updates to DON. • Participates in shift-to-shift communication between incoming and outgoing nursing staff. • Coordinates shift assignments, resident assignments, rest and meal break for Certified Nurse’s Aides. • Collaborates with other departments to provide timely effective care consistent with individual’s needs, choices, and preferences. • Assumes nursing administrative responsibilities of the center for weekend and holiday coverage as requested. • Stays and works beyond scheduled shift if needed to meet state staffing requirements and/or needs of residents. • Ensures timely and accurate compliance of the MDS process and that it reflects the resident’s plan of care. • Ensures Point Click Care (PCC) is utilized according the company process. • Ensures that physician orders are followed as prescribed. General Responsibilities • Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy. • Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor. • Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy. • Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment.
LVN Manager/Supervisor Full-time
Evergreen Care Center

LVN Charge Nurse 2:45 pm -11:15 pm

Evergreen Care Center Fresno, CA
$31 - $35 / hour
New wage scale $32-$36 based on experience PTO Dental, Health and Vision POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary.
CNA Full-time
Evergreen Care Center

Certified Nurses Assistant CNA 6:45a-3:15p !!NEW PAY SCALE!!

Evergreen Care Center Fresno, CA
$19.70 / hour
Starting Wages: $19.70 an hour Note: This is the starting wage and can flucate based on years of expereince. We encourage calling the facility and asking about years of experience! Tell us your story! We are a family owned facility and encourage everyone to join our family. PTO Dental , Vision and Health POSITION DESCRIPTION : A nursing assistant responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator.
RN Full-time
Evergreen Care Center

RN / Registered Nurse

Evergreen Care Center Fresno, CA
$40 - $50 / hour
PTO Dental, Vision , Health Responsibilities of the Registered Nurse include but are not limited to: Ensures proper resident care is maintained in a clean and safe environment. Develop and ensure the nursing care plan and collaborate with physicians, therapists, and nursing assistants Makes nursing diagnoses, which serve as the basis for the strategy of care Collaborates with the resident, members of the healthcare team Records the administration of medication Monitor assigned staff to ensure established safety regulations are followed and that all tasks are performed following all state and government regulations and safety procedures as outlined by the facility Follows procedures related to the use of nursing equipment and supplies Performs other duties as directed Qualifications of the Registered Nurse include: An active RN license Prior experience as an RN in a nursing community The desire to care for residents and act with integrity The ability to work flexible hours
LVN Full-time
Evergreen Care Center

LVN NOC shift (10:45 PM to 07:00 AM)

Evergreen Care Center Fresno, CA
**NEW WAGE SCALE** Health Benefits Objective Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Principal Responsibilities Demonstrates knowledge and appropriate use of the Company Infection Control Manual. Understands, participates and assists in implementing the Quality Improvement Program. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Notifies other Departments of patient changes, i.e., room changes, LOA, new admits, discharge, etc. Conducts family and patient education. Demonstrates the ability to administer medications timely and according to facility policy. Demonstrates the ability to administer treatments timely and according to facility policy. Demonstrates ability to receive, transcribe, and carry out physician orders, if allowed by Nurse Practice Act Makes rounds with physicians when necessary. Qualifications Currently licensed as LVN in state One-year prior nursing management experience preferred.
CNA Full-time
Evergreen Care Center

Certified Nursing Assistant (CNA) 10:45p-7a !!NEW PAY SCALE!!

Evergreen Care Center Fresno, CA
$18 - $20 / hour
PTO Dental, Health and Vision POSITION DESCRIPTION : A nursing assistant responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator.
CNA Full-time
Evergreen Care Center

Certified Nursing Assistant (CNA) 2:45p-11:15p !!NEW PAY SCALE!!

Evergreen Care Center Fresno, CA
$18 - $20 / hour
PTO Dental, Vision and Health POSITION DESCRIPTION : A nursing assistant responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator.
CNA Full-time
Evergreen Care Center

Certified Nurses Assistant CNA 6:45a-3:15p !!NEW PAY SCALE!!

Evergreen Care Center Fresno, CA
$19.70 / hour
Starting Wages: $19.70 an hour Note: This is the starting wage and can flucate based on years of expereince. We encourage calling the facility and asking about years of experience! Tell us your story! We are a family owned facility and encourage everyone to join our family. PTO Dental , Vision and Health POSITION DESCRIPTION : A nursing assistant responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. QUALIFICATIONS Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. Must possess a sincere desire to serve the ill, aged and infirm. Ability to read, write and speak the English language. Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. Willingness to work harmoniously with other personnel. Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. Must be in good general health and demonstrate emotional stability. Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. GENERAL DUTIES AND RESPONSIBILITIES: GENERAL Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. Make beds, clean bedside and overbed tables. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator.
LVN Manager/Supervisor Full-time
Evergreen Care Center

LVN Charge Nurse 2:45 pm -11:15 pm

Evergreen Care Center Fresno, CA
$32 - $36 / hour
New wage scale $32-$36 based on experience PTO Dental, Health and Vision POSITION DESCRIPTION Provides nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of practice, physician orders, center policies as well as state, federal and local guidelines. QUALIFICATIONS Current LVN/LPN license in practicing state. Current BLS/CPR certification or willingness to acquire one. Experience in nursing management is preferred but not required. RESPONSIBILITIES Follows established procedure for charting and incident reporting. Follows company procedures for narcotic counting, pharmacy orders, and restraint reduction. Documents any change in patient's conditions including but not limited to nutritional problems, infections, skin conditions, weight loss or any other noticeable changes. Utilizes the Quality Life Manual for identification, placement, and monitoring of patients in the appropriate programs. Document and notify applicable departments of any patient's room changes, LOA, new admits, or discharges. Makes rounds with physicians when necessary.