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Join Castle Rock Home Care Family. We are hiring (HHA) Home Health Aides & (PCA) Personal Care Aides. Bilingual a plus+ Castle Rock Benefits: Overtime Pay Holiday Pay Bereavement Leave Weekly Pay on Fridays Direct Deposit Referral Bonuses Duties: Assistance with eating Meal preparation Dressing, and bathing Shopping, and light housekeeping Social Interaction Job Qualifications: Have A Valid HHA or PCA Certificate Current photo id Social Security Card Full Physical, PPD, Rubella & Rubeola titers (within 6 months) Drug Screen (within 6 months) Two References letters Shifts Available: Day Shift Night shifts Weekend shifts Live-ins Click to apply Or call (718) 812-0855 Castle Rock Home Care 2011 Westchester Ave Bronx N.Y. 10462 Web Site: www.castlerockhc.com/apply Email: hr@crhcny.com 718-819-5235 ext 217/211 
$7,532.75 - $8,886.16 / month
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Registered Nurse Case Manager Job Title: Nurse III RNCM Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 20929 Closing Date: 10/03/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,532.75 - $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Abilene State Supported Living Center Job Location City: ABILENE Job Location Address: 2501 MAPLE ST Other Locations: Abilene MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The RN Case Manager performs highly complex professional nursing work for individuals at the SSLC, including individuals with highly specialized medical and behavioral health needs. Provides, evaluates, and coordinates nursing care across assigned caseload. Conducts rounds in homes and infirmary areas to assess health status, review clinical information, identify trends or emerging concerns, and determine compliance with treatment plans, policies, procedures, nursing standards, and quality-of-care expectations. Completes comprehensive assessments, develops and evaluates nursing interventions and care plans, monitors and reviews case management plans and health indicators, and initiates follow-up for changes in condition, abnormal findings, medication or treatment concerns, and other clinical needs. Coordinates care with the IDT, LARs, direct care staff, nursing staff, and health care providers to support continuity of care, treatment decisions, and person-centered services. Supports admissions, transfers, medical appointments, specialized clinics, training, quality assurance reviews, policy and procedure improvement, and specialized nursing activities. Provides leadership, training, coaching, and technical assistance to nursing and direct care staff. Provides hands-on nursing care and performs highly complex and technical nursing tasks as needed. Performs related work as assigned. Works under limited supervision with considerable latitude for initiative and independent judgment. Starting salary for this position: 7532.75 Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Performs highly complex nursing case management for assigned individuals, including those with highly specialized medical and behavioral health needs. Develops, evaluates, and monitors nursing interventions to ensure treatment plans, policies, procedures, nursing standards, and quality-of-care expectations are followed. Conducts rounds in assigned homes and infirmary areas to assess health status, gather information from staff, identify trends or emerging concerns, and determine needed follow-up. Reviews and monitors health indicators, care plans, and clinical records, including vital signs, weight, nutrition, symptoms, medication refusals, injuries, seizures, bowel movements, labs, consults, hospital or infirmary status, IHCPs, acute care plans, DSP instructions, physician orders, MARs, treatment records, incident reports, preventive screenings, immunizations, EKGs, psychotropic medication monitoring, and other recurring health requirements. Uses nursing judgment to identify desired effects, side effects, contraindications, adverse reactions, and clinical trends. Evaluates outcome, communicates concerns to the PCP and IDT and initiates appropriate follow-up. Monitors meal and medication administration at least quarterly and documents observations in the electronic health record. For individuals at medium or high risk for choking or aspiration, conducts meal monitoring at least monthly and documents observations related to condition, signs of illness, pain, coughing, swallowing difficulty, positioning, dining plan use, medication administration technique, and pill texture when applicable. Responds to chronic and acute health care concerns, facilitates treatment and follow-up, communicates with the PCP, LAR, health care team, and IDT, participates in specialized clinics and consultations, provides assessment and feedback related to medical or leisure trips, completes post-hospitalization ISPA and follow-up care, maintains required training, and reports concerns to the CNE/NOO. Performs comprehensive and highly complex physical assessments on a quarterly, annual, and as-needed basis in accordance with training and facility protocols. Completes head-to-toe assessments, nursing reviews, annual assessments, SAMs, fall risk assessments, risk ratings, health care plan recommendations, DSP instructions, and related documentation within required timeframes. Reviews current medical assessments, labs, consults, immunizations, diagnostic testing, meal monitoring records, medication administration observations, suction tooth brushing monitoring, and other required assessments. Conducts appropriate screenings, recognizes signs and symptoms of illness or injury, identifies abnormal findings, determines when referrals or plan changes are needed, develops acute care plans and integrated health care plans, communicates findings to the IDT, and evaluates diagnostic information within the RN scope of practice. Monitors assessment completed by others to ensures care provide is in compliance with policies, procedures, standards of care and quality of service. Actively participates as the nursing expert on the individual’s interdisciplinary team (IDT), supporting proactive problem solving related to quality of care, nursing processes, and health-related concerns. Consults with and educates IDT members, the Legally Authorized Representative (LAR), the individual, and other medical care providers about the individual’s health care plan and status. Works to achieve consensus, coordinates with providers and staff to support continuity of care, and advocates for the individual’s needs and preferences. Analyzes data, evaluates nursing intervention outcomes, and provides input to the IDT to support assessment of the treatment plan. Participates in other required and assigned meetings related to individuals on the caseload, including unit, morning, IDT, ISPA, ISP, psychiatric, CLDP, admissions, critical incident, RCA, transition, committee, daily morning medical, and Incident Management Review Team (IMRT) meetings, or provides information to a designee when assigned. Attends prepared to discuss assessments, documentation, consults, labs, clinic issues, medications, weights, diet, screenings, IHCP goals and interventions, change-of-status needs, tracking and trending information, follow-up needs, risk ratings, care plans, and recommendations. Follows local SSLC policies and protocols to ensure pertinent information, including diagnoses and treatment plans, is clearly communicated to SSLC staff and, when instructed, to guardians or LARs. Coordinates, organizes and leads the nursing team for the individuals on the assigned caseload. Leads and instructs assigning nursing staff on how to best care for the individual. Develops inservice training and health education strategies related to the assigned individuals. Attends daily medical and other meetings to keep abreast of individuals’ health status. Actively participates in, and prepares for in advance, essential meetings related to the individuals on the assigned caseload to manage and coordinate health care. During morning meetings, reports relevant information from 24-hour reports, home shift logs, health concerns, clinic logs, hospital or infirmary status, medical appointments, laboratory appointments, restraints, medication or treatment refusals, injuries, falls, missed or cancelled appointments, and significant medical issues. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Conducts quality assurance reviews and specialized activities related to the development, evaluation, enhancement, and refinement of nursing policy, procedure, and operations. Reviews nursing practices to determine compliance with state and federal laws, regulations, standards, and campus requirements and to improve the quality of nursing care. Develops, evaluates, revises, and explains policies, procedures and protocols related to nursing case management. Assists in developing guidelines for the RNCM position. Makes recommendations to the CNE/NOO on how to improve case management processes to ensure quality services for individuals. Makes recommendations to nursing leadership and participates in nursing program planning, evaluation, workgroups, and committees as assigned. Attends on-campus medical appointments, treatments, or clinics with individuals as assigned and off-campus appointments when needed to coordinate continuity of care. Prepares and communicates relevant nursing and medical information, follows up on recommendations, orders, and plan changes, completes required nursing notes or provider communication, supports emergency room, hospital, transfer, and placement communication, and coordinates family or guardian notification and required consents for consults, procedures, vaccinations, psychotropic medications, pre-treatment sedation, and other care needs. Determines when pre-treatment sedation may be needed for diagnostic tests or appointments and communicates with the clinic nurse or appropriate clinical staff regarding the pre-treatment care plan. Obtains verbal consent with a nurse witness when permitted, ensures written consent is routed for original signature when required, and provides signed or verbal consent documentation to records staff for filing. Ensures admission and transfer planning occurs in accordance with policies, procedures, and nursing best practices. Coordinates admission activities by reviewing medical information, preparing physician order and vaccination consent information, completing baseline assessments and documentation, and participating in 30-day ISP preparation. Coordinates transfers to another unit, RNCM, SSLC, or group home by completing nurse-to-nurse reports, communicating pending labs, diagnostics, consults, IHCP/DSP instructions, immunizations, allergies, medications, recent assessments, and other health information needed for a safe transition. Participates in competency-based training, continuing education, and meetings to maintain competence in specialized nursing best practices, including safety, emergency procedures, CPR, infection control, confidentiality, information security, nursing case management, nursing care standards, state and federal laws, ICF/IID rules and regulations, and evidence-based practices. Provides or supports individual-specific training for DSPs, LVNs, home staff, and receiving providers related to allergies, medications, diagnoses, chronic or acute care plans, IHCP/DSP instructions, transfers, and other health supports. Develops, updates, reviews, and trains staff on DSP instructions. Serves as a nursing resource for case management and, as assigned, collaborates with others to create and deliver specialized training or in-service materials. Provides oversight, coaching, on-the-job training, and mentoring for junior or less experienced Registered Nurse Case Managers (RNCMs), Registered Nurses (RNs), and Licensed Vocational Nurses (LVNs) assigned to the care of individuals on the caseload to ensure individual health plans meet or exceed program compliance measures. Trains RNCMs, as assigned, and serves as a resource in performing their essential job functions. Reviews performance, supports skill development, identifies best practices in case management, and coaches staff on implementing those practices, including collaboration with other disciplines. Provides input to the supervisor regarding nursing practices, procedures, and staff development needs. Assists the Nurse Manager by providing leadership and oversight within the assigned home, unit, or department, including coaching and monitoring services provided by LVNs. Acts as a preceptor for registered nurses, as assigned, and instructs new nurses on SSLC nursing functions, including acclimating them to individuals’ needs and preferences. Serves as RNCM Supervisor in their absence, as appointed. Completes, reviews, and maintains required nursing documentation according to daily, weekly, monthly, quarterly, annual, and event-driven schedules. Documentation includes plans of care, assessments, nursing notes, health summaries, referrals, acute care plans, change-of-status reviews, post-hospital assessments, medication refusal follow-up, post-injury reviews, treatment/SAM records, professional oversight logs, seizure and bowel movement records, transfer reports, ISP preparation, IHCP initiation, DSP instruction updates, training records, and tracking documents for weights, vitals, labs, consults, food intake, and follow-ups. Ensures documentation supports continuity of care, treatment decisions, regulatory compliance, and IDT planning and meets required deadlines. Trains and coaches others to effectively use the electronic health record. Communicates effectively, and provides consultation, training, and technical assistance to direct support professionals (DSPs) about individuals’ unique care needs. Instructs DSPs on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms. Answers questions from DSPs and other members of the treatment team, related to treatment or medication, within the scope of practice. Develops in-service training and health education strategies related to the assigned individual(s) when needed including signs and symptoms to observe for and report to a nurse. When warranted, instructs, counsels, and assists individuals in meeting their health care needs. As needed due to staffing, complex cases, or on-the-job training, provides direct care nursing services and performs highly complex and technical nursing tasks in accordance with HHSC, SSLC, and state requirements, including tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments, and treatment for HHS employees injured in the course and scope of employment. Establishes and maintains professional working relationships with persons served, co-workers, supervisors, ancillary staff, and visitors. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Considerable knowledge of professional nursing theory, standards, procedures, and practices, including assessment, planning, implementation, coordination, documentation, and evaluation of nursing care. Knowledge of evidence-based nursing practices, medical diagnoses and procedures, accepted treatment practices, health care laws and regulations, ICF-IID requirements, SSLC policies and procedures, and program requirements for individuals with intellectual and developmental disabilities. Knowledge of emergency procedures and equipment, including CPR, infection control, Safe Use of Restraint, Ukeru, and related safety practices. Skill in providing nursing care and treatment for individuals with complex medical and behavioral health needs, monitoring health status, recognizing changes in condition, responding to emergencies, and documenting outcomes. Skill in using computers, software, and electronic health record or care documentation systems. Skill in organizing work, managing time, prioritizing competing duties, tracking follow-up, and meeting daily, weekly, monthly, quarterly, annual, and event-driven deadlines. Skill in training, coaching, mentoring, and providing technical assistance to nursing and direct care staff. Skill in communicating clinical information clearly and concisely, verbally and in writing, with individuals, families, guardians, LARs, the IDT, staff, and providers. Ability to prepare and maintain accurate nursing records, assessments, health summaries, care plans, referrals, tracking documents, and other documentation that supports continuity of care, treatment decisions, and compliance. Ability to monitor and review case management plans, IHCPs, DSP instructions, acute care plans, physician orders, treatment records, labs, consults, weights, nutrition, medication or meal observations, seizure records, bowel movement logs, and other recurring health indicators. Ability to complete and track recurring RNCM responsibilities, including assessments, chart reviews, care plan reviews, change-of-status documentation, consult follow-up, lab monitoring, immunization and consent follow-up, medication refusal follow-up, required screenings, and meeting preparation. Ability to identify clinical trends, abnormal findings, signs and symptoms of illness or injury, changes in condition, and needed nursing follow-up. Ability to coordinate care and communicate follow-up needs related to appointments, diagnostic testing, consents, hospital or infirmary status, consult recommendations, and changes in health status. Ability to work independently and productively with all levels of staff. Ability to interpret policies, procedures, standards, and health care regulations and communicate them effectively. Ability to perform comprehensive nursing assessments and evaluate diagnostic information within the RN scope of practice. Ability to analyze information, exercise nursing judgment, develop plans of care, evaluate outcomes, and make recommendations to the team. Ability to maintain current CPR certification and safely perform CPR, Safe Use of Restraint, and Ukeru techniques after training. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Initial Screening Criteria: At least one (1) year experience as a practicing registered nurse is required. Experience in assessment and documentation of health status required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. 
$243,100 - $310,206 / year
Company DescriptionThe Department of Public Health prioritizes equitable and inclusive access to quality healthcare for its community and values the importance of diversity in its workforce. All employees at the Department of Public Health work to advance equity, inclusion, and diversity with a specific lens and focus on race, ethnicity, gender, sex, sexuality, disability, and immigration status. Application Opening: August 28, 2026Application Deadline: Application filing will close on or after September 11, 2026Salary: 0943 Manager VIII (Range A Salary between $243,100 and $310,206 annually)Appointment Type: Permanent ExemptRecruitment ID: PEX-0943-EXEMPTWork Arrangement: OnsiteThe Mission of the San Francisco Department of Public Health (SFDPH) is to protect and promote the health of all San Franciscans. Fulfilling this mission requires employees working across our hospitals, clinics, programs, and offices to deliver services and support the communities we serve. Individuals interested in joining SFDPH should expect to work in person across these settings.The San Francisco Health Network, Population Health, Behavioral Health Services, and Administration are the core divisions of SFDPH. The San Francisco Health Network is the City’s only complete system of care and has locations throughout the City, including Zuckerberg San Francisco General Hospital and Trauma Center, Laguna Honda Hospital and Rehabilitation Center, and over 15 primary care health centers. The Population Health Division (PHD) provides core public health services for the City and County of San Francisco: health protection, health promotion, disease and injury prevention, and disaster preparedness and response. Behavioral Health Services operates in conjunction with SFHN and provides a range of mental health and substance use treatment services.SFDPH is intentionally evolving toward a department-wide, performance-managed operating model, requiring senior leaders who can set direction, drive execution, and deliver results across a highly complex public health and healthcare environment.Job DescriptionThis position functions as one of two top nursing executives for Laguna Honda Hospital and Rehabilitation Center (LHH). The two Director's of Nursing are responsible and held accountable for all nursing functions and activities of LHH. This is a senior executive-level position and will report directly to the Chief Executive Officer/Nursing Home Administrator (NHA). This person will have indirect reporting to the San Francisco Health Network Chief Nursing Officer. This person will lead, guide, and direct the clinical operations of the healthcare facility in accordance with local, state, and federal regulations, industry standards of nursing care, and established facility policies and procedures to provide appropriate care and services to residents. This person will also provide leadership and direction in conjunction with the annual Facility Assessment by developing new clinical programs and establishing organizational policies, priorities, and objectives; directs and coordinates the implementation of program changes; maintaining state and federal regulatory compliance; and performs related duties as required. This person will make decisions which directly impact the entire facility. This position exercises supervision over LHH related functional areas. Every effort has been made to identify the essential function of this position. However, it in no way states or implies that these are the only duties required to be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.Specifically, under general direction from the LHH Chief Executive Officer/Nursing Home Administrator (NHA), the Director of Nursing (DON) will: Plan, organize, direct, supervise and evaluate all nursing services provided in the facilityEnsure nursing department compliance with federal, state and local regulations and implementation of facility nursing core programsActively participates in the development of the Facility Assessment and recommends updates as necessaryManage the nursing department to maintain quality standards of care, and advise medical staff, department heads, and NHA in matters related to nursing serviceReview daily work assignments to ensure they meet regulatory compliance and provide consistent staffing whenever possibleAssist in the development of and oversees the process for care planning for the individual residents including rehabilitative and restorative activities, instruction in self-help aids, and utilization of available therapeutic services (PT, OT, ST), promotes individual resident care as related to their physical, emotional, spiritual, psychological, and social needs, and assure that the plan is reviewed and modified as necessaryEnsure each resident’s Resident Assessment Instrument (RAI) / Minimum Data Set (MDS) process is carried out on a timely basisOversee the monthly management of the Quality Assurance and Performance Improvement (QAPI) process to ensure Quality Assurance assignments and meeting presentations occurCreates a culture of safety through the overall monitoring of compliance to the facilitation of the clinical unit based QAPI subcommitteesMake facility rounds assessing the care of the patients, cleanliness, order and safety of the environment, equipment function, maintenance of a homelike environment and any other observations and report any issues or concerns to the responsible department and/or NHAAssist the Pharmacy department in developing, maintaining, implementing, and periodically updating written policies and procedures for the administration, storage, and control of medications and suppliesEvaluate and implement recommendations from established committees as they may pertain to nursing servicesWork closely with the Infection Preventionist to ensure Infection Control practices are implemented and enforced such: as ensuring nursing personnel are following established safety regulations proper PPE use, isolation techniques and proper hand hygieneParticipate in the planning, conducting, and/or scheduling of timely in-service training classes to ensure a well-trained and competent nursing service departmentSupervise and delegate the planning and direct delivery of nursing care, services, treatment procedures and other services that ensure each resident’s needs are met and that the physician’s orders are implementedProvides review, preparation, and defense of budgets related to LHH nursing; maintains responsibility for analyzing the current billing and financial systems that support and sustain LHH nursingInterprets business data for the purpose of identifying patterns, trends, and variances across LHH Nursing OperationsMentor and build training programs that help nursing staff meet goals that improve the overall performance, improve staff engagement, and outcomes of the facilityThe Director of Nursing Services, Laguna Honda Hospital and Rehabilitation Center (0943) performs other duties as assigned and required.QualificationsEDUCATION: Possession of a bachelor’s degree from an accredited college or university ANDLICENSE: Current, valid, unrestricted license as a Registered Nurse in the State of California ANDEXPERIENCE: Four (4) years of verifiable, full-time experience as a Director of Nursing Services or a similar clinical management position, all of which must include supervision of professionalsEDUCATION SUBSTITUTION: Additional qualifying experience as described above may substitute for the required degree on a year-for-year basis up to a maximum of two (2) years. One year is equivalent to thirty (30) semester or forty-five (45) quarter units.One-year fulltime employment is equivalent to 2,000 hours (2,000 hours of qualifying work experience is based on a 40-hour work week). Any overtime hours that you work above 40 hours per week are not included in the calculation to determine fulltime employment. Important Note: Please make sure it is absolutely clear in your application exactly how you meet the minimum qualifications. Applicants may be required to submit verification of qualifying education and experience at any point during the recruitment and selection process. Please be aware that any misrepresentation of this information may disqualify you from this or future job opportunities. Additional InformationHow to apply:Applications for City and County of San Francisco jobs are only accepted online at careers.sf.gov.Our e-mail communications may come from more than one department so please make sure your email is set to accept messages from all of us at this link.Applicants may be contacted by email about this recruitment. Please consider using a personal email address that you check regularly rather than a work or school account.Applicants will receive a confirmation email that their online application has been received in response to every announcement for which they file. Applicants should retain this confirmation email for their records. Failure to receive this email means that the online application was not submitted or received.Additional information regarding Employment with the City and County of San Francisco: Information about the Hiring Process Conviction History Employee Benefits Overview Equal Employment Opportunity Disaster Service WorkersReasonable AccommodationRight to WorkCopies of Application DocumentsDiversity StatementIf you have any questions regarding this recruitment or application process, please contact the analyst, Steven Scoles at [email protected] or (628) 271-6828.We may use text messaging to communicate with you on the phone number provided in your application. By applying, you accept the Trust and Privacy Policy and you may opt out of text messaging anytime. The City and County of San Francisco encourages women, minorities and persons with disabilities to apply. Applicants will be considered regardless of their sex, race, age, religion, color, national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or genetic characteristics), HIV/AIDS status, genetic information, marital status, sexual orientation, gender, gender identity, gender expression, military and veteran status, or other protected category under the law. 
Position Type: Student Support Services/School Nurse Date Posted: 9/2/2026 Location: Housatonic Valley Waldorf School Date Available: Immediately Closing Date: Until filled For more information on this position, please read the full description document. 
$68,000 - $115,000 / year
196096 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Assesses the patient’s physiologic health status: Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Performs a comprehensive health assessment across all body systems; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status: Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome: Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome: Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care: Maintains constant vigilance over patients’ care to ensure that safety precautions/needs are followed (Side rails up, call lights and bedside stand within reach, exam tables in lowest position etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge from ambulatory procedural or operative site and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other; Participates in patient education and care planning; coordinates referrals and follow-up resources as appropriate; provides clear instructions to patients and significant others regarding treatments, procedures, self-care, and ongoing health management; ensures understanding through teach-back and other evidence-based methods; evaluates the effectiveness of education and care provided by assessing patient outcomes and comprehension. Evaluates care provided for patient outcome: Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team: Collaborates with the appropriate Physician or Provider on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician or Provider; Assists the Physician or Provider during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or Physician or Provider abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments in providing patient care, and ensures that assignments are completed in a timely fashion. Provides wound care and care for pressure ulcers (Stages I–IV): Performs preventive skin care measures; Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely: Correctly identifies medication (action; dosage; side effects and implications for the patient); Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication as per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education: Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-procedural or operative care; coordinates appropriate referrals for follow-up care, specialty services, or community resources; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but Considered Related Are Not Essential Functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current license to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. 1-2 years of RN experience IV experience preferred Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 
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