Confluence Health

       

Who We Are:
Confluence Health is an integrated healthcare delivery system that includes two hospitals and more than 40 medical specialties, to provide comprehensive medical care in North Central Washington. With over 270 physicians and 150 advanced practice clinicians, Confluence Health is the major medical provider between Seattle and Spokane. Our goal is to deliver high-quality, safe, compassionate, and cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology—to provide better care for our patients and allow our providers to operate at the highest level.

Our Mission:
We are dedicated to improving our patients’ health by providing safe, high-quality care in a compassionate and cost-effective manner.

Our Vision:
To become the highest value rural healthcare system in the nation that improves health, quality of life, and is a source of pride to those who work here.

Confluence Health Wenatchee, WA 98801, USA
Please Note: This is a temporary position. Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions: Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Feb 24, 2020
Confluence Health Wenatchee, WA 98801, USA
Please Note: This is a pool, as needed position. No guarantee of hours. Position Summary: The Infusion Nurse is responsible for the nursing management of patients being infused with chemotherapy and biologic therapy agents, fluids and other medications, and the nursing management of central lines. The nurse provides direct patient care; consults with physicians and nurses; and assists with patient/family education, care coordination and symptom management of patients that treated in the infusion department. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To: Practice Manager Essential Functions: Infuses chemotherapy, biologic therapy and other agents: Performs a nursing assessment prior to each infusion or treatment per policy and procedure of the medical center. Has knowledge of each agent infused including potential drug toxicities and side effects, proper methods of administration, and related interventions. Safely prepares infusion and pump set-up for each drug that is infused. Follows parental administration policy and procedure of the medical center for the medications given. Monitors patient during and if applicable after the infusion, observing for any untoward effects. Provides patient and family teaching about treatment and side effects in collaboration with the other members of the healthcare team. Follows the ONS/ASCO and INS guidelines for these infusions. Assures the safety of patients and other staff. Follows all policy and procedures of the medical center related to verification of orders and products when administering chemotherapy, biotherapy and other infusion agents. Demonstrates an awareness of the potentially hazardous nature of many of the agents administered and follows safe handling and disposal policy and procedures of the medical center. Properly prepares and protects patients and families during infusions when indicated. Follows infection control policy and procedure of the medical center. Follows universal precautions. Provides care to patients as part of the overall care team. Communicates patient symptoms, concerns and/or reactions to Nurse Case Manager and/or physician for that patient. Provides psychosocial support to patients and families. Documents assessment and infusion treatment per guidelines and policy of medical center. Documents patient education per guidelines and policy of medical center. Documents all medications and treatments administered per guidelines and policy of medical center. Maintains and Develops IV/CVAD skills. Maintain knowledge of current ONS and INS standards. Follows policy and procedures for IV and Central Lines of medical center. Takes an active role in their own education to stay current with medications they give, oncology care and treatment and current standards of ONS, ASCO, and INS. Willingness to be involved in PI and LEAN processes. Demonstrates effective and professional communication with patients, colleagues and providers. Demonstrates ability to effectively intervene with a patient in crisis. Informs Area Manager of high-risk patient situations. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Current Washington State Nursing License. Current BLS Health Provider card. Chemotherapy/Biotherapy certification within the first year of employment. Ability to communicate effectively and appropriately with patients, family members and staff. Ability to work under pressure related to work/time deadlines. Competent in assessment and IV skills. Ability to work independently and use critical thinking skills. Competent in basic computer skills. Desired: IV experience and oncology experience. OCN certification. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - O Reaching: Above shoulder height - F Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Working Conditions: Normal medical office environment. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Feb 24, 2020
Confluence Health Wenatchee, WA 98801, USA
This position offers a $6,000 sign on bonus* * Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Feb 24, 2020
Part time
 
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Reports to Urgent Care/Emergency Services Clinical Manager Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Feb 24, 2020
Confluence Health Wenatchee, WA 98801, USA
Position Summary: To monitor and attend to patient needs before (Pre-op) or during the recovery period (Phase 1 & observation area) after a procedure has been performed in the surgical department; to provide nursing support to the Surgical Department. To also provide nursing support for all procedures in the Recovery, Pain Block Services and Radiology including procedural sedation as needed. Assist their respective departments and physicians in providing service excellence and quality patient care in multiple settings utilizing a variety of nursing skills and functions. Position Reports To: Clinical Manager Essential Functions: Admits the patient prior to a procedure. Assures that the patient is ready for the procedure and that the chart is in order. Follows and completes admissions pre-op checklist. Does thorough patient assessment. Notifies proper personnel of appropriate changes in patient’s health status. Starts IV and gives pre-operative medications as ordered. Monitors surgical/procedural schedule and keeps patient and their family informed. Receives the patient into the Recovery Room. Performs a thorough patient assessment including, but not limited to: vital signs, operative site, level of consciousness, mobility, airway, pain level (0-10 scale), and presence of nausea, response to treatments rendered and other components of the modified Aldrete system. Attends to patient specific needs while in the Recovery areas. Administers medications and IV fluids per MD orders. Expedites patient at the appropriate time. Orders post-procedure labs and radiology work per MD orders. Keeps family informed of recovery period and any delays. Knowledgeable of crash cart and all of its components. Plans workday (breaks, lunches, etc.) around the flow of the surgical schedule. Discharges patient from the recovery areas. Assists the patient with dressing and gathering belongings. Makes sure that a family member or other escort is with the patient at discharge and that someone will be available to help at home. Covers patient discharge instructions thoroughly. Answers questions to both patient and family members. Escorts patient out to vehicle if sedation was involved or patient is incapacitated. Completes proper documentation for the chart. Makes pre and post operative phone calls to patients and follows appropriate check lists. Contacts manager if problems occur or advice is needed. Maintains the Pre-op, Recovery rooms. Orders supplies. Monitors functionality of monitors and all other equipment. Reports repair/ maintenance needs to Engineering and Biomed PRN. Assists in general housekeeping duties such as: cleaning stretchers and beds, wiping down counters, mopping floors, organizing charts, etc. Requires flexible working hours. Occasional overtime may be involved each pay period. Assists RN circulator in surgery PRN. (Blood transfusions, taking report, room turnover, call assistance, etc.). Takes call if in a full or part time position. Pool RNs may take call if approved by the Ad/Recovery Director. Some surgical departments do not require call and are thus exempt. Becomes ACLS certified within one year of hire. If unable to accomplish certification may continue employment only with authorization by DOHO. Encouraged to become PALS certified and to seek out CAPA/CPAN certifications as pertinent to their specialty when eligible. Accepts specialty coordinator position as assigned by manager/director. Knowledgeable of policies, guidelines and protocols pertinent to the facility. Involves themselves during all Code drills. Must be customer oriented. Responsible to keep all requirements updated in a timely manner (CPR, ACLS, safety review, TB testing, etc.). Reviews guidelines and MSDS for chemicals used in the area of work. Knowledgeable of room prep, tray setup and equipment necessary for CT/Radiology and Pain Block Service procedures including epidural, nerve root and facet injections. Has completed the Procedural sedation competency and is familiar with the sedation boxes and how to fill out appropriate paperwork associated with their use. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: RN graduate of an accredited school of nursing. Must have at least one year or RN experience. Current Washington state RN license. CPR certification annually. ACLS certification within one year of date of hire. Knowledge of professional nursing theory and practice and the nursing process in evaluating and giving patient care. Ability to apply the principals and methods of professional nursing to provide quality patient care. IV skills. Knowledge of medications used pre-op, intra-op and post-op. Knowledge of the function and use of patient monitoring equipment. Patient teaching skills. Ability to interpret basic EKGs. Knowledge of aseptic technique. The ability to relate effectively with co-workers, physicians and staff and function as part of a team. Possesses the ability to relate effectively to the patient, guests and the general public. Ability to work efficiently amid ongoing distractions. Ability to communicate effectively in the written form. Ability to work independently with minimal supervision. Possesses good organizational and phone skills. Pays attention to detail and numerical accuracy. Ability to respond calmly in an emergency situation. Maintains confidentiality of patient information. Able to perform work against deadlines. Has ability to examine documents for accuracy and completeness. Able to lead others. Able to speak clearly and concisely. Has the ability to instruct students or other surgical department staff. Computer skills and ability to type helpful. Position may also involve the ability to deal effectively with others in confrontational situations. Must be flexible and adaptable in assignments and hours. Desired: CAPA/CPAN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - Not specified Working Conditions: Work is performed primarily in the Perioperative setting where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times and some overtime may be involved. Requires working under stressful conditions. General supervision is provided by the Director of Admissions & Recovery with oversight by the Vice President of Surgical Services and other senior leadership. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases -Yes
Feb 19, 2020
Full time
 
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions: Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
Please note: this is a pool/as needed position Position Summary: The CDS is responsible for facilitating a thorough, complete and accurate patient health record which will secure the correct reimbursement for resource utilization, the highest quality measures and outcomes, superior communication between providers, and ultimately high patient satisfaction. Travel may be required to outlying clinics. Work is conducted remotely, in the hospital and/or in the clinic. Position Reports To: Director of Quality Analytics Essential Functions: Ability to learn and develop the skills necessary to perform clinical documentation reviews using the tools provided. Perform accurate and timely record review. Recognize opportunities for documentation improvement. Formulate clinically credible documentation clarifications. Effectively communicate opportunities for clarification to providers in a way that secures complete and accurate documentation. Effective and appropriate communication with providers, the clinical documentation and coding teams, and others that fosters collaboration and trust. Timely follow-up on all clarification requests. Participate in Task Force meetings. Manage multiple priorities. Adhere to established clinical documentation rules, processes and workflows. Apply critical thinking, problem solving, and deductive reasoning skills to complex clinical and interpersonal situations. Understand and communicate differences between IPPS and OPPS and how they impact DRGs and ICD-10 code assignment. Able to process multiple sources of information simultaneously while maintaining clarity of thought and purpose. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current WA state RN license. Recent 2 years acute care experience, preferably ICU, PCU or strong Med/Surg. Must successfully pass an on-line clinical knowledge assessment (provided by Confluence Health) with 70% or greater. Extensive knowledge of pathophysiology, disease processes and associated care-pathways. Basic computer skills; familiarity with Microsoft software programs. Desired : BSN. 5 years acute care experience. ACDIS or other national CDI certification. Knowledge of CMS and regulatory environment. Experience in organizational, analytical, and writing skills. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height – O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - C Repetitive Movement – C Working Conditions: Work is done throughout a specific clinical/reception area of the building. Some work areas may be small, crowded, and confined. Job requires both working closely with others and working alone. Hours can vary from a normal schedule and overtime may be required. Stressful working conditions do exist. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - No Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - No
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
***Please note: this is a pool/as needed position, no guarantee of hours*** Position Summary: The CDS is responsible for facilitating a thorough, complete and accurate patient health record which will secure the correct reimbursement for resource utilization, the highest quality measures and outcomes, superior communication between providers, and ultimately high patient satisfaction. Travel may be required to outlying clinics. Work is conducted remotely, in the hospital and/or in the clinic. Position Reports To: Director of Quality Analytics Essential Functions: Ability to learn and develop the skills necessary to perform clinical documentation reviews using the tools provided. Perform accurate and timely record review. Recognize opportunities for documentation improvement. Formulate clinically credible documentation clarifications. Effectively communicate opportunities for clarification to providers in a way that secures complete and accurate documentation. Effective and appropriate communication with providers, the clinical documentation and coding teams, and others that fosters collaboration and trust. Timely follow-up on all clarification requests. Participate in Task Force meetings. Manage multiple priorities. Adhere to established clinical documentation rules, processes and workflows. Apply critical thinking, problem solving, and deductive reasoning skills to complex clinical and interpersonal situations. Understand and communicate differences between IPPS and OPPS and how they impact DRGs and ICD-10 code assignment. Able to process multiple sources of information simultaneously while maintaining clarity of thought and purpose. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current WA state RN license. Recent 2 years acute care experience, preferably ICU, PCU or strong Med/Surg. Must successfully pass an on-line clinical knowledge assessment (provided by Confluence Health) with 70% or greater. Extensive knowledge of pathophysiology, disease processes and associated care-pathways. Basic computer skills; familiarity with Microsoft software programs. Desired : BSN. 5 years acute care experience. ACDIS or other national CDI certification. Knowledge of CMS and regulatory environment. Experience in organizational, analytical, and writing skills. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - O Reaching: Above shoulder height – O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - C Repetitive Movement – C Working Conditions: Work is done throughout a specific clinical/reception area of the building. Some work areas may be small, crowded, and confined. Job requires both working closely with others and working alone. Hours can vary from a normal schedule and overtime may be required. Stressful working conditions do exist. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - No Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - No
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
***Please note: this is a pool/as needed position, no guarantee of hours*** Position Summary: Operating room nurse coordinates the care for surgical patients during the intra-operative phase of care. OR nurse job duties include patient education, circulating nurse and/or scrub nurse roles. Essential Functions: Checks the operating room for general cleanliness and readiness prior to any procedures. Arranges the OR for the procedure, including adjusting lights, positioning Mayo stands and stools, etc. Circulator also procures additional equipment as needed. Checks all equipment in the OR (lights, suction, oxygen, monitors, etc.) for proper functioning prior to procedures. Assists in opening sterile supplies for each procedure. Checks the patient's chart in the pre-operative holding area and verifies that it is complete and in order. Makes sure that the consent form matches the scheduled procedure. Interviews the patient after verifying patient identification. Confirms patient NPO status, allergies, procedure to be performed, verifies correct surgical site, and answers any questions that the patient may have. Offers further patient education if needed. Relays significant findings to other staff as well as to the surgeon and anesthesia provider. Transports patient to the operating room. Positions and secures the patient on the operating table. Performs skin prep. Performs "timeout" verification procedures with surgical team and documents such. Assists anesthesia provider with intubation of patient as necessary. Completes the proper sponge, sharps and instrument counts per department policy and procedure. Keeps the OR clean and organized during the procedure. Performs intra-operative documentation throughout the procedure. Maintains all necessary logs. Accepts, handles, labels and documents all specimens according to department policy and procedure. Obtains necessary lab reports, medications, and IV solutions as needed throughout the procedure. Is very familiar with the policy and procedure on blood transfusion. Calls for lab, blood bank or pathology assistance or backup as needed and requested by the physician. Continually observes the movements of the surgical team during the performance of their duties to assure that there is no break in aseptic technique during the procedure. Intervenes and assists when a break in procedure or sterility occurs or is suspected. Is flexible in working hours. Understands that overtime is common in the operating room environment. Willing to assist in the PACU if needed and trained to do so. Takes appointed call rotations as scheduled. Performs essential job functions of scrub nurse when trained to do so. Supervises all persons in the OR environment, to include: LPNs, CSTs, STs, CMAs, MAs, Radiology Techs, surgical product representatives, students, visitors and observers. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: RN graduate of an accredited school of nursing is required. ACLS and/or PALS certification within one year of employment. Desired: CNOR certification preferred. Previous procedural nursing experience desired but not necessary. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands for This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - Not specified Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - Not specified Working Conditions: Work is performed primarily in the Perioperative setting where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times and some overtime may be involved. Requires working under stressful conditions. General supervision is provided by the Director of Admissions & Recovery with oversight by the Vice President of Surgical Services and other senior leadership. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures for This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Feb 19, 2020
Confluence Health Moses Lake, WA 98837, USA
Position Summary: The purpose of the Nurse Case Manager position is to support the provider and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management and care facilitation. Essential Functions: Essential Functions: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement Application of process improvement methodologies in evaluating outcomes of care Coordinating communication with providers. Coordinates/facilitates patient care progression throughout the continuum. Works collaboratively and maintains active communication with providers, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Address/resolves system problems impending diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles. Seeks consultation from appropriate disciplines/ departments as required to expedite care. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with the provider and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis Modifications of plan of care, as necessary, to meet the ongoing needs of the patient; Communication to third party payors and other relevant information to the care team; Completion of all required documentation in the EHR and patient records Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients. Identifies at-risk populations using approved screening tool and follows established reporting procedures. Refers case and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated. Discusses payor criteria and issues on a case-by-case basis and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient/family and member of the healthcare team and are documented as necessary to assure continuity of care. Collaborates/communicates with internal & external case managers. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities. Assists in the collection and reporting of resource and financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variance from the plan of care/care path with provider and/or members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director or Manager of Case Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility. Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff. Other duties as assigned. Identifies and reaches out to Medicare/Medicare Advantage patient population, schedules, performs, and documents Medicare Annual Wellness visits. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Current and valid license to practice as a Registered Nurse RN in the state of Washington. One year clinical experience. Excellent interpersonal communication and negotiation skills Strong analytical, data management and PC skills. Understanding of venues of care and community resources. Desired : Professional certification as a Case Manager encouraged within three years of employment. Current working knowledge of utilization management, case management, performance improvement and managed care reimbursement preferred
Feb 19, 2020
Full time
 
Confluence Health Wenatchee, WA 98801, USA
This position offers a $8,000 sign on bonus* *Must have two years of CVOR experience and make a 2 year commitment to Confluence Health This position highly prefers Surgery and CVOR experience. Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions: Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Feb 19, 2020
Full time
 
Confluence Health Wenatchee, WA 98801, USA
This position offers a $6,000 sign on bonus* *Must have two years of OR RN experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions: Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Feb 19, 2020
Full time
 
Confluence Health Royal City, WA 99357, USA
Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Position Reports To: Reports to Practice Manager. Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Active or Interim Washington State Registered Nurse License, required by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The purpose of the Nurse Case Manager position is to support the provider and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management and care facilitation. Position Reports To: Quality Care Manager Essential Functions: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement Application of process improvement methodologies in evaluating outcomes of care Coordinating communication with providers. Coordinates/facilitates patient care progression throughout the continuum.Works collaboratively and maintains active communication with providers, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Address/resolves system problems impending diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles. Seeks consultation from appropriate disciplines/ departments as required to expedite care. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with the provider and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis•Modifications of plan of care, as necessary, to meet the ongoing needs of the patient; Communication to third party payors and other relevant information to the care team; Completion of all required documentation in the EHR and patient records Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients.•Identifies at-risk populations using approved screening tool and follows established reporting procedures. Refers case and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated. Discusses payor criteria and issues on a case-by-case basis and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient/family and member of the healthcare team and are documented as necessary to assure continuity of care. Collaborates/communicates with internal & external case managers. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities. Assists in the collection and reporting of resource and financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variance from the plan of care/care path with provider and/or members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director or Manager of Case Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility. Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff. Other duties as assigned. Identifies and reaches out to Medicare/Medicare Advantage patient population, schedules, performs, and documents Medicare Annual Wellness visits. Qualifications: Required: Current and valid license to practice as a Registered Nurse RN in the state of Washington. One year clinical experience. Excellent interpersonal communication and negotiation skills Strong analytical, data management and PC skills. Understanding of venues of care and community resources. Desired: Professional certification as a Case Manager encouraged within three years of employment. Current working knowledge of utilization management, case management, performance improvement and managed care reimbursement preferred Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - Not Specified Reaching: Below shoulder height - Not Specified Climbing - Not Specified - Not Specified Pulling/Pushing: 25 pounds or less - Not Specified Pulling/Pushing: 25 pounds to 50 pounds - Not Specified Pulling/Pushing: Over 50 pounds - Not Specified Lifting: 25 pounds or less - Not Specified Lifting: 25 pounds to 50 pounds - Not Specified Lifting: Over 50 pounds - Not Specified Carrying: 25 pounds or less - Not Specified Carrying: 25 pounds to 50 pounds - Not Specified Carrying: Over 50 pounds - Not Specified Crawling/Kneeling - Not Specified Bending/Stooping/Crouching - O Twisting/Turning - Not Specified Repetitive Movement - Not Specified Working Conditions: Work is performed in an office environment. Involves frequent contact with staff, leadership and practitioners. Work may be stressful at times. Frequent day travel between various office, campuses and meeting locations. Job Classification: FLSA: Exempt Hourly/Salary: Salaried Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – No Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – No
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
This position offers a $5,000 sign on bonus* *Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Reports to Medical/Oncology Clinical Manager. Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Infection Control Nurse is responsible for developing, implementing and maintaining an active, hospital-wide Infection Prevention Program which includes acute care and ambulatory care at multiple locations covering a large geographical area. The position supports infection prevention and control through surveillance and investigation of infections, development of policies and procedures, consultation, research and education and regulatory activities. The role is an integrated function of the hospital-wide quality and patient safety program. This position requires contacts with leadership, staff and providers, state and local agencies, patients and families. Essential Functions: Coordinate the annual infection control risk assessment and develop and implement the annual infection prevention plan in conjunction with the Infection Control Committee. Develop and maintain infection control policies and procedures that reflect regulatory, accrediting and professional association guidelines and meet local, state and federal regulations. Systematically collect and analyze healthcare-associated infection data using epidemiological principles and statistical methods to identify trends and risk factors and implement improvement plans as necessary. Perform walk around infection prevention and control rounds and inspections to monitor infection control practices and to identify processes that are high quality and those in need of improvement. Lead or participate in performance and quality improvement processes utilizing CHVS methodology and tools.. Identify target areas for improvement based on prioritized risks. Develop and execute effective strategies to improve quality of care and patient safety through a QAPI plan. Participate in survey and accreditation readiness activities to ensure ongoing compliance with infection control best practice guidelines and regulations and implement changes mandated by regulatory, accrediting and licensing agencies. Serve as a knowledgeable and available resource and provide consultation to other disciplines, departments and agencies regarding infection prevention activities. Provide education that relates to infection control, prevention and epidemiology for healthcare providers, staff, patients and families. Plan, organize, develop and present staff education including new employee orientation and annual continuing education and department specific education. Manage communicable disease cases and conduct outbreak investigations. Continue active learning through literature review, webinars and other educational formats. Participate in committee and program support. Deal appropriately with sensitive confidential information contained in events, medical records, reports and other documents. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of jobperformance at all times. Qualifications: Required: Current Washington State Registered Nurse license required. Problem solving abilities and organizational skills. Skill in written and verbal communication. Good knowledge and application of computer technology. Desired: Experience in Infection prevention and control. Knowledge of principles of epidemiology, infection prevention and control. Skill in time management. Ability to work independently and take initiative. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of an 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of 2 hour workday. Walking - F Sitting/Standing - F Reaching: Shoulder Height - O Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds- O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed in the office, clinic and hospital environment. Involves frequent contact with staff, physicians, and leadership, and patients. Involves periodic day travel and overnight/multiple day travel. Work may be stressful at times. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Feb 19, 2020
Full time
 
Confluence Health Wenatchee, WA 98801, USA
$5,000 Sign On Bonus* *Requires WOCN or WCC certification and two year commitment to Confluence Health. Position Summary: Provides acute, rehab and outpatient care for Confluence Health patients with selected disorders of the gastrointestinal, genitourinary and integumentary systems. Assist the nursing and medical staff in maintaining current knowledge and competence in the areas of ostomy, wound management, skin care and incontinence. The wound ostomy nurse provides care education, and support for the patient with wounds and ostomy care needs and serves as a clinical expert and resource for the skin, wound and ostomy care program. The wound ostomy nurse participates in and supports interdisciplinary action to maximize the quality, cost and effectiveness of patient care needs throughout the patient's continuum of care. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Wound Ostomy Nurse Essential Functions Wound Care Program Participates in the development and implementation of a comprehensive wound and skin care plan. Communicates with the wound care team to evaluate the effectiveness of treatment plans and modify the plans accordingly. Work with the multiple disciplines to ensure appropriate discharge planning. Skin Care Program Provide consultation and direct assistance to nursing staff for issues related to maintaining patient’s skin integrity and preventing pressure, moisture and shear-related injury. Monitor the use of the Braden assessment tool to identify patients at risk for altered skin integrity. Monitor the use of skin treatment protocols to insure appropriateness of care. Assess patient response to treatment. Participate in the planning and implementation of quarterly pressure ulcer prevalence surveys to monitor effectiveness of skin care protocols. Work closely with Care Managers to insure appropriate discharge planning. Ostomy Program Assess pre-operative and post-operative patient needs with consideration given to the individual’s physical and psychosocial adaptation. Determine appropriate site for stoma placement. Provide pre-operative education, marking and counseling to patient and or family members. Provide post-operative counseling and teaching to inpatients and outpatients to facilitate the patients return to self care. Select and apply an ostomy system which provides maximum protection while preserving patient dignity. Provide continuity of care post-discharge through consultation with Home Health staff and or ostomy outpatient clinic. Work closely with Care Managers to insure appropriate discharge planning. Specialty Bed Program Assist with patient assessment for specialty bed use. Monitor all patients placed on specialty beds for appropriate use. Emphasize the use of the specialty bed decision tree to assist physicians, nursing staff and care managers in appropriate bed placements. Make recommendations to physicians as needed. Ensure appropriate skin care measures are ordered and documented for patients placed on specialty beds. Enterostomal Therapy Accurately identifies real or potential problems affecting the Enterostomal Therapy service and implements solutions with follow through and communication. Responds to reported problems/complaints based on urgency. Completes the Event Report process as defined by procedure. Participates in corrective action. Identifies the potential for problems within existing systems by direct observation or analysis of data. Other Duties Serves as a resource to nurse managers and department managers Actively participates in committees as assigned. Attends at least 75% of scheduled meetings. Seeks new program strategies/enhancements which would expand patient services. Educate nursing and clinical staff in areas of skin, wound and ostomy care. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Experience using an electronic medical record. Experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Feb 19, 2020
Full time
 
Confluence Health Wenatchee, WA 98801, USA
Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Position Reports To: Reports to Practice Manager. Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Active or Interim Washington State Registered Nurse License, required by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Feb 19, 2020
Part time
 
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The purpose of the Nurse Case Manager position is to support the provider and interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management and care facilitation. Position Reports To: Quality Care Manager Essential Functions: Facilitation of the collaborative management of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement Application of process improvement methodologies in evaluating outcomes of care Coordinating communication with providers. Coordinates/facilitates patient care progression throughout the continuum.Works collaboratively and maintains active communication with providers, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Address/resolves system problems impending diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles. Seeks consultation from appropriate disciplines/ departments as required to expedite care. Utilizes advanced conflict resolution skills as necessary to ensure timely resolution of issues. Collaborates with the provider and all members of the multidisciplinary team to facilitate care for designated case load; monitors the patient’s progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient focused, high quality, efficient, and cost effective; facilitates the following on a timely basis Modifications of plan of care, as necessary, to meet the ongoing needs of the patient; Communication to third party payors and other relevant information to the care team; Completion of all required documentation in the EHR and patient records Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting. Completes Utilization Management and Quality Screening for assigned patients.•Identifies at-risk populations using approved screening tool and follows established reporting procedures. Refers case and issues to Care Management Medical Director in compliance with Department procedures and follows up as indicated. Discusses payor criteria and issues on a case-by-case basis and follows up to resolve problems with payors as needed. Uses quality screens to identify potential issues and forwards information to Clinical Quality Review Department. Ensures that all elements critical to the plan of care have been communicated to the patient/family and member of the healthcare team and are documented as necessary to assure continuity of care. Collaborates/communicates with internal & external case managers. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Facilitates transfer to other facilities as appropriate. Actively participates in clinical performance improvement activities. Assists in the collection and reporting of resource and financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals. Uses data to drive decisions and plan/implement performance improvement strategies related to case management for assigned patients, including fiscal, clinical and patient satisfaction data. Collects, analyzes and addresses variance from the plan of care/care path with provider and/or members of the healthcare team. Uses concurrent variance data to drive practice changes and positively impact outcomes. Collects delay and other data for specific performance and/or outcome indicators as determined by Director or Manager of Case Management. Documents key clinical path variances and outcomes which relate to areas of direct responsibility. Uses pathway data in collaboration with other disciplines to ensure effective patient management concurrently. Ensures safe care to patients adhering to policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity, and accuracy of practice. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor, and resource to less experienced staff. Other duties as assigned. Identifies and reaches out to Medicare/Medicare Advantage patient population, schedules, performs, and documents Medicare Annual Wellness visits. Qualifications: Required: Current and valid license to practice as a Registered Nurse RN in the state of Washington. One year clinical experience. Excellent interpersonal communication and negotiation skills Strong analytical, data management and PC skills. Understanding of venues of care and community resources. Desired: Professional certification as a Case Manager encouraged within three years of employment. Current working knowledge of utilization management, case management, performance improvement and managed care reimbursement preferred Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - F Reaching: Shoulder Height - Not Specified Reaching: Above shoulder height - Not Specified Reaching: Below shoulder height - Not Specified Climbing - Not Specified - Not Specified Pulling/Pushing: 25 pounds or less - Not Specified Pulling/Pushing: 25 pounds to 50 pounds - Not Specified Pulling/Pushing: Over 50 pounds - Not Specified Lifting: 25 pounds or less - Not Specified Lifting: 25 pounds to 50 pounds - Not Specified Lifting: Over 50 pounds - Not Specified Carrying: 25 pounds or less - Not Specified Carrying: 25 pounds to 50 pounds - Not Specified Carrying: Over 50 pounds - Not Specified Crawling/Kneeling - Not Specified Bending/Stooping/Crouching - O Twisting/Turning - Not Specified Repetitive Movement - Not Specified Working Conditions: Work is performed in an office environment. Involves frequent contact with staff, leadership and practitioners. Work may be stressful at times. Frequent day travel between various office, campuses and meeting locations. Job Classification: FLSA: Exempt Hourly/Salary: Salaried Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – No Blood Borne Pathogens Exposure Potential – No Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – No Infectious Diseases – No
Feb 19, 2020
Full time
 
Confluence Health Wenatchee, WA 98801, USA
Position Summary: The Infusion Nurse is responsible for the nursing management of patients being infused with antibiotics, biologic therapy agents, fluids and other medications in their home. The Home Infusion RN is responsible for the nursing management of central and peripheral lines. The nurse provides direct patient care; consults with physicians and nurses; and assists with patient/family education, care coordination and symptom management of patients that treated in the home. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. This position involves providing care to patients in their homes. Duties include PICC line care and dressing changes, port care, IVIG/biologic medication administration, PIV medication administration, blood draws, teach and train on self-medication administration, and other similar duties. Essential Functions: Infuses biologic therapy and other medications as ordered in the patient’s home environment. Driving to the patient’s home while maintaining storage of sterile compounded products prior to infusing. Performs a nursing assessment prior to each infusion or treatment per policy and procedure. Has knowledge of each agent infused including potential drug toxicities and side effects, proper methods of administration, and related interventions. Safely prepares infusion and pump set-up for each drug that is infused. Follows parental administration policy and procedure of the medical center for the medications given. Monitors patient(s) during and if applicable after the infusion, observing for any untoward effects. Provides patient and family teaching about treatment and side effects in collaboration with the other members of the healthcare team. Follows the INS guidelines for infusions. Follows all policy and procedures of the medical center related to verification of orders and products when administering biotherapy and other infusion agents. Demonstrates an awareness of the potentially hazardous nature of many of the agents administered and follows safe handling and disposal policy and procedures of the medical center. Properly prepares and protects patients and families during infusions when indicated. Follows infection control policy and procedure of the medical center. Follows universal precautions. Provides care to patients as part of the overall care team. Communicates patient symptoms, concerns and/or reactions to patient provider. Provides psychosocial support to patients and families. Documents assessment and infusion treatment per guidelines and policy of medical center. Documents patient education per guidelines and policy of medical center. Documents all medications and treatments administered per guidelines and policy of medical center. Maintains and develops IV/CVAD skills. Maintain knowledge of current INS standards. Follows policy and procedures for IV and central lines of medical center. Takes an active role in their own education to stay current with medications they give, oncology care and treatment and current standards of INS. Willingness to be involved in Process Improvement and LEAN processes. Demonstrates effective and professional communication with patients, colleagues and providers. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Demonstrates ability to effectively intervene with a patient in crisis, monitor for hypersensitivity reactions. Informs Manager of high-risk patient situations. Follows teamwork performance standards of clinic. Assures the safety of patients and other staff. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times . Qualifications: Required: Current Washington State Nursing License. Current BLS Health Provider card. Current INS certification or active pursuit upon hire Ability to communicate effectively and appropriately with patients, family members and staff. Ability to work under pressure related to work/time deadlines. Competent in assessment and IV skills. Ability to work independently and use critical thinking skills. Competent in basic computer skills. WA Driver’s License and reliable automobile Proof of vehicle insurance Desired: IV experience Infusion or Emergency room experience to handle potential hypersensitivity reactions and provide patient support INS certification Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - O Reaching: Above shoulder height - F Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - F Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Working Conditions: Normal medical office environment. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
This position offers a $8,000 sign on bonus* * Must have two years experience and make a 2 year commitment to Confluence Health Position Summary: The Intensive Care Unit staff nurse is responsible for assessing, planning, organizing and directing the patient care activities in the Intensive Care setting being sensitive to the specific needs of the patient and family members. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. INTENSIVE CARE UNIT REGISTERED NURSE ESSENTIAL FUNCTIONS Intensive Care RNs will complete a formal orientation program for care of the critically ill patient. Intensive Care Unit RNs will be able to apply the principles / techniques of critical patient care assessment, planning, intervention, and evaluation Intensive Care Unit nurses will be able to provide care within the ICU Standards of Practice, Section B for the infant, pediatric, adolescent, and adult patient. Intensive Care RNs will demonstrate knowledge and competency of all new equipment, policies, and procedures specific to Intensive Care nursing Intensive Care nurses are certified in ACLS, PALS, and TNCC (within 1 year of ICU employment unless an alternative education plan is determined). Intensive Care RNs will serve as Trauma Team members after completing TNCC course. CCRN Certification will be endorsed and encouraged for all ICU nursing staff Intensive Care RNs will demonstrate competency by attending an annual skills lab and review of selected equipment and procedures Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required : Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Completion of formal hospital and unit-specific orientation program. Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Feb 19, 2020
Full time
 
Confluence Health Wenatchee, WA 98801, USA
Position Summary: Ensures quality patient care by assisting in the performance of all procedures in the Urology ASC department. Assesses, plans, implements and evaluates the care of patients in the UROLOGY ASC department. Communicates with the urologist as needed about patient’s condition, assists with procedures, and assists with maintaining equipment and inventory. Participates in performance improvement projects, maintains regulatory agency requirements, nursing and medical center policies and standards. Position Reports To: Practice Manager Essential Functions: Prepares each suite prior to each case by following the daily schedule and procedure requirements. Assists with positioning of patients. Assists the MD in the procedure rooms, including but not limited to: biopsies, cystoscopy, dilation, charting vitals/patient status and the collection and labeling of specimens. Ensures optimal outcomes by proper handling of instruments and equipment. Maintains manufacturer’s recommendations and Confluence Health policies by proper processes-cleans, disinfects and reprocesses scoped and other instruments, per policy #3432350. Prioritizes activities based on knowledge and comprehension of the endoscopy schedule. Understands operation, function and handling of special equipment according to manufacturer’s recommendations. Provide assessment by troubleshooting malfunctioning equipment. If further service is required, process equipment, complete paperwork and calls biomed. Participate in overall Urology ASC functions including, but not limited to, scheduling of procedures, training of new staff, maintaining appropriate statistics, assisting with Quality Assurance projects, education to improve self and others, and attending staff meetings and annual education in-services as required. Respond appropriately to emergency situations, recognizing the need for assistance and obtaining support from Urology ASC personnel and/or physician as needed. Compliance with universal precautions and the use of personal protective equipment. Understands the safety precautions associated with the use of OPA and other chemicals in the healthcare environment. Is trained and responsible for the operations of the Steris equipment and scope cleaning process. Delegate’s tasks to the Urology ASC staff, recognizing what duties are within their scope of practice. Understands the inventory of sterile, non-sterile and disinfected instruments by demonstrating proper handling, function, availability and location. Assists where needed to insure efficient and safe care in the Urology ASC patient continuum. Maintains adequate inventory based on department need. Demonstrates economic use of equipment and supplies. Maintain confidentiality of all pertinent patient care information to assure patients rights are protected. Communicate appropriate information to other members of the healthcare team in a timely manner. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Active or Interim Washington State RN License, required by start date. Desired: Previous experience in ambulatory care setting or endoscopy lab. ACLS training. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - F Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - F Working Conditions: Most of the work is done in the Endoscopy lab area, where space is limited and confined. Working conditions are stressful at times. Requires a combination of working alone and also working closely with others. Overtime may occasionally be required. General supervision is provided by the area manager with additional instructions, guidance, and direction provided by the physicians and nurses in the Urology ASC Department. Job Classification: FLSA: Non- Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Feb 19, 2020
Full time
 
Confluence Health Moses Lake, WA 98837, USA
Great variety! This is a full-time position that will support visiting specialty providers on a planned rotation (Sleep Medicine, Vascular Surgery, Pulmonary, Infectious Disease) for approx half of each week and float coverage for primary and other specialty care areas the remainder of the week. Float coverage is compensated with an additional $1 per hour. Position Summary: Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Position Reports To: Practice Manager Essential Functions: Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Registered Nurse graduate of an accredited school of nursing. Washington state Department of Health -RN license must be active by start date. Desired: Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Feb 19, 2020
Confluence Health Wenatchee, WA 98801, USA
Position Summary: A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Essential Functions: Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Rehab Unit Specific Functions Provides appropriate nursing actions to meet designated goals and the physical, psychological, social and rehabilitative needs of the patient. Becomes credentialed within training period and as required, by means of examination through the Uniform Data System, to score FIM elements on rehab inpatients on the unit. Performs nurse duties in Rehab as assigned - all worksheets will be completed prior to patient conferences (IRF – PAI completed as required). Pharmacy duties as required: Follow policies, procedures and appropriate WAC's in dispensing medications within the scope of a registered nurse. Only one nurse (Charge Nurse) will be authorized to enter the Pharmacy per shift when pharmacy staff is out of the facility. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications: Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must be currently certified in BLS, and recertified as required. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Upon hire, completion of formal hospital and unit-specific orientation program. ACLS within one year of employment. Desired: Previous experience using an electronic medical record. Previous experience utilizing barcode scanning. Physical/Sensory Demands: O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Feb 19, 2020