We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365).The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing.                                      The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act.According to department policies and nursing care standards, provides professional nursing care services to patients.Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients.Responsibilities And Duties:Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%).Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%).Operations (10%).Minimum Qualifications:BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0Work Shift:VariableScheduled Weekly Hours :40DepartmentCC Med Surg FellowshipJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:This position ensures delivery of evidence-based practice by professional nursing personnel and other staff in designated areas of responsibility. The clinical nurse manager plans, organizes, directs and evaluates the unit's delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. The manager participates in integration of the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth in unit operations.Responsibilities And Duties:50% Patient Care:1. Assists the Manager in accountability for ongoing delivery of patient care in area(s) of responsibility; assures application of the nursing process by Registered Nurses in the clinical setting (assessment, planning, implementation and evaluation); assures documentation of patient care in the medical record.  Addresses concerns and resolves problems.  Uses data from various sources to initiate continuous quality improvement within the department/unit.  Coordinates nursing care in collaboration with other healthcare disciplines and assists in integrating services across the continuum of health care.  Ensures nursing practice in a safe environment.  Participates in process improvement activities and root cause analysis investigations.  Assists the Manager with fiscal responsibility at the unit level. 2. Assists Manager with planning, assessing, implementing and evaluating patient care as appropriate to department/unit.3. Assists Manager with planning, reviewing and coordinating staffing time schedules and allocating staff as appropriate for volume and patient care needs.  Assists Manager in daily staffing plans.4. Assists Manager to coordinate nursing care with other health care disciplines across the continuum of health care.25% Operations and Personnel Management:1. Maintains daily unit operations including the status of staffing, patient visits and/or admissions, discharges and transfers, serving as a resource to department/unit staff to guide patient care delivery.2. Participates in recruitment, selection, retention and evaluation of personnel.  Participates in staff performance via written performance appraisals and disciplinary procedures.  Ensures appropriate orientation, training, competence, continuing education, and professional growth and development of personnel.  Maintains staff records.3. Assists manager in planning and contributing to fiscal management of unit by utilizing human and material resources and supplies in an efficient, cost effective manner.  Assists Manager in development and implementation of services.15% Professional Development and Leadership:1. Practices as colleague with medical staff, other members of the interdisciplinary team, and other disciplines to initiate and support collaborative and cooperative clinical management practices.  Actively participates in interdepartmental relationship building.2. Contributes to development of self and staff through orientation and continuing education.  Participates in identification of learning needs of staff.3. Participates in collection, analysis and use of data for quality and process improvement activities at the unit level.4. Provides leadership and clinical management through clinical practice, supervision, delegation, and teaching as delegated by Manager and/or Director.5. Facilitates staff attendance at meetings and educational programs; supports staff with shared decision making activities.  Ensures registered nurse participation in decision making at the unit level.  Participates on Shared Governance Councils as a voting member.6. Actively participates in hospital committees and decision making.7. Continues professional self-development and education.  Maintains professional competencies by attending educational and leadership programs, participation and leadership in professional organizations.  Seeks appropriate professional certification.8. Recognizes and assists manager in assessing impact and plan strategies to address diversity, cultural competency, ethics and the changing needs of society.  Ensures delivery of culturally competent care and healthy, safe working environment.9. Serves as patient safety coach.10% Research and Evidence-Based Practice:Supports evidence-based practice by participation and encouraging staff involvement in nursing evaluative research activities at the department level.The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job.  Associate is expected to all perform other duties as requested by supervisor.Minimum Qualifications:Bachelor's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:May require advance training in specialty areas.  Specialized knowledge in nursing process and clinical skills.  Demonstrated skills in interpersonal relationships, verbal and written communication and nursing practice standards.  Skills in computer applications as appropriate to area(s) of responsibility.2-3 years nursing experience in related or like areas of responsibility.  Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, department committee leadership or facilitation of meetings.Work Shift:VariableScheduled Weekly Hours :40DepartmentEmergency DepartmentJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365).The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing.                                      The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act.According to department policies and nursing care standards, provides professional nursing care services to patients.Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients.Responsibilities And Duties:Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%).Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%).Operations (10%).Minimum Qualifications:Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0Work Shift:VariableScheduled Weekly Hours :36DepartmentCC Med Surg FellowshipJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Clinical Nurse Specialist provides clinical and administrative direction and leadership necessary for staff to attain our mission, vision, and values. They are a key/vital member of our health care team, coordinating, leading and implementing patient outcome improving patient care delivery. They are the foundation upon which our values are built and solidified in assuring our patients receive personalized, high-quality care.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications:Masters DegreeCurrent RN licensure by the State Board of Nursing of New Mexico or compact (multi-state) licenseClinical Nurse Specialist CertificationPrevious CNS experience in specialty specific patient care and evidence-based practicePrevious Management experienceStrong clinical assessment and decision-making skillsDemonstration effective interpersonal skillsSelf-motivation and accountabilityTeam orientedPreferred Qualifications:Board certification in nursing leadership (i.e., CNML, CENP, or NE-BC)Duties and Responsibilities:Patient Care:Uses expert knowledge regarding the health care needs of the individual, family and communityCollaborates with other members of the health care team with complex care patients and other clinical challengesCarries out specialty specific therapeutic regimens in accordance with evidence-based care standards and regulatory expectationsPractices in alignment with the New Mexico Board of Nursing and the national certifying nursing organizationClinical Leadership:Leads quality and outcome improvement initiatives to enhance patient outcomesEnsures that patients and families are provided discharge education on disease prevention and managementProvides leadership in nursing practice and serves as a role model for other registered nursesDevelops policies and procedures to enhance clinical practices and that align with regulatory expectationsFinancial and Strategic Management:Understands health care economics and health care public policy.Demonstrates strong financial aptitude.Exhibits strong business planning and project management abilities.Identifies opportunities and provides direction for program development in the in-patient and clinic settings.Human Resource Management and Leadership:Knowledgeable in various recruitment and interviewing techniques.Committed to all aspects of employee development including scope of practice.Quality and Performance Improvement:Consistently displays a commitment to improving quality performance.Actively participates in departmental and organizational quality initiatives.Assures the safety of patients and staff is maintained.Relationship Management and Influencing Behaviors:Exhibits effective communication and negotiation skills.Can lead a team and crosses boundaries to facilitate collaboration.Interface with, and cultivate relations with, professional and community partners.Understands one’s values, beliefs, and attitudes and how they affect interactions with others.Shared Decision-Making:Understands the structure and process of shared governance.Promotes and implements shared decision-making structures and processes.Personal and Professional Accountability:Actively participants in personal and professional growth and development.Practices and supports nursing standards and scopes of practice.Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:                                                     Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions:Prolonged sittingFrequent InterruptionsExposure to weather when walking between the CFWE and the Main HospitalMay have to work professionally with uncooperative, angry applicants and employees while upholding the mission, visions and values of SJRMC

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Clinical Nurse Specialist provides clinical and administrative direction and leadership necessary for staff to attain our mission, vision, and values. They are a key/vital member of our health care team, coordinating, leading and implementing patient outcome improving patient care delivery. They are the foundation upon which our values are built and solidified in assuring our patients receive personalized, high-quality care.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications:Masters DegreeCurrent RN licensure by the State Board of Nursing of New Mexico or compact (multi-state) licenseClinical Nurse Specialist CertificationPrevious CNS experience in specialty specific patient care and evidence-based practicePrevious Management experienceStrong clinical assessment and decision-making skillsDemonstration effective interpersonal skillsSelf-motivation and accountabilityTeam orientedPreferred Qualifications:Board certification in nursing leadership (i.e., CNML, CENP, or NE-BC)Duties and Responsibilities:Patient Care:Uses expert knowledge regarding the health care needs of the individual, family and communityCollaborates with other members of the health care team with complex care patients and other clinical challengesCarries out specialty specific therapeutic regimens in accordance with evidence-based care standards and regulatory expectationsPractices in alignment with the New Mexico Board of Nursing and the national certifying nursing organizationClinical Leadership:Leads quality and outcome improvement initiatives to enhance patient outcomesEnsures that patients and families are provided discharge education on disease prevention and managementProvides leadership in nursing practice and serves as a role model for other registered nursesDevelops policies and procedures to enhance clinical practices and that align with regulatory expectationsFinancial and Strategic Management:Understands health care economics and health care public policy.Demonstrates strong financial aptitude.Exhibits strong business planning and project management abilities.Identifies opportunities and provides direction for program development in the in-patient and clinic settings.Human Resource Management and Leadership:Knowledgeable in various recruitment and interviewing techniques.Committed to all aspects of employee development including scope of practice.Quality and Performance Improvement:Consistently displays a commitment to improving quality performance.Actively participates in departmental and organizational quality initiatives.Assures the safety of patients and staff is maintained.Relationship Management and Influencing Behaviors:Exhibits effective communication and negotiation skills.Can lead a team and crosses boundaries to facilitate collaboration.Interface with, and cultivate relations with, professional and community partners.Understands one’s values, beliefs, and attitudes and how they affect interactions with others.Shared Decision-Making:Understands the structure and process of shared governance.Promotes and implements shared decision-making structures and processes.Personal and Professional Accountability:Actively participants in personal and professional growth and development.Practices and supports nursing standards and scopes of practice.Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:                                                     Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions:Prolonged sittingFrequent InterruptionsExposure to weather when walking between the CFWE and the Main HospitalMay have to work professionally with uncooperative, angry applicants and employees while upholding the mission, visions and values of SJRMC

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Clinical Nurse Specialist provides clinical and administrative direction and leadership necessary for staff to attain our mission, vision, and values. They are a key/vital member of our health care team, coordinating, leading and implementing patient outcome improving patient care delivery. They are the foundation upon which our values are built and solidified in assuring our patients receive personalized, high-quality care.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications:Masters DegreeCurrent RN licensure by the State Board of Nursing of New Mexico or compact (multi-state) licenseClinical Nurse Specialist CertificationPrevious CNS experience in specialty specific patient care and evidence-based practicePrevious Management experienceStrong clinical assessment and decision-making skillsDemonstration effective interpersonal skillsSelf-motivation and accountabilityTeam orientedPreferred Qualifications:Board certification in nursing leadership (i.e., CNML, CENP, or NE-BC)Duties and Responsibilities:Patient Care:Uses expert knowledge regarding the health care needs of the individual, family and communityCollaborates with other members of the health care team with complex care patients and other clinical challengesCarries out specialty specific therapeutic regimens in accordance with evidence-based care standards and regulatory expectationsPractices in alignment with the New Mexico Board of Nursing and the national certifying nursing organizationClinical Leadership:Leads quality and outcome improvement initiatives to enhance patient outcomesEnsures that patients and families are provided discharge education on disease prevention and managementProvides leadership in nursing practice and serves as a role model for other registered nursesDevelops policies and procedures to enhance clinical practices and that align with regulatory expectationsFinancial and Strategic Management:Understands health care economics and health care public policy.Demonstrates strong financial aptitude.Exhibits strong business planning and project management abilities.Identifies opportunities and provides direction for program development in the in-patient and clinic settings.Human Resource Management and Leadership:Knowledgeable in various recruitment and interviewing techniques.Committed to all aspects of employee development including scope of practice.Quality and Performance Improvement:Consistently displays a commitment to improving quality performance.Actively participates in departmental and organizational quality initiatives.Assures the safety of patients and staff is maintained.Relationship Management and Influencing Behaviors:Exhibits effective communication and negotiation skills.Can lead a team and crosses boundaries to facilitate collaboration.Interface with, and cultivate relations with, professional and community partners.Understands one’s values, beliefs, and attitudes and how they affect interactions with others.Shared Decision-Making:Understands the structure and process of shared governance.Promotes and implements shared decision-making structures and processes.Personal and Professional Accountability:Actively participants in personal and professional growth and development.Practices and supports nursing standards and scopes of practice.Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:                                                     Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions:Prolonged sittingFrequent InterruptionsExposure to weather when walking between the CFWE and the Main HospitalMay have to work professionally with uncooperative, angry applicants and employees while upholding the mission, visions and values of SJRMC

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Clinical Nurse Specialist provides clinical and administrative direction and leadership necessary for staff to attain our mission, vision, and values. They are a key/vital member of our health care team, coordinating, leading and implementing patient outcome improving patient care delivery. They are the foundation upon which our values are built and solidified in assuring our patients receive personalized, high-quality care.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications:Masters DegreeCurrent RN licensure by the State Board of Nursing of New Mexico or compact (multi-state) licenseClinical Nurse Specialist CertificationPrevious CNS experience in specialty specific patient care and evidence-based practicePrevious Management experienceStrong clinical assessment and decision-making skillsDemonstration effective interpersonal skillsSelf-motivation and accountabilityTeam orientedPreferred Qualifications:Board certification in nursing leadership (i.e., CNML, CENP, or NE-BC)Duties and Responsibilities:Patient Care:Uses expert knowledge regarding the health care needs of the individual, family and communityCollaborates with other members of the health care team with complex care patients and other clinical challengesCarries out specialty specific therapeutic regimens in accordance with evidence-based care standards and regulatory expectationsPractices in alignment with the New Mexico Board of Nursing and the national certifying nursing organizationClinical Leadership:Leads quality and outcome improvement initiatives to enhance patient outcomesEnsures that patients and families are provided discharge education on disease prevention and managementProvides leadership in nursing practice and serves as a role model for other registered nursesDevelops policies and procedures to enhance clinical practices and that align with regulatory expectationsFinancial and Strategic Management:Understands health care economics and health care public policy.Demonstrates strong financial aptitude.Exhibits strong business planning and project management abilities.Identifies opportunities and provides direction for program development in the in-patient and clinic settings.Human Resource Management and Leadership:Knowledgeable in various recruitment and interviewing techniques.Committed to all aspects of employee development including scope of practice.Quality and Performance Improvement:Consistently displays a commitment to improving quality performance.Actively participates in departmental and organizational quality initiatives.Assures the safety of patients and staff is maintained.Relationship Management and Influencing Behaviors:Exhibits effective communication and negotiation skills.Can lead a team and crosses boundaries to facilitate collaboration.Interface with, and cultivate relations with, professional and community partners.Understands one’s values, beliefs, and attitudes and how they affect interactions with others.Shared Decision-Making:Understands the structure and process of shared governance.Promotes and implements shared decision-making structures and processes.Personal and Professional Accountability:Actively participants in personal and professional growth and development.Practices and supports nursing standards and scopes of practice.Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:                                                     Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions:Prolonged sittingFrequent InterruptionsExposure to weather when walking between the CFWE and the Main HospitalMay have to work professionally with uncooperative, angry applicants and employees while upholding the mission, visions and values of SJRMC

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Clinical Nurse Specialist provides clinical and administrative direction and leadership necessary for staff to attain our mission, vision, and values. They are a key/vital member of our health care team, coordinating, leading and implementing patient outcome improving patient care delivery. They are the foundation upon which our values are built and solidified in assuring our patients receive personalized, high-quality care.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications:Masters DegreeCurrent RN licensure by the State Board of Nursing of New Mexico or compact (multi-state) licenseClinical Nurse Specialist CertificationPrevious CNS experience in specialty specific patient care and evidence-based practicePrevious Management experienceStrong clinical assessment and decision-making skillsDemonstration effective interpersonal skillsSelf-motivation and accountabilityTeam orientedPreferred Qualifications:Board certification in nursing leadership (i.e., CNML, CENP, or NE-BC)Duties and Responsibilities:Patient Care:Uses expert knowledge regarding the health care needs of the individual, family and communityCollaborates with other members of the health care team with complex care patients and other clinical challengesCarries out specialty specific therapeutic regimens in accordance with evidence-based care standards and regulatory expectationsPractices in alignment with the New Mexico Board of Nursing and the national certifying nursing organizationClinical Leadership:Leads quality and outcome improvement initiatives to enhance patient outcomesEnsures that patients and families are provided discharge education on disease prevention and managementProvides leadership in nursing practice and serves as a role model for other registered nursesDevelops policies and procedures to enhance clinical practices and that align with regulatory expectationsFinancial and Strategic Management:Understands health care economics and health care public policy.Demonstrates strong financial aptitude.Exhibits strong business planning and project management abilities.Identifies opportunities and provides direction for program development in the in-patient and clinic settings.Human Resource Management and Leadership:Knowledgeable in various recruitment and interviewing techniques.Committed to all aspects of employee development including scope of practice.Quality and Performance Improvement:Consistently displays a commitment to improving quality performance.Actively participates in departmental and organizational quality initiatives.Assures the safety of patients and staff is maintained.Relationship Management and Influencing Behaviors:Exhibits effective communication and negotiation skills.Can lead a team and crosses boundaries to facilitate collaboration.Interface with, and cultivate relations with, professional and community partners.Understands one’s values, beliefs, and attitudes and how they affect interactions with others.Shared Decision-Making:Understands the structure and process of shared governance.Promotes and implements shared decision-making structures and processes.Personal and Professional Accountability:Actively participants in personal and professional growth and development.Practices and supports nursing standards and scopes of practice.Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:                                                     Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions:Prolonged sittingFrequent InterruptionsExposure to weather when walking between the CFWE and the Main HospitalMay have to work professionally with uncooperative, angry applicants and employees while upholding the mission, visions and values of SJRMC

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Clinical Nurse Specialist provides clinical and administrative direction and leadership necessary for staff to attain our mission, vision, and values. They are a key/vital member of our health care team, coordinating, leading and implementing patient outcome improving patient care delivery. They are the foundation upon which our values are built and solidified in assuring our patients receive personalized, high-quality care.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications:Masters DegreeCurrent RN licensure by the State Board of Nursing of New Mexico or compact (multi-state) licenseClinical Nurse Specialist CertificationPrevious CNS experience in specialty specific patient care and evidence-based practicePrevious Management experienceStrong clinical assessment and decision-making skillsDemonstration effective interpersonal skillsSelf-motivation and accountabilityTeam orientedPreferred Qualifications:Board certification in nursing leadership (i.e., CNML, CENP, or NE-BC)Duties and Responsibilities:Patient Care:Uses expert knowledge regarding the health care needs of the individual, family and communityCollaborates with other members of the health care team with complex care patients and other clinical challengesCarries out specialty specific therapeutic regimens in accordance with evidence-based care standards and regulatory expectationsPractices in alignment with the New Mexico Board of Nursing and the national certifying nursing organizationClinical Leadership:Leads quality and outcome improvement initiatives to enhance patient outcomesEnsures that patients and families are provided discharge education on disease prevention and managementProvides leadership in nursing practice and serves as a role model for other registered nursesDevelops policies and procedures to enhance clinical practices and that align with regulatory expectationsFinancial and Strategic Management:Understands health care economics and health care public policy.Demonstrates strong financial aptitude.Exhibits strong business planning and project management abilities.Identifies opportunities and provides direction for program development in the in-patient and clinic settings.Human Resource Management and Leadership:Knowledgeable in various recruitment and interviewing techniques.Committed to all aspects of employee development including scope of practice.Quality and Performance Improvement:Consistently displays a commitment to improving quality performance.Actively participates in departmental and organizational quality initiatives.Assures the safety of patients and staff is maintained.Relationship Management and Influencing Behaviors:Exhibits effective communication and negotiation skills.Can lead a team and crosses boundaries to facilitate collaboration.Interface with, and cultivate relations with, professional and community partners.Understands one’s values, beliefs, and attitudes and how they affect interactions with others.Shared Decision-Making:Understands the structure and process of shared governance.Promotes and implements shared decision-making structures and processes.Personal and Professional Accountability:Actively participants in personal and professional growth and development.Practices and supports nursing standards and scopes of practice.Each employee is responsible for implementing SJRMC’s Service Standards into their daily work:                                                     Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions:Prolonged sittingFrequent InterruptionsExposure to weather when walking between the CFWE and the Main HospitalMay have to work professionally with uncooperative, angry applicants and employees while upholding the mission, visions and values of SJRMC

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.The Registered Nurse is a sincerely caring and compassionate professional and assumes accountability in utilizing the nursing process to provide dynamic patient management.Required Behaviors:As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.Required Qualifications:Current licensure by the State Board of Nursing of New Mexico or compact (multi-state) licenseBasic Life Support (BLS) CertificationMust meet the requirements for obtaining and maintaining life support certifications as outlined in the Life Support Certification policyDuties and Responsibilities:Provides individualized patient care and maintains clinical competency appropriate for the area of practiceUnderstands and follows policy and procedure in addition to meeting licensure requirementsResponsive to current safety and quality initiatives and sustains improvementBuilds productive interpersonal relationships in every encounterDemonstrates teamworkActively participates in the departmentEach employee is responsible for implementing SJRMC’s Service Standards into their daily work: Safety, Courtesy, Effectiveness, and StewardshipOther duties as assignedPhysical Demands and Environmental Work Conditions:Must be able to see with corrective eyewear and hear clearly with assistanceMust be able to walk, stand, bend, squat, climb, kneel, and twist frequentlyMust be able to lift greater than 50 pounds and push 0-300 pounds frequentlyPotential exposure to blood and bodily fluids and meets OSHA training requirementsSpecial Demands:Sets limits when dealing with angry, hostile, or sometimes verbally or physically abusive patients and families in an attempt to ensure a safe, respectful environment that will support the delivery of careEffectively copes and strives for balance when caring for acutely ill patients and families

Job DescriptionJOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital (s). A. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. C. Scope of Practice of the NP/PA:Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.Administers, orders, furnishes and prescribes medications.Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.Obtains informed consent, as indicated.Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse.Recognizes and considers age-specific needs of patients.Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.Facilitates the coordination of inpatient and outpatient care and services as needed.Facilitates collaboration between providers and coordination of community resources.Ensures compliance with legal, regulatory and clinical policies and procedures.Participates in quality improvement initiatives.Provides and coordinates patient teaching and counseling.Other duties as assigned.D. Supervision:Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be:Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time.Chart screens on random charts by the supervising physician or designee.Chart audits on random charts as an integral part of selected quality improvement programs.Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators.QualificationsMINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA):Bachelor's degree or above from an accredited college or university.Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.Nurse Practitioner (NP):Master's or doctoral degree in nursing from an accredited college or university.Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).Licensure/Certification: Physician Assistant (PA):Licensure as a Physician Assistant (PA) in the State of California.Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)Certification in Basic Life Support (BLS) from the American Heart Association (AHA)An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatientsAdditional board certification(s) may be required by certain services/departments.Nurse Practitioner (NP):Licensure as a Registered Nurse (RN) in the State of CaliforniaCertification as a Nurse Practitioner (NP) in the State of CaliforniaNational Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.License/Certification:Nurse Practitioner by California Board of Registered NursingRegistered Nurse by California Board of Registered NursingBasic Life Support by American Heart Association (AHA)Certified Pediatric Nurse Practitioner-Acute Care by Pediatric Nursing Certification BoardorNurse Practitioner by Board of Nursing Specialties by American Board of Nursing SpecialtiesCertification in Basic Life Support (BLS) from the American Heart Association (AHA).Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medicationsAn individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients .Additional board certification(s) may be required by certain specialties/departments.Physical Requirements and Working Conditions The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.Additional InformationPay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $91.55 to $113.44Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Job DescriptionJOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital (s). A. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. C. Scope of Practice of the NP/PA:Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.Administers, orders, furnishes and prescribes medications.Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.Obtains informed consent, as indicated.Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse.Recognizes and considers age-specific needs of patients.Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.Facilitates the coordination of inpatient and outpatient care and services as needed.Facilitates collaboration between providers and coordination of community resources.Ensures compliance with legal, regulatory and clinical policies and procedures.Participates in quality improvement initiatives.Provides and coordinates patient teaching and counseling.Other duties as assigned.D. Supervision:Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be:Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time.Chart screens on random charts by the supervising physician or designee.Chart audits on random charts as an integral part of selected quality improvement programs.Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators.QualificationsMINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA):Bachelor's degree or above from an accredited college or university.Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.Nurse Practitioner (NP):Master's or doctoral degree in nursing from an accredited college or university.Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).Licensure/Certification: Physician Assistant (PA):Licensure as a Physician Assistant (PA) in the State of California.Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)Certification in Basic Life Support (BLS) from the American Heart Association (AHA)An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatientsAdditional board certification(s) may be required by certain services/departments.Nurse Practitioner (NP):Licensure as a Registered Nurse (RN) in the State of CaliforniaCertification as a Nurse Practitioner (NP) in the State of CaliforniaNational Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.License/Certification:Nurse Practitioner by California Board of Registered NursingRegistered Nurse by California Board of Registered NursingBasic Life Support by American Heart Association (AHA)Certified Pediatric Nurse Practitioner-Acute Care by Pediatric Nursing Certification BoardorNurse Practitioner by Board of Nursing Specialties by American Board of Nursing SpecialtiesCertification in Basic Life Support (BLS) from the American Heart Association (AHA).Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medicationsAn individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients .Additional board certification(s) may be required by certain specialties/departments.Physical Requirements and Working Conditions The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.Additional InformationPay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $91.55 to $113.44Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Job DescriptionJOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital (s). A. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. C. Scope of Practice of the NP/PA:Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.Administers, orders, furnishes and prescribes medications.Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.Obtains informed consent, as indicated.Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse.Recognizes and considers age-specific needs of patients.Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.Facilitates the coordination of inpatient and outpatient care and services as needed.Facilitates collaboration between providers and coordination of community resources.Ensures compliance with legal, regulatory and clinical policies and procedures.Participates in quality improvement initiatives.Provides and coordinates patient teaching and counseling.Other duties as assigned.D. Supervision:Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be:Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time.Chart screens on random charts by the supervising physician or designee.Chart audits on random charts as an integral part of selected quality improvement programs.Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators.QualificationsMINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA):Bachelor's degree or above from an accredited college or university.Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.Nurse Practitioner (NP):Master's or doctoral degree in nursing from an accredited college or university.Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE).Licensure/Certification: Physician Assistant (PA):Licensure as a Physician Assistant (PA) in the State of California.Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)Certification in Basic Life Support (BLS) from the American Heart Association (AHA)An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatientsAdditional board certification(s) may be required by certain services/departments.Nurse Practitioner (NP):Licensure as a Registered Nurse (RN) in the State of CaliforniaCertification as a Nurse Practitioner (NP) in the State of CaliforniaNational Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.License/Certification:Nurse Practitioner by California Board of Registered NursingRegistered Nurse by California Board of Registered NursingBasic Life Support by American Heart Association (AHA)Certified Pediatric Nurse Practitioner-Acute Care by Pediatric Nursing Certification BoardorNurse Practitioner by Board of Nursing Specialties by American Board of Nursing SpecialtiesCertification in Basic Life Support (BLS) from the American Heart Association (AHA).Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medicationsAn individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients .Additional board certification(s) may be required by certain specialties/departments.Physical Requirements and Working Conditions The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.Additional InformationPay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $91.55 to $113.44Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Job DescriptionDepartment DescriptionInpatient Acute Care Pulmonary APP: Stanford Technology Assisted Respiratory (STAR) ProgramThe Advanced Practice Provider (APP) position is part of a collaborative team model of care consisting of Attending Physicians, Fellows, and a team of APPs made up NP's and PA's who provide care to patients with chronic pulmonary care needs, specifically tracheostomy patients requiring chronic mechanical ventilation. Common Diagnosis include: Pediatric patients admitted to the hospital with tracheostomies requiring chronic mechanical ventilation, known as "trach/vent" patients. These patients include those awaiting transition to home or a long-term care facility, admitted for other medical concerns not related to their chronic respiratory condition, or for an overnight stay after a procedure. In many facilities due to their chronic respiratory status these patients would require hospitalization within the ICU (PICU/NICU). Here at LPCH the technology dependent patients with tracheostomies on portable ventilators, who do not require an ICU level of care, are eligible for admission to this highly specialized program. Specific roles/ responsibilities include: The APP is an integral part of the provider team and active in the management and clinical decision making for all patients on the service. The APP role will be the backbone of the program, providing continuity of care among providers 7 days a week. The APP will cover patients within the STAR program and acute care pulmonology patients.The APP functions to full scope of practice including ordering and prescribing of medical interventions/devices and perform procedures in accordance with medical staff privileging. The APP works collaboratively with an Attending Physician/ Pulmonologist and supports fellow and resident education within this unique population. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal.Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors.Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital (s).A. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician.B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.C. Scope of Practice of the NP/PA:Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.Administers, orders, furnishes and prescribes medications.Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.Obtains informed consent, as indicated.Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse.Recognizes and considers age-specific needs of patients.Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.Facilitates the coordination of inpatient and outpatient care and services as needed.Facilitates collaboration between providers and coordination of community resources.Ensures compliance with legal, regulatory and clinical policies and procedures.Participates in quality improvement initiatives.Provides and coordinates patient teaching and counseling.Other duties as assigned.D. Supervision:Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be:Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time.Chart screens on random charts by the supervising physician or designee.Chart audits on random charts as an integral part of selected quality improvement programs.Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators.Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA):Bachelor's degree or above from an accredited college or university.Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.Nurse Practitioner (NP):Master's or doctoral degree in nursing from an accredited college or university.Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA):Licensure as a Physician Assistant (PA) in the State of California.Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)Certification in Basic Life Support (BLS) from the American Heart Association (AHA)An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments.Nurse Practitioner (NP):Licensure as a Registered Nurse (RN) in the State of CaliforniaCertification as a Nurse Practitioner (NP) in the State of CaliforniaNational Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.Certification in Basic Life Support (BLS) from the American Heart Association (AHA).Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients .Additional board certification(s) may be required by certain specialties/departments.Physical Requirements and Working Conditions The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.#LI-postAdditional InformationPay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $89.80 to $109.44Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Job DescriptionThis is a Fixed Term positionRole DescriptionCome work in a fast pace, innovative and dynamic unit! The Cardiovascular Intensive Care Unit (CVICU) provides state-of-the-art critical care to children with congenital and acquired heart disease. We also care for adults with congenital heart disease in the immediate post-operative period. Our facility is one of the largest and most technologically advanced units dedicated to the care of critically ill pediatric cardiac patients in the western United States. We care for more than 750 patients each year. Our CVICU is currently a 29-bed unit with plans to expand to 36 beds in the next few years. We are a post-surgical and cardiac medical unit. Our Pediatric Heart Transplant program is complemented by the Pediatric Advanced Cardiac Therapies (PACT) program. PACT provides artificial circulatory assist devices as alternatives to or bridges to transplant. These include ECMO, the Berlin Heart and Heart Mate. We are one of the most experienced teams nationally in the care of these complex patients.Our APP team is currently made up of 19 highly qualified NP's and PA's. We are a strong team that works well together to provide outstanding care to our patients and families. Together we have over 90 years of nursing and pediatric cardiac experience. Our interests range from research, VAD's, anatomy and physiology, neonates, chronically critically ill, adults with congenital heart disease, and OR. We are looking for team players that share our passion for pediatric cardiac intensive care who want to be a part of a fast paced, fun, challenging, growing unit.Specific unit responsibilities of the advanced practice provider include: Pre rounding, creating a plan of care to advance the patient in their recovery, presenting on rounds and implementing the agreed upon plan. Procedure opportunities include but are not limited to: intubation/extubation, line placement, chest tube insertion and removal, pacer wire removal.Advance Practice opportunities at the hospital wide level include: participation in the clinical ladder, APP grand rounds, APP Council, APP task forces etc.We require a Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE) and that you meet the License and Certification requirement. Pediatric cardiac and/or ICU experience highly preferred. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Advanced Practice Provider (APP) positions are part of a collaborative team consisting of Attending Physicians, Fellows, and a team of advanced practice providers both NPs and PAs. The APP team is highly respected, we are seen as the go to team for the attendings. We actively participate in the education of fellows and visiting residents. Responsibilities for this role include: receiving sign-out from overnight team. Pre-rounding on assigned patients, developing a plan of care for the day for that patient, present patients on rounds, write a daily note, you will be responsible for implementing the plan agreed upon on during rounds and responding to any issues raised by the nurses during the course of the day. The advanced practice provider is credentialed to perform the following procedures: intubation, central line placement, arterial line placement, chest tube insertion, PD drain placement, chest tube removal, pacing wire removal.Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors.Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the Service Standards of the Hospital (s).A. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician.B. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician.C. Scope of Practice of the NP/PA:Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures.Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients.Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient.Administers, orders, furnishes and prescribes medications.Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products.Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services.Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable.Obtains informed consent, as indicated.Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork.As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications.After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse.Recognizes and considers age-specific needs of patients.Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds.Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.Facilitates the coordination of inpatient and outpatient care and services as needed.Facilitates collaboration between providers and coordination of community resources.Ensures compliance with legal, regulatory and clinical policies and procedures.Participates in quality improvement initiatives.Provides and coordinates patient teaching and counseling.Other duties as assigned.D. Supervision:Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be:Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time.Chart screens on random charts by the supervising physician or designee.Chart audits on random charts as an integral part of selected quality improvement programs.Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators.The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators.Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Physician Assistant (PA):Bachelor's degree or above from an accredited college or university.Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc.Nurse Practitioner (NP):Master's or doctoral degree in nursing from an accredited college or university.Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA):Licensure as a Physician Assistant (PA) in the State of California.Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA)Certification in Basic Life Support (BLS) from the American Heart Association (AHA)An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments.Nurse Practitioner (NP):Licensure as a Registered Nurse (RN) in the State of CaliforniaCertification as a Nurse Practitioner (NP) in the State of CaliforniaNational Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS).Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification.Certification in Basic Life Support (BLS) from the American Heart Association (AHA).Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients .Additional board certification(s) may be required by certain specialties/departments.Additional InformationPay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $89.80 to $109.44Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

DescriptionSummary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.Documents patient history, symptoms, medication, and care given.Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.  Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS requiredRN License in state of employment or compact  Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department- specific competency validation.All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program’s tracking software.Completion of all annual competency verification requirements. Experience One year of experience in a related nursing specialty preferred. Licenses, Registrations, or Certifications Current ACLS certification requiredCurrent PALS certification requiredCurrent TNCC certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame.  Credential Grace Periods:  If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.  Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.  CredentialGrace Periods forExperienced AssociatesGrace Periods forNew Graduates & Experienced Associates New to the SpecialtyBasic Life Support (BLS)No grace period. AHA or Red Cross accepted at time of hire.No grace period. AHA or Red Cross accepted at time of hire.Advanced Cardiac Life Support (ACLS)Within 30 days of hire.Within 90 days of hire.Pediatric Life Support (PALS)Within 30 days of hire.Within 90 days of hire.Trauma Nurse Core Curriculum (TNCC)Within 60 days of hire.Within 18 months of hire.Trauma Care After Resuscitation (TCAR)Within 60 days of hire.Within 18 months of hire.Neonatal Resuscitation Program (NRP)Within 30 days of hire.Within 60 days of hire.AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)Within 30 days of hire.Within 60 days of hire.STABLE (Neonatal Education)Within 30 days of hire.Within 60 days of hire. Work Schedule: 7PM - 7AM Work Type: Per Diem As Needed

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:*** MUST HAVE OR EXPERIENCE Provides general nursing care to patients and families throughout the continuum of care in perioperative and operating room settings.The RN is accountable for the practice of nursing as defined by the Ohio Board of Nursing. The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act.According to department policies and nursing care standards, provides professional nursing care services to patients. Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients.Responsibilities And Duties:30% Assessment/DiagnosisPerforms initial, ongoing, and functional health status assessment as applicable to the population and or individual.30% Outcomes Identification/PlanningBased on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs.20% Implementation/EvaluationEvaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data.10% LeadershipActively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance.10% OperationsThe major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job.  Associate is expected to all perform other duties as requested by supervisor. Minimum Qualifications:Associate's Degree: NursingBLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:MINIMUM QUALIFICATIONS(BSN required at 5 years of employment)Current Registered Nurse license from the State of OhioBLS certificationWork Shift:DayScheduled Weekly Hours :32DepartmentROSCJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:This position ensures delivery of evidence-based practice by professional nursing personnel and other staff in designated areas of responsibility. The clinical nurse manager plans, organizes, directs and evaluates the unit's delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. The manager participates in integration of the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth in unit operations.Responsibilities And Duties:50% Patient Care:1. Assists the Manager in accountability for ongoing delivery of patient care in area(s) of responsibility; assures application of the nursing process by Registered Nurses in the clinical setting (assessment, planning, implementation and evaluation); assures documentation of patient care in the medical record.  Addresses concerns and resolves problems.  Uses data from various sources to initiate continuous quality improvement within the department/unit.  Coordinates nursing care in collaboration with other healthcare disciplines and assists in integrating services across the continuum of health care.  Ensures nursing practice in a safe environment.  Participates in process improvement activities and root cause analysis investigations.  Assists the Manager with fiscal responsibility at the unit level. 2. Assists Manager with planning, assessing, implementing and evaluating patient care as appropriate to department/unit.3. Assists Manager with planning, reviewing and coordinating staffing time schedules and allocating staff as appropriate for volume and patient care needs.  Assists Manager in daily staffing plans.4. Assists Manager to coordinate nursing care with other health care disciplines across the continuum of health care.25% Operations and Personnel Management:1. Maintains daily unit operations including the status of staffing, patient visits and/or admissions, discharges and transfers, serving as a resource to department/unit staff to guide patient care delivery.2. Participates in recruitment, selection, retention and evaluation of personnel.  Participates in staff performance via written performance appraisals and disciplinary procedures.  Ensures appropriate orientation, training, competence, continuing education, and professional growth and development of personnel.  Maintains staff records.3. Assists manager in planning and contributing to fiscal management of unit by utilizing human and material resources and supplies in an efficient, cost effective manner.  Assists Manager in development and implementation of services.15% Professional Development and Leadership:1. Practices as colleague with medical staff, other members of the interdisciplinary team, and other disciplines to initiate and support collaborative and cooperative clinical management practices.  Actively participates in interdepartmental relationship building.2. Contributes to development of self and staff through orientation and continuing education.  Participates in identification of learning needs of staff.3. Participates in collection, analysis and use of data for quality and process improvement activities at the unit level.4. Provides leadership and clinical management through clinical practice, supervision, delegation, and teaching as delegated by Manager and/or Director.5. Facilitates staff attendance at meetings and educational programs; supports staff with shared decision making activities.  Ensures registered nurse participation in decision making at the unit level.  Participates on Shared Governance Councils as a voting member.6. Actively participates in hospital committees and decision making.7. Continues professional self-development and education.  Maintains professional competencies by attending educational and leadership programs, participation and leadership in professional organizations.  Seeks appropriate professional certification.8. Recognizes and assists manager in assessing impact and plan strategies to address diversity, cultural competency, ethics and the changing needs of society.  Ensures delivery of culturally competent care and healthy, safe working environment.9. Serves as patient safety coach.10% Research and Evidence-Based Practice:Supports evidence-based practice by participation and encouraging staff involvement in nursing evaluative research activities at the department level.The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job.  Associate is expected to all perform other duties as requested by supervisor.Minimum Qualifications:Bachelor's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:May require advance training in specialty areas.  Specialized knowledge in nursing process and clinical skills.  Demonstrated skills in interpersonal relationships, verbal and written communication and nursing practice standards.  Skills in computer applications as appropriate to area(s) of responsibility.2-3 years nursing experience in related or like areas of responsibility.  Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, department committee leadership or facilitation of meetings.Work Shift:VariableScheduled Weekly Hours :40DepartmentSurgery MainJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:This position ensures delivery of evidence-based practice by professional nursing personnel and other staff in designated areas of responsibility. The clinical nurse manager plans, organizes, directs and evaluates the unit's delivery of evidence-based patient care in a cost-effective manner, providing leadership and clinical management to members of the health care team. The manager participates in integration of the Nursing Philosophy along with the mission, vision, values, goals and objectives of OhioHealth in unit operations.Responsibilities And Duties:50% Patient Care:1. Assists the Manager in accountability for ongoing delivery of patient care in area(s) of responsibility; assures application of the nursing process by Registered Nurses in the clinical setting (assessment, planning, implementation and evaluation); assures documentation of patient care in the medical record.  Addresses concerns and resolves problems.  Uses data from various sources to initiate continuous quality improvement within the department/unit.  Coordinates nursing care in collaboration with other healthcare disciplines and assists in integrating services across the continuum of health care.  Ensures nursing practice in a safe environment.  Participates in process improvement activities and root cause analysis investigations.  Assists the Manager with fiscal responsibility at the unit level. 2. Assists Manager with planning, assessing, implementing and evaluating patient care as appropriate to department/unit.3. Assists Manager with planning, reviewing and coordinating staffing time schedules and allocating staff as appropriate for volume and patient care needs.  Assists Manager in daily staffing plans.4. Assists Manager to coordinate nursing care with other health care disciplines across the continuum of health care.25% Operations and Personnel Management:1. Maintains daily unit operations including the status of staffing, patient visits and/or admissions, discharges and transfers, serving as a resource to department/unit staff to guide patient care delivery.2. Participates in recruitment, selection, retention and evaluation of personnel.  Participates in staff performance via written performance appraisals and disciplinary procedures.  Ensures appropriate orientation, training, competence, continuing education, and professional growth and development of personnel.  Maintains staff records.3. Assists manager in planning and contributing to fiscal management of unit by utilizing human and material resources and supplies in an efficient, cost effective manner.  Assists Manager in development and implementation of services.15% Professional Development and Leadership:1. Practices as colleague with medical staff, other members of the interdisciplinary team, and other disciplines to initiate and support collaborative and cooperative clinical management practices.  Actively participates in interdepartmental relationship building.2. Contributes to development of self and staff through orientation and continuing education.  Participates in identification of learning needs of staff.3. Participates in collection, analysis and use of data for quality and process improvement activities at the unit level.4. Provides leadership and clinical management through clinical practice, supervision, delegation, and teaching as delegated by Manager and/or Director.5. Facilitates staff attendance at meetings and educational programs; supports staff with shared decision making activities.  Ensures registered nurse participation in decision making at the unit level.  Participates on Shared Governance Councils as a voting member.6. Actively participates in hospital committees and decision making.7. Continues professional self-development and education.  Maintains professional competencies by attending educational and leadership programs, participation and leadership in professional organizations.  Seeks appropriate professional certification.8. Recognizes and assists manager in assessing impact and plan strategies to address diversity, cultural competency, ethics and the changing needs of society.  Ensures delivery of culturally competent care and healthy, safe working environment.9. Serves as patient safety coach.10% Research and Evidence-Based Practice:Supports evidence-based practice by participation and encouraging staff involvement in nursing evaluative research activities at the department level.The major duties/ responsibilities and essential functions listed above are not intended to be all-inclusive of the duties, responsibilities and essential functions to be performed by associates in this job.  Associate is expected to all perform other duties as requested by supervisor.Minimum Qualifications:Bachelor's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:May require advance training in specialty areas.  Specialized knowledge in nursing process and clinical skills.  Demonstrated skills in interpersonal relationships, verbal and written communication and nursing practice standards.  Skills in computer applications as appropriate to area(s) of responsibility.2-3 years nursing experience in related or like areas of responsibility.  Previous leadership experience such as precepting, charge role, clinical lead role, mentoring, department committee leadership or facilitation of meetings.Work Shift:VariableScheduled Weekly Hours :40DepartmentSurgery MainJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment 

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.Job Description Summary:Provides general nursing care to patients and families throughout the continuum of care in diverse, acute health care settings. (Department has scheduled staff to operate 24/7/365).The RN accountable for the practice of nursing as defined by the Ohio Board of Nursing.                                      The RN delegates nursing tasks to licensed practical nurses (LPNs) and unlicensed assistive personnel (UAPs) using the criteria written in the Ohio Nurse Practice Act.According to department policies and nursing care standards, provides professional nursing care services to patients.Responsible for assessing, planning, implementing, and evaluating nursing care provided to assigned patients.Responsibilities And Duties:Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%).Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%).Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%).Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%).Operations (10%).Minimum Qualifications:Associate's Degree (Required)BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of NursingAdditional Job Description:RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0Work Shift:NightScheduled Weekly Hours :36DepartmentEmergency DepartmentJoin us!... if your passion is to work in a caring environment... if you believe that learning is a life-long process... if you strive for excellence and want to be among the best in the healthcare industryEqual Employment OpportunityOhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment