Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience. Recent Med/Surg experience in an acute care setting OR one (1) year RN experience in a skilled nursing facility.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life Support required at hireNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Two (2) years recent Med/Surg experience in an acute care setting.Demonstrated clinical judgment with inpatient orthopedic patients.Med/Surg Certification.

Description: Job Summary: Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients with routine and complex transition planning needs by independently assessing needs, developing, and implementing plans of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians and other health care team members for discharge and transitional care, coordination of internal and community resources, and support the evaluation and improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs. Essential Responsibilities: Coordinates post-discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting.Independently and proactively completes and documents patient assessments which are thorough, timely, age appropriate, and reflect psychosocial support systems, care needs, health plan benefits, level of care determinations for hospitalized patients.Coordinates and communicates with patients, families, and the health care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients.Facilitates resolution of issues which present barriers to safe transfers through the use of patient/team care conferences to assure the efficient transition to a lower level of care and to assure the patient/family receives the right care at the right time so that quality and utilization of resources are simultaneously enhanced.Ensures systematic and ongoing contact with interdisciplinary staff and continuing care services to assure the safe transition of patients across care settings.In collaboration with the interdisciplinary health care team, ensures regulatory and compliance standards are met.Perform duties as requested. Basic Qualifications:ExperienceMinimum of two years combined RN experience in the following areas:Med/Surg (hospital acute care)ICU (hospital acute care)Emergency DepartmentHome HealthSkilled Nursing FacilitiesHospiceLong Term Acute CareInpatient RehabUtilization ManagementEducationSuccessful completion of an RN program by date of hire.High School Diploma or General Education Development (GED) required.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hireRegistered Nurse License (Oregon) within 6 months of hireBasic Life Support within 3 months of hireAdditional Requirements:Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in interdisciplinary approach.Demonstrated ability to work as part of a team and work as a constant patient advocate.Basic physical, psychosocial, functional assessment skills.Familiar with care process related to discharge and transitional facilities and services.Thorough knowledge of principles of teaching and delegation, assessment skills and care planning, and appropriateutilization of acute hospital, long-term care, and home care resources.Able to develop concise and thorough documentation of patient clinical assessment and care needs.Highly effective problem solving, written and verbal communication, customer service, organizational and timemanagement skills.Ability to effectively provide culturally competent care.Ability to navigate conflict in high pressure situations.Ability to use fixed and mobile technological devices.Preferred Qualifications:Knowledge of appropriate utilization of acute hospital and Kaiser Permanente internal resources.Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, homehealth, hospice, and Durable Medical Equipment (DME).Knowledge of utilization management principles and tools.Demonstrated clinical judgment and customer-focused service skills.Knowledge of principles of patient teaching, disease prevention measures, and physical assessment as it relates to theneeds of patient and the next level of care.Certified in Case Management.BSN or bachelors degree and MSN.Notes:Sun-Sat (Variable includes weekends and holidays)

Description: Job Summary: Reporting to the Chief Nurse Executive (CNE), this role provides leadership for inpatient services and is responsible for all nursing and other designated patient care functions/services within the hospital organization. The ACNE works under the direction of the CNE to provide direction, leadership, planning, organization and general management for all aspects of patient care ensuring integration of services and compliance with long range objectives and strategies, including the provision of excellent quality services and responsible fiscal management. This role may need to represent the CNE nursing/patient care on the hospital executive leadership team, at the medical executive committee and medical staff committees. The CNE may delegate specific areas of oversight for the professional practice of nursing and the provision of nursing care in all licensed or surveyable areas of the medical facility. Oversight is defined as having responsibility for regulatory, quality, service, resources, nursing staff competency and evaluation of the overall delivery of nursing care. Sets standards and drives operational integration of programs by ensuring alignment of communication to nursing. Ensures that programs and initiatives dovetail with Health System goals and key result areas: workplace of choice, quality, productivity and efficiency, financial performance, service and reputation, and innovation and strategic growth. Essential Responsibilities: Communication and Relationship Management: Develops effective working relationships with key stakeholders and operational leaders.Manages organizational relationships in a way that builds and maintains a climate of trust and inspires commitment from others to achieve organization goals.Influences and recommends system level changes for the advancement of patient care, with interdisciplinary colleagues and the CNO.Works collaboratively with labor partners to achieve organization goals and objectives.Participates, as delegated, in defined and established leadership meetings locally and regionally and establishes partnerships with medical facility and regional leadership groups. Participates in medical staff activities and serves on selected medical facility committees.Maintains strong collaborative relationship with medical staff leadership and coordinates with medical group partners to provide for the seamless transition of patients across the continuum of care. Senior level communication, presentation, leadership, analytical and problem-solving skills required. Effectively communicates with all internal and external constituents, including staff, colleagues, and physicians. Produces and presents oral and written materials to address nursing, healthcare and organizational issues appropriate to the audience.Appropriately identify and promptly communicate critical issues and activities to the CNO and to lead the development and implementation of a corresponding plan of action to resolve the situation.Communicates effectively as one of the hospitals advocates to members of the community, continually seeking ways to improve and promote the public relations objective of the hospital.Actively communicates and embeds the Kaiser Permanente Nursing Vision, Values and Model within the culture in alignment with organizational goals.Creates an environment which recognizes and values diversity and designs strategies that address the unique needs of a diverse workforce, patient population, and community.Participates in the academic community through advisory and collaborative efforts.Provides a supportive and stimulating learning environment for nursing students and other patient care students.Addresses and manages conflict in a constructive and productive manner.Assesses the current environment and establishes indicators of progress toward cultural competency.Provides an environment that engages staff and others in decision-making.Business Skills & Principles: In conjunction with medical facility leadership groups, determines the most cost-effective and efficient levels of patient care clinically and operationally; implements such locally.Participates, as delegated, in hospital strategic planning process and collaborates with facility management team and the medical staff to develop the overall financial plan for the medical facility.Accountable for the efficient delivery of all patient care services for KP members.Participates in the development, implementation, utilization and evaluation of cost-effective, medical facility programs, policies and procedures that address the high-quality nursing care, treatment and service needs of the patient population.Manages patient care processes to ensure optimal utilization management practices.Assures short and long-range financial goals are met by establishing and controlling the budgets. Monitors and assesses trends, external environment and internal practices; makes recommendations to develop/adjust strategy to meet the changing business and market conditions.Accountable, as directed by CNO, for the preparation and review of department operating and capital budgets based upon criteria supported by volume and expense projections, cost benefit analysis, operating processes and other relevant information.Monitors departmental expenses by reviewing variance reports and taking action for adjustments and improvements as needed to ensure optimal productivity standards are met.Demonstrates ability to access information and analyze data to make decisions in planning for patient care.Coordinates activities between departments to reduce duplication, increase efficiency and achieve higher levels of service.Develops and implements quality and utilization standards for patient care services to ensure coordinated plans of treatment, delivery of services that meet members needs, and the cost-effective utilization of necessary services. Utilizes and maximizes effective systems for resource management in nursing, including patient acuity and staffing applications.Achieves optimal patient care experience through focused customer service strategies.Participates in developing and implementing recruitment and retention strategies to ensure a sufficient and stable workforce of qualified staff members are available to meet the needs of the patients.Develops a succession plan for nursing leadership for which ACNO is accountable.Recognizes the need for change; adapts to, and motivates others to adapt to values, strategies, goals and plans in response to changing business conditions.Demonstrates basic competency in technology applications related to business and clinical functions.Optimize computerized electronic medical record system and utilize relevant data to improve patient care outcomes.Ensures compliance with legal and ethical issues related to client data, information, and confidentiality.Professionalism: Provides vision and leadership for nursing professional practice modelCreates an environment wherein others are setting expectations and holding each other accountable and in which professional growth is an expectation.Maintains personal development plan and measure progress according to that plan.Maintains personal and professional accountability.Integrates high ethical standards and core values into everyday work activities.Contributes to the profession of nursing through professional organizations, publication, and other professional endeavors, including maintaining a professional network of colleagues.Leadership: Assures that the clinical perspective is included in organizational decisions.Guides the operational implementation of quality improvement initiatives using innovation and evidence-based practice. Generates and encourages innovation and creative solutions to issues or problems. Is able and willing to solve problems from various points of view and make difficult decisions.Achieves quality outcomes by utilizing problem identification, process improvement, root cause analysis, and reducing variation to sustain improvements.Implements the organizations performance improvement program, including planning, setting priorities, conducting systematic performance assessments, implementing improvements based on such assessments, and maintaining achieved improvements.Ensures a professional development program which addresses the needs of clinical and management staff. Provides for employee development and educational programs to meet needs of patient care staff. Creates a structure to ensure a learning environment that fosters growth and development of self and others.Coaches and mentors aspiring nurse leaders: Develops a strong management team by setting high standards of behavior, performance, quality, patient care experience, and integrity.May need to serve as Administrator or Nursing Leader -On-Call on a regular rotating basis.Performs annual employee performance evaluations of direct reports and, through subordinates, ensures that all departmental employees receive annual written performance evaluations.Ensures a safe work environment that is based on a zero tolerance for sexual harassment, workplace violence, and verbal and physical abuse.Supports the development and implementation of an organization-wide patient and workplace safety program.Creates a healthy work environment that promotes employee satisfaction.Builds trust with the nursing team through visibility.Serves as change agent when patient care work/workflow is redesigned. Provides and assists in direction to all patient care services within the hospital license in order to integrate services and provide uniform standards of care.Knowledge of Health Care Environment: Understands, articulates, and ensures compliance with patient care standards reflected in federal and state regulation, The Joint Commission, California Nurse Practice Act, and organizational policies and procedures.Demonstrates a clear understanding of accreditation and regulatory requirements applicable to patient care and/or other department functions.Understands the impact of legislation at the state and federal level on nursing and the organization.Maintains knowledge of current nursing practice, roles and functions within nursing and other healthcare disciplines.Ensures that nursing practice and clinical policies and procedures are reviewed and updated and are consistent with current standards and evidence-based practice.Encourage staff participation in clinical studies that provide outcome measurements.Supports a just culture environment and a system for reporting unsafe practices.Ensures that the care delivery model, clinical environment of care and related technology is appropriate to the needs of caregivers and patients.Identifies, mitigates and takes action to correct areas of risk/liability in patient care.Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees. Basic Qualifications:ExperienceMinimum six (5) years of progressive experience in clinical, management and leadership roles within hospital operations required.Minimum eight (8) years of nursing experience required.EducationBachelors degree in nursing required.Masters degree in nursing or related field (Health Administration, Business, Public Health, or Management) required.License, Certification, RegistrationRegistered Nurse License (Oregon) required at hireAdditional Requirements:Knowledge of computer applications: word processing, multimedia, spreadsheets.Leadership: training, giving and receiving instructions.Oral Communications.Analytical problem solving.Project management.Quality management.Systems thinking.Written communication.Preferred Qualifications:Two (2) years of nursing director experience preferredMagnet/shared governance experience preferredManaging in a collective bargaining environment preferredDNP/PhD preferredAdvanced degree in nursing, health care administration, or business.

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceN/AEducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hirePractical Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.Notes:Float between SYB, INT and ORC. Shifts may vary from 9 to 4.5 hours (AM or PM) based on clinic needs.

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceN/AEducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire Practical Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceN/AEducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hirePractical Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.Notes:Uncoded float LPN position for Interstate South Orthopedics, Interstate South procedural pain, and Central Interstate Hepatology.

Description: Job Summary: To ensure coordination of care and services provided to all patients receiving services in the Home Infusion Program. Key functions are to develop a coordinated admission plan of care for patients referred; facilitate coordination of disciplines and services; use problem-solving and critical thinking skills to facilitate, coordinate, and execute effective, timely responses to clinical problems as they arise for patients; and facilitate transitions across the continuum of healthcare settings for all patients in the Home Infusion Program. The Home Infusion Team Leader, under the direction and in partnership with the Home Infusion Manager and Home Infusion Supervisor provides clinical leadership for the home infusion team to enhance the delivery of timely high quality and cost-effective care which meets all regulatory, accreditation, licensure and certification requirements. Essential Responsibilities: Referral and Admissions to Home Infusion:Receives and evaluates appropriateness of the home infusion referral in collaboration with other team members (care team members, pharmacists, pharmacy technicians, supervisor, scheduler, discharge coordinators, long-term care team, expanded care, physicians, clinic social workers, and others as needed).Ensures timely admission based on assessment. Assess clinical implications of services ordered, patient/caregiver ability to manage self-care, requirements for clinical monitoring, vascular access, patient stability, patient behavior that could impact a safe plan of care, and other factors that could impact safety and efficacy of admission care plan.Coordinate appropriate services and interventions by obtaining appropriate initial physician orders (e.g. vascular access, wound care; wound VAC, medications, etc.). Participate in the development and coordination of a comprehensive admission plan of care that incorporates an understanding of patient-specific benefits and eligibility requirements in collaboration with care team, outpatient resources, referring physician and when appropriate, the infusion program medical director.Assure that appropriate supplies and equipment needed to provide initial services are available (e.g. IV supplies, wound supplies, wound VAC, DME, enteral pumps, glucometers, medications, etc.) to meet patient needs.Make recommendations to modify the plan of care to expedite a safe transition of care, reduce risks, and enhance patient outcomes.Conferences with interdisciplinary home infusion team to identify and communicate start of service to patient/caregiver based on physician orders and patient care needs. Discusses and collaborates with referral source, home care team members, physician, discharge coordinator, supervisor and in some cases the infusion program medical director regarding complex discharges, unsafe discharge plans, and inappropriate referrals.Assists in identifying and coordinating alternative options to current care needs, which may include on-site or telephone conference with healthcare team members and patient/family/caregivers. Advocate for the patient and family, as well as the healthcare system to optimize utilization of resources.This includes acting on behalf of the member to ensure they are informed of their financial obligations and understand their appeal rights. Coordinates referrals out to contract and non-contract providers for members that require home care services that cannot be provided by agency staff within the Portland/Vancouver service area.Develop and maintain expert level of knowledge and skills related to agency policy, state practice acts, applicable state and federal regulations, utilization management, and qualifications for home care services.The Home Infusion Team Leader will assist in the supervision of home infusion nursing personnel by: Oversite of day-to-day staffing and patient schedules.Assists with monitoring of staff performance, provides input into staff evaluations and documentation of performance problems to Home Infusion Supervisor and Home Infusion Manager. Leads daily Am board meeting with Home Infusion Pharmacy staff.Assists with interviewing process of applicants and provide hiring recommendations to Home Infusion Supervisor and Home Infusion Manager.Leads case conference/team meetings.Optimizes the patients home care plan by providing:Telephone Advice/Problem-solving for patients/caregivers.Follow up to afterhours advice calls.Resource, support, and advice for home care staff. Physician communication and support.Facilitates scheduling of follow up visits and procedures related to advice calls. Oversees the day-to-day staffing and patient schedules and problem-solves staffing challenges to meet patient needs, within staffing rules.Supply and DME ordering.Assistance with paneling patients with physicians. Facilitates Care Conferences (Case Conferences, IDT, Complex Discharges, etc).Coordinates care with Home Phlebotomy.Conducts Medication Reconciliation for Therapy only cases. Reviews and approves Home Health Aide Care Plans for Therapy only cases.Coordinate, expedite, and track referrals and transitions across care settings (e.g. home phlebotomy referrals, wound program referrals, transfers to inpatient, transfers to ICF/SNF, respites, and across home care programs).Acts as Kaiser Permanente ambassador to provide member information to care facilities (SNF/ICF, assisted living, adult foster care home, and residential care facilities) and problem-solve/facilitate any issues which present barriers to safe transfers and the provision of quality care (e.g. Special equipment needs, symptom/behavior management, financial assessment and plan, clinical instability, and complex care needs.Provide education and program development functions:Ensures systematic and on-going contact with hospital staff and other Kaiser Permanente Departments (e.g. LTC, Expanded Care, DME, Hospital Care Coordinators, Clinic Social Workers, Clinic Case Managers, Pharmacy, Home Health and Hospice Program, Membership Services, etc) to share information and ensure safe transitions of care.Provides education to staff to expedite safe transitions of patients across care settings.Participates in orientation of staff to the department. Ensure appropriate and timely care to patients through collaboration with inpatient staff, CCS home care staff, and outside resource staff.Makes home visits with Home Infusion Nurses to assure employees providing home infusion care have knowledge and skills required to provide age-appropriate care to patients and families through education, training or experience. Provides mentoring and coaching, and input into staff evaluations and documentation of performance problems to Clinical Supervisor. Participates in professional committees and task forces as needed/requested.Ensure regulatory and compliance standards are met in collaboration with others in the inter-disciplinary health care team. Participates in quality and utilization management activities (e.g. Chart audits). Participates in continuing education to incorporate and maintain up to date knowledge and best practices in home infusion and home health.Provides expert practice consultation for the home infusion team, CCS outpatient and skilled nursing facility staff.Assures professional competency through maintaining state of the art skills and knowledge consistent with Medicare and JCAHO regulations, applicable nurse practice acts and agency policies.Conducts patient home visits as required to assist the program in meeting patient needs.Participate in program call duty as needed. Performs other duties as assigned. Basic Qualifications:ExperienceMinimum two (2) year of medical-surgical nursing experience in an acute care setting.Minimum two (2) years of experience within the past five (5) years as a home infusion nurse or home infusion referral nurse.Minimum one (1) year of leadership experience or commensurate experience.EducationBaccalaureate degree in nursing or commensurate knowledge and experience.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hireRegistered Nurse License (Oregon) within 6 months of hireDrivers License (in location where applicable)Basic Life SupportAdditional Requirements:Demonstrated ability to collaborate with physicians, ancillary providers, nurses, and patients to plan for transition of care to and from the home setting.Triage/phone experience.Able to perform complete physical, psychosocial, spiritual assessments.Able to operate stethoscope and sphygmomanometer.Keyboarding or typing skills.Able to operate a computer to perform clinical documentation.Highly effective problem-solving, written and verbal communication, organizational, and time management skills.Knowledge of Medicare, The Joint Commission, and State requirements and regulations for home care programs.Knowledge of Kaiser Permanente systems.Note: This position requires completion of a typing test.Note: This position requires a reliable automobile to travel to and from patient homes.Preferred Qualifications:Minimum four (4) years of experience as a registered nurse in the acute care preferably medical/surgical and/or critical care nursing and at least one (1) year working in a Kaiser Permanente Home Care Program (Home Infusion, Home Health, Hospice, or Palliative Care).Experience with care coordination or case management.CRNI certification.OASIS-C CertificationHome health nursing.Pediatric and well child nursing.Oncology and hospice nursing.IV therapy nursing.Rehabilitation nursing.Pediatrics, including well childcare.Oncology/hospice.Rehabilitation nursing.Hospice care and the dying process.Utilization management, discharge planning, care coordination, and case management.Demonstrated customer-focused service skills.Familiarity with the use of computers and competence in keyboarding skills.Medicare regulations.Peripheral and central line IV management.Notes:Variable shifts/days/weekends/holidays

Description: Job Summary: Participates with the Health Care Team in delivering quality health care to patients in a manner which reflects Kaiser Permanentes mission, vision, and values while supporting the Labor Management Partnership (LMP) principles and practice. Participates in creating a high-performance culture based on a joint decision making process. Provides support and assistance to the patient and Health Care team to promote population-based care, continuity of care, customer satisfaction, and self-care. Demonstrates strong interpersonal and communication skills with a caring, courteous, flexible, supportive, respectful, open minded, appreciative attitude that is committed to a team environment. The RN is responsible for assessing, planning, directing, providing and evaluating the nursing care for patients during the inter-operative phase and coordinating care activities with other ASC professionals.Essential Responsibilities: Representative Functions or Duties: Professional Practice Standards of Performance. Complies with shift, unit and organizational policies and procedures including reliability and attendance standards. Monitors and takes corrective action to prevent recurring absences. Returns promptly from breaks and schedules them to provide adequate coverage. Restricts personal business to non-patient care areas during break times. Complies with Kaisers Time Keeping Policy to accurately reflect productive time worked. Takes responsibility to keep informed of organizational policies and current information as provided by employer. Complies with contractual responsibilities related to work schedule. Participates in clinic and nursing Quality Assurance Programs. Maintains current knowledge and skill base with personal commitment to continuous learning and professional development. Utilizes professional communication techniques. Maintains confidentiality of all patient and organizational records. (HIPPA Standards). Promotes collaboration and professional interaction with the health care team. Promotes professional conduct, knows and complies with department Standards of Behavior. (group norms). Attends and constructively participates in staff meetings. Demonstrates awareness of new information posted in the communication notebook.Planning Standard of Performance: Utilizes assessment data when instituting plan of care. Nursing Plan of Care is sensitive to the developmental needs of the patient. Utilizes knowledge of type of procedure to plan for appropriate set up. Obtains and demonstrates the skills and knowledge needed to provide age-appropriate care to patients and families through education, training, and experience.Implementation Standard of Performance: Applies principles of correct body alignment in positioning and transferring patient. Organizes nursing activities in an efficient manner in both circulating and scrub role. Records and documents relevant information according to policy and procedure.Evaluation Standard of Performance: Demonstrates an ability to evaluate and document patient outcomes. Participates in unit quality assurance activities on a monthly basis.Safety Management Standard of Performance: Maintains safety in use of all equipment according to manufacturers instructions and policy and procedures. Complies with all Kaiser and unit specific policies and procedures. Basic Qualifications:ExperienceMinimum two (2) years of RN experience in acute care or ambulatory care/clinic setting within the last five (5) years.2 years of experience circulating in inpatient or ambulatory surgery setting within the past 5 years.EducationGraduate of accredited school of nursing.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportAdditional Requirements:N/APreferred Qualifications:Specialty experience within the last three (3) years.3-5 years of O.R. circulating and scrubbing experience.CNORACLSPre-op area skills.IV start skills.2 years of experience circulating in inpatient or ambulatory surgery setting within the past 3 years.

Description: Job Summary: Participates with the Health Care Team in delivering quality health care to patients in a manner which reflects Kaiser Permanente's mission, vision, and values while supporting the Labor Management Partnership (LMP) principles and practice. Participates in creating a high-performance culture based on a joint decision-making process. Provides support and assistance to the patient and Health Care team to promote population-based care, continuity of care, customer satisfaction, and self-care. Demonstrates strong interpersonal and communication skills with a caring, courteous, flexible, supportive, respectful, open minded, appreciative attitude that is committed to a team environment. The RN is responsible for assessing, planning, directing, providing and evaluating the nursing care for patients during the inter-operative phase and coordinating care activities with other ASC professionals. Essential Responsibilities: Representative Functions or Duties:Professional Practice Standards of Performance.Complies with shift, unit and organizational policies and procedures including reliability and attendance standards.Monitors and takes corrective action to prevent recurring absences.Returns promptly from breaks and schedules them to provide adequate coverage. Restricts personal business to non-patient care areas during break times.Complies with Kaisers Time Keeping Policy to accurately reflect productive time worked. Takes responsibility to keep informed of organizational policies and current information as provided by employer.Complies with contractual responsibilities related to work schedule.Participates in clinic and nursing Quality Assurance Programs. Maintains current knowledge and skill base with personal commitment to continuous learning and professional development.Utilizes professional communication techniques.Maintains confidentiality of all patient and organizational records. (HIPPA Standards). Promotes collaboration and professional interaction with the health care team.Promotes professional conduct, knows and complies with department Standards of Behavior. (group norms). Attends and constructively participates in staff meetings. Demonstrates awareness of new information posted in the communication.Planning Standard of Performance: Utilizes assessment data when instituting plan of care.Nursing Plan of Care is sensitive to the developmental needs of the patient.Utilizes knowledge of type of procedure to plan for appropriate set up.Obtains and demonstrates the skills and knowledge needed to provide age-appropriate care to patients and families through education, training, and experience.Implementation Standard of Performance:Applies principles of correct body alignment in positioning and transferring patient.Organizes nursing activities in an efficient manner in both circulating and scrub role.Records and documents relevant information according to policy and procedure.Evaluation Standard of Performance:Demonstrates an ability to evaluate and document patient outcomes.Participates in unit quality assurance activities on a monthly basis.Safety Management Standard of Performance:Maintains safety in use of all equipment according to manufacturer's instructions and policy and procedures.Complies with all Kaiser and unit specific policies and procedures. Basic Qualifications:ExperienceMinimum two (2) years of experience specific to hiring department.EducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hireRegistered Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:N/APreferred Qualifications:Specialty experience within the last three (3) years.

Description: Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanente's organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks:These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards.They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician.Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention.Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians' exam during rooming-in process.Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure.Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc.Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN.Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.CBHW LPNs will support blood draws (phlebotomy).Clinical Procedures:Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control.Examples of categories of clinical tasks are:Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc.Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc.Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc.Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g.PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens' collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound.Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment.Other procedures outlined in the core skills checklist as attached.Practice Management Activities:These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks.Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions.Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities:Performs appropriate daily activities to start workflow in work area per team agreements and procedures.Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively.Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers.Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice.Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceMinimum two (2) years of experience with providing culturally responsive care to Black patients. Culturally responsive care incorporates an awareness of potential barriers to accessing services and care that may result in poor health outcomes.Minimum two (2) years of experience addressing racial health disparities and improving health outcomes of Black patients. Implementing care delivery and social support models aimed at achieving health equity for the Black community.Minimum two (2) years of experience implementing or providing direct services/support through or in partnership with organizations that serve the Black community.EducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hirePractical Nurse License (Oregon) within 6 months of hireBasic Life Support required at hire from American Heart AssociationAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Minimum two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.

Description: Job Summary: Provide high quality health care to Kaiser Permanente members in a cost effect manner and in accordance with accepted professional practice standards. This Clinician floats to all service areas in the NW Region, works in adult Primary Care covering for other Clinician panels and/or for short term (three months or less) needs in the MOB. Essential Responsibilities: Provide high-quality health care through direct assessment, diagnosis, and formulation/implementation of treatment plan for patients with common acute and chronic illnesses and injuries (may include performing histories and physicals; ordering, interpreting, and following up on diagnostic studies; ordering medications).Perform health maintenance services, including patient education, for well members. Refer patients for specialty consultations or difficult problems. Document in writing all care in patients permanent medical record in accordance with accepted medical/legal standards.Provide all medical care in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician), and State licensing guidelines for Oregon & Washington.Coordinate, develop or organize patient or department services or programs.Examples include but are not limited to: Assist in developing NP/PA Float protocols. Develop written patient education materials. Provide in-service training. Chair or participate on committees such as Breastfeeding Task Force, Regional Controlled substance Abuse Committee, etc.Participate in NP/PA Meeting.Perform other duties as requested. Basic Qualifications:ExperienceN/AEducationGraduate of ANA-approved NP or AMA-approved PA or Child Health Associate training program (both provide master's or equivalent degrees) or equivalent requirements to meet State licensure.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Oregon) within 6 months of hire AND Nurse Practitioner National Certificate AND Registered Nurse License (Washington) within 6 months of hire AND Advanced Registered Nurse Practitioner License (Washington) within 6 months of hire AND Nurse Practitioner License (Oregon) within 6 months of hire ORPhysician Assistant License (Oregon) within 6 months of hire AND Physician Assistant National Certificate AND Physician Assistant License (Washington) within 6 months of hireDrug Enforcement Administration RegistrationNational Provider Identifier required at hireAdditional Requirements:Ability to assess, diagnose and effectively treat common medical diseases and injuries.Ability to use appropriate procedural/testing equipment, to see large volume of patients, and to interface with large provider and support staff.Compact License is acceptable in lieu of a Washington RN license.Preferred Qualifications:Thorough and working knowledge of all common diseases in Adult Medicine Family Practice or Internal Medicine; familiarity with less common diseases.Working knowledge of State health care laws, licensing board regulations and controlled substance regulations. Important to know limitations and when to refer patients.Notes:Center for Black Health and Wellness

Description: Job Summary: The Peritoneal Dialysis (PD) Registered Nurse coordinates services related to peritoneal dialysis care. Primary responsibilities include training the patient in self-care PD, ongoing follow up care to evaluate and monitor response to treatment, overall case management of the patient on PD, and promotion of home treatment modalities. Onsite home evaluations are included in standard of care. The PD nurse coordinates communication and care through all the other multidisciplinary renal team members for the patient.Essential Responsibilities: Provides safe and effective training and oversight of the delivery of home PD to the patient in compliance with KP standards, as well as regulations set forth by state and federal agencies. Assists in ESRD treatment options education and the identification, evaluation, and selection of PD training candidates. Trains the PD candidate and/or care partner to perform all aspects of home PD therapy through the KP Peritoneal Dialysis Training Program.Assesses and manages patients response to home dialysis training and treatment, including onsite evaluation of patients home environment; follows prescribed protocols. Provides ongoing education to patient regarding dialysis treatment. Collaborates with multidisciplinary team in completion of comprehensive patient assessments and development of individualized plan of care to provide outstanding quality of care, as defined by KP quality goals and standards.Documents all relevant data including physician orders, lab results, vital signs, treatment parameters, patient status, and any treatment related data appropriately, and enters into the appropriate medical information system.Actively participates in Quality Improvement-QAPI process, patient care conferences, and all other required staff meetings as scheduled. Rotates coverage with other licensed staff to ensure reliable and adequate coverage and participates in 24/7 on-call coverage as assigned.Performs other related duties as directed. Basic Qualifications:ExperienceMinimum two (2) years experience as a registered nurse.EducationGraduation from an accredited school of nursing.License, Certification, RegistrationRegistered Nurse License (Washington) OR Compact License: Registered NurseRegistered Nurse License (Oregon)Drivers License (in location where applicable)Basic Life SupportAdditional Requirements:Experience in case management or care coordination.Experience providing patient education and training.Knowledge of adult learning theories and models.Knowledge of case management principles.Must have reliable transportation and be able to complete patient home assessments.Will be required to travel to Nephrology service areas throughout the Region.Preferred Qualifications:Previous nursing experience working with CKD, hemodialysis population.Minimum three (3) months experience providing peritoneal dialysis procedures.Demonstrates clinical nursing and leadership skills.Demonstrates effective interpersonal, communication, and problem-solving skills.Willingness to learn computerized information systems.Demonstrates ability to work within teams and within a dynamic work environment.Customer focused.BSNCertified Nephrology CertificationNotes:Up to 50% travel to SYB Medical Office required prn

Description: Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor.Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are:Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time.Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician.Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention.Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician.Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician.Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process.Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use.Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc.Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN.Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures:Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are:Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc.Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc.Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes.Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc.Therapies - e.g. photo, laser, foot care, etc.Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc.Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc.Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc.Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc.Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc.Irrigations - e.g. eye, ear, bladder, wound.Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc.Ambulate/transfer of patient using lift equipment.Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are:Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks.Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions.Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record.Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN.Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities:Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively.Responds and assists with medical emergencies as directed by clinician/RN.Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers.Reports errors, near misses or other hazards in a timely manner per established procedures.Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice.Completes annual competency assessments and trainings by meeting organizational standards and expectations.Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description.Basic Qualifications:ExperienceMinimum one (1) year experience as a licensed practical nurse in home care or the acute care setting (preferably medical/surgical). Will consider other experience with ability to demonstrate critical thinking and clinical skills.Per the National Agreement, current KP Coalition employees have this experience requirement waived.EducationGraduate of Accredited School of NursingLicense, Certification, RegistrationPractical Nurse License (Washington) within 3 months of hire OR Compact License: Practical Nurse within 3 months of hirePractical Nurse License (Oregon)Drivers License (in location where applicable)Basic Life Support within 0.5 months of hireAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.For the purposes of Home Care the LPN does not perform assessments but evaluates patient condition. The LPN does not do any delegation in the home setting.Clinical Care:Under direct and indirect supervision of the RN:Provides nursing services, treatments, diagnostic and preventative procedures within their scope of practice.Develops, maintains, and provides expert level of knowledge and skills related to nursing services, treatments, diagnostic and preventative procedures to patients consistent with agency policy, state practice acts, Oregon/Washington State Nurse Practice Act and applicable state and federal regulations working under the direction of a registered nurse.Provides direct patient care following established plan of care by registered nurse. Uses standard precautions in providing all patient care.Evaluates and provides patient and family/caregiver education and information pertinent to plan of care.Assist patient/caregiver in learning self-care techniques and disease process education.Uses equipment and supplies effectively and efficiently. Participates in coordination of home health services, reporting changes and identified needs to appropriate clinicians, registered nurse/ public health nurse and clinical supervisor. Participates in multi-disciplinary team conferences and inputs as appropriate to provide quality patient care for services.Advocate for the patient and family, as well as the healthcare system to optimize utilization of resources. This includes acting on behalf of the member to ensure they are informed of their financial obligations and understand their appeal rights.Demonstrates ability to identify and solve problems.Ensure regulatory and compliance standards are met in collaboration with others in the inter-disciplinary health care team.Must be able to work in a Labor/Management Partnership environment.Preferred Qualifications:Ability to stand, sit, walk, crawl, climb, bend, stoop, squat, twist, and drive a vehicle throughout assigned shift hours.Lifting and carrying:Able to lift and carry at least 25 pounds.Able to assist in the movement of patients and/or equipment whose weight may range from 100-300 pounds. May occasionally be required to provide care to patients exceeding 300 pounds.Bending: Able to bend frequently throughout assigned shift at both the waist and knees.Standing/walking: Able to stand/walk on a variety of surfaces ranging from carpet to concrete when transitioning between outside environment and patient residences.Sitting: Able to sit for several hours per shift when completing paperwork and driving to and from patient residences.Arm/hand use: Constant arm/hand use is required when performing patient care, charting, and driving. Ability to manipulate small objects involved in patient care (catheters, needles, point of care testing equipment, etc.).Pushing/pulling (It is recommended that patients or objects not be pulled):Able to assist patients reposition in bed.Push patients in wheelchairs with weight ranges as listed above.Able to assist with patient transfers for patients with weight ranges as listed above.Climbing/Crawling:Able to climb stairs on a daily basis.Able to crawl on rare occasions to retrieve dropped items.Driving: Able to drive an average of 60-72 miles per shift to and from patient residences in varying times of day or night; varying traffic settings; and inclement weather conditions. Note: Employees are required to follow all prescribed safety precautions and procedures in order to avoid accidents or exposure to illness. Two (2) or more years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.Four years experience as a licensed practical nurse in the acute care setting, medical/surgical setting.One year working in a hospice, palliative care or home care program.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department. Additional physical requirements for home care:Employees are required to follow all prescribed safety precautions and procedures in order to avoid accidents, exposure to illness, or placing themselves in situations of high risk for injury. When mobilizing patients it is recommended that staff elicit assistance of caregivers in the home and adaptive equipment as appropriate for the patient. When caregivers or equipment are not available to assist, then have discussion with a Supervisor to discuss alternative care arrangements for the patient. Employees are strongly encouraged to discuss any concerns regarding any physical limitations with the Supervisor to prevent injuries, accidents, and exposures to illness. The requirements listed below do not fully reflect all physical elements of the job, but represent the most often performed physical activities associated with this position. Reasonable accommodations may be made to enable individuals with limitations or disabilities to perform the essential functions.Physical requirements include:Notes:Variable shifts/days/weekends/holidays

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceN/AEducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hirePractical Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.Notes:Additional Sites: Clackamas Eye Care, Salmon Creek, Tanasbourne, Skyline.

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceN/AEducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire Practical Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceN/AEducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hirePractical Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.Notes:Additional Locations: Salmon Creek, Clackamas Eye Care, Tanasbourne, and Skyline.

Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record.Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached.Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention.Provides population-based care outreach activities to include health maintenance screening as directed by clinician.Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives.Other duties as assigned consistent with job description. Basic Qualifications:ExperienceN/AEducationGraduate of accredited school of nursing.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Practical Nurse License (Washington) within 6 months of hire OR Compact License: Practical Nurse within 6 months of hire Practical Nurse License (Oregon) within 6 months of hireBasic Life SupportAdditional Requirements:Demonstrated clinical nursing skills.Demonstrated interpersonal and customer service skills (Assessment required for external candidates).Demonstrated communication (written and oral) skills.Demonstrated literacy in using computers and keyboarding.Skills in problem-solving, setting priorities and using good judgment for decisions.Ability to work independently and efficiently under pressure.Preferred Qualifications:Two (2+) years of nursing experience in assigned departments clinical area (e.g. Pediatrics, FP/IM, OB/Gyn, Surgery, Allergy, Dermatology, Urology, etc.) within an ambulatory care setting.IV therapy experience or recent certification.Familiarity in documenting in an electronic medical record system.Current working knowledge and clinical skills in providing routine care, education and advice in assigned departments clinical area OR successful completion of appropriate competencies for assigned primary/specialty care department.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Telemetry experience preferred.Med/Surg Certification preferred.Demonstrated clinical judgment with a variety of chronic illness and diseases as well as surgical orthopedic patients preferred.Notes:.9FTE day shift BREAK RN for MS2.PC# MSRN218_BRKRN, Inpatient, OFN, Med-Surg - 36hrs, Day Shift

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Telemetry experience preferred.Med/Surg Certification preferred.Demonstrated clinical judgment with a variety of chronic illness and diseases as well as surgical orthopedic patients preferred.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Telemetry experience preferred.Med/Surg Certification preferred.Demonstrated clinical judgment with a variety of chronic illness and diseases as well as surgical orthopedic patients preferred.Notes:.9FTE day shift BREAK RN for MS2.PC# MSRN218_BRKRN, Inpatient, OFN, Med-Surg - 36hrs, Day Shift

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Telemetry experience preferred.Med/Surg Certification preferred.Demonstrated clinical judgment with a variety of chronic illness and diseases as well as surgical orthopedic patients preferred.Notes:On-call RN for MS2, night shiftPC# MSRNZC208.RN, INPT, OFN, Med-Surg - On-call, Nights

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Telemetry experience preferred.Med/Surg Certification preferred.Demonstrated clinical judgment with a variety of chronic illness and diseases as well as surgical orthopedic patients preferred.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines. Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Telemetry experience preferred.Med/Surg Certification preferred.Demonstrated clinical judgment with a variety of chronic illness and diseases as well as surgical orthopedic patients preferred.Notes:On-call, RN, day shift for MS4.PC# MSRNZC403RN, INPATIENT, OFN, Med-Surg - On-call, Days

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Telemetry experience preferred.Med/Surg Certification preferred.Demonstrated clinical judgment with a variety of chronic illness and diseases as well as surgical orthopedic patients preferred.

Description: Job Summary: Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients with routine and complex transition planning needs by independently assessing needs, developing, and implementing plans of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians and other health care team members for discharge and transitional care, coordination of internal and community resources, and support the evaluation and improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs. Essential Responsibilities: Coordinates post-discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting.Independently and proactively completes and documents patient assessments which are thorough, timely, age appropriate, and reflect psychosocial support systems, care needs, health plan benefits, level of care determinations for hospitalized patients.Coordinates and communicates with patients, families, and the health care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients.Facilitates resolution of issues which present barriers to safe transfers through the use of patient/team care conferences to assure the efficient transition to a lower level of care and to assure the patient/family receives the right care at the right time so that quality and utilization of resources are simultaneously enhanced.Ensures systematic and ongoing contact with interdisciplinary staff and continuing care services to assure the safe transition of patients across care settings.In collaboration with the interdisciplinary health care team, ensures regulatory and compliance standards are met.Perform duties as requested. Basic Qualifications:ExperienceMinimum of two years combined RN experience in the following areas:Med/Surg (hospital acute care)ICU (hospital acute care)Emergency DepartmentHome HealthSkilled Nursing FacilitiesHospiceLong Term Acute CareInpatient RehabUtilization ManagementEducationSuccessful completion of an RN program by date of hire.High School Diploma or General Education Development (GED) required.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hireRegistered Nurse License (Oregon) within 6 months of hireBasic Life Support within 3 months of hireAdditional Requirements:Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in interdisciplinary approach.Demonstrated ability to work as part of a team and work as a constant patient advocate.Basic physical, psychosocial, functional assessment skills.Familiar with care process related to discharge and transitional facilities and services.Thorough knowledge of principles of teaching and delegation, assessment skills and care planning, and appropriateutilization of acute hospital, long-term care, and home care resources.Able to develop concise and thorough documentation of patient clinical assessment and care needs.Highly effective problem solving, written and verbal communication, customer service, organizational and timemanagement skills.Ability to effectively provide culturally competent care.Ability to navigate conflict in high pressure situations.Ability to use fixed and mobile technological devices.Preferred Qualifications:Knowledge of appropriate utilization of acute hospital and Kaiser Permanente internal resources.Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, homehealth, hospice, and Durable Medical Equipment (DME).Knowledge of utilization management principles and tools.Demonstrated clinical judgment and customer-focused service skills.Knowledge of principles of patient teaching, disease prevention measures, and physical assessment as it relates to theneeds of patient and the next level of care.Certified in Case Management.BSN or bachelors degree and MSN.

Description: Job Summary: The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanentes mission, vision and values. The RN provides a variety of nursing services in person and/or by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. They work under the general direction of the designated supervisor. Essential Responsibilities: Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines.Professional Competencies: Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies.Professional Competencies: Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize and utilize data to provide optimal nursing care.Professional Competencies: Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families and groups.Professional Competencies: Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs and unlicensed personnel in the health care team. Demonstrates commitment to customer service.Professional Competencies: Participates in population-based care activities. Participates in out reach and in reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention and ongoing health education for panel population, individual patient and family. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention.Professional Competencies: Demonstrates technological literacy in using computerized information systems. Accesses, evaluates and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members use of health care technologies.Professional Competencies: Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as resource and role model for other members of the health care team.Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards.Clinical Competencies: Applies effective oral and written communication skills in interacting with patients, families and members of the health care team. This includes effective negotiation and conflict management skills.Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patients health care needs.Organizational Competencies: Acts as an advocate for individuals and groups with unmet health needs.Organizational Competencies: Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care. Basic Qualifications:ExperienceMinimum two (2) years of RN experience within the last five (5) years OR successful completion of the Kaiser Permanente NW Ambulatory RN New Grad/transition to practice programEducationGraduate of Accredited School of Nursing.High School Diploma or General Education Development (GED) required.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hireRegistered Nurse License (Oregon) within 6 months of hireBasic Life Support required at hireAdditional Requirements:Demonstrates clinical nursing and leadership skills.Able to type 20 words per minute.Demonstrates effective interpersonal, communication and problem-solving skills.Willingness to learn computerized information systems.Demonstrates ability to work within teams and within a dynamic work environment.Customer focused.Preferred Qualifications:Previous experience with population care/case management, triage and advice.Current or future bachelors degree in nursing or related field.ACLS/PALS certification.Preferred advance IV certification.PICC line insertion.Notes:On call M - F Sunset Medical Center and Mount Scott

Description: Job Summary: To ensure coordination of care and services provided to all patients receiving home care services in the Home Health Program. Key functions are to develop a coordinated admission plan of care for patients referred; facilitate coordination of disciplines and services; use problem-solving and critical thinking skills to facilitate, coordinate, and execute effective, timely responses to clinical problems as they arise for patients and home care clinicians; and facilitate transitions across the continuum of healthcare settings for all home care patients.Essential Responsibilities: Referral and Admissions to Home Care: Receives and evaluates appropriateness of the home health referral in collaboration with other team members (care team members, supervisor, scheduler, care (discharge) coordinators, long-term care team, expanded care, physicians, clinic social workers, and others as needed). Ensures timely admission based on assessment. Assess clinical implications of services ordered, patient/caregiver ability to manage self-care, requirements for clinical monitoring, patient stability, patient behavior that could impact a safe plan of care, and other factors that could impact safety and efficacy of admission care plan. Coordinate appropriate services and interventions by obtaining appropriate initial physician orders (e.g. wound care; wound VAC, medications, etc). Participate in the development and coordination of a comprehensive admission plan of care that incorporates an understanding of patient-specific benefits and eligibility requirements in collaboration with care team, outpatient resources, and referring physician. Assure that appropriate supplies and equipment needed to provide initial services are available (e.g. wound supplies, wound VAC, DME, enteral pumps, glucometers, medications, etc) to meet patient needs. Make recommendations to modify the plan of care to expedite a safe transition of care, reduce risks, and enhance patient outcomes. Identify and communicate start of service to patient/caregiver and home care scheduling staff based on physician orders and patient care needs. Discusses and collaborates with referral source, home care team members, physician, discharge coordinator, and supervisor regarding complex discharges, unsafe discharge plans, and inappropriate referrals. Assists in identifying and coordinating alternative options to current care needs, which may include on-site or telephone conference with healthcare team members and patient/family/caregivers. Advocate for the patient and family, as well as the healthcare system to optimize utilization of resources. This includes acting on behalf of the member to ensure they are informed of their financial obligations and understand their appeal rights. Coordinates referrals out to contract and non-contract providers for members that require home care services that can not be provided by agency staff within the Portland/Vancouver service area. Develop and maintain expert level of knowledge and skills related to agency policy, state practice acts, applicable state and federal regulations, utilization management, and qualifications for home care services.Optimizes the patients home care plan by providing: Telephone Advice/Problem-solving for patients/caregivers. Follow up to after hours advice calls. Resource, support, and advice for home care staff. Physician communication and support. Facilitates scheduling of follow up visits and procedures related to advice calls. Oversees the day to day staffing and patient schedules and problem-solves staffing challenges to meet patient needs, within staffing rules. Supply and DME ordering. Assistance with paneling patients with physicians. Facilitates Care Conferences (Case Conferences, Complex Discharges, etc). Coordinates care with Home Phlebotomy. Conducts Medication Reconciliation for Therapy only cases. Reviews and approves Home Health Aide Care Plans for Therapy only cases.Coordinate, expedite, and track referrals and transitions across care settings (e.g. home phlebotomy referrals, wound program referrals, transfers to inpatient, transfers to ICF/SNF, and across home care programs). Acts as Kaiser Permanente ambassador to provide member information to care facilities (SNF/ICF, assisted living, adult foster care home, and residential care facilities) and problem-solve/facilitate any issues which present barriers to safe transfers and the provision of quality care (e.g. Special equipment needs, symptom/behavior management, financial assessment and plan, clinical instability, and complex care needs.Provide education and program development functions: Ensures systematic and on-going contact with hospital staff and other Kaiser Permanente Departments (e.g. GLTC, DME, Hospital Care Coordinators, Clinic Social Workers, Clinic case Managers, Pharmacy, Home Infusion Program, Membership Services, etc) to share information and ensure safe transitions of care. Provides education to staff to expedite safe transitions of patients across care settings. Participates in orientation of staff to the department. Ensure appropriate and timely care to patients through collaboration with inpatient staff, CCS home care staff, and outside resource staff. Provides mentoring and coaching, and input into staff evaluations and documentation of performance problems to Clinical Supervisor. Participates in professional committees and task forces as needed/requested. Ensure regulatory and compliance standards are met in collaboration with others in the inter-disciplinary health care team. Participates in quality and utilization management activities (e.g. Chart audits). Participates in continuing education to incorporate and maintain up to date knowledge and best practices in home health.Conducts patient home visits as required to assist the program in meeting patient needs.Cross Home Health program coverage as needed. Participate in program call duty as needed. Other duties as assigned. Basic Qualifications:ExperienceMinimum two (2) years home health experience as an RN.Minimum one (1) year leadership experience or commensurate experience.EducationBachelors degree in Nursing (BSN) or four (4) years of recent experience in a directly related field.High School Diploma or General Education Development (GED) required.License, Certification, RegistrationRegistered Nurse License (Washington) OR Compact License: Registered NurseRegistered Nurse License (Oregon)Drivers License (in location where applicable)Basic Life SupportAdditional Requirements:Demonstrated ability to collaborate with physicians, ancillary providers, nurses, and patients to plan for transition of care to and from the home setting.Triage/phone experience.Able to perform complete physical and psychosocial assessments.Able to operate stethoscope and sphygmomanometer.Keyboarding or typing skills.Able to operate a computer to perform clinical documentation.Highly effective problem-solving, written and verbal communication, organizational, and time management skills.Knowledge of Medicare, The Joint Commission, and State requirements and regulations for home care programs.Knowledge of Kaiser Permanente systems.Note: This position requires completion of a typing test.Note: This position requires a reliable automobile to travel to and from patient homes.Preferred Qualifications:Minimum four (4) years experience as a registered nurse in the acute care preferably medical/surgical and/or critical care nursing and at least one year working in a Kaiser Permanente Home Care Program (Home Health, Home Infusion, Hospice, or Palliative Care).Experience with care coordination or case management.Demonstrated customer-focused service skills.Familiarity with the use of computers and competence in keyboarding skills.Thorough working knowledge of Medicare regulations for home care.OASIS-C Certification.Oncology.Rehabilitation Nursing.Utilization management, discharge planning, care coordination, and case management.Notes:hours/shifts/working days may vary

Description: Job Summary: Provide high quality health care to Kaiser Permanente members in a cost effective manner and in accordance with accepted professional practice standards.Essential Responsibilities: Provide high-quality health care through direct assessment, diagnosis, and formulation/implementation of treatment plan for patients with common acute and chronic illnesses and injuries (may include performing histories and physicals; ordering, interpreting, and following up on diagnostic studies; ordering medications; assisting with surgery; performing minor surgery; rounding on patients; and assuming on-call responsibilities). Perform health maintenance services, including patient education, for well members. Refer patients for specialty consultations or difficult problems. Document in writing all care in patients permanent medical record in accordance with accepted medical/legal standards. Provide all medical care in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician), and State licensing guidelines.Coordinate, develop or organize patient or department services or programs. Example include, but are not limited to: Assist in developing department/hospital protocols. Screen incoming department referrals. Coordinate CME activities for department. Develop written patient education materials. Provide in-service training. Proctor NP students. Chair or participate on committees such as Breastfeeding Task Force, Regional Controlled Substance Abuse Committee, etc.Performs other duties as requested. Basic Qualifications:ExperienceN/AEducationGraduate of ANA-approved NP training program or equivalent requirements to meet State Licensure.High school diploma or GED.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hireNurse Practitioner License (Oregon) within 6 months of hireAdvanced Registered Nurse Practitioner License (Washington) within 6 months of hireRegistered Nurse License (Oregon) within 6 months of hireNational Provider Identifier required at hireNurse Practitioner National Certificate from American Association for Nurse PractitionersDrug Enforcement Administration RegistrationAdditional Requirements:Thorough and working knowledge of all common diseases in specialty field; familiarity with less common diseases.Working knowledge of State health care laws, licensing board regulations and controlled substance regulations.Important to know limitations and when to refer patients.Ability to assess, diagnose and effectively treat common medical diseases and injuries.Ability to use appropriate procedural/testing equipment, to see large volume of patients, and to interface with large provider and support staff.Minor surgery or surgical assist skills.Preferred Qualifications:Two (2) years of clinical experience.Thorough and working knowledge of all common diseases in specialty field; familiarity with less common diseases.Working knowledge of State health care laws, licensing board regulations and controlled substance regulations.Important to know limitations and when to refer patients.Ability to assess, diagnose and effectively treat common medical diseases and injuries.Ability to use appropriate procedural/testing equipment, to see large volume of patients, and to interface with large provider and support staff.Minor surgery or surgical assist skills.Graduate of ANA-approved NP training program.Notes:M-F, variable day off based on business needSees patients for Medicare Wellness visits and/or cross coverage Primary Care appts, dependent on access needs.

Description: Job Summary: Provide high quality health care to Kaiser Permanente members in a cost effect manner and in accordance with accepted professional practice standards. This Clinician floats to all service areas in the NW Region, works in adult Primary Care covering for other Clinician panels and/or for short term (three months or less) needs in the MOB. Essential Responsibilities: Provide high-quality health care through direct assessment, diagnosis, and formulation/implementation of treatment plan for patients with common acute and chronic illnesses and injuries (may include performing histories and physicals; ordering, interpreting, and following up on diagnostic studies; ordering medications).Perform health maintenance services, including patient education, for well members. Refer patients for specialty consultations or difficult problems. Document in writing all care in patients permanent medical record in accordance with accepted medical/legal standards.Provide all medical care in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician), and State licensing guidelines for Oregon & Washington.Coordinate, develop or organize patient or department services or programs.Examples include but are not limited to: Assist in developing NP/PA Float protocols. Develop written patient education materials. Provide in-service training. Chair or participate on committees such as Breastfeeding Task Force, Regional Controlled substance Abuse Committee, etc.Participate in NP/PA Meeting.Perform other duties as requested. Basic Qualifications:ExperienceN/AEducationGraduate of ANA-approved NP or AMA-approved PA or Child Health Associate training program (both provide master's or equivalent degrees) or equivalent requirements to meet State licensure.License, Certification, RegistrationThis job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.Registered Nurse License (Oregon) within 6 months of hire AND Nurse Practitioner National Certificate AND Registered Nurse License (Washington) within 6 months of hire AND Advanced Registered Nurse Practitioner License (Washington) within 6 months of hire AND Nurse Practitioner License (Oregon) within 6 months of hire OR Physician Assistant License (Oregon) within 6 months of hire AND Physician Assistant National Certificate AND Physician Assistant License (Washington) within 6 months of hireDrug Enforcement Administration RegistrationNational Provider Identifier required at hireAdditional Requirements:Ability to assess, diagnose and effectively treat common medical diseases and injuries.Ability to use appropriate procedural/testing equipment, to see large volume of patients, and to interface with large provider and support staff.Compact License is acceptable in lieu of a Washington RN license.Preferred Qualifications:Thorough and working knowledge of all common diseases in Adult Medicine Family Practice or Internal Medicine; familiarity with less common diseases.Working knowledge of State health care laws, licensing board regulations and controlled substance regulations. Important to know limitations and when to refer patients.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the EDEducationGraduate of an accredited nursing program.License, Certification, RegistrationPediatric Advanced Life Support within 6 months of hire OR Emergency Nursing Pediatric Course within 6 months of hire Registered Nurse License (Oregon)NIH Stroke Scale Certificate within 3 months of hireBasic Life SupportAdvanced Cardiac Life SupportAdditional Requirements:Computer keyboarding skills.Emergency Nursing Pediatric CoursePreferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.CEN preferred.TNCC preferred.Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred.A desire and ability to function within the nursing process preferred.A desire and ability to function within professional and personnel standards as defined.Ability to use and apply effective communication and interpersonal relationship skills preferred.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportAdditional Requirements:Computer keyboarding skills. Must pass telemetry test within 6 months of hire or transfer to unit.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Recent experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skillsDemonstrated clinical judgment with dialysis, renal, diabetic, and medical patients.Experience with insulin drips.Previous telemetry experienceMed/Surg certification.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)NIH Stroke Scale Certificate within 3 months of hireBasic Life SupportAdditional Requirements:Computer keyboarding skills.Must pass the telemetry test within 6 months of hire or transfer to the unit.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Recent experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Previous telemetry experience.Experience with insulin drips.Medical-Surgical Certification.Demonstrates clinical competence in the care of stroke and neuro patients.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.Eighteen (18) months NICU experience in the last 5 yearsEducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Neonatal Resuscitation Program required at hireBasic Life SupportAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Bilingual Spanish-English

Description: Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases.Essential Responsibilities: Representative Functions or Duties: Practice standards of performance: Pre-operative. Performs pre-operative assessment and evaluation. Collaborates with the surgical team on plan of care. Intra-operative: Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Using instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Post-Operative. Evaluates the patient post-operatively according to facility protocols.Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up.Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis, suturing as directed by the surgeon. Assists with room preparation in collaboration with the Circulating Nurse and scrub person. Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available. Assists in patient transport to the operating room and patient transfer to the operating room table. Provides assistance to Anesthesia during induction. Participates in pre-op briefing time out process. Assists in patient position. Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary.Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person. May perform pre and post-operative patient education as designated. Review chart for pertinent data. Assist in maintaining a safe environment and promoting efficiency in surgical. Procedures. Basic Qualifications:ExperienceMinimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP.EducationCertification of Completion from AORN recognized RNFA course.Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program.License, Certification, RegistrationRegistered Nurse License (Oregon)Nurse Operating Room CertificateBasic Life SupportAdditional Requirements:Meets all qualification of an RNFA as outlined in AORN Position Statement.Must maintain CNOR and RN licensure with the required amount of Continuing Education.Preferred Qualifications:Minimum two (2) years of practice as an RNFA.CRNFA certification preferred.Advanced Cardiac Life Support (ACLS) required upon hire/transfer preferred.Notes:Fair share call

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the EDEducationGraduate of an accredited nursing program.License, Certification, RegistrationPediatric Advanced Life Support within 6 months of hire OR Emergency Nursing Pediatric Course within 6 months of hire Registered Nurse License (Oregon)NIH Stroke Scale Certificate within 3 months of hireBasic Life SupportAdvanced Cardiac Life SupportAdditional Requirements:Computer keyboarding skills.Emergency Nursing Pediatric CoursePreferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.CEN preferred.TNCC preferred.Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred.A desire and ability to function within the nursing process preferred.A desire and ability to function within professional and personnel standards as defined.Ability to use and apply effective communication and interpersonal relationship skills preferred.

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.EducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportAdditional Requirements:Computer keyboarding skills.Must pass telemetry test within 6 months of hire or transfer to unit.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.Recent experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skillsExperience with insulin dripsPrevious telemetry experience

Description: Job Summary: Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.Essential Responsibilities: Assessment: standard of performance: Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs. Identifies deviations from normal on routine lab diagnostic tests. Reassesses patient throughout hospitalization. Performs complete discharge assessment.Planning: standard of performance: Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient. Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies. Develops patient teaching plan and documents on care plan or teaching plan. Appropriately delegates patient care activities based on patients condition and scope of practice of other health care providers. Established priories for patient care. Classifies acuity level of assigned patients.Implementation: standard of performance: Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient. Bases nursing care on protocol in place for management of each patient. Correctly carries out the physicians plan of care. Accurately documents in the emr. Documents care according to policy and procedure. Utilizes a multidisciplinary approach when appropriate. Performs all necessary procedures correctly. Utilizes available teaching plans in addressing patient teaching needs. Accurately calculates and administers medications. Initiates appropriate measures in emergency situations.Evaluation: standard of performance: Evaluates assessment methods, plan of care, and patients response to treatment. Participates in unit quality assurance activities. Basic Qualifications:ExperienceMinimum nine (9) months of RN experience.One (1) year of current telemetry inpatient experienceEducationGraduate of an accredited nursing program.License, Certification, RegistrationRegistered Nurse License (Oregon)Basic Life SupportAdvanced Cardiac Life SupportNIH Stroke Scale Certificate within 3 months of hireAdditional Requirements:Computer keyboarding skills.Preferred Qualifications:Previous health care experience.Bachelors degree in nursing or related field.One (1) year current experience in progressive or intermediate care unitRecent experience with respiratory compromised patients, including long term ventilation, tracheostomy, high flow nasal cannula, and BiPAPRecent attendance of Rhythm Recognition class or passing grade on Rhythm Recognition testPCCN / CCRN Certification.Notes:12-HS-SUN

Description: Job Summary: The Charge Nurse, under the direct and indirect supervision of the Nursing Unit Coordinator, Assistant Coordinator and/or Hospital Supervisor facilitates and assists with all levels of nursing care being provided to a group of patients within one nursing unit during the period of one working shift. In addition to these responsibilities, the Charge Nurse frequently assumes all or partial staff nurse responsibilities. The Charge Nurses are directly accountable to the Nursing Coordinator for the unit. The Charge Nurses assist the staff nurses with day to day problem solving, communication between shifts, and may serve as a link between staff nurse and the Nursing Coordinator.Essential Responsibilities: The Charge Nurse will assist in the supervising of nursing personnel: Assist in the interviewing process of applicants for posted positions and makes recommendations to the Coordinator. Support organizational goals and objectives. Provide input into staff evaluations. Monitor performance of staff and provide documentation of performance problems to the Coordinator. Provide input into the development and maintenance of staffing patterns for the patient care unit and helps to monitor day-to-day staffing and utilization of nursing resources. Coordinate staff meetings under the direction of the Coordinator.The Charge Nurse will contribute to overall functioning of the Unit by monitoring resources. Identify and communicate to the Coordinator systems problems that interfere with effective client care and convey risk situations to the Coordinator. Participate and give input into trend analysis for the operational budget. Assist with materials management, ensuring availability of supplies needed. Provide direction during emergency situations as delegated.The Charge Nurse will actively participate in providing and/or facilitating client care. Participate in the development and implementation of standards of client care, policies and procedures and protocols. Coordinate and participate in the delivery of patient care on a specific unit. Utilizing the nursing process: 1. Assess need and priorities of patient. 2. Assist in the implementation of nursing care. 3. Evaluate effectiveness of nursing care. Participate in the development and ongoing monitoring of quality assurance activities. Provide input into and participate in development and achievement of departmental goals and objectives. Participate in multi-disciplinary patient care conferences and discharge planning activities as appropriate. Identify and assist in problem-solving both intrashift and intershift. Keep Coordinators Hospital Supervisors informed of problems/resolutions. Function within expected behavior standards of Staff Nurse as participating in role.The Charge Nurse will function as an educator for other health care professional and clients. Assists in development and presentation of in-service programs. Participates in clinical orientation to the nursing unit. Participate in the planning and provision of education/teaching to patients and their families. Serve as a resource to other departments in area of specialty.The Charge Nurse will participate in professional activities for self and others. Support departmental and organizational philosophy, goals, objectives, policies and procedures. Participate in meetings, special projects, and committees as designated. Support and/or participate in research programs approved by the Department of Nursing as designated. Promote interdepartmental and intradepartmental communications. Foster good public relations. Assume responsibility for own continuing education and development.The Staff Nurse will apply knowledge of organizational expectations of personnel policies and procedures. Follow appropriate policies and procedures for use of time in work environment, including absenteeism and tardiness. Monitor and take corrective action to prevent recurring absences. Return promptly from breaks and schedule them in concert with co-workers to provide appropriate coverage of unit and client care activities. Consistently on time and ready to work at start of shift and has assignments completed at end of shift. Maintain confidentiality of all client and organizational records. Release information according to established policy/procedure. Demonstrate a positive attitude while at the work site. Does not conduct personal conversations when members are waiting for service. Does not carry on discussions regarding other staff members, the organization, or medical care in public areas. Restricts personal business to non-client care areas during bonafide break times. Identify self by wearing a name tag, and verbally introducing self by name, title and/or department. Address members with courtesy and respect. Provide assistance to members or connects member with appropriate person when needed. Apply same courtesy standards to members on the telephone as in person. Oversees quality of unit in conjunction with the manager. Basic Qualifications:ExperienceThree (3) years of Registered Nurse experience, one year in clinical specialty.EducationGraduate of accredited school of nursing.High school diploma or GED.License, Certification, RegistrationPediatric Advanced Life Support within 6 months of hire OR Emergency Nursing Pediatric Course within 6 months of hireRegistered Nurse License (Oregon)NIH Stroke Scale Certificate within 1 months of hireAdvanced Cardiac Life SupportBasic Life SupportAdditional Requirements:Excellent critical thinking skills.Able to assume authority of unit.Preferred Qualifications:Baccalaureate degree in nursing.CEN, TNCC preferred.Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred.A desire and ability to function within the nursing process preferred.A desire and ability to function within professional and personnel standards as defined preferred.Ability to use and apply effective communication and interpersonal relationship skills preferred.

Description: Job Summary: The Charge Nurse, under the direct and indirect supervision of the Nursing Unit Coordinator, Assistant Coordinator and/or Hospital Supervisor facilitates and assists with all levels of nursing care being provided to a group of patients within one nursing unit during the period of one working shift. In addition to these responsibilities, the Charge Nurse frequently assumes all or partial staff nurse responsibilities. The Charge Nurses are directly accountable to the Nursing Coordinator for the unit. The Charge Nurses assist the staff nurses with day to day problem solving, communication between shifts, and may serve as a link between staff nurse and the Nursing Coordinator.Essential Responsibilities: The Charge Nurse will assist in the supervising of nursing personnel: Assist in the interviewing process of applicants for posted positions and makes recommendations to the Coordinator. Support organizational goals and objectives. Provide input into staff evaluations. Monitor performance of staff and provide documentation of performance problems to the Coordinator. Provide input into the development and maintenance of staffing patterns for the patient care unit and helps to monitor day-to-day staffing and utilization of nursing resources. Coordinate staff meetings under the direction of the Coordinator.The Charge Nurse will contribute to overall functioning of the Unit by monitoring resources. Identify and communicate to the Coordinator systems problems that interfere with effective client care and convey risk situations to the Coordinator. Participate and give input into trend analysis for the operational budget. Assist with materials management, ensuring availability of supplies needed. Provide direction during emergency situations as delegated.The Charge Nurse will actively participate in providing and/or facilitating client care. Participate in the development and implementation of standards of client care, policies and procedures and protocols. Coordinate and participate in the delivery of patient care on a specific unit. Utilizing the nursing process: 1. Assess need and priorities of patient. 2. Assist in the implementation of nursing care. 3. Evaluate effectiveness of nursing care. Participate in the development and ongoing monitoring of quality assurance activities. Provide input into and participate in development and achievement of departmental goals and objectives. Participate in multi-disciplinary patient care conferences and discharge planning activities as appropriate. Identify and assist in problem-solving both intrashift and intershift. Keep Coordinators Hospital Supervisors informed of problems/resolutions. Function within expected behavior standards of Staff Nurse as participating in role.The Charge Nurse will function as an educator for other health care professional and clients. Assists in development and presentation of in-service programs. Participates in clinical orientation to the nursing unit. Participate in the planning and provision of education/teaching to patients and their families. Serve as a resource to other departments in area of specialty.The Charge Nurse will participate in professional activities for self and others. Support departmental and organizational philosophy, goals, objectives, policies and procedures. Participate in meetings, special projects, and committees as designated. Support and/or participate in research programs approved by the Department of Nursing as designated. Promote interdepartmental and intradepartmental communications. Foster good public relations. Assume responsibility for own continuing education and development.The Staff Nurse will apply knowledge of organizational expectations of personnel policies and procedures. Follow appropriate policies and procedures for use of time in work environment, including absenteeism and tardiness. Monitor and take corrective action to prevent recurring absences. Return promptly from breaks and schedule them in concert with co-workers to provide appropriate coverage of unit and client care activities. Consistently on time and ready to work at start of shift and has assignments completed at end of shift. Maintain confidentiality of all client and organizational records. Release information according to established policy/procedure. Demonstrate a positive attitude while at the work site. Does not conduct personal conversations when members are waiting for service. Does not carry on discussions regarding other staff members, the organization, or medical care in public areas. Restricts personal business to non-client care areas during bonafide break times. Identify self by wearing a name tag, and verbally introducing self by name, title and/or department. Address members with courtesy and respect. Provide assistance to members or connects member with appropriate person when needed. Apply same courtesy standards to members on the telephone as in person. Basic Qualifications:ExperienceThree (3) years of Registered Nurse experience, one year in clinical specialty.EducationGraduate of accredited school of nursing.High school diploma or GED.License, Certification, RegistrationRegistered Nurse License (in the state where care is provided)Basic Life SupportAdditional Requirements:N/AExperience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.Preferred Qualifications:Baccalaureate degree in nursing.Two (2) years of recent Med/Surg experience in an acute care setting.Experience with insulin drips.Med/Surg Certification.Demonstrated clinical judgment with inpatient orthopedic/neuro patients.

Description: Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFAs will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases.Essential Responsibilities: Representative Functions or Duties: Practice standards of performance: Pre-operative. Performs pre-operative assessment and evaluation. Collaborates with the surgical team on plan of care. Intra-operative: Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Using instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Post-Operative. Evaluates the patient post-operatively according to facility protocols.Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up.Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis, suturing as directed by the surgeon. Assists with room preparation in collaboration with the Circulating Nurse and scrub person. Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available. Assists in patient transport to the operating room and patient transfer to the operating room table. Provides assistance to Anesthesia during induction. Participates in pre-op briefing time out process. Assists in patient position. Assists in patient preparation, i.e., prepping, catheterization, shaving, as necessary. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary.Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person. May perform pre and post-operative patient education as designated. Review chart for pertinent data. Assist in maintaining a safe environment and promoting efficiency in surgical. Procedures. Basic Qualifications:ExperienceMinimum two (2) years of peri-operative scrubbing and circulating experience in a KP OR or one (1) year experience as an RNFA in or outside of KP.EducationCertification of Completion from AORN recognized RNFA course.Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program.License, Certification, RegistrationRegistered Nurse License (Oregon)Nurse Operating Room CertificateBasic Life SupportAdditional Requirements:Meets all qualification of an RNFA as outlined in AORN Position Statement.Must maintain CNOR and RN licensure with the required amount of Continuing Education.Preferred Qualifications:Minimum two (2) years of practice as an RNFA.CRNFA certification preferred.Advanced Cardiac Life Support (ACLS) required upon hire/transfer preferred.Notes:Week 1 : T/W/TH/FWeek 2: T/W/TH/FWeek 3: W/TH/F/SAWeek 4: M/T/W/TH