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CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country. Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team! Job Summary This position is responsible for providing care to the patient who is hemodynamically compromised and requires monitoring of multiple systems and/or nursing interventions every two to four hours. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician. Requires the use of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, seek resources at the unit/department level, and delegate appropriate tasks.
Job ID
2020-140856
Department
Progressive Care Unit
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Night
Employment Type
Full Time
Location
WA-TACOMA
Job Summary   This position is responsible for providing care to the patient who is hemodynamically compromised and requires monitoring of multiple systems and/or nursing interventions every two to four hours. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician. Requires the use of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, seek resources at the unit/department level, and delegate appropriate tasks.
Job ID
2020-140846
Department
Progressive Care Unit
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Night
Employment Type
Full Time
Location
WA-TACOMA
Job Summary This position is responsible for providing care to the patient who is hemodynamically compromised and requires monitoring of multiple systems and/or nursing interventions every two to four hours. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician. Requires the use of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, seek resources at the unit/department level, and delegate appropriate tasks.
Job ID
2020-140845
Department
Progressive Care Unit
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Full Time
Location
WA-TACOMA
Pay Scale: $36.79 - $56.28, with a sign on bonus of up to $10,000   Shift: Casual Part Time, Varied   Job Summary:   The PCU RN performs duties of considerable difficulty, applying professional nursing theory and principles, and utilizes the nursing process to assess, plan, implement and evaluate care given to patients.  Works collaboratively with the interdisciplinary healthcare team in providing patient care.  Demonstrates clinical, organizational and communication skills in dealing with patients, families and other healthcare workers.   Essential Duties:   - Observes, collects, & records data related to patient’s biophysical, psychosocial, environmental, and self-care ability, as well as educational & discharge planning needs. - Analyzes assessment data to formulate a nursing diagnosis & to provide the basis for planning timely and effective nursing interviews. - Implements an age appropriate plan of care in conjunction with the physician, patient, patient’s family, significant others, and other members of the interdisciplinary healthcare team. - Documents & utilizes patient data to measure progress toward attainment of patient outcomes and patient goals. - Documents the care given in a complete and timely manner. - Management of the chronic ventilator patient and emergency intervention. - Identifies the learning needs of the patient and significant others, and initiates measures to meet those needs within the patient’s assessed learning abilities. - Involves patient & significant other in education and decision making process related to patient’s care. - Completes documentation related to teaching intervention, progress, and outcomes. - Administers medication according to hospital policies/procedures to ensure patient safety. - Provides for and follows precautions to ensure patient safety related to fall prevention.
Job ID
2020-125372
Department
Progressive Care Unit
Facility
CHI Mercy Health of Roseburg
Shift
Night
Employment Type
Per Diem
Location
OR-ROSEBURG
Job Summary: This job is responsible for providing GI nursing care of all patient populations undergoing GI procedures to include inpatient, outpatient, and those patients undergoing procedures in Radiology, ED, ICU and throughout the hospital. Essential Duties: Provides care for patients undergoing a GI procedure. Endoscopy RNs administer and maintain sedation and analgesia by order of the physician.  Assesses, diagnoses, and intervenes in the event of complications.  Monitors and assesses the patient receiving the sedation and analgesia throughout diagnostic and therapeutic endoscopic procedures. Provides on-call coverage for all three regional hospitals and responds within 30 minutes of call.
Job ID
2020-139067
Department
Endoscopy
Facility
CHI Franciscan St. Anne Hospital
Shift
Varied
Employment Type
Per Diem
Location
WA-BURIEN
Job Summary: This job is responsible for providing GI nursing care of all patient populations undergoing GI procedures to include inpatient, outpatient, and those patients undergoing procedures in Radiology, ED, ICU and throughout the hospital. Essential Duties: Provides care for patients undergoing a GI procedure. Endoscopy RNs administer and maintain sedation and analgesia by order of the physician.  Assesses, diagnoses, and intervenes in the event of complications.  Monitors and assesses the patient receiving the sedation and analgesia throughout diagnostic and therapeutic endoscopic procedures. Provides on-call coverage for all three regional hospitals and responds within 30 minutes of call.
Job ID
2020-139066
Department
Endoscopy
Facility
CHI Franciscan St. Anne Hospital
Shift
Varied
Employment Type
Per Diem
Location
WA-BURIEN
This job is responsible for providing GI nursing care of all patient populations undergoing GI procedures to include inpatient, outpatient, and those patients undergoing procedures in Radiology, ED, ICU and throughout the hospital.
Job ID
2020-122669
Department
Endoscopy
Facility
CHI Franciscan St. Elizabeth Hospital
Shift
Day
Employment Type
Per Diem
Location
WA-ENUMCLAW
Job Summary This per diem RN job is responsible for providing nursing care to patients admitted to the Interventional Pain Care service operating primarily at St. Joseph Medical Center and St. Anthony Hospital.    Additional Essential Job Functions: 1. Performs pain assessment and completes up-to-date medication(s) list.  2. Applies appropriate interventional techniques to maintain and assure the safety of the patient. 3. Applies knowledge of pain medications and the nursing implications associated with them.  
Job ID
2020-129929
Department
Interventional Radiology
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Per Diem
Location
WA-TACOMA
Provides professional nursing care to patients with alterations in skin/tissue integrity (e.g. pressure, vascular, arterial and diabetic ulcerations, as well as skin conditions resulting from incontinence, surgical procedures and/or trauma). Manages/coordinates patient case/wound management needs including identification, assessment, prevention, and continuing education to achieve the best healing outcomes in an outpatient environment. Work includes intake/discharge planning activities, initiating/monitoring the quality management program, timely and accurate completion of patient and billing documentation, and coordinating interdisciplinary teams that include healthcare practitioners, rehabilitation therapists, social workers, and other healthcare disciplines or providers depending upon individual patient assessments.    Essential Duties: Delivers and coordinates care to patients with alterations in skin/tissue integrity within the scope of practice and under the direction of physician or other clinician. Manages and coordinates patient case/wound management in accordance with established standards, strictly defined timelines, and overall plan of care. Completes all required documentation in a timely, accurate, and thorough manner in accordance with FHS standards and procedures. Initiates and monitors the Quality Management program for the Wound Care Center. Additional Responsibilities: Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence. 
Job ID
2020-132123
Department
Wound Care
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Per Diem
Location
WA-TACOMA
Your Role as a Nurse: As a nurse, you will provide pre-and post-operative nursing care to patients undergoing surgical procedures. This work includes developing, implementing and assessing the patient plan of care in collaboration with physicians, interdisciplinary teams and the patient and family.
Job ID
2020-142007
Department
Pre & Post Surgery
Facility
CHI Franciscan St. Clare Hospital
Shift
Day
Employment Type
Part Time
Location
WA-LAKEWOOD
Patient Assessment Accurately assesses patient conditions and documents effectively to support charges and to communicate with other providers. Provides comprehensive patient assessment, including functional, mental, social and physical conditions.  Establishes accurate diagnosis. Seeks consultation/supervision of physician as needed to confirm proper assessment.   Patient Treatment Independently implements and documents patient care treatments and maintains skills requisite to the position for which he/she is placed.  Utilizes multidisciplinary team services in treatment plan.  Appropriately involves patients and caregivers in treatment planning. Provides interface between clinic and other providers to assure timely, comprehensive services for patients. Independently develops and implements treatment plans and evaluates patient’s outcome. Complies with all statues and regulations governing Advanced Practitioner Nurses and functions within the legal boundaries of the APN category. Responds in appropriate manner during patient emergency situations.   Program Development Independently identifies program weaknesses/gaps in service and develops solutions to improving patient care and customer services.  Provides professional and community education with regard to health issues. Participates in community services events as needed. Takes responsibility for clearly communicating patient needs, care plans and problem resolution to physicians and other health care team.   Supervision Possesses knowledge and skill to provide supervision to clinical staff as needed. May develop a preceptorship for student nurses in the Senior Health Clinic.   Program Development Independently identifies program weaknesses/gas in service and contributes to development of program components to insure state of the art interventions and services. Develops/maintains policy and procedure for patient care activities. Uses process improvement skills to contribute to team development and program growth. Actively participates in hospital and department projects and committees as appropriate. Participates in departmental outreach and community services as needed. Develops training modules and presentations on health issues for staff and/or community groups.   Clinic Duties (if assigned to clinic) Triage calls to the clinic and perform assessments for in-patients. Return test and lab results. Provide RN services approximately 50% of the time. Provide clinical support for physicians in satellite clinics. Provide care to nursing home patients approximately 50% of the time. Share day/night call for nursing homes every other week.  Take call 25/5, off at 5:00pm Friday. Provide continuing education and skills assessment for clinical staff. Develop provider caseload as volume permits. Share call for holidays and vacation. Prepare to develop a sub-specialty within the clinic that will enhance volume and comprehensive patient care. Develop patient education programs on topics such as Nutrition.
Job ID
2020-138294
Department
Advanced Practice Nursing
Facility
CHI St. Vincent Health
Shift
Day
Employment Type
Full Time
Location
AR-HOT SPRINGS
The Nurse Practitioner is responsible for utilizing training and skills to provide direct patient care under the supervision of a physician.   Essential Duties: - Obtain medical histories when necessary. - Perform physical exams (within established protocol). - Diagnose, treat and monitor chronic diseases (within protocol guidelines). - Order diagnostic test. - Prescribe or recommend medications for prescription for medications and treatment (within protocol guidelines). - Provide preventive health screenings and immunizations for children and adults. - Promote positive lifestyle habits to all patients through education and counseling. - Assist the doctor with office surgeries. - Assure charts are signed off by the doctor within 7 days. - Maintain patient’s privacy and confidentiality. - Make follow up calls to check patients progress. - Assist doctors with phone coverage and hospital rounds. - Work closely with other nurses to assure patient flow is efficient. - Consult with doctor regarding patient symptoms to assure proper diagnosis and plan of treatment. - Performs other duties as assigned.
Job ID
2020-142561
Department
Family Practice Clinic
Facility
CHI Memorial Chattanooga
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
The Nurse Practitioner is responsible for utilizing training and skills to provide direct patient care under the supervision of a physician.   Essential Duties: - Obtain medical histories when necessary. - Perform physical exams (within established protocol). - Diagnose, treat and monitor chronic diseases (within protocol guidelines). - Order diagnostic test. - Prescribe or recommend medications for prescription for medications and treatment (within protocol guidelines). - Provide preventive health screenings and immunizations for children and adults. - Promote positive lifestyle habits to all patients through education and counseling. - Assist the doctor with office surgeries. - Assure charts are signed off by the doctor within 7 days. - Maintain patient’s privacy and confidentiality. - Make follow up calls to check patients progress. - Assist doctors with phone coverage and hospital rounds. - Work closely with other nurses to assure patient flow is efficient. - Consult with doctor regarding patient symptoms to assure proper diagnosis and plan of treatment. - Performs other duties as assigned.
Job ID
2020-137970
Department
Family Practice Clinic
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-SODDY DAISY
The Nurse Practitioner is responsible for utilizing training and skills to provide direct patient care under the supervision of a physician.   Essential Duties: - Obtain medical histories when necessary. - Perform physical exams (within established protocol). - Diagnose, treat and monitor chronic diseases (within protocol guidelines). - Order diagnostic test. - Prescribe or recommend medications for prescription for medications and treatment (within protocol guidelines). - Provide preventive health screenings and immunizations for children and adults. - Promote positive lifestyle habits to all patients through education and counseling. - Assist the doctor with office surgeries. - Assure charts are signed off by the doctor within 7 days. - Maintain patient’s privacy and confidentiality. - Make follow up calls to check patients progress. - Assist doctors with phone coverage and hospital rounds. - Work closely with other nurses to assure patient flow is efficient. - Consult with doctor regarding patient symptoms to assure proper diagnosis and plan of treatment. - Performs other duties as assigned.
Job ID
2020-140541
Department
Hospitalist Physicians
Facility
Mountain Management Services
Shift
Day
Employment Type
Part Time
Location
TN-CHATTANOOGA
The Nurse Practitioner is responsible for utilizing training and skills to provide direct patient care under the supervision of a physician.   Essential Duties: - Obtain medical histories when necessary. - Perform physical exams (within established protocol). - Diagnose, treat and monitor chronic diseases (within protocol guidelines). - Order diagnostic test. - Prescribe or recommend medications for prescription for medications and treatment (within protocol guidelines). - Provide preventive health screenings and immunizations for children and adults. - Promote positive lifestyle habits to all patients through education and counseling. - Assist the doctor with office surgeries. - Assure charts are signed off by the doctor within 7 days. - Maintain patient’s privacy and confidentiality. - Make follow up calls to check patients progress. - Assist doctors with phone coverage and hospital rounds. - Work closely with other nurses to assure patient flow is efficient. - Consult with doctor regarding patient symptoms to assure proper diagnosis and plan of treatment. - Performs other duties as assigned.
Job ID
2020-140528
Department
Hospitalist Physicians
Facility
Mountain Management Services
Shift
Day
Employment Type
Part Time
Location
TN-CHATTANOOGA
Position Responsibilities:   - Synthesizes and critically analyzes data to identify needs, formulate diagnosis, and establish a treatment plan for a patient, family, and/or population - Implements individualized, evidence based interventions based on assessment, treatment plan, and identified prioritizes to maximize health potential and/or expected goals of a patient, family, and/or population - Evaluates progress toward expected goals of a patient, family, and/or population in a systematic and ongoing manner with modification to the plan as appropriate - Serves as a clinical expert to the interdisciplinary team - Incorporates and disseminates research findings and evidence based practice into treatment plans, protocols, and guidelines
Job ID
2020-137581
Department
Cardio Thoracic Surgery
Facility
CHI Baylor St. Luke's Medical Center
Shift
Day
Employment Type
Full Time
Location
TX-HOUSTON
The Nurse Practitioner is responsible for utilizing training and skills to provide direct patient care under the supervision of a physician.   Essential Duties: - Obtain medical histories when necessary. - Perform physical exams (within established protocol). - Diagnose, treat and monitor chronic diseases (within protocol guidelines). - Order diagnostic test. - Prescribe or recommend medications for prescription for medications and treatment (within protocol guidelines). - Provide preventive health screenings and immunizations for children and adults. - Promote positive lifestyle habits to all patients through education and counseling. - Assist the doctor with office surgeries. - Assure charts are signed off by the doctor within 7 days. - Maintain patient’s privacy and confidentiality. - Make follow up calls to check patients progress. - Assist doctors with phone coverage and hospital rounds. - Work closely with other nurses to assure patient flow is efficient. - Consult with doctor regarding patient symptoms to assure proper diagnosis and plan of treatment. - Performs other duties as assigned.
Job ID
2020-137069
Department
Neurology
Facility
CHI Memorial Chattanooga
Shift
Day
Employment Type
Part Time
Location
TN-CHATTANOOGA
Job Summary The Pre-Admit Clinic RN’s screen all patients coming in for procedures/surgeries involving anesthesia. They collaborate with Anesthesia, Surgeons and Primary Care to ensure patients safety during the perioperative period. This clinic acts as the last check in the period prior to surgery, ensuring all pertinent medical history and instruction is clear to the patient and their care-givers. Essential Job Functions 1.        Performs a pre-operative screening, in person or via phone to identify patients at risk for complications and report concerns as appropriate. 2.       Collect necessary orders and/or risk assessments from Cardiology, Pulmonology, Anti-Coagulation and Device Clinics. 3.       Provides pre-operative education to increase patient’s compliance with pre-operative requirements for a successful surgery. 4.       Prepares patients for anesthesia provider visit when appropriate. 5.       Effectively communicate patient needs with multidisciplinary personnel such as surgeons, office staff, anesthesia providers and other specialty providers.  
Job ID
2020-134335
Department
Pre Surgery
Facility
CHI Franciscan St. Joseph Medical Center
Shift
Day
Employment Type
Part Time
Location
WA-TACOMA
Our Perioperative area averages 6 operating rooms per day with a maximum capacity of 10 operating rooms. This is supported by a Pre-op unit and PACU Phase 1 and Phase 2 units. We have a team focus in caring for our patients and a team approach to on-boarding new team members. Surgery types performed here include Open Heart, Vascular, Robotic, General, Orthopedic, ENT, GYN, and Urologic surgeries. Patient acuity ranges from simple outpatient surgeries to complex surgeries on patients with multiple health issues. We provide care and services to a large regional area that includes all of Kitsap County and as far north as Port Townsend and Port Angeles along the Straits of Juan de Fuca.     Job Summary:   This position is responsible for providing peri-anesthesia nursing care of all patient populations undergoing surgical procedures, to include ambulatory, acute and chronic patient care.  Assumes responsibility and accountability for the direct and indirect implementation of the patient’s plan of care in the PACU Phase 1 and Phase 2. Assist with care and preparation of patients in the Pre-op unit when needed.      
Job ID
2020-143593
Department
Pre Surgery
Facility
CHI Franciscan St. Michael Medical Center
Shift
Day
Employment Type
Per Diem
Location
WA-SILVERDALE
Job Summary:   This position is responsible for providing peri-anesthesia nursing care of all patient populations undergoing surgical procedures, to include ambulatory, acute and chronic patient care.  Assumes responsibility and accountability for the direct and indirect implementation of the patient’s plan of care in the PACU Phase 1 and Phase 2. Assist with care and preparation of patients in the Pre-op unit when needed.      
Job ID
2020-143592
Department
Pre Surgery
Facility
CHI Franciscan St. Michael Medical Center
Shift
Day
Employment Type
Per Diem
Location
WA-SILVERDALE
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