Confluence Health

Certified Nursing Assistant - Medical/Oncology CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary ***Need CNA inpatient hospital experience to be considered for this role.*** Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Certified Nursing Assistant - Progressive Care Unit CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To : Nursing Manager Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-Exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse - Charge (RN) - Surgery

Salary Range $44.26 - $83.17 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Charge RN promotes a professional team-based environment within and with other departments and ensures collaboration with department leadership that patients receive high quality, safe care. Position Reports To: Clinical Manager/Director Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Serves as a consultant, mentor and role model to staff. Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s). Active participation in problem-solving identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assists with the orientation of nursing personnel to the unit and contributes to the educational experience of students assigned to the unit. Coordinates and makes assignments for patient care taking into account patient needs, acuity, and skill mix of staff. Actively participates in quality improvement programs. Demonstrate ethical conduct and practices. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. May be assigned to respond/lead in a Code Blue or RRT depending on the department. Preforms/assist with duties outlined within the Inpatient Registered Nurse Job Description Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement – O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non- Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Pediatrics

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $6,000 in Bonuses! Applies to external candidates. *Requires one year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Nurse Consult RN - Rheumatology

Salary Range $39.33 - $61.57 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Pool Employees of Confluence Health receive a range of benefits in addition to compensation. Retirement Plan Pool Differential Sick Leave Shift Differential Employee Assistance Program For more information on our Benefits & Perks, click here! Summary Please Note: This is a pool, as needed position. No guarantee of hours. Facilitates and assists the providers and health care team in providing excellent service and quality patient care. Performs and coordinates patient care activities in multiple settings utilizing a variety of nursing skills and functions. Essential Functions Provides leadership, daily direction and supervision to the health care team in the delivery of quality patient care. Communicates effectively with each team member. Coordinates patient flow and assists health care team to provide patient care. Coordinates patient follow-up and education. Serves as a resource and decision maker for staff regarding patient care problems and participates in training of health care staff. Serves as a liaison with other health care agencies or services to promote coordinated health care across the continuum. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Washington state Department of Health -RN license must be active by start date. Required to maintain active Basic Life Support (CPR) certification. Previous experience in an ambulatory care setting or specialized experience important to the function of the respective department. Desired : Not specified. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - F Repetitive Movement - F Working Conditions: Work is performed at a work station desk and in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Hours may be irregular at times; overtime may be required. Requires working under stressful conditions. General supervision is provided by the Practice Manager with additional instructions, guidance, and directions provided by the physicians or providers with whom the RN is working Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Surgical Unit

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Hospital Care Registered Nurse (RN) - Surgical Unit

Salary Range $39.19 - $70.67 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $6,000 in Bonuses! Applies to external candidates. *Requires one year commitment to Confluence Health.* **Relocation Assistance Available.** A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the system. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). Current licensure in the state of Washington (RCW 18.88). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - Omak Behavioral Health

Salary Range $68.27 - $78.85 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary To provide consultation and direct patient care including diagnostic assessment, preventative and educational services, and medication evaluation and management to the diverse population of the North Central Washington region, in accordance with best care practices, industry standards, organizational guidelines, and state and federal laws. Position Reports To : Practice Manager Essential Functions Provide timely, comprehensive charting of patient treatment in a manner consistent with department guidelines. Coordinate and communicate patient care effectively with interdisciplinary team of medical providers (primary and specialty care), psychiatrists, psychologists, therapists, and outside agencies. Participate in all required agency and departmental meetings (e.g., multidisciplinary staffing, family team meetings, staff meetings, quality improvement teams, etc.) as required by supervisor. Maintain required monthly production levels (averaged per quarter). Complete specific tasks as instructed by Manager. Participate in regular supervision. Required to maintain active Basic Life Support (CPR) certification. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current Washington State Advanced Registered Nurse Practitioner (ARNP) license with prescriptive privileges or eligibility to obtain licensure upon hire. Master’s Degree in nursing with specialty in psychiatric nursing from an accredited program. Valid DEA Controlled Substance Registration Certification. Desired : Minimum two years experience post Master’s degree under supervision of licensed/certified mental health and substance professionals. Current certification from the American Nurses Credentialing Center. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - O Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - F Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - O Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - F Working Conditions: The position requires a combination of working independently, as well as working closely with others as part of a multi-disciplinary team. Hours may be irregular at times, including occasionally working beyond normal business hours. Requires working under occasionally stressful conditions. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Confluence Health

Certified Nursing Assistant - Surgical Unit CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary ***Qualifications: You must have current inpatient CNA hospital experience to be consider for this role.*** Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Position Requirements For employees working on site at any CH location, being fully vaccinated against COVID-19 is an essential requirement. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - East Wenatchee Family Practice

Salary Range $66.35 - $76.92 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides primary and appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide primary and specialized health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities. Participates in decisions, planning, and policies related to clinical care. Maintains accurate and complete patient records in compliance with organizational policy. Refers patients to specialty services when appropriate. Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies. Support physicians with on-call responsibilities. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. Desired: Related experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - F Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - O Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - O Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - OB-GYN

Salary Range $62.02 - $72.12 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides medical services in the general care and treatment of patients in outpatient clinic setting. Provides comprehensive medical services for patients on a continuing basis. Examines patients using medical instruments and equipment. Elicits, records, reviews and communicates to patient information about patient’s medical history. Orders or executes various tests to provide information on patient’s condition. Analyzes reports and findings of tests and examination, and diagnoses condition of patient. Administers or prescribes treatments and medications. Promotes health by advising patients concerning diet, hygiene, and methods of prevention of disease. Inoculates and vaccinates patients to immunize patients from communicable diseases. Performs outpatient procedures commensurate with outpatient privileging. Refers patients to specialist for consultant services when necessary for the patient’s well being. Refers patients to Emergency Department for emergent or life threatening conditions. Works collaboratively and cooperatively with ancillary and support staff, peer providers and within the organization. Position Reports To: Practice Manager Essential Functions Provides care to patients and assigns appropriate aspects of care to non-physician staff. Based on diagnosis and evaluation of the patients, plans and carries out plan for treatment/therapy, informing and educating the patient, making referrals for specialized treatment and following up on progress. Completes all charts and dictation (if applicable) within 3 days of visit assuring completeness and accuracy. Each chart will contain a problem list, medication list, and progress notes following a problem-oriented format. Is responsible for comprehensive and accurate coding of each patient encounter submitted the day of encounter. Coordination of orders being placed in a timely manner. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date. Minimum of 3 years’ experience with women’s health services. Desired: Advanced Registered Nurse Practitioner Midwife License. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - C Climbing - O Pulling/Pushing: 25 pounds or less - C Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - F Bending/Stooping/Crouching - F Twisting/Turning - O Repetitive Movement - O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA : Exempt Hourly/Salary : Salary Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - No Hazardous Substances - No Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - No Infectious Diseases - Yes
Confluence Health

Registered Nurse - Charge (RN) - Labor & Delivery

Salary Range $44.26 - $83.17 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Charge RN promotes a professional team-based environment within and with other departments and ensures collaboration with department leadership that patients receive high quality, safe care. Position Reports To : Clinical Manager/Director Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Serves as a consultant, mentor and role model to staff. Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s). Active participation in problem-solving identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assists with the orientation of nursing personnel to the unit and contributes to the educational experience of students assigned to the unit. Coordinates and makes assignments for patient care taking into account patient needs, acuity, and skill mix of staff. Actively participates in quality improvement programs. Demonstrate ethical conduct and practices. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. May be assigned to respond/lead in a Code Blue or RRT depending on the department. Preforms/assist with duties outlined within the Inpatient Registered Nurse Job Description Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Neo-Natal Intensive Care

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Up to $6,000 in Bonuses for recent NICU experience! Applies to external candidates. *Requires one year commitment to Central Washington Hospital.* A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director. Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Basic Life Support (CPR) certification (within 90 days of hire). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Nurse Practitioner - Physical Medicine

Salary Range $133,000 - $154,000 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable. Summary Provides primary appropriate specialized outpatient Spine Health Care Services. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic tests; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provides specialty outpatient spine care by evaluating, diagnosing, and treating patients with back and spine conditions. Conducts comprehensive, problem focused histories and physical examinations for new patients with acute and chronic spine disorders. Develops and implements treatment plans, orders and interprets diagnostic studies, and manages non operative spine care within scope of practice. Identifies conditions requiring escalation and refers to or collaborates with spine surgeons or physicians as appropriate. Formulates a differential diagnosis and establishes a working diagnosis. Orders laboratory and diagnostic tests. Develops a treatment plan for spinal conditions within the scope of practice and in conjunction with the Physiatrist. Refers patients to specialty services when appropriate. Writes prescriptions and perform procedures within the scope of expertise, protocols, and available equipment. Maintains accurate and complete patient records in compliance with organizational policy. Required to maintain active Basic Life Support (CPR) certification. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Educates patients and families on spine conditions, treatment options, recovery expectations, and self management strategies, addressing both physical and emotional aspects of care. Actively supports health promotion by reinforcing injury prevention, ergonomics, lifestyle modifications, and adherence to treatment plans related to spine health. Refers patients to specialty services when appropriate. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, by start date. Basic Life Support (CPR) certification. Desired: Related Experience Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing – F Reaching: Shoulder height – F Reaching: Above shoulder height – O Reaching: Below shoulder height – O Climbing – O Pulling/Pushing: 25 pounds or less – O Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – O Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – O Twisting/Turning – O Repetitive Movement – O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances –Yes Blood Borne Pathogens Exposure Potential – Yes Lighting – No Noise – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes
Confluence Health

Nurse Practitioner - Orthopedics

Salary Range $68.27 - $82.69 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential In addition to the base salary, this position may receive additional compensation based on call pay and extra shift incentives as applicable. For more information on our Benefits & Perks, click here! Summary Provides appropriate specialized health care services to hospital and clinic patients. Also provides surgical assistance as needed. Participates in shared department call schedule as needed. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; performs in office procedures within the scope of their licensure, instructs patients and family members about continuing care. Position Reports To: Practice Manager Essential Functions Provide specialized health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment. Provides surgical assistance as needed. Provides surgical assistance as needed. Counsels patients and families and helps them understand issues related to physical and emotional health. Participates in health promotional activities, community events, and committees as needed. Participates in decisions, planning, and policies related to clinical care. Maintains thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system. Records statistics and conducts research as deemed necessary. Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, by start date. Desired: Related Experience Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing – F Reaching: Shoulder height – F Reaching: Above shoulder height – O Reaching: Below shoulder height – O Climbing – O Pulling/Pushing: 25 pounds or less – O Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – O Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – O Twisting/Turning – O Repetitive Movement – O Working Conditions: Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances –Yes Blood Borne Pathogens Exposure Potential – Yes Lighting – No Noise – Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes
Confluence Health

Certified Nursing Assistant - Resource CNA

Salary Range $20.09 - $31.01 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manner. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant - Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. 0-3 years of experience. Desired : Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Nurse Navigator - Cardiology

Salary Range $39.33 - $61.57 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary The Nurse Navigator is accountable for navigation and coordination of care utilizing evidenced-based clinical pathways for cardiology patients along the continuum of care for their cardiac condition from diagnosis through treatment. They will provide longitudinal comprehensive nursing care to a designated case of cardiac patients. They will have primary nursing responsibilities for the coordination of care, symptom management and education of patients and families. This position will work in collaboration with all members of the healthcare team to achieve the best possible outcomes for the patient. Position Reports To : Practice Manager Essential Functions Manage, develop, implement and evaluate initial patient plan of care following clinical pathways in collaboration with the physician and the health care team, to determine the effective utilization of resources and outcome achievement. Facilitate and/or conduct patient, family, and team conferences to develop and monitor a plan of action as necessary. This includes patient education on the disease, treatment options, procedures and medication regimens and side effects. Ongoing assessment of patients for unmet social needs with appropriate referral and communication to social services, community resources, etc. Determine need for further diagnostic work-up; communicate and coordinate necessary tests or procedures to the patient and the healthcare team. Obtain, review and scan outside patient records for new newly referred cardiology patients. Coordinate simple and complex patient care issues in conjunction with other parts of the healthcare system, working interdepartmentally as well as with other members of the cardiovascular team. Determine timeliness/time appropriateness of appointments. Ensures effective and appropriate utilization of resources and efficient patient throughput along continuum of care. Coordinate and continue to develop an established virtual care/telemedicine program for patients in the region, in conjunction with community clinical resources. Assist with patient registry work as it pertains to chronic disease management. Document interim progress notes reflecting coordination of care/services. Intervene when the clinical pathway is not being followed, either due to patient constraints or ineffective follow-through. Provide triage services and symptom management to patients as needed, in-person, telemedicine or over the phone.Communicate symptomology to appropriate team members. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Current BLS Health Provider and ACLS card. Competent in basic computer skills. 3 years of clinical experience. Ability to work independently and perform role with minimal guidance Desired: Previous department experience. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – F Sitting/Standing - C Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - O Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - O Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - O Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - O Twisting/Turning - O Repetitive Movement - F Working Conditions: Work is performed at a workstation desk and in patient exam/treatment rooms, where space may be limited and confined. Requires a combination of working independently and close communication with providers. Hours may be irregular at times; overtime may be required. General supervision is provided by the Practice Manager with additional instructions, guidance, and direction by the physicians or providers with whom the RN is working. Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – No Hazardous Substances – Yes Blood Borne Pathogens Exposure Potential – Yes Lighting – No Noise – No Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases – Yes
Confluence Health

Registered Nurse (RN) - Intensive Care Unit

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position is eligible for up to a $20k sign on bonus with a 2- year commitment to Confluence Health. Must have prior ICU experience and be a external applicant. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. INTENSIVE CARE UNIT REGISTERED NURSE ESSENTIAL FUNCTIONS Intensive Care RNs will complete a formal orientation program for care of the critically ill patient. Intensive Care Unit RNs will be able to apply the principles / techniques of critical patient care assessment, planning, intervention, and evaluation. Intensive Care Unit nurses will be able to provide care within the ICU Standards of Practice, Section B for the infant, pediatric, adolescent, and adult patient. Intensive Care RNs will demonstrate knowledge and competency of all new equipment, policies, and procedures specific to Intensive Care nursing. Intensive Care nurses are certified in ACLS, PALS, and TNCC (within 1 year of ICU employment unless an alternative education plan is determined). Intensive Care RNs will serve as Trauma Team members after completing TNCC course. CCRN Certification will be endorsed and encouraged for all ICU nursing staff. Intensive Care RNs will demonstrate competency by attending an annual skills lab and review of selected equipment and procedures. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Nurse Clinical Supervisor RN - Emergency Services

Salary Range $50.20 - $78.52 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Under the general direction of the Clinical Nurse manager, the Clinical Supervisor is a member of the unit managerial team and assists that Nurse Manager in providing continuity of operational management and patient care management of a specified unit/service. The Clinical Supervisor is a Registered Nurse who has successfully completed the unit and department nursing competencies with a comprehensive understanding and competent skill level in patient care principles and evaluation of work performance to assure effective behavior in this leadership role. The Clinical Nursing Supervisor exhibits behaviors that enhance professional development, critical thinking and performance that reflect the key moral commitment, ethical principles, values and philosophy of Confluence Health. Promotes staff productivity through a defined care delivery system, and facilitation of the professional practice model and governance structure. Position Reports To: Hospital Director Emergency/ICU/PCU, Intensive Care Essential Functions Provides supervision of staff assigned to the unit for patient care and serves as a liaison between the manager and director for the staff. Provides time and attendance review, editing and approving timecards within the cycle of pay periods for staff. Collaborates with the Director/Clinical Manager to determine staffing needs for the department. Prepares schedule of work assignments. Assists Clinical Manager with updating/creating unit specific policies. Collaborates with the Manager, Director, staff, and Charge RNs to develop and maintain standards of nursing care, updates staff on accepted standards, and monitors compliance. Participates in improvement projects focused on achievement of annual goals and ensure implementation of and adherence to improvement changes, leads tests of change (pdsa cycles). Participates in activities related to the patient experience, conducting patient rounding and responding to issues to resolve in a timely manner. Assists Manager and Director with annual budget development and management to assist/assures cost effective daily operations and allocation of department resources; participate in weekend on call rotation with the leadership team if requested. Assists manager in review of quality data, addresses variances and issues, gathers, and reports information on specific events in RL Datix. Assists with ongoing survey readiness on the unit; helps to gather data to support this effort as needed. Provides input to clinical manager for staff evaluations. Provides coaching, counseling to staff to facilitate safe and effective patient care, participates in progressive disciplinary meetings. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards. Maintains required certifications specific to work unit (BLS, NRP, PALS). Demonstrates communication and interpersonal interactions in accordance with Confluence Health's Code of Conduct. Participates in Daisy award and other staff recognition strategies to promote staff satisfaction. Acts as a clinical resource to Materials Management (Product Review Committee) as needed. Assist with research and analysis of institutional reports, plans and programs as directed. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). 4 years’ experience in related clinical setting. National certification required for clinical specialty within 3 years of hire. Desired: Bachelor's Degree in Nursing. National Certification in clinical area. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking – C Sitting/Standing – C Reaching: Shoulder height – F Reaching: Above shoulder height – F Reaching: Below shoulder height – F Climbing – O Pulling/Pushing: 25 pounds or less – O Pulling/Pushing: 25 pounds to 50 pounds – O Pulling/Pushing: Over 50 pounds – O Lifting: 25 pounds or less – F Lifting: 25 pounds to 50 pounds – O Lifting: Over 50 pounds – O Carrying: 25 pounds or less – F Carrying: 25 pounds to 50 pounds – O Carrying: Over 50 pounds – O Crawling/Kneeling – O Bending/Stooping/Crouching – F Twisting/Turning – F Repetitive Movement – F Working Conditions: Work is primarily on the clinical unit but may be in offices and meeting rooms. There may be travel between campuses. Job Classification: FLSA: Exempt Hourly/Salary: Salary Physical Exposures For This Position: Unprotected Heights – No Heat – No Cold – No Mechanical Hazards – Yes Hazardous Substances –Yes Blood Borne Pathogens Exposure Potential – Yes Lighting – Yes Noise – Yes Ionizing/Non-Ionizing Radiation – No Infectious Diseases – Yes
Confluence Health

Registered Nurse (RN) - Labor and Delivery

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Certified Nursing Assistant - Surgical Unit CNA

Salary Range $20.00 - $31.00 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary Assists patients with activities of daily living, provides basic nursing care to all patients, and assists in maintaining a safe and clean environment under the direction and supervision of the Registered Nurse in charge of the patient and/or unit. May also be utilized as a Bedside Assistant, observing, interacting with and providing care to patients requiring 1:1 supervision. Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments and tasks as requested in order to promote positive visitor, family, and staff relations. Provides high quality patient care in a caring and compassionate manor. Reports any observed change in patient condition or behavior promptly to the nurse. Ensures patient care tasks are completed timely. Performs or assists with duties as outlined in the CNA Scope of Practice under the direction of the Registered Nurse. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. Demonstrates competence in providing care routines in accordance with established nursing care procedure to ensure patients' comfort and safety. Takes and records vital signs, height, weight, intake and output, and other measurements as applicable, in an accurate and timely manner. Reports all variations from normal to the RN in charge of the patient. Obtains finger stick blood glucose as delegated by the RN unless working in an area where this is prohibited. Prepares patients for meals, assists in feeding patients (if necessary), distributes fresh water and other nourishment according to patients’ needs. Assists patients with elimination needs. Ambulates/Transfers patients using proper body mechanics and patient safety techniques. Assists nurse in treatment procedures as needed. Documents accurately and timely in the patient medical record. Actively participates in quality improvement programs. Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Position Requirements For employees working on site at any CH location, being fully vaccinated against COVID-19 is an essential requirement. Qualifications Required: Graduate of an accredited nursing assistant program and: High School Diploma or GED. Active WA certified CNA license. Eligible to obtain Medical Assistant: Registered certification where applicable (application completed during the hiring process). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Surgical Unit

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $20,000. **Requires a two year commitment to Confluence Health. Applies to external candidates only. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To: Unit Clinical Manager/Director Essential Functions Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence-based procedures Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintains a clean and safe environment for patient and staff according to hospital and unit policies Actively participates in quality improvement programs. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse - Charge (RN) - Emergency Services

Salary Range $44.26 - $83.17 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Charge RN promotes a professional team-based environment within and with other departments and ensures collaboration with department leadership that patients receive high quality, safe care. Position Reports To : Nurse Manager Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Serves as a consultant, mentor and role model to staff. Demonstrate a commitment to providing the highest and most reliable quality service available on a daily basis. Be responsible for addressing inappropriate or unacceptable behavior on the part of a co-worker(s). Active participation in problem-solving identified issues. Follows through on problems that may compromise patient care by using the appropriate chain of command. Assists with the orientation of nursing personnel to the unit and contributes to the educational experience of students assigned to the unit. Coordinates and makes assignments for patient care taking into account patient needs, acuity, and skill mix of staff. Actively participates in quality improvement programs. Demonstrate ethical conduct and practices. Maintains a clean and safe environment for patient and staff according to hospital and unit policies. May be assigned to respond/lead in a Code Blue or RRT depending on the department. Preforms/assist with duties outlined within the Inpatient Registered Nurse Job Description Adheres to Confluence Health and Central Washington Hospital/Wenatchee Valley Hospital policies and unit standards as applicable. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired: BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation – Yes Infectious Diseases - Yes
Confluence Health

Nurse Resident - Acute Care

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary 2026 Start Dates : April 27th Residency Completion Bonus of $8,000 to be paid out at completion of Residency. Requires a two year commitment to Confluence Health. *Only applicable to New Graduates* Designed to transition a new graduate or an experienced nurse wishing to enter/reenter acute inpatient care, emphasizing high quality, evidence-based patient care. The Nurse Resident will work with a preceptor to deliver care to patients on multiple units, assuming increasing responsibility. Utilizes Nursing process of assessment, planning, intervention, implementation and evaluation to achieve patient goals and optimize outcomes. Effectively interacts with patient, significant others and other health team members, while maintaining standards of professional nursing (Washington State Nurse Practice Act, WAC, ANA scope and standards of practice). The Residency Program supports the resident through their first six month of practice. Includes online and classroom-based learning, clinical simulation, skills development, direct clinical experiences and mentorship. Position Reports To: Residency Manager/Director Essential Functions Demonstrates communication and interactions in accordance with Confluence Health’s Code of Conduct in all aspects of job performance. Maintain a safe and sanitary work environment. In collaboration with assigned preceptor, provides all aspects of nursing care to patients with increasing independence during progression in the program. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Demonstrate competency of the ANA standards of practice: assessment, diagnosis, outcome identification, planning, implementation, coordination of care, evaluation. Including professional standards of performance: ethics, cultural congruent practice, communication, collaboration, leadership, education, evidence-based practice, quality of practice, resource utilization and environmental health. Develops, implements, and continually reassesses patient’s individualized plan of care. Sets priorities for nursing action in a logical sequence according to patient's needs and formulates an appropriate plan of nursing care as defined by nursing policy. Teaches patient/family and/or caregiver appropriate health information. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Document’s care provided, assessments, plan of care, interventions, and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Demonstrates ability to delegate care to other licensed or non-licensed assistive personal based on Washington and Central Washington’s Guideline on scope of practice. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and nursing policy and procedure. Administers medications in accordance with WA State WAC and current licensure scope of practice unless under direct supervision of Preceptor. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Required to maintain active Basic Life Support (CPR) certification. Other duties as assigned Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required : Graduate of an accredited school of nursing, or due to graduate within 30 days with proof supplied upon graduation. Licensure: Current LPN, or RN licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). If LPN licensure, eligible to sit for NCLEX exam. Clinical experiences with a preceptor will be tailored to their level of licensure. Active Washington State RN licensure by the end of 90 days. Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : Not Specified Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute care nursing. Job Classification: FLSA: Non-Exempt Hourly/Salary: Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - Yes Noise - Yes Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes
Confluence Health

Registered Nurse (RN) - Emergency Services

Salary Range $41.37 - $77.74 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts CH Wellness Program Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary This position offers a sign on bonus up to $20,000 with recent Emergency Department experience. **Requires a two year commitment to Central Washington Hospital. Applies to external candidates only. ER Experience preferred. A clinically competent, registered, professional nurse who delivers care to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation. Effectively interacts with patients, significant others, and all other health care team members, while maintaining standards of professional nursing. (Washington State Nurse Practice Act, WAC, ANA Code of Ethics). Position Reports To : Emergency Services Clinical Manager Essential Functions Demonstrates communication and interactions in accordance to Confluence Health’s Code of Conduct in all aspects of job performance. Perform related assignments as requested in order to promote positive visitor, family, and co-worker relations. Exhibits interpersonal skills and professionalism that promotes a positive work environment. Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice. Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately. Develops, implements and continually reassesses patient’s individualized plan of care. Provides nursing care for patients including administration of medications, completion of nursing procedures and/or treatments. Determines and completes appropriate nursing actions to meet care goals; including the physical, psychological, social and rehabilitative needs of the patient. Teaches patient/family and/or significant others appropriate health information in a timely manner and shares written informational material. Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed. Documents care provided, assessments, plan of care, interventions and responses accurately in the patient’s medical record. Demonstrates ability to handle emergency situations in a prompt, precise and professional manner. Actively maintains current knowledge base of workflows, process and evidence based procedure. Delegates appropriately and oversees care provided by non-licensed assistive personnel. Participates in performance evaluation/improvement processes with Director/Clinical Manager. Assumes responsibility for own professional development and personal growth. Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing. Accurately and concisely processes and communicates information. Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment. Maintain a safe and sanitary work environment. Identifies patient by name and check’s patient name band for correct identification. Demonstrates correct and safe technique in the use of equipment according to specific product information, policy and procedure manuals. Demonstrates a thorough knowledge of safety policies and procedures; knows/practices proper body mechanics. Demonstrates knowledge of infection control and isolation procedures and policies. Participates in hospital emergency and disaster drills, knows personal role in the event of a fire and other emergency codes while on duty. Actively participates in quality improvement programs. Demonstrates an ongoing awareness of and participation in quality improvement process. Incorporates results obtained through the quality improvement process into practice to enhance performance. Reports to director/clinical manager any suggestions or recommendations for changes within the departmental policies and procedures. Adheres to Confluence Health and Wenatchee Valley Hospital or Central Washington Hospital policies and unit standards as applicable. Other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications Required: Graduate of an accredited school of nursing (NLN standard). RN Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management. Desired : BSN Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2-hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2-hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2-hour workday. Physical/Sensory Demands For This Position: Walking - C Sitting/Standing - F Reaching: Shoulder Height - F Reaching: Above shoulder height - O Reaching: Below shoulder height - F Climbing - O Pulling/Pushing: 25 pounds or less - F Pulling/Pushing: 25 pounds to 50 pounds - F Pulling/Pushing: Over 50 pounds - O Lifting: 25 pounds or less - F Lifting: 25 pounds to 50 pounds - F Lifting: Over 50 pounds - O Carrying: 25 pounds or less - F Carrying: 25 pounds to 50 pounds - O Carrying: Over 50 pounds - O Crawling/Kneeling - O Bending/Stooping/Crouching - F Twisting/Turning - F Repetitive Movement - O Working Conditions: Acute Care Nursing Job Classification: FLSA : Non-exempt Hourly/Salary : Hourly Physical Exposures For This Position: Unprotected Heights - No Heat - No Cold - No Mechanical Hazards - Yes Hazardous Substances - Yes Blood Borne Pathogens Exposure Potential - Yes Lighting - No Noise - No Ionizing/Non-Ionizing Radiation - Yes Infectious Diseases - Yes