HealthCare Jobs

Job description

Our Client is calling a Nurse Manager (Full Time/Day Shift) to Holy Cross Medical Center in Mission Hills, CA.  This position will cover both Sub Acute and Acute Rehabilitation units.

**This position is eligible for a $10,000 sign-on bonus for external candidates.

In this position you will:

• Be accountable for the delivery of high quality nursing care and for the administrative management of multiple nursing units and/or FTE’s over 80 on a 24 hour basis
• Fulfill all duties and responsibilities associated with the unit manager position

Qualifications:

Required qualifications for this position include:

• Bachelor’s Degree in Nursing
• California Licensed Registered Nurse
• Certification in CPR – Adult, Child, Infant (Provider), including Obstructed Airway Management, sponsored by the American Heart Association or the American Red Cross
• ACLS required for employees in ICU, Emergency Dept., Telemetry, 2T, 3N, PACU, GI Lab, Breast Center, CV Lab, Cardiac Rehab, Radiology
• PALS required within 180 days of hire for employees in Emergency Dept., PARC, PACU, Pediatrics (PHC)
• NNR required for employees in L&D, NICU, Nursery, Postpartum
• Three (3) years recent clinical experience

Preferred qualifications for this position include:

• Basic knowledge of Federal and State regulations for Long Term Care facilities
• Basic knowledge of Commission on Accreditation of Rehabilitation Facilities (CARF) standards

About the hospital you will serve.

Nationally recognized for clinical excellence and trauma care, Holy Cross Medical Center is a 377-bed, level II trauma center in Mission Hills, California. We are the only Magnet®Designated Hospital in the San Fernando Valley. Providence Holy Cross also has been recognized this year by the Los Angeles Business Journal as one of the best places to work in Los Angeles. As our reputation for excellence grows, so does our facility. We have recently expanded our medical center with the addition of a new 138-bed patient care wing. This expansion has made Providence Holy Cross Medical Center one of the largest hospitals serving the San Fernando and Santa Clarita valleys.

Is there additional variable compensation?

Leader Annual Incentive Plan -target of 8.0% Sign on bonus

Are you open to sponsorship?

No

This position is:

Backfill

Are there flexible work hours?

No

Does this position have direct reports?

Yes

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Job Description:

Manages activities of the unit(s), monitors quality, service and utilization standards. Supervises the day to day shift activities.

Part Time Night Shift – 24 hours per week.

Essential Responsibilities:

• Manages the units day to day clinical operations including practice standards, staffing, payroll, budgets, fiscal management, and quality improvement. Ensures the highest quality of care is provided and is in compliance with federal, state, and local regulatory requirements and established departmental policies and procedures.
• Develops and implements action plans to improve staff development. Supervises a single unit (8 to 24 hours) of approximately 20 – 60+ employees.
• Monitors the allocation and utilization of personnel based on continual changes in patient population/needs and provides the best level of patient care while identifying savings opportunities.
• Supervises the daily unit operations, including human resources management, department and employee safety programs, and risk management.
• Monitors the quality of service and utilization standards and assumes specific responsibility for patient care at the unit level. Ensures coordinated plans of treatment, customer focused care and cost effective utilization of services.
• Works with health care providers outside of the unit, to achieve optimal patient care across the continuum. Researches, identifies, and implements best practice models of other units. Investigates and resolves patient/family member concerns regarding patient care.

Qualifications:

Basic Qualifications:

Experience

• N/A

Education

• Graduate of accredited school of nursing.
• High school diploma OR General Education Diploma (GED) required.

License, Certification, Registration

• Current California RN license by date of hire.
• Current BLS certification required.

Additional Requirements:

• Demonstrated knowledge of quality improvement, clinical care delivery processes, staffing, & budgeting.
• Knowledge of Nursing Practice Act, The Joint Commission & other federal, state, & local regulatory requirements.
• Strong interpersonal communication skills.
• Must be able to work in a Labor/Management Partnership environment.
• PALS certification may be required for positions in specific departments.

Preferred Qualifications:

• ACLS certification strongly preferred.
• BSN or bachelor’s degree in health care related field preferred.

Employee Status:

Regular

Travel:

Yes, 5 % of the Time

Job Level:

Team Leader/Supervisor

Job Type:

Standard

Is Relocation Available?

Yes, nationwide

Is there additional variable compensation?

Eligible for annual bonus and merit increase

Are you open to sponsorship?

No

This position is:

Backfill

Is there a possibility to work remote?

No

Is there equity?

No

Are there flexible work hours?

No

Does this position have direct reports?

Yes

Describe how this position fits in your organization.

Asst. RN Manager has direct reports – this is a part-time Nights position. Responsible to guide team through successful shift; work on shared goals of Infection prevention, quality, risk management, patient satisfaction

What are the 3-4 non-negotiable requirements on this position?

MUST have CA RN license Must have current L&D RN exp Charge or Lead RN exp

What are the nice-to-have skills?

Experience training/mentoring others Working in a high volume facility L&D Problem solver, calm under pressure

What is exciting about this opportunity? Please use this section to describe team and company culture.

Working at our largest facility, flagship location, offers opportunity to advance to manager, director, other areas Positive team with outstanding compensation and benefits package

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Position: Physician – Family Medicine

Location: Los Angeles, CA

Duration: Full time

Job Overview

• We are looking for a certified Physician to join our expanding primary care team and provide patients with high-quality treatment and diagnostic services.
• The ideal candidate is an intuitive healthcare professional whose diagnostic abilities are only matched by their concern for their patients.
• The person in the Physician role will be responsible for meeting, assessing and diagnosing patients in our clinic and providing them with healthcare services that meet state and national standards for caregiving.
• They will be responsible for prescribing patients with appropriate medication, health regimens and lifestyle adjustments that will contribute to their recovery from diagnosed health issues, prevent future health issues and/or promote a healthier life.
• The right candidate will have a passion for providing diagnostic services to patients and will enjoy working closely with other healthcare professionals in our organization.

Job Responsibilities:

FAMILY MEDICINE

• Review patient chart and maintain record for allergies, medical problems, medications and immunization status.
• Solicit and record information related to patient’s medical history.
• Examine patients for symptoms and physical information before prescribing medicine.

Benefits: –

• Hospital Services are free for employee
• Free medical benefits

Position Summary

• What We Offer Our Providers
• Flexible schedules, Monday-Friday 8:00 AM to 5:00 PM, Saturdays available but optional
• 18 – 20 patients per day
• No night or weekend call
• Competitive compensation
• Excellent benefits
• Medical license, DEA, board certification stipend
• CME paid time off and stipend
• Potential for growth opportunities
• Nose and tail malpractice coverage
• Approved NHSC scholar site
• Federal and state loan repayment

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JOB SUMMARY:

The Clinical Manager works with the Administrator of Patient Care Services to ensure excellence in the clinical practice of nursing and the delivery of patient care. To ensure the focus of clinical excellence, the manager will hold 24-hour accountability for their unit.

QUALIFICATIONS:

1. Current RN licensure to practice in California.
2. BSN preferred.
3. Minimum of 1-year ER experience within the past 3 years required.
4. Management experience at Charge Nurse level or higher required.
5. BLS certification required and maintained thereafter.
6. ACLS (Advanced Cardiac Life Support) required and maintained.
7. PALS (Paediatric Advanced Life Support) required and maintained.
8. Proof of completion of 12 Lead EKG class or taken within one (1) year of employment.
9. CCRN or CEN certification preferred. Also TNCC AND MICN certification preferred.
10. Ability to read, write, comprehend, communicate effectively in the English language.
11. Must be able to put into practice Service Excellence and AIDET skills with our patients, families and co-workers.
12. Ability to provide leadership in a positive direction that is consistent with the policies, goals, objectives, mission and vision of the Hospital and Nursing Department.
13. Demonstrate ability to coordinate patient care within the hospital in the House Supervisor role in the event of an emergency.

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Job description

In this position you will:

• Direct and supervise functions and activities in assigned areas
• Provide leadership in the professional practice setting
• Implement and interpret policies, procedures, standards, and regulations for personnel, patients, medical staff, and the public
• Provide duties in any nursing capacity as needed
• Adhere to the ANA Nursing Administration: Scope and Standards of Practice

Qualifications:

Required qualifications for this position include:

• Unencumbered California Registered Nurse (RN) license
• Nursing degree/diploma required upon hire
• Bachelor’s Degree in Nursing (BSN), or must obtain a Bachelor’s degree or higher within 3 years of hire, or have at least 20 years of RN experience
• At least 1 year of acute care experience in area of specialty with proven managerial skills
• Current Basic Life Support (BLS) certification for Healthcare Providers from the American Heart Association
• Current Neonatal Resuscitation Program certification (NRP)
• Preferred qualifications for this position include:
• Bachelor’s Degree in Nursing (BSN)

Is Relocation Available?

Yes, regional

Is there additional variable compensation?

eligible for the Leadership Annual Incentive Plan with a target of 8%

Are you open to sponsorship?

No

This position is:

Backfill

Are there flexible work hours?

No

Does this position have direct reports?

Yes

Describe how this position fits in your organization.

Manager position in the Obstetrics/Post-Partum unit reporting up to the Director and CNO.

What are the 3-4 non-negotiable requirements on this position?

Strong Leadership Skills Obstetrics/Post-Partum experience/knowledge Teamwork 3-5 years of management level experience Ability to deal with multiple priorities and short time frames.

What are the nice-to-have skills?

Compassionate Responsible and Accountable

What is exciting about this opportunity? Please use this section to describe team and company culture.

A faith-based not for profit organization. We are a mission driven organization, our mission is to care for the poor and vulnerable. In addition, our 5 core values are Respect, Compassion, Justice, Excellence, and Stewardship. From the COO to the managers, physicians, nurses and techs, it is a very collaborative and caring team, strong teamwork and support system.

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Function

The Hemodialysis Registered Nurse provides acute hemodialysis care and treatment, including developing initial and ongoing assessments, and providing patient training and education as applicable.

He/she is responsible for providing communication with the physician and other members of the health care team to interpret, adjust and complete all care plans in a timely manner.

The Hemodialysis Registered Nurse is responsible for assisting and supporting the acute unit management team in achieving high standards for quality, patient satisfaction, staff development, business management as appropriate, teamwork, culture and employee satisfaction.

He/she is also responsible for understanding, supporting, interpreting, implementing and complying with the policies, mission and values of the company.

The Hemodialysis Registered Nurse provides safe, effective delivery of care under the oversight of the Medical Director, Senior Director of Acute Operations, Group Hospital Administrator (GHA), and Hospital Administrator (HA). He/she must comply with the standards outlined in the policy and procedure manual, as well as the regulations set forth by the company and any applicable state and federal agencies.

Representative Duties

The Hemodialysis Registered Nurse will be responsible for the performance of all the duties listed. The distribution of effort between the duties listed can be expected to vary and will be under the supervision of a Hospital Administrator (HA), Group Hospital Administrator (GHA) and the Senior Director of Acute Operations.

• Demonstrates high level of knowledge and experience skills and competencies related to the Hemodialysis Registered Nurse.
• Demonstrates ability to perform technical skills for the Hemodialysis Registered Nurse including the patient’s treatment, water treatment and preparation, and emergency procedures as determined by the competency assessment program.
• Delivers care to assigned patients as prescribed, including all aspects of the hemodialysis procedure in accordance with state requirements.
• Demonstrates ability to work with any patient or staff and does not discriminate on any basis, including, but not limited to, race, gender, disease process, lifestyle and religious or cultural beliefs.
• Initiates, monitors and discontinues dialysis treatments according to established procedures. Assesses patients pre/post treatment and reports problems to the Clinical Coordinator (CC) and/or Charge Nurse.
• Establishes priorities of care, both emergent and non-emergent.
• Develops and assimilates theoretical and technical knowledge with observations, assessments, and communication skills to detect dialysis and non-dialysis related problems.
• Recognizes and utilizes opportunities for patient and family education and training.
• Maintains a safe environment for self, patients and staff by utilizing proper body mechanics, and following universal infection control precautions and cleaning procedures under OSHA regulations.
• Dialyzes isolation patients utilizing isolation precautions and prescribed procedures.
• Assesses patients utilizing isolation precautions and prescribed procedures.
• Performs hemodialysis access care according to established procedures.
• Administers and documents medications as authorized and documented in patient’s health record by the physician and further authorized or limited by the State Board of Nursing Practice.
• Reports any significant information or change in patient’s condition to the Clinical Coordinator (CC) or Charge Nurse.
• Documents clearly, completely, and accurately all pertinent information during downtime of the electronic record.
• Participates in the formulation, update, and revision of nursing care plans, including long and short-term goals, according to established guidelines.
• Performs or assists in the performance of all emergency operational procedures, including the evacuation of patients in the event of a fire and/or ordered mock drills.
• Obtains blood samples and other specimens as ordered and as outlined in hospital’s policy and procedure manual.
• Initiates and discontinues blood transfusions and monitors patient progress per established policy in the hospital (if applicable).
• Cooperates with and supports other departments in the hospital and follows all policies and procedures in the hospital (if applicable).
• Assists with and performs all procedures of safe operation, disinfections and inventory control according to corporate and departmental policy, manufacturer recommendations and regulatory agency guidelines.
• Assists in ordering supplies and maintaining supply inventory and records in an efficient and cost-effective manner.
• Assists in maintaining neat, orderly, and well-stocked unit.
• Utilizes equipment, time and supplies economically.
• Maintains competency in operations, sanitization, maintenance, and of all equipment used for dialysis, water treatment and special procedures.
• Actively participates with the supervisor and Biomedical Engineering Department in the care, routine maintenance, cleaning, and use of equipment.
• Reports all equipment and supply problems appropriately and according to policy to repair personnel/biomedical support staff.
• Picks up and delivers supplies, blood samples, records, and reports as directed by the Clinical Coordinator (CC) or charge nurse.

• Assumes administrative duties under the direction of the Clinical Coordinator, Charge Nurse, or Hospital Administrator (HA).
  • Assists in orientation and training of new and existing staff.
  • Assists in CQI projects with the health care team.
  • Communicates any water, equipment, or facility problems quickly and appropriately following facility guidelines for reporting.
  • Communicates effectively with physicians, supervisor, co-workers, patients, and families.
  • Maintains positive working relationships with Medical Director/Medical Staff.
  • Actively participates in unit staff meetings and in-services.
  • Assist the Clinical Coordinator (CC), Charge Nurse, Hospital Administrator (HA), Group Hospital Administrator (GHA) in staff scheduling, including rotations, to ensure adequate coverage.
• Assumes responsibility and utilizes opportunities for personal and professional growth.
  • Promotes, supports, and adheres to all policies outlines in the Employee Handbook.
  • Completes clinical and corporate training programs(s) to successfully master acute patient care for hemodialysis, Peritoneal Dialysis (PD) (as appropriate), Continuous Renal Replacement Therapy (CRRT). Also, fosters development of leadership and management skills and listening and communication skills.
  • Acquires information on the latest developments of dialysis technique by participating in scheduled in-service classes.
  • Seeks resources for direction, when necessary.

Machines, Equipment, And Work Aids

Responsible for maintaining a working knowledge of all hemodialysis and related ancillary and emergency equipment utilized in the facility such as:

• Reverse Osmosis equipment
  • Water treatment equipment
  • Computers
  • Hemodialysis machines
  • Sphygmomanometer
  • Conductivity meters
  • Glucometers
  • Scales
  • Electronic thermometers
  • IV infusion pump
  • Code carts
  • Suction machines
  • Oxygen administration equipment
  • Personal protection equipment
  • PD Home choice cyclers
  • Amia automated PD system
  • Prisma Flex CRRT machines.

Work Traits

Aptitudes

• Ability to communicate clearly and concisely; both orally and in writing.
• Ability to listen and respond in an understanding manner.
• Ability to utilize computer skills to generate effective reports.
• Ability to teach adults and incorporate ethnic and spiritual needs of patients.
• Ability to foster an environment of cooperation, collaboration, and teamwork.
• Ability to relate to various levels within the corporate structure.
• Ability to recognize and deal with prioritizing needs.
• Ability to maintain confidentiality.

Temperaments

• Ability to work independently in unstructured environment.
• Ability to motivate other team members.
• Ability to relate to people in a manner which instills confidence and establishes rapport.
• Ability to be flexible and adaptable in the unit and corporate level.
• Ability to gain support and input from team members.
• Ability to make sound decisions in a timely manner.
• Ability to remain calm, interpret data and conditions as presented, and to provide solutions under stress.

Physical Demands And Working Conditions

• Moderately active work involves lifting and carrying; walking and standing for considerable lengths of time.
• Talking and listening to communicate ideas or requirements to individual staff members.
• Visual acuity to prepare and read written material accurately.
• Audio acuity to listen attentively and accurately.
• Ability to push, pull, mobilize (with assistance of wheels, carts, and other equipment) approximately 50 lbs.
• Ability to work overtime as needed to complete general responsibilities.
• Full use of all extremities with hand dexterity.
• Ability to travel when necessary to meet the needs of the unit and corporation.

NOTE: For individuals that meet the standards for the American Disability Act (ADA), reasonable accommodations will be made to ensure equal opportunity to fulfill physical demands and improve working conditions.

Enviromental Conditions

Potential exposure to hazardous/infectious materials.

He/she must observe and comply with the safety regulations/requirements of the facility and governmental agencies.

Minimum Qualifications

• Associate degree in Nursing is required. Bachelors in nursing or health related field preferred.
• Current appropriate state licensure.
• At least one-year nursing experience.
• Hemodialysis experience preferred.
• ICU/CCU experience preferred but not required.
• Successful completion of training course in theory and practice of hemodialysis.
• Valid driver’s license and insurance, when business travel is applicable.
• Computer knowledge preferred.
• BLS Certified.
• Possesses reliable transportation.

Supervised By

JOB RELATIONSHIPS:

Clinical Coordinator

Hospital Administrator

Group Hospital Administrator

Senior Director of Acute Operations

This position will have interaction with other direct care staff as well as support staff, physicians, and management team.

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Job description

OVERVIEW OF POSITION:

Responsible for the management of the daily departmental operations and functions of a given patient care area, the direct supervision of teammates, and providing direct patient care daily under the supervision of a clinician. Responsible for performing operational duties as required under the direction of the site administrator or designee.

DETAILS:

• Schedule: Monday – Friday, 12 PM – 9 PM
• Weekend schedule: every other weekend, 7:30 AM – 2 PM (will receive two days off during the week, when scheduled to work on a weekend)
• Location: Redondo Beach, CA
• Setting: Setting: Ambulatory/Outpatient Clinic
• Specialty(ies): Infusion Center and Immediate Care
• Direct Report(s): 16 – 22 (RNs, LVNs, MAs, & MRs)
• Exempt position

EDUCATION/CERTIFICATIONS:

• Bachelor’s degree from a four-year college and/or a professional certification requiring formal education beyond a two-year college.
• Graduate from an accredited school of Nursing.
• Current California RN license.
• Must have by start date: current ACLS, BLS, and PALS, by American Heart Association (AHA) – (100% online certification is not acceptable).

EXPERIENCE:

• Must have at least 1 year of supervisory experience.
• May consider candidates without supervisory experience, who have AT LEAST 5 years of experience as an RN and a strong background in an outpatient setting.

KNOWLEDGE, SKILLS, ABILITIES:

• Spanish-speaking a plus.
• Computer literate.
• Manual dexterity to use/handle equipment and instruments.
• Excellent verbal and written communication skills.

About Us

What’s the first thing that happens when one of the leading independent medical groups in the country comes together with a global leader in health care? Opportunity.

Is Relocation Available?

No

Is there additional variable compensation?

Yes, yearly max bonus potential of up to $6,000.

Are you open to sponsorship?

No

This position is:

Backfill

Is there equity?

No

Are there flexible work hours?

No

Does this position have direct reports?

Yes

Describe how this position fits in your organization.

Director of Operations > Site Administrator > RN Manager > RN Supervisor > RNs (staff) / LVN Supervisors > LVNs (staff) / MAs / MRs / etc.

What are the 3-4 non-negotiable requirements on this position?

Must be willing to work the following schedule (PLEASE REVIEW WITH CANDIDATE): Schedule: Monday – Friday, 12 PM – 9 PM Weekend schedule: every other weekend, 7:30 AM – 2 PM (will receive two days off during the week, when scheduled to work on a weekend) Must have supervisory experience (with direct report responsibilities such as: scheduling, PTO, disciplinary actions, etc.) Must have out-patient experience; in-patient considered if from hospital, but not from SNF.

What are the nice-to-have skills?

Infusion

What is exciting about this opportunity? Please use this section to describe team and company culture.

Amazing work culture and, as can be seen through organization details above, lots of room for growth,.

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Job description

Manages the delivery of nursing services and safe patient care within assigned department and across the continuum of care. Manages the delivery of services that add value and are integrated with nursing standards of practice, service priorities and performance/outcome measures, as well as with strategic, business and organizational goals/objectives.

Essential Responsibilities:

Manages on a 24 hour basis the delivery of nursing services and safe patient care which meet or exceed cost, quality, and clinical and utilization standards and performance measures.

• Establishes, implements, and maintains patient care and service standards to meet members’ and internal clients’ expectations and needs in a changing, competitive health care market. Holds staff accountable in providing the highest quality of care while in compliance with the Nursing Practice Act, TJC, federal, state, and local requirements.
• Works with Nursing Leadership to develop strategic/business plans to achieve integrated services across the continuum of care. Manages and ensures continuous improvement of all clinical practices, services and operations by designing and implementing systems, processes and methods to evaluate and improve patient care within assigned department and across the continuum of care.
• Develops and monitors department’s budgets for the appropriate use of human and material resources.
• Monitors financial performance and identifies and implements strategies to reduce costs and improve quality of care/service.
• Determines the appropriate staff mix for department and develops processes to screen, interview, hire, train, and maintain the competency of all department staff. Ensures ongoing staff development.
• Develops, implements, and monitors departmental policy and procedures which support the organization’s goals and business objectives and ensures they are met. Develops standards of care and standards of practice, directs fiscal management, and quality improvement activities.
• Manages and resolves human resource and risk management issues.
• Accountable to promote an organizational culture of safety. Ensures appropriate patient, employee and department safety standards and guidelines are implemented consistently in the delivery of health care and adhere to administrative, legal and regulatory requirements of governmental and regulatory agencies.
• Participates in leadership committees and forums on a Medical Center, Regional level and/or National level.

Qualifications:

Basic Qualifications:

Experience

• Minimum five (5) years of clinical nursing experience relevant to a given position/department required, including three (3) years of management, supervisory or leadership* experience.

Education

• Academic degree in nursing required (Bachelor’s or Master’s degree).
• Graduate of accredited school of nursing.
• BSN and National Health/Nursing Administration Certification or MSN are required for Pediatric and NICU Departments for facilities that are CCS certified or desire CCS certification. This requirement applies to Downey, LAMC, San Diego, Fontana and Orange County.

License, Certification, Registration

• Current RN license required; California RN license required by date of hire.
• BLS certificate required.

Additional Requirements:

• Knowledge of Nurse Practice Act, TJC, and other local, state, federal regulations.
• Demonstrated interpersonal and management skills.
• Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors.
• Must be able to work in a Labor/Management Partnership environment.

Preferred Qualifications:

• Master’s degree.
• National Certification in specialty.
• Previous experience with electronic medical record.
• Notes:

Must meet CCS requirement for NICU as a Community NICU standards.

Employee Status:

Regular

Travel:

Yes, 5 % of the Time

Job Level:

Manager with Direct Reports

Job Type:

Standard

Is there additional variable compensation?

Yes, potential to earn up to a 15% bonus.

Are there flexible work hours?

No

Does this position have direct reports?

Yes

Describe how this position fits in your organization.

This is a tertiary facility that is CCS certified. This is a management position, salaried, candidate needs to be flexible to come in earlier or stay later as needed. All Kaiser Permanente medical centers are focusing on obtaining Magnet designation.

Does this position have direct reports?

Yes

Describe how this position fits in your organization.

This position manages day to day operations primarily on the evening shift for a tertiary facility that has CCS designation. This is a management position, salaried, candidate needs to be flexible to come in earlier or stay later as needed, work additional hours as needed. All Kaiser facilities are focusing on obtaining Magnet designation.

What are the 3-4 non-negotiable requirements on this position?

Must have experience working in a level III or IV NICU Must have a CA RN license, BLS, NRP, RNC-NIC, MSN (do not present candidates without these items) Must have 3 years of management type experience in NICU (not Charge Nurse) Candidate should have experience managing/supervising a minimum of 8-12 beds.

What are the nice-to-have skills?

Will also cover Peds and PICU as needed so experience in these areas would be a plus.

What is exciting about this opportunity? Please use this section to describe team and company culture.

NICU beds 49 but average census is 32. Direct reports approx. 45. Will also cover Peds unit (17 beds) and PICU (8 beds) when other Nurse Manager is off (after hours or on vacation).

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