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Facilitates interdisciplinary collaboration by leading collaborative efforts between nursing and various health care disciplines to drive the strategic implementation of best practices, fostering a culture of consistency and continuity of care, and optimizing quality outcomes for patients. Analyzes patient needs to develop and evaluate individualized care plans by applying highly advanced clinical knowledge in area of specialization. Prepares and delivers educational opportunities for patients, families, and staff by leading the assessment and development of content to meet diverse learning needs, preferences, and cultural backgrounds of individuals. Leads program development and quality improvement through evidence-based practice by leading complex initiatives to develop and implement programs aimed at improving patient outcomes and enhancing the quality of care delivery. Promotes compliance with regulatory standards by engaging stakeholders to assess the impact of policy changes on patient care delivery and workflow processes.

Essential Responsibilities:

Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
Evaluates evidence-based practices and clinical guidelines by: conducting literature searches in area of specialization and keeping abreast of developments in the field to ensure alignment with current best develop highly advanced knowledge; thoroughly assessing current clinical practices and outcomes to identify areas for enhancement, advocating for widespread adoption of best practices; and leading the adoption of clinical best practices and guidelines, collaborating with interdisciplinary teams to drive change and innovation.
Analyzes patient needs to develop and evaluate individualized care plans by: applying highly advanced clinical knowledge in area of specialization to analyze and assess patient needs to collaboratively develop individualized care plans for complex and specialized cases while providing guidance personnel; leading the evaluation of effectiveness of care plans through ongoing assessment, analysis, and revision, resolving issues and mitigating risks as they arise; and providing consultation to patients, families, and interdisciplinary team members to promote patient-centered care, fostering collaboration and communication.
Facilitates interdisciplinary collaboration by: leading collaborative efforts between nursing and various health care disciplines to drive the strategic implementation of evidence-based best practices, fostering a culture of consistency and continuity of care, and optimizing quality outcomes for patients; driving engagement with stakeholders to ensure seamless delivery of care, allocating resources effectively, and escalating issues as needed; and influencing the decision-making processes that affect patient care outcomes, fostering collaboration and communication among team members.
Prepares and delivers educational opportunities for patients, families, and staff by: leading the assessment and development of content to meet diverse learning needs, preferences, and cultural backgrounds of individuals including marginalized or underserved populations with the goal of fostering diversity, equity, and inclusion; fostering partnerships with health care providers and external stakeholders to champion patient and staff education initiatives, cultivating high levels of engagement and participation; driving a culture of learning and development within the organization, allocating resources to support ongoing education and training initiatives in area of specialization; and utilizing the Nursing Process to systematically evaluate the effectiveness of educational programs, identifying and resolving issues, and implementing improvements.
Promotes compliance with regulatory standards and best practices by: engaging stakeholders to assess the impact of policy changes on patient care delivery and workflow processes, fostering collaboration and communication; providing expert input in policy/protocol creation, development, and review processes, ensuring alignment with regulatory standards, evidence-based practice, and organizational goals and objectives; and engaging with staff and stakeholders to evaluate the effectiveness of policies and procedures, resolving issues and making improvements as needed.
Leads program development and quality improvement through evidence-based practice by: leading complex initiatives to develop and implement programs aimed at improving patient outcomes and enhancing the quality of care delivery; conducting advanced analyses of program outcomes and performance metrics, identifying opportunities for improvement and making recommendations for action; fostering stakeholder buy-in and support for quality improvement initiatives, fostering collaboration and communication; and synthesizing patient and staff feedback to evaluate program efficiency, ensuring seamless alignment with organizational goals and strategic objectives.

Minimum Qualifications:

Masters degree in Nursing AND minimum five (5) years of experience in direct patient care in area of specialty or a related area of specialty.

Registered Nurse License (California) required at hire

Clinical Nurse Specialist Certificate (California) required at hire

Basic Life Support required at hire

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CRNA Exempt - (36 Hours Per Week)

Kaiser Permanente

Walnut Creek, CA

Compensation: 219330

Job Summary:

Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order.

Essential Responsibilities:

Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons.

Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy.

Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards.

Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients.

Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy.

Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite.

Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary.

Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc.

Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards.

Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes.

Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Basic Qualifications:

Experience

N/A

Education

Graduate of an accredited registered nursing program. Graduate of an accredited school of anesthesia by date of hire. High School Diploma or General Education Development (GED) required.

License, Certification, Registration

Certified Registered Nurse Anesthetist (California) required at hire

Registered Nurse License (California) required at hire from Centers for Medicare & Medicaid Services

Advanced Cardiac Life Support required at hire

Basic Life Support required at hire

National Provider Identifier required at hire

Additional Requirements:

Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
Proven ability to exercise professional prerogatives based on sound clinical judgment.
Demonstrated track record of following the precautionary and preventive measures in giving patient care.
Demonstrated ability to work in teams and have proven communications and listening skills.
Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability and change management.
Must be able to work in a Labor/Management Partnership environment.
Must be eligible for Medicare/Medi-Cal enrollment. Medicare enrollment requires current certification by one of the following organizations: Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists.

Preferred Qualifications:

N/A

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CRNA Exempt - (36 Hours Per Week)

Kaiser Permanente

Walnut Creek, CA

Compensation: 219330

Job Summary:

Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order.

Essential Responsibilities:

Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons.

Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy.

Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards.

Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients.

Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy.

Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite.

Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary.

Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc.

Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards.

Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes.

Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Basic Qualifications:

Experience

N/A

Education

Graduate of an accredited registered nursing program. Graduate of an accredited school of anesthesia by date of hire. High School Diploma or General Education Development (GED) required.

License, Certification, Registration

Certified Registered Nurse Anesthetist (California) required at hire

Registered Nurse License (California) required at hire from Centers for Medicare & Medicaid Services

Advanced Cardiac Life Support required at hire

Basic Life Support required at hire

National Provider Identifier required at hire

Additional Requirements:

Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
Proven ability to exercise professional prerogatives based on sound clinical judgment.
Demonstrated track record of following the precautionary and preventive measures in giving patient care.
Demonstrated ability to work in teams and have proven communications and listening skills.
Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability and change management.
Must be able to work in a Labor/Management Partnership environment.
Must be eligible for Medicare/Medi-Cal enrollment. Medicare enrollment requires current certification by one of the following organizations: Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists.

Preferred Qualifications:

N/A

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Licensed Voc Nurse I.V. Cert

Kaiser Permanente

Fresno, CA

Compensation: 52.91

Job Summary:

Provides nursing care, under the direct supervision of a Registered Nurse or physician, in accordance with the legal scope of practice and within established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health care team with dignity and respect.
This classification is for LVNs working in a designated IV Therapy department.

Essential Responsibilities:

The Licensed Vocational Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors:
Leadership:
Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.
Demonstrates a professional, supportive attitude.
Identifies and supports new ideas.
Utilizes effective communication strategies, including chain of command and issue escalation, which result in intended outcomes.
Participates in problem identification and resolution.
Mentors and orients others in skill and behavioral learning.
Demonstrates ability to problem solve with other departments in order to assist member problem resolution.
Prioritizes and delegates work assignments appropriately to ensure completion of patient care activities.
Complies with regulatory requirements, policies, procedures, and standards of practice.
Nursing Process:
Performs patient care activities, within the scope of practice, considering age-related needs of the patient as assigned.
Reports unusual findings to the Registered Nurse and contributes recommendations for revision to the plan of care.
Adheres to hospital standards, which customize care for age-related needs of the population served.
Keeps health care team members informed regarding patients responses to interventions.
Collaborates with registered Nurse to develop individualized plan of care that reflects clinical findings, planning, implementing, and evaluating the outcomes of that plan.
Monitors patients progress based on the plan.
Assures care meets standards of practice.
Collaborates with Registered Nurse to assure patient/family education.
Documentation:
Charting is legible, dated, and timed.
Documentation reflects thorough data collection and care provided.
Safety
Applies standard precautions; maintains a safe environment for self and others.
Clinical Outcomes:
Discusses patient findings and progress toward outcomes with Registered Nurse, physicians, and other members of the health care team.
Demonstrates competencies during the probationary period and ongoing by completion of departmental competency validation.
Participates in departmental performance improvement activities, i.e., planning, and measuring/monitoring, assessing and improving.
Utilizes computer systems effectively and efficiently.
Customer Service:
Practices customer service standards as defined by the Service Area, Medical Center, and specified department.
Anticipates the customers desires, takes proactive steps to meet those needs, by listening and taking responsibility within scope to ensure issues are resolved.
Promptly answers call lights, alarms, and patient requests.
Facilitates the customer-s ability to utilize resources.
Maintains and protects patient confidentiality.
Assures a clean, orderly, and functional work environment.
Team Commitment:
Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others.
Confronts difficult or conflict situations constructively and seeks appropriate assistance.
Takes accountability for own actions
Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members.
Actively participates in departmental professional development activities.
Adheres to Attendance Policy.
Supports a collaborative labor-management partnership environment.

Collaborates with physician and/or Registered Nurse to develop individualized plan of care that reflects clinical findings, planning, implementing, and evaluating the outcomes of that plan.
Collaborates with physician and/or Registered Nurse to assure patient/family education.

Grade 655

Basic Qualifications:

Experience

Minimum six months acute care and/or related outpatient experience within past four years.

Minimum one year acute care experience within past four years if working in a Home Health/Hospice Department.

Education

High School Diploma/GED

License, Certification, Registration

Vocational Nurse License (California)

Basic Life Support

Additional Requirements:

I.V. Certification updated within last 3 years or must have demonstrated I.V. Competencies.
Experience requirements may be waived or modified when an appropriate program or course is available and successfully completed for New Graduate LVNs or for area of specialization
Ability to read and comprehend simple instructions, short correspondence, and memos.
Ability to write simple correspondence.
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other incumbents of the organization.
Must be willing to work in a Labor Management Partnership environment.

Preferred Qualifications:

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Nurse Practitioner II - Emergency Department

Kaiser Permanente

Oakland, CA

Compensation: 107.7

Job Summary:

The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The NP performs physical examinations, confers with patients in person and by phone/electronically, collaborates with others in the department to assure smooth flow of patient care consistent with established quality indicators and participates in the overall coordination of patient care. The NP reports to the Chief of the designated service and to the Department Manager.

Essential Responsibilities:

Practices under the standard procedure established for the NP role consistent with Kaiser Permanente policy and in accordance with requirement set forth by the California Board of Registered Nursing.
Conducts age appropriate assessments of patients, including history taking and physical examination consistent with department protocol.
Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; patient/family education, family involvement and patient advocacy.
Consults with supervising physician or other clinicians as dictated by patient need and assessment findings.
Participates with physicians and other clinicians in the department to assure effective patient care consistent with quality indicators for patients cared for in the designated service.
Reviews medical record for follow up or ordering of diagnostic studies under established protocols.
Establishes and maintains communication with other health care providers and departments to ensure operational efficiency and effectiveness and to promote consistency and continuity of care.
Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs.
Delegates appropriately and coordinates duties/activities of health care team members. Evaluates effectiveness of care given by team members.
Demonstrates knowledge of and applies safety principles as identified by the institution. Performs efficiently in emergency situations following established protocols, remaining calm, informing appropriate persons, and documenting events.
Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.
Participates in unit and department Performance Improvement activities. Participates in nursing research activities as requested. Identifies and solves problems effectively.
Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Demonstrates proficiency in the use of computers and telecommunication modalities to document, track and convey information.
If practicing in a specialty role, fulfills the expectations established for the particular role.
Perform other related duties as necessary.

Basic Qualifications:

Experience

Minimum of 6 months experience as a nurse practitioner.

Two (2) years (within the past three (3) years) experience as a NP providing specialized care for patients in an emergency department or urgent care setting.

Education

Masters Degree in Nursing (unless already a Kaiser Permanente employee who was grandfathered in prior to California Business and Professions Code requirement in January 1, 2008)

Completion of a Masters Program in Family Practice NP or Acute Care NP required. If only caring for specific patient population of adult or pediatrics then Acute Adult NP or Acute Pediatric NP required.

License, Certification, Registration

Registered Nurse License (California)

Nurse Practitioner Furnishing Number (California)

Nurse Practitioner Certificate (California)

Basic Life Support

Pediatric Advanced Life Support

Advanced Cardiac Life Support

Nurse Practitioner National Certificate

National Provider Identifier required at hire

Additional Requirements:

Must meet credentialing requirements established for nurse practitioners within the Kaiser system (Masters Degree in Nursing and National Certification from one of the following organizations: American Academy of Nurse Practitioners; American Credentialing Center; National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties; National Certification Board of Pediatric Nurse Practitioners and Nurses.)
Candidates must meet requirements to apply for PTAN (Provider Transaction Account Number) at the time of hire and apply within 30 days of hire
Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.

Preferred Qualifications:

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Assistant Nurse Manager, PACU

Kaiser Permanente

Roseville, CA

Compensation: 174400

Job Summary:

In addition to the responsibilities below, this position is also responsible for assisting the implementation of best practice models; assisting the implementation of patient care delivery systems and practice standards in several locations; supporting investigations into patient/family/member concerns regarding patient care and services; supporting collaboration with physicians, outside healthcare providers, and other health care team members to achieve optimal and safe patient care across the continuum; allocating resources in assigned clinical areas to ensure appropriate assignment and utilization; supervising the use and maintenance of equipment, supplies and medications; supporting the creation of a safe environment for patients and employees; maintaining clinical expertise, providing clinical supervision, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care in the unit; delegating tasks and duties that are aligned to scope of practice; and performing clinical duties as required. Collaborates with Nursing Clinical Practice to ensure assistants and staff provide the highest quality of care and are in compliance with the Nursing Practice Act, The Joint Commission, federal, state, and local requirements.

Essential Responsibilities:

Recommends developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement. Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Implements, adapts, and stays up to date with organizational change, challenges, feedback, best practices and processes. Fosters open dialogue, supports, mentors, engages, and motivates team members on collaboration. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope.
Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensures all policies and procedures are followed. Aligns team efforts and standards, and measures progress in achieving results; determines and carries out processes and methodologies; resolves escalated issues as appropriate. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; identifies and recommends improvement opportunities; influences teams to execute in alignment with operational objectives.
Supervises hospital administrative functions to support patient care by: facilitating team meetings and/or management decisions and identifying action items, taking into consideration compliance timelines and financial commitments; facilitating and maintaining utilization and productivity to achieve performance targets; maintaining and ensuring collection of data, interpreting data, and taking action; supervising cross-functional activities including workplace and patient safety, labor relations, and quality/risk management issues; maintaining survey readiness activities including mock rounds and mitigating issues to maintain compliance and regulatory standards, and delivering requested audit documentation, information, and reports; and ensuring budget targets are met by assuming accountability for appropriate staffing, patient placement, and/or other relevant decisions as required.
Manages care delivery operations and programs within a twenty-four-hours-a-day, seven-days-a-week operational environment by: supporting large and/or complex work streams with significant program impact; supervising data collection to inform the development and implementation of plans; coordinating and monitoring daily operational activities involving direct patient care management; coordinating resources in hospital areas to ensure appropriate assignment and utilization; supervising multidisciplinary hospital team(s) and holding team(s) accountable for performance as needed; helping implement emergency preparedness programs; ensuring others are up-to-date with the teams emergency preparedness plan, ensuring recovery plans are implemented, ensuring staff are trained and understand expectations for during and after an emergency; coaching the team and monitoring implementation and delivery on objectives; and supervising and coaching the delivery of nursing services and patient care within a twenty-four-hours-a-day, seven-days-a-week operational environment in alignment with cost, quality, and clinical and utilization standards.
Supervises improvements to operations and technology processes by: executing the work of cross-functional teams on strategic projects designed to achieve goals related to issue remediation and improved quality, service, affordability, and/or operating efficiency, and escalates as needed; responding to escalations to improve the performance of operations system processes and address quality and safety issues; monitoring strategic plans with the goal of achieving integrated services across the continuum of care; and monitoring performance metrics to track the success of strategic improvement projects.
Ensures safe, quality, and standardized care delivery within a twenty-four-hours-a-day, seven-days-a-week operational environment by: monitoring the continuous improvement of the quality and safety of clinical practices, services, and operations for patients and staff; ensuring compliance with legal and regulatory requirements (e.g., Nursing Practice Act, The Joint Commission [TJC], federal, state, and local requirements) updated by governmental and regulatory agencies; and contributing to the design and implementation of systems, processes, and methods to evaluate and improve patient care within assigned department and across the continuum of care.

Minimum Qualifications:

Minimum two (2) years of experience in patient care delivery.
Associates degree or higher in a Business, Nursing, Health Care, or directly related field AND minimum two (2) years of experience in business operations, clinical health care, or a directly related field OR minimum three (3) years of experience in business operations, clinical health care, or a directly related field.
Minimum one (1) year of experience in a leadership role with or without direct reports.

Basic Life Support required at hire

Registered Nurse License (California) required at hire

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Nurse Case Manager II

Kaiser Permanente

Pleasanton, CA

Compensation: 100

Job Summary:

Provides case management services to a caseload of low- and medium-risk patients. Interviews patients and their caregivers to evaluate needs, goals, and current services. Proposes process improvements for determining initial eligibility, benefits, and education for all admissions, leveraging advanced knowledge to assess medical necessity and required level of care to inform physicians. Analyzes and ensures authorization data and escalates inaccuracies. Develops a client-focused case management plan in collaboration with healthcare team, patient, and caregivers that is consistent with regulatory, accreditation, and regional guidelines. Assists patients with gaining access to care based on their needs, making referrals as appropriate. Coordinates resources and services to assure continuity and quality of care. Attends case management rounds with clinician and updates authorizations and diagnoses as needed. Assesses patient progress toward treatment milestones and care plan goals. Identifies barriers to achieving goals and ensures that they are discussed with the patient and care team thoroughly. Verifies that all services remain consistent with established guidelines and standards. Documents the patients case in all medical files. Reviews benefits/services available to patients, caregivers, and other members of the community and addresses identified concerns. Connects patients and caregivers with the right entities to assist with benefits/coverage needs. Identifies patients ready for disposition planning activities. Develops and communicates a comprehensive disposition plan in collaboration with the patient, caregivers, physician, nurses, social services, and other healthcare providers and agencies. Obtains authorizations as needed for patient services. Recommends and attends professional seminars, workshops, and approved educational programs and workshops. Monitors and reviews operational team data and key metrics applied to own work. Makes suggestions for change or improvement as needed. Ensures adherence to regulatory requirements by implementing policy updates.

Essential Responsibilities:

Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.

Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.

Drives services related to the initial case assessment by: interviewing patients and their families to evaluate needs, goals, and current services independently; identifying and proposing process improvements for determining initial eligibility, benefits, and education for all admissions; analyzing and ensuring authorization data (e.g., authorization data regarding admitting/principle diagnoses, bed type(s), and disposition data for accuracy, after visit summary) and correcting and escalating inaccuracies; recommending and designing research plans that identify new and/or existing options to assure that quality, cost-efficient care is provided; and leveraging advanced knowledge to assess medical necessity for hospital admission and required level of care to inform physicians.

Provides services related to monitoring and evaluating plan of care by: coordinating resources and services to assure continuity and quality of care, sharing advanced knowledge with others, and developing strategies; updating authorizations, attending case management rounds with clinicians, and updating diagnoses as needed; contacting own patients periodically to assess progress toward treatment milestones and care plan goals, and beginning to coordinate team members to do the same; identifying barriers to achieving goals and ensuring that they are discussed with the patient and care team thoroughly, and guiding team members doing the same; promoting best practices for verifying that all services remain consistent with established guidelines and standards; and documenting/updating the patients case in all medical files while sharing standards with the team.

Drives services related to the case-planning process by: creating a client-focused case management plan with treatment goals based on the patients and familys/caregivers needs independently; collaborating independently with health-care team, patient, and caregivers to assure plan of care is safe, agreeable, and appropriate; and validating that the plan is consistent with regulatory, accreditation, and regional guidelines independently, and sharing feedback with team members as needed.

Supports efforts to remain updated on current research, policies, and procedures by: researching, recommending, and attending pertinent seminars, workshops, and approved educational programs and workshops specific to professional needs; implementing systems, processes, and methods to maintain team knowledge of community resources; monitoring and/or reviewing operational team data and key metrics applied to own work; making suggestions for change or improvement as needed, and helping others to develop ideas as needed; and implementing policy updates to ensure that regulatory requirements are being met.

Provides services related to patient disposition by: performing daily review for early identification of disposition planning activities; developing, evaluating, coordinating, and communicating a comprehensive disposition plan in collaboration with the patient, family, physician, nurses, social services, and other healthcare providers and agencies to meet each patients personal, psychosocial, economic, and cultural needs independently; and leveraging advanced knowledge to create, obtain, and approve authorizations/approvals as needed for services for the patient.

Connects patients with existing services by: guiding others to assist patients with gaining access to care based on their needs, integrating or referring them into existing programs/services, and resolving moderately complex issues; referring patients independently to outside entities, ambulatory case managers, care managers, social workers, and/or internal/external resources as appropriate; utilization management for internal case management post acute care services; hospital level of care, post-acute care, skilled nursing facility (SNF), and durable medical equipment (DME), and transition and complex case management and making location-specific adaptations as necessary.

Serves as liaison between internal and external care by: reviewing benefits/services available based on regulations or specific coverage to patients, families, and other members of the community, problem solving identified concerns, and connecting patients/families with the right entities to assist with benefits/coverage needs; providing case management to a caseload of low- and medium-risk patients referred to external facilities/agencies independently; applying strategies and concepts to independently propose recommendations in interdisciplinary team meetings with internal and/or external stakeholders; and leveraging advanced knowledge to act as a general resource for physicians, health plan administrators, and contracted vendors.

Minimum Qualifications:

Bachelors degree in Nursing or related field AND minimum five (5) years of experience in nursing, case management, or a directly related field.

Registered Nurse License (California) required at hire

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Job Summary:

Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order.

Essential Responsibilities:

Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons.
Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy.
Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards.
Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients.
Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gainsconcurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anestheticconsistent with patient safety, surgical need, possible post operative complications, and patients history and conditionsand evaluates and manages the patient, according to departmental policy.
Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferredfrom the surgery suite.
Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary.
Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc.
Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards.
Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes.
* Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Basic Qualifications:

Experience

N/A

Education

Graduate of an accredited registered nursing program. Graduate of an accredited school of anesthesia by date of hire.
High School Diploma or General Education Development (GED) required.

License, Certification, Registration

Registered Nurse License (California) required at hire from Centers for Medicare & Medicaid Services

Certified Registered Nurse Anesthetist (California) required at hire

National Provider Identifier required at hire

Advanced Cardiac Life Support required at hire

Basic Life Support required at hire

Additional Requirements:

Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
Proven ability to exercise professional prerogatives based on sound clinical judgment.
Demonstrated track record of following the precautionary and preventive measures in giving patient care.
Demonstrated ability to work in teams and have proven communications and listening skills.
Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability and change
management.
Must be able to work in a Labor/Management Partnership environment.
Must be eligible for Medicare/Medi-Cal enrollment. Medicare enrollment requires current certification by one of the
following organizations: Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse
Anesthetists.

Preferred Qualifications:

N/A

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Job Summary:

Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order.

Essential Responsibilities:

Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons.
Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy.
Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards.
Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients.
Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gainsconcurrence; implements the anesthesia plan; starts IV solution, administers selected anesthetic, choice of anestheticconsistent with patient safety, surgical need, possible post operative complications, and patients history and conditionsand evaluates and manages the patient, according to departmental policy.
Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferredfrom the surgery suite.
Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary.
Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc.
Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards.
Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order. Charts details of procedures done on progress notes.
* Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Basic Qualifications:

Experience

N/A

Education

Graduate of an accredited registered nursing program. Graduate of an accredited school of anesthesia by date of hire.
High School Diploma or General Education Development (GED) required.

License, Certification, Registration

Registered Nurse License (California) required at hire from Centers for Medicare & Medicaid Services

Certified Registered Nurse Anesthetist (California) required at hire

National Provider Identifier required at hire

Advanced Cardiac Life Support required at hire

Basic Life Support required at hire

Additional Requirements:

Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.
Proven ability to exercise professional prerogatives based on sound clinical judgment.
Demonstrated track record of following the precautionary and preventive measures in giving patient care.
Demonstrated ability to work in teams and have proven communications and listening skills.
Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability and change
management.
Must be able to work in a Labor/Management Partnership environment.
Must be eligible for Medicare/Medi-Cal enrollment. Medicare enrollment requires current certification by one of the
following organizations: Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse
Anesthetists.

Preferred Qualifications:

N/A

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Staff Nurse II - Labor and Delivery

Kaiser Permanente

Walnut Creek, CA

Compensation: 89.75

Job Summary:

The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members.

Essential Responsibilities:

Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy.

Formulates a goal-directed plan of care when and where appropriate to do so.

Implements care in a thorough, skillful, consistent, and continuous manner.

Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies.

Identifies patient/family learning needs and acts to meet them.

Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs.

Provides/coordinates care for patients/patient populations.

Establishes effective working relationships with members of the health care team, patients, and families.

Acknowledges staff rights and cultural and ethical beliefs.

Delegates appropriately and coordinates duties of health care team members.

Evaluates effectiveness of care given by health care team members.

Utilizes effective communication methods and skills, following lines of authority, as appropriate.

Demonstrates knowledge of and applies safety principles as identified within the institution.

Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events.

Demonstrates responsibility and accountability for own professional practice.

Participates regularly in staff development activities for unit and department personnel.

Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.

Participates in unit and Department Performance Improvement activities as directed.

Participates in nursing research activities as requested.

Identifies and solves problems effectively.

Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team.

Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests.

Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application.

Perform other related duties as necessary.

Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes.
Identifies patient/family learning needs and implements appropriate measures.
Demonstrates sound knowledge base and actions in the care of a designated patient population.
Participates regularly in staff development activities for unit and Department of Nursing personnel.
Documents patient care and unit activities in a timely, accurate, and concise manner.
If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit.

Basic Qualifications:

Experience

One year recent experience (within the last 3 years) as a registered nurse in L&D or completion of a KP training program.

Education

High School Diploma/GED
Graduate of an accredited registered nursing program and completion of the current hours required by the BRN of RN student clinical experience; OR Graduate of registered nursing program and either: 1) 2000 hours of RN experience in clinical area of specialty from a licensed acute care facility within three (3) years of graduation; or 2) graduate of an accredited licensed vocational nursing program that includes clinical student experience in acute care and has worked 2000 hours as a licensed vocational nurse within the clinical area of specialty within three (3) years before graduation

or (3) currently enrolled in an accredited entry level MSN program and has completed pre-licensure requirements to practice nursing.

License, Certification, Registration

Registered Nurse License (California)

Basic Life Support

Neonatal Resuscitation Program

Additional Requirements:

Demonstrated knowledge of the RN scope of practice
Demonstrated commitment to service orientation (members, staff, providers)
Demonstrated effective written and oral communication skills (in English)
Good interpersonal skills
Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.

Current ACLS certification may be required in some units. Successful completion of a Fetal Monitoring Interpretation Competency within the first three months of hire may be required. May be expected to cross train to at least 1 other Maternal Child Health/Family Centered Care area with appropriate certifications. Must complete circulating and recovery competencies as required. Willingness to scrub may be required.

Preferred Qualifications:

Completion of AWHONN L&D course preferred.
Successful completion of advanced fetal monitoring course preferred within the last 2 years.

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Job Summary:

The Registered Nurse (RN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The RN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members.

Essential Responsibilities:

Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; also nutrition, pain, patient/family education, family involvement and patient advocacy.

Formulates a goal-directed plan of care when and where appropriate to do so.

Implements care in a thorough, skillful, consistent, and continuous manner.

Establishes priorities or patient care based on essential patient needs and available unit resources of time, personnel, equipment, and supplies.

Identifies patient/family learning needs and acts to meet them.

Demonstrates an awareness of and sensitivity to patient/family rights, age specific needs, cultural and ethical beliefs.

Provides/coordinates care for patients/patient populations.

Establishes effective working relationships with members of the health care team, patients, and families.

Acknowledges staff rights and cultural and ethical beliefs.

Delegates appropriately and coordinates duties of health care team members.

Evaluates effectiveness of care given by health care team members.

Utilizes effective communication methods and skills, following lines of authority, as appropriate.

Demonstrates knowledge of and applies safety principles as identified within the institution.

Performs efficiently in emergency patient care situations following established protocols, remaining calm, informing appropriate persons, and documenting events.

Demonstrates responsibility and accountability for own professional practice.

Participates regularly in staff development activities for unit and department personnel.

Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.

Participates in unit and Department Performance Improvement activities as directed.

Participates in nursing research activities as requested.

Identifies and solves problems effectively.

Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team.

Provides data for staffing decisions and demonstrates flexibility in the resolution of staffing issues; demonstrates flexibility when floating to other units upon requests.

Demonstrates proficiency in the use of computers and telecommunication modalities in documenting, tracking and conveying information. Ability to navigate in a windows environment, utilizing a mouse and the ability to learn electronic medical record system application.

Perform other related duties as necessary.

Formulates a goal-directed plan of care that is prioritized and based on determined nursing diagnosis and patient outcomes.

Identifies patient/family learning needs and implements appropriate measures.

Demonstrates sound knowledge base and actions in the care of a designated patient population.

Participates regularly in staff development activities for unit and Department of Nursing personnel.

Documents patient care and unit activities in a timely, accurate, and concise manner.

If no qualified candidate, may be willing to train in the specialty areas listed below. Candidates in training are required to obtain appropriate certifications within 6 months of hire or transfer into unit.

Basic Qualifications:

Experience

One year recent (within the last 3 years) experience in Neonatal Level II nursery or above or completion of a KP NICU Training Program within the past 12 months.

Education

High School Diploma/GED
Graduate of an accredited registered nursing program and completion of the current hours required by the BRN of RN student clinical experience; OR Graduate of registered nursing program and either: 1) 2000 hours of RN experience in clinical area of specialty from a licensed acute care facility within three (3) years of graduation; or 2) graduate of an accredited licensed vocational nursing program that includes clinical student experience in acute care and has worked 2000 hours as a licensed vocational nurse within the clinical area of specialty within three (3) years before graduation

or (3) currently enrolled in an accredited entry level MSN program and has completed pre-licensure requirements to practice nursing.

License, Certification, Registration

Registered Nurse License (California)

Neonatal Resuscitation Program

Basic Life Support

Additional Requirements:

Demonstrated knowledge of the RN scope of practice
Demonstrated commitment to service orientation (members, staff, providers)
Demonstrated effective written and oral communication skills (in English)
Good interpersonal skills
Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.

May expected to cross train to at least 1 other Maternal Child Health/Family Centered Care area with appropriate certifications.

Preferred Qualifications:

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