RN Inpatient CVPCU - (Clackamas, Oregon)

Tue, 14 May 2013 16:00:00 GMT

Req Id: 185127

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
ASSESSMENT: STANDARD OF PERFORMANCE
- Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
Performs complete discharge assessment.
PLANNING: STANDARD OF PERFORMANCE
- Develops an individual nursing plan of care. Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Established priories for patient care.
Classifies acuity level of assigned patients.
IMPLEMENTATION: STANDARD OF PERFORMANCE
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
Initiates appropriate measures in emergency situations.
EVALUATION: STANDARD OF PERFORMANCE
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities
- Able to recognize cardiac rhythms and dysrhythmias and 12-lead EKG interpretation, including infarct and ischemia
- Able to care for complex cardiac, medical and/or surgical patients
- Able to recognize and intervene when patients evince declining clinical status

Qualifications:

Basic Qualifications:
MINIMUM WORK EXPERIENCE AND QUALIFICATIONS
- Graduate of an accredited nursing program
- 9 Months previous experience
- Computer keyboarding skills
- Current Oregon RN License upon hire
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED
- Minimum of 2 years current telemetry inpatient experience
- ACLS

Preferred Qualifications:
PREFERRED WORK EXPERIENCE AND QUALIFICATIONS
- Bachelors degree in Nursing or related field
- Previous health care experience
- Minimum of 1 year current experience in progressive or intermediate care unit
- PCCN / CCRN Certification

Salary Range: $32.45-$46.67

Thu, 09 May 2013 16:00:00 GMT

Req Id: 184177

The Patient Team Manager is accountable for coordinating all back office clinical functions for a health care team in a medical office to achieve excellence in quality of care, service, access, resource utilization, employee/physician satisfaction & workplace and patient safety. The PTM is critical in implementation of regionally consistent practices, processes and protocols within a clinical department to ensure a consistent care experience for our members. The PTM works very closely with physician partners and the Administrator of the medical office in fulfilling the job accountabilities.
Essential Functions:
- Supervises and coordinates all back office activities necessary to provide excellent patient focused care
- Selects, coaches develops, and performance manages staff and affiliated clinicians in collaboration with physician partners and in compliance with requirements of EEO/AA goals, union contracts, and personnel policies of the organization
- Ensures clinical competency is maintained for all health plan staff and affiliated clinicians through continuous monitoring, assessment, and training in partnership with Ambulatory Nursing, Regional AC Coordinator, and physician partners
- Ensures adoption through training and reinforcement of procedures designed to impact quality measures as appropriate, i.e., HEDIS and Department-specific quality and continuous improvement goals
- Co-leads unit-based teams (UBTs). Ensures the UBTs continuously focus on identifying and implementing ways to meet/exceed quality, service, and access targets and implement regional initiatives
- Researches and resolves customer complaints
- Acts as a liaison between the physician group, the health care team, and support departments to ensure effective communication for overall patient care services, including cascading regional communications to the front line staff
- Monitors and controls expenditures, overtime and staffing levels
- Maintains current information and knowledge of all applicable Kaiser Permanente policies, local, state and federal laws and regulations, and accreditation standards
- Ensures that training activities incorporate all applicable KP policies, local, state and federal laws and regulations, and accreditation standards
- Accountable for consistently demonstrating service behaviors and principles defined by the KPNW Quality of Service Behavior Standards, the KP Mission and any specific departmental/organizational initiatives
- Ensures health care team compliance with related Patient Safety, EH&S regulations, training requirements and regional emergency preparedness expectations
- Ensure back-office practices are in compliance with all Revenue Cycle requirements.
- Acts as a patient advocate when necessary
- Prepares assigned team(s) for all KPHC upgrades and enhancements in partnership with the KPHC team
- For Washington State positions only:
- Apply the Washington State Health Care Assistant Act and Certification requirements
- Validate medical assistant clinical and educational qualifications for the certification process and assure continued compliance with the law
- Works collaboratively with other supervisors/managers in the medical office building to provide highly coordinated care for patients
- Conducts audits to ensure performance requirements are being met at all times
- Partners with regional departments to support the delivery of high quality care and service in the medical office
- Analyzes data to assess progress against targets and to identify opportunities for improvement
- Support regional projects and committees (when assigned teams are achieving all targets)

Qualifications:

Basic Qualifications:
- Minimum of 5 years of combined health care and operations/business management experience
- Minimum of 3 years of demonstrated experience in a lead, supervisory, management role
- Bachelor's degree or equivalent experience in business, nursing or health care related field
- Ability to lead in a culturally diverse environment and promote culturally competent care
- Ability to communicate effectively in written and spoken English
- Ability to attend to details, prioritize and complete multiple tasks independently in a fast-paced environment and following agreed upon timelines
- Demonstrated understanding of clinical and operational processes; staff licensure/certification, clinical competency requirements and scope of practice concepts
- Excellence in customer service, service recovery and complaint resolution skills
Preferred Qualifications:
- Minimum of 2 years of progressive supervisory experience in a unionized health care setting
- Ambulatory care experience
- Undergraduate degree in a health care related field
- Clinical background/licensure
- Ability to lead and implement change management and process improvement activities
- Ability to lead in a culturally diverse environment and promote culturally competent care
- Ability to communicate effectively in written and spoken English
- Ability to attend to details, prioritize and complete multiple tasks independently in a fast-paced environment and following agreed upon timelines
- Excellence in interpersonal communication and supervisory skills
- Ability to performance manage, coach, and development staff
- Understanding of clinical and operational processes; staff licensure/certification, clinical competency requirements and scope of practice concepts
- Ability to establish partnerships with physician group, organized labor representatives and peers in order to create a culture of commitment to patient focused service, excellent support of physician practices, innovation, compliance and integrity
- Excellence in customer service, service recovery and complaint resolution skills
- Ability to understand and utilize data to improve performance

Note:
This position will support multiple projects and departments within the region as needed.
Salary Range:
$40.14 - $72.16

Tue, 07 May 2013 16:00:00 GMT

Req Id: 183877

Thu, 02 May 2013 16:00:00 GMT

Req Id: 182966

Palliative Care Nurse - (Portland, Oregon)

Thu, 02 May 2013 16:00:00 GMT

Req Id: 182971

RN Emergency Department On Call - (Hillsboro, Oregon)

Wed, 01 May 2013 16:00:00 GMT

Req Id: 172649

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.
- Demonstrate good physical assessment skills.
- Provide emergency nursing care to all age groups.
- Able to re-prioritize actions based on rapidly changing clinical assessment.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- One (1) year of current ED experience or successful completion of the Kaiser Permanente New Grad Internship Program in the ED.
- Previous health care experience preferred.
- Graduate of an accredited nursing program.
- Bachelor's degree in Nursing or a related field preferred.
- Current Oregon RN License upon hire.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- ACLS and PALS or ENPC within four (4) months of hire/transfer.
- Certification for Emergency Nursing (CEN) preferred.
- Trauma Nurse Core Courses (TNCC) preferred.
- Excellent critical thinking skills.
- Excellent communication skills.
- Desire to provide excellent customer service, display empathy to patient and family.
- Serves as patient advocate for excellent care.
- Computer keyboarding skills.
- Demonstrated ability to recognize and interpret cardiac dysrhythmias preferred.
- A desire and ability to function within the nursing process preferred.
- A desire and ability to function within professional and personnel standards as defined preferred.
- Ability to use and apply effective communication and interpersonal relationship skills preferred.

KSMC RN Inpatient Med\Surg - (Clackamas, Oregon)

Wed, 01 May 2013 16:00:00 GMT

Req Id: 180987

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.
- Basic telemetry monitoring.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Nine (9) months of recent Med/Surg experience.
- Experience in acute care or skilled nursing, utilizing the nursing process, effective problem solving and communication skills.
- Graduate of an accredited nursing program.
- Current Oregon RN License upon hire.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- Must pass the telemetry test within six (6) months of hire or transfer to the unit.
- Computer keyboarding skills.

Preferred Qualifications:
- Two (2) years of recent medical/surgical experience in an acute care setting preferred.
- Experience with insulin drips preferred.
- Previous health care experience preferred.
- Bachelor's degree in Nursing or a related field preferred.
- Medical-Surgical Certification preferred.
- Demonstrated clinical judgment with inpatient surgical patients preferred.

RN Inpatient MPU (Medical Procedures Unit) (Anticipated Requisition) - (Hillsboro, Oregon)

Thu, 25 Apr 2013 16:00:00 GMT

Req Id: 182057

Kaiser Permanente Westside Medical Center:

To prevent the disruption of critical start-up operations at Kaiser Permanente Westside Medical Center:

Vacation time will not be granted during the start-up period May 15th, 2013 to September 15th, 2013
. For the remainder of the 2013 vacation calendar year, contractual guidelines will apply for vacation requests.

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.
- Assess and implement nursing care for patients with procedures supported by the MPU as described in the Scope of Service/Service Delivery Plan.
- Safe medication administration, all routes, including but not limited to: sedation, vasoactive, anticoagulants, antiplatelet, etc.
- Competent supporting all procedures including but not limited to transeosophageal echocardiography (TEE), Cardioversions, Radiology, assist with GI procedures, EGDs, ERCPs, etc.
- Safely provide Procedural sedation for procedures in MPU
- Care for patients on specialized equipment, such as capnography.
- Recovery of patients receiving general anesthesia and all levels of sedation provided through MPU services, including airway rescue.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Two (2) years of critical care experience within last five (5) years.
- Two (2) years of current endoscopy and GI experience.
- Graduate of an accredited nursing program.
- Current Oregon RN License upon hire.
- Procedural Sedation Certificate.
- ACLS.
- American Heart Association Basic Life Support (BLS) for health care providers CPR with AED.
- PACU Level 1 competencies within three (3) months of hire.
- Procedural sedation and post sedation recovery, including general anesthesia recovery, PACU level 1 competencies, capnography and airway rescue.
- Competent in Procedural Sedation.
- Pre and Post Procedure Management.
- Administration, preparation, and calculation of critical care medications and drips.
- Computer keyboarding skills.

Preferred Qualifications:
- Current ICU, PACU, or ED experience preferred.
- Recent experience assisting with GI procedures preferred.
- Previous health care experience preferred.
- Bachelor's degree in nursing or a related field preferred.

Shifts Available:
40hr, 30hr, 20hrper week and On-Call

RN Inpatient OFN Operating Room - (Clackamas, Oregon)

Thu, 25 Apr 2013 16:00:00 GMT

Req Id: 181510

RN ICU ON CALL - (Hillsboro, Oregon)

Wed, 24 Apr 2013 16:00:00 GMT

Req Id: 148254

Exceptional Needs Care Coordinator - (Portland, Oregon)

Tue, 23 Apr 2013 16:00:00 GMT

Req Id: 181476

To assist Kaiser Permanente in meeting contractual requirements, as specified by the Oregon Health Plan and Washington Basic Health Plus plan, to provide exceptional needs care coordination for OHP members who are aged, blind, disabled, or who have needs above and beyond typical individuals of the same age.

Essential Functions:
- Provide care coordination and management services for members with identified needs within the scope of the ENCC/SNCC role.
- Creatively using available and appropriate resources, including KP staff and providers, to support the unique needs of each member.
- Facilitating access to internal and external services.
- Monitoring the effectiveness of the interventions.
- Reinforcing the treatment plan through medication compliance including support for Opiate Therapy Plan compliance.
- Advising and coaching patients and families.
- Succinctly document interventions in HealthConnect as needed by other providers to ensure coordination of care and services.
- Add relevant intervention details to the Special Populations Registry.
- Identify appropriate Medicaid members for enrollment screening using case finding methods.
- Likelihood of Hospitalization score, over/under use of ED/UC, appointment cancellations and no-shows, medication non-compliance and the FACCT dx codes for children and direct referrals from agency case managers, primary care providers, or other sources.
- Independently and proactively complete chart reviews, screening calls and full assessments related to the anticipated level of care and document findings using approved documentation tools.

Secondary Functions:
- Triage findings from member assessments, identifying needs and issues and plan appropriate interventions.
- Determine Level of Care.
- Communicate findings and actions to involved care providers through succinct summaries that include findings, actions and further recommendations.
- With the member/family and appropriate KP staff and providers, develop a care plan that addresses short term goals that are specific, attainable and measurable.
- Strengthen and update the ENCC/SNCC program through:
- Education of staff/clinicians about ENCC
- Development and distribution of education, tools and materials for member coordination
- Completion of an annual program review including related policies, desk procedures, and documentation tools.
- Act as a liaison between KP, other HMOs, and county and state organizations.
- Actively participate in county/state committee and functions.

Qualifications:

Basic Qualifications:
- Two or more years of direct patient care as a registered nurse.
- RN License in Oregon & Washington. Requires Oregon or Washington license at time of hire. Licenses in both states are required within six (6) months of hire.
- Bachelor of Science in nursing or health related field.
- Valid driver's license.
- Current Basic Life Support card.
- Knowledge of case management principles.
- Knowledge of Oregon Health Plan, including ORS requirements, pharmacy rules and regulations and OHP list of treatable diseases.
- Knowledge of community resources for the care of the elderly and disabled.
- Demonstrates customer-focused service skills.
- Demonstrated ability to organize, coordinate, and manage care plans.
- Thorough knowledge of levels of care within outpatient, acute care, and extended care settings.
- Demonstrated ability to work as part of a multidisciplinary team.
- Excellent written and verbal communication skills.
- Ability to present reports verbally in a public setting (public speaking).
- Demonstrated data entry skills and ability to use Microsoft Word software.

Preferred Qualifications:
- Prefer at least two year's experience in case management, care coordination, or population care.
- Prior experience serving the mentally ill and or individuals with substance abuse issues.
- Prior experienced as a care coordinator or discharge planner.
- Knowledge of the Kaiser Permanente system, including HealthConnect.
- Knowledge of Medicaid/Medicare programs and regulations.
- Knowledge of quality management and utilization management principles.
- Professional certification as a case manager.
Salary Range:
$83,600 - $108,600

RN OFN CVOR - (Clackamas, Oregon)

Mon, 22 Apr 2013 16:00:00 GMT

Req Id: 165327

To serve health plan members and other patients of the Kaiser Permanente Health Care Program's needs. Under supervision is responsible for assessing, planning, directing, providing and evaluating nursing care for patients and coordinating nursing care activities with other health care disciplines.
Essential Functions:
Assessment Standard of Performance
- Performs accurate multi-system assessments, including; biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs
- Develops patient teaching plan and documents on care plan or teaching plan
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Initiates appropriate measures in emergencies.
Lifting and carrying:
- Able to lift and carry at least 60 pounds unassisted and carry them for a distance of 50 feet.
- May assist in the movement of patients and/or equipment whose weight may range from 100 to 300 pounds.
- Bending: able to bend up to 60 times per shift, at both the waist and knees
- Walking: able to stand and/or walk for entire shift. Able to walk a distance of three to five miles during course of a shift
- Able to push/pull weights 100 to 300 pounds with assistance
- Standing: able to stand six to eight hours per shift
- Maintains safety in use of all equipment
- Complies with all hospital safety policies and procedures
- Documents care according to policy and procedure.

Qualifications:

Basic Qualifications:
Minimum Required Experience, Knowledge, License, Certification, Skills and Abilities
- Two years circulating experience in cardiac surgery within the last five years
- Graduate of accredited School of Nursing
- Oregon nursing licensure
- Current BLS w/AED certification
Preferred Qualifications:
Preferred Experience, Knowledge, Skills and Abilities
- Two years scrubbing experience in cardiac surgery within the last five years
- Letter of recommendation from a cardiac surgeon
Sign-On Bonus: $3,000

Salary Range: 33.10-47.60

Cardiothoracic Surgery Care Coordinator - (Clackamas, Oregon)

Tue, 16 Apr 2013 16:00:00 GMT

Req Id: 180395

Within the framework of meeting overall regional objectives, this position functions as the hub of a set of liaison activities between the ambulatory and inpatient staff and hospital personnel at KSMC and other hospitals to ensure optimum care for approximately 500 Cardiac/Vascular/Thoracic Surgical cases a year. The CV Coordinator also assumes the
Management, coordination and/or supervision for various CVS programs/clinics as indicated.

Essential Functions:
- Coordinate QA data gathering/processes for ICD and Cath Registries at KSMC; assisting with QA enhancements and patient education materials in the Cardiac areas at KSMC.
- Maintain statistics for QA and UR activities; and coordinating and facilitate effective QA and UR programs.
- Manages, coordinates and provides supervision as indicates for various CVS programs and/or clinics.
- Advise/Assist - Single point reason with most responsibility for identifying opportunities and problems with expenditures in this area/advises managers and cardiologists on resource management issues.

Secondary Functions:
- Maintain and enhance high quality personal relationships with staff at Kaiser Sunnyside and contract hospitals (St. Vincent), attending necessary meetings at all locations as a Cardiology resource.
- Coordinate daily liaison, communication, transfer and transition activities to ensure smooth, timely, cost effective care for KP cardiac surgery patients across the spectrum of care.
- Assure cost effective and high quality continuity of care by maintaining patient quality database for use by KP personnel; and by aggressively communicating w/KP cardiologists.

Qualifications:

Basic Qualifications:
- 5 years recent cardiac care experience.
- Hospital and clinic cardiac care practice.
- High school diploma or GED.
- BS RN
- Current RN license in Oregon and Washington
- Excellent interpersonal relations skills.
- Computer Skills
- Ability to work independently, with minimal supervision.
- Maturity and clinical judgment.

Preferred Qualifications:
- Outpatient cardiology work experience
- Data Registry Experience
- Management or supervisory experience MSRN (CCRN)
- Kaiser Permanente practices, personnel, culture and values
- St. Vincent Hospital practices, personnel, culture and values
- Other contract hospital's practices, personnel, culture and values
- Critical care nursing
- Kaiser Permanente computer systems
- UR Methodology
- QA Methodology
- Spreadsheet/data base management/ word processing skills
- Small group dynamics/problem-solving/member-concern resolution skills.
- Outstanding written and oral communication skills.

Salary Range:
$87,800 - $114,000

Patient Team Manager 1 Regional Ophthalmology - (Portland, Oregon)

Thu, 11 Apr 2013 16:00:00 GMT

Req Id: 179590

The Patient Team Manager is accountable for coordinating all back office clinical functions for a health care team in a medical office to achieve excellence in quality of care, service, access, resource utilization, employee/physician satisfaction & workplace and patient safety. The PTM is critical in implementation of regionally consistent practices, processes and protocols within a clinical department to ensure a consistent care experience for our members. The PTM works very closely with physician partners and the Administrator of the medical office in fulfilling the job accountabilities.
Essential Functions:
- Supervises and coordinates all back office activities necessary to provide excellent patient focused care
- Selects, coaches develops, and performance manages staff and affiliated clinicians in collaboration with physician partners and in compliance with requirements of EEO/AA goals, union contracts, and personnel policies of the organization
- Ensures clinical competency is maintained for all health plan staff and affiliated clinicians through continuous monitoring, assessment, and training in partnership with Ambulatory Nursing, Regional AC Coordinator, and physician partners
- Ensures adoption through training and reinforcement of procedures designed to impact quality measures as appropriate, i.e., HEDIS and Department-specific quality and continuous improvement goals
- Co-leads unit-based teams (UBTs). Ensures the UBTs continuously focus on identifying and implementing ways to meet/exceed quality, service, and access targets and implement regional initiatives
- Researches and resolves customer complaints
- Acts as a liaison between the physician group, the health care team, and support departments to ensure effective communication for overall patient care services, including cascading regional communications to the front line staff
- Monitors and controls expenditures, overtime and staffing levels
- Maintains current information and knowledge of all applicable Kaiser Permanente policies, local, state and federal laws and regulations, and accreditation standards
- Ensures that training activities incorporate all applicable KP policies, local, state and federal laws and regulations, and accreditation standards
- Accountable for consistently demonstrating service behaviors and principles defined by the KPNW Quality of Service Behavior Standards, the KP Mission and any specific departmental/organizational initiatives
- Ensures health care team compliance with related Patient Safety, EH&S regulations, training requirements and regional emergency preparedness expectations
- Ensure back-office practices are in compliance with all Revenue Cycle requirements.
- Acts as a patient advocate when necessary
- Prepares assigned team(s) for all KPHC upgrades and enhancements in partnership with the KPHC team
- For Washington State positions only:
- Apply the Washington State Health Care Assistant Act and Certification requirements
- Validate medical assistant clinical and educational qualifications for the certification process and assure continued compliance with the law
- Works collaboratively with other supervisors/managers in the medical office building to provide highly coordinated care for patients
- Conducts audits to ensure performance requirements are being met at all times
- Partners with regional departments to support the delivery of high quality care and service in the medical office
- Analyzes data to assess progress against targets and to identify opportunities for improvement
- Support regional projects and committees (when assigned teams are achieving all targets)

Qualifications:

Basic Qualifications:
- Minimum of 5 years of combined health care and operations/business management experience
- Minimum of 3 years of demonstrated experience in a lead, supervisory, management role
- Bachelor's degree or equivalent experience in business, nursing or health care related field
- Ability to lead in a culturally diverse environment and promote culturally competent care
- Ability to communicate effectively in written and spoken English
- Ability to attend to details, prioritize and complete multiple tasks independently in a fast-paced environment and following agreed upon timelines
- Demonstrated understanding of clinical and operational processes; staff licensure/certification, clinical competency requirements and scope of practice concepts
- Excellence in customer service, service recovery and complaint resolution skills
Preferred Qualifications:
- Minimum of 2 years of progressive supervisory experience in a unionized health care setting
- Ambulatory care experience
- Undergraduate degree in a health care related field
- Clinical background/licensure
- Ability to lead and implement change management and process improvement activities
- Ability to lead in a culturally diverse environment and promote culturally competent care
- Ability to communicate effectively in written and spoken English
- Ability to attend to details, prioritize and complete multiple tasks independently in a fast-paced environment and following agreed upon timelines
- Excellence in interpersonal communication and supervisory skills
- Ability to performance manage, coach, and development staff
- Understanding of clinical and operational processes; staff licensure/certification, clinical competency requirements and scope of practice concepts
- Ability to establish partnerships with physician group, organized labor representatives and peers in order to create a culture of commitment to patient focused service, excellent support of physician practices, innovation, compliance and integrity
- Excellence in customer service, service recovery and complaint resolution skills
- Ability to understand and utilize data to improve performance
Salary Range- $100,150.00 - $133,450.00

Notes:

Prefer project management experience and advanced computer software skills including Excel, Access, Project, etc.
Prefer epertise with Lean Methodology
Prefer graduate study / degree in business or health care management

RN Inpatient WNC\Nursery Expert - (Clackamas, Oregon)

Sun, 07 Apr 2013 16:00:00 GMT

Req Id: 178865

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.
- Perform assessment and management of postpartum patient.
- Perform assessment and management of newborn.
- Identify risks, symptoms and perform appropriate nursing interventions in the at risk or ill newborn.
- Initiate resuscitation if needed.
- Provide appropriate stabilization interventions as needed.
- Perform assessment and management of the antepartum patient.
- Perform assessment and management of gynecological medical/surgical patient.
- Breastfeeding support/management of infant feeding.
- Knowledge to support maternal-newborn teaching.
- Assist with circumcisions.
- Knowledge to support gynecological teaching and post-operative bladder training.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- One (1) year of postpartum AND Level II nursery experience within the last three (3) years.
- Graduate of an accredited nursing program.
- Current Oregon RN License upon hire.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- NRP certification.
- STABLE within 6 months of hire.
- Newborn assessment.
- Postpartum assessment.
- OB emergency management (i.e. PPH).
- Intravenous assessment and management on adults and newborns including medication administration.
- Newborn monitors including pulse oximetry.
- Heel sticks/venipuncture on newborn.
- Neonatal resuscitation and stabilization
- Glucometer
- IStat
- Bili-blankets/lights
- Radiant warmers/Giraffe
- Newborn IV access and therapy
- Oxygen administration and therapy
- Computer keyboarding skills.

Preferred Qualifications:
- Two (2) years of recent experience in postpartum/newborn/LDRP setting AND Level II nursery setting (within last 3 years) preferred.
- One (1) year of recent experience in an acute care setting, i.e. medical/surgical nursing preferred.
- Previous healthcare experience preferred.
- Bachelor's degree in nursing or a related field preferred.

Salary Range: $33.10 - $47.60

RN Inpatient PACU\Surgical Prep Area (SPA) Part time 1030 2100 - (Hillsboro, Oregon)

Tue, 02 Apr 2013 16:00:00 GMT

Req Id: 150230

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.
- Able to assess and care for the critical care patient following ASPAN guidelines.
- Demonstrates ability to manage an airway.
- Knowledgeable in anesthesia agents and adjuncts - able to assess and care for adult patients that are post general anesthesia, regional anesthesia, epidural patients and MAC patients.
- Knowledgeable in caring for pediatric post-anesthesia patient and their families.
- Competent in pain management and nausea/vomiting control.
- Competent in thermoregulation; familiar with Malignant Hyperthermia protocol.
- Able to identify and document cardiac rhythm changes and report to physician as appropriate.
- Able to assess patients for post-op complications, intervene appropriately and notify physician.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Two (2) to five (5) years of critical care experience (ICU/ED/PACU) experience within the last three years.
- Two (2) to five (5) years of PACU experience preferred.
- Previous health care experience preferred.
- Graduate of an accredited nursing program.
- Bachelor's degree in Nursing or a related field preferred.
- Current Oregon RN License upon hire.
- IV start skills.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- Current ACLS certification.
- Current PALS certification, or required within six (6) months of hire.
- Computer keyboarding skills.
- Advanced patient assessment skills.
- Able to coordinate care of up to two post anesthesia patients at a time.
- Able to respond to crisis situations calmly and appropriately.
- Able to work collaboratively with other members of the surgical team.

RN Resuscitation On Call - (Hillsboro, Oregon)

Tue, 02 Apr 2013 16:00:00 GMT

Req Id: 151092

RN Inpatient PACU\Surgical Prep Area (SPA) Per Diem - (Hillsboro, Oregon)

Tue, 02 Apr 2013 16:00:00 GMT

Req Id: 150208

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.
- Able to assess and care for the critical care patient following ASPAN guidelines.
- Demonstrates ability to manage an airway.
- Knowledgeable in anesthesia agents and adjuncts - able to assess and care for adult patients that are post general anesthesia, regional anesthesia, epidural patients and MAC patients.
- Knowledgeable in caring for pediatric post-anesthesia patient and their families.
- Competent in pain management and nausea/vomiting control.
- Competent in thermoregulation; familiar with Malignant Hyperthermia protocol.
- Able to identify and document cardiac rhythm changes and report to physician as appropriate.
- Able to assess patients for post-op complications, intervene appropriately and notify physician.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Two (2) to five (5) years of critical care experience (ICU/ED/PACU) in the last three years.
- Two (2) to five (5) years of PACU experience preferred.
- Previous health care experience preferred.
- Graduate of an accredited nursing program.
- Bachelor's degree in Nursing or a related field preferred.
- Current Oregon RN License upon hire.
- IV start skills.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- Current ACLS certification.
- Current PALS certification, or required within six (6) months of hire.
- Computer keyboarding skills.
- Advanced patient assessment skills.
- Able to coordinate care of up to two post anesthesia patients at a time.
- Able to respond to crisis situations calmly and appropriately.
- Able to work collaboratively with other members of the surgical team.

RN Inpatient Operating Room (3\30 hr shifts 0700 1730) - (Hillsboro, Oregon)

Tue, 02 Apr 2013 16:00:00 GMT

Req Id: 155863

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Two (2) years of experience circulating in an inpatient or ambulatory surgery setting within the past three (3) years.
- Three (3) to five (5) years of operating room circulating and scrubbing experience preferred.
- Previous health care experience preferred.
- Graduate of an accredited nursing program.
- Bachelor's degree in Nursing or a related field preferred.
- Current Oregon RN License upon hire.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- CNOR preferred.
- ACLS preferred.
- Performs accurate pre-operative assessments including pre-operative checklist, operative consent, H&P, lab results and anesthesia evaluation.
- Continuous reassessment through intra-operative period.
- Utilizes knowledge of procedure to plan for appropriate set up.
- Applies principles of aseptic technique and proper body alignment.
- Initiates and facilitates room turnovers, light housekeeping duties, cleaning of instruments, procurement of equipment, supplies, and PACS images.
- Restocking of unused supplies and equipment.
- Participates in pre-operative briefing, surgical time-out, and debriefing processes.
- Computer keyboarding skills.
- Pre-op area skills preferred.
- IV start skills preferred.

RN Inpatient Operating Room On Call - (Hillsboro, Oregon)

Tue, 02 Apr 2013 16:00:00 GMT

Req Id: 155853

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Two (2) years of experience circulating in an inpatient or ambulatory surgery setting within the past three (3) years.
- Three (3) to five (5) years of operating room circulating and scrubbing experience preferred.
- Previous health care experience preferred.
- Graduate of an accredited nursing program.
- Bachelor's degree in Nursing or a related field preferred.
- Current Oregon RN License upon hire.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- CNOR preferred.
- ACLS preferred.
- Performs accurate pre-operative assessments including pre-operative checklist, operative consent, H&P, lab results and anesthesia evaluation.
- Continuous reassessment through intra-operative period.
- Utilizes knowledge of procedure to plan for appropriate set up.
- Applies principles of aseptic technique and proper body alignment.
- Initiates and facilitates room turnovers, light housekeeping duties, cleaning of instruments, procurement of equipment, supplies, and PACS images.
- Restocking of unused supplies and equipment.
- Participates in pre-operative briefing, surgical time-out, and debriefing processes.
- Computer keyboarding skills.
- Pre-op area skills preferred.
- IV start skills preferred.

Hospital Administrative Supervisor OnCall - (Clackamas, Oregon)

Thu, 28 Mar 2013 16:00:00 GMT

Req Id: 175867

Supervises nursing and hospital operations on assigned shift. Coordinates patient bed placement activities for admissions and internal and external transfers to match patient care need with appropriate nursing unit. Supervises staff placement to meet short term clinical staffing needs. Responsible for activities to maximize patient flow to provide seamless admissions, transfers, and discharges to minimize diversions, delays, or denials of patients. Functions as on site administrative representative in the absence of regular hospital administration. Supports the mission of the organization.

Essential Functions:
- Directs/manages hospital operations on assigned shift to ensure that appropriate patient care is provided & patient/family needs are met.
- Rounds on all patient units to identify patient placement needs, available beds with assigned staff & staff capacity to safely take additional admissions, at least once every three (3) to four (4) hours.
- Communicates at Huddles & directly with Charge Nurse to:
- Review current patients.
- Identify pending/potential discharges.
- Determine capacity for & time frame for admissions.
- Discuss any anticipated internal transfers in department to facilitate patient care needs or room for admission.
- Support regional utilization strategy.
- Works with Unit Managers & their designee, Regional Telephonic Medical Center (RTMC), Surgical Services, the Emergency Department, Bed Control Coordinator, Care Coordinators, outside facilities, Physicians, Urgent Care, & KP Clinics, to assure appropriate prioritization & placement of patients.
- Coordinates with Unit Managers & their designee & Staffing Specialists to ensure appropriate staff is provided on each shift to meet patient needs & maintain cost effectiveness.
- Collaborates with managers/directors to initiate additional resources for planned or unplanned events.
- Initiates Escalation Process when necessary Completes Administrative Report at designated frequencies.
- Ensures compliance with organizational policy & procedures & with regulatory requirements.
- Coordinates the AOC the ED Charge RN & ED Physician request for decision to divert ambulances if Emergency Department has exhausted all resources to create capacity to manage additional ambulance patients.
- Responds to all emergent events & codes.
- With the authorization of the AOC, initiates 'Open for Care' Alert matrix to all key stakeholders.
- Anticipates potential problems & intervenes to minimize adverse impact; manages conflicts that arise.
- Assists with decedent affairs including organ/tissue procurement procedures.
- Acts as a clinical resource for nursing including interpretation of policies & procedures & assisting with clinical practice issues.
- Supports performance improvement activities.
- Assists departmental staff in responding to & resolving patient/family questions, concerns or complaints when management team not available.
- Assists with the on-the-job injury management program.
- Appropriately communicates & documents administrative, departmental, risk management & member issues to ensure timely follow up & response.
- Coordinates with Engineering regarding equipment malfunctions, safety issues & repair needs, & ongoing patient room maintenance.
- Initiates Disaster Procedures as necessary & functions as incident commander until relieved.
- As needed addresses & communicates employee issues that arise after hours.
- This job description is not all encompassing.

Qualifications:

Basic Qualifications:
- Minimum five (5) years of clinical experience as a RN is required.
- Minimum three (3) years of leadership experience in a health care field.
- Acute care nursing practice within the last five (5) years.
- BSN or a health-related bachelor's degree is required OR currently enrolled in a BSN or health-related bachelor's degree program with completion date defined, OR equivalent experience.
- Must have current Oregon RN license upon hire.
- Must obtain BLS with AED Certification within thirty (30) days of hire.
- Effective communication skills.
- Financial/economic principles.
- Knowledge & skills in the following are preferred: Nurse Practice Act, JCAHO, Labor Law, all related & affiliate contracts, Workmen's Comp, Kaiser policies & procedures, Medicare/Medicaid, Health Department, Employee Benefits, Human Resource policies & procedures, O.S.H.A., National Labor Relations Board, & Standards of Practice of Professional Organizations.

Preferred Qualifications:
- Ten (10) years combined acute care clinical experience as a RN is preferred.
- Minimum three (3) years of previous healthcare or manager experience is preferred.

Salary Range: $37.69 - $64.13

Cath Lab RN - (Clackamas, Oregon)

Wed, 27 Mar 2013 16:00:00 GMT

Req Id: 177302

To serve the needs of the health plan members and the other patients of the Kaiser Permanente Health Care Program. Under supervision is responsible for assessing, planning, directing, providing and evaluating nursing care for patients and coordinating nursing care activities with other health care disciplines.
Essential Functions:
CLINICAL ACTIVITIES
- Patient assessment, implement plan of care, outcomes, safe medication administration, and care of the complex critical patient.
- Take evening and weekend call, including holidays per union contract. Take after hours call.
- Assist with all procedures and care for patients in the CVL, including but not limited to cardioversions, LHC, RHC, pacemakers, radiology (IR), device implants, hemodynamic studies, and interventional procedures.
- Safely provide Procedure Sedation and airway rescue.
- Able to recognize cardiac rhythms and dysrhythmias and provide proper treatment per ACLS.
- Use of specialized equipment including temporary pacers, defibrillators, IVUS, balloon pump, rotoblator, angiojet, pressure wire.
- Demonstrate critical thinking and sound clinical judgment.
- Maintain proficiency in Cath Lab roles: circulate, hemodynamic monitoring.
- Establish basic sterile field and scrub in emergency.
- Scrub as proficiency and skills allow.
LEADERSHIP/COORDINATION ACTIVITIES
- Orient students or new employees.
- Display teamwork (e.g., actively participate in UBT).
- Assist with training all staff.

Qualifications:

Basic Qualifications:
- 1 year OF full time or the hourly equivalent of 1 year of experience within the last 2 years of Cardiac Cath Lab Intervention experience.
- Current ACLS and BLS with AED.
- Graduate of accredited school of nursing.
- Current employees who are working in this position must obtain a professional certification relevant to the patient population served in the CVL. Examples include but are not limited to CCRN (AACN-Critical Care Registered Nurse), CRN (ARIN-Radiologic Nursing Certification), Cardiac Vascular Nursing (ANA-CVN), RCIS, certification no later than December 31, 2011.
- All new hires must obtain a professional certification relevant to the patient population served in the CVL. Examples include but are not limited to CCRN (AACN-Critical Care Registered Nurse), CRN (ARIN-Radiologic Nursing Certification), RCIS, certification within 8 months of hire.
MUST BE ABLE TO PERFORM
- Hemodynamics/Monitoring; including waveform interpretation.
- Advanced sedation skills.
- Advanced Cardiac Life Support.
- Medication management: calculation, preparation, and administration of critical care medications and drips including medications congruent with interventional procedures.
- Point of care testing including but not limited to AVOX, iSTAT, Glucometer, etc.
- Arterial and venous site management including sheath pulls and closure devices.
- Management of peripherally inserted Left Ventricular Assist Devices (LVADS).
- Assistance with ventilator management.
- Assistance during Temporary & Permanent Pacemaker/Defibrillator insertion.
- 12 Lead EKG and interpret findings.
- Cardiac rhythm interpretation and Arrhythmia recognition associated with specific procedures and interventions.

Preferred Qualifications:
- 2 years of full time Critical Care Experience in a high volume setting e.g., CVICU, Neuro/Trauma ICU.
- RCIS, AIRN, CCRN.
- Bachelor's degree.

Salary Range: $33.10-$47.60

Psychiatric Nurse Practitioner Consult Liaison #2 - (Clackamas, Oregon)

Tue, 26 Mar 2013 16:00:00 GMT

Req Id: 146682

Provides psychiatric consultation and liaison services to hospital, emergency department and Brookside Center residential facility.
Essential Functions:
- Provide direct clinical care to patients admitted to hospital, emergency department and residential facility.
- Provides assessment, suicide risk assessment, medication evaluation, treatment recommendations, and behavioral intervention to patients with behavioral health conditions.
- Involves family and obtains collateral contact as needed for accurate assessment.
- Provide treatment planning and assure continuity of care for patients' behavioral healthcare needs of the patient in collaboration with psychiatric consult liaison social worker.
- This may include scheduling appointments in outpatient mental health and addiction departments, arranging transfers to Brookside Center residential facility or psychiatric inpatient hospitals.
- Collaborates closely with medical staff, emergency department staff, consult liaison social worker, psychiatrists, addiction staff, Emergency Psychiatric Services staff and Brookside Center staff to assure coordinated care for behavioral health patients.
- Supports hospital and emergency department nursing and physician staff in providing evidence-based and high quality and compassionate care to patients with mental health, addiction and other behavioral health conditions.
- Assists nursing staff with nursing plans of care.
- Educates and supports nursing staff in providing effective behavioral interventions for patients with disruptive behavior.
- Assist hospital staff in the understanding of mental, emotional and addictive conditions and best practices for providing care in hospital setting.
- Maintain current knowledge of federal, state, local and hospital regulatory requirements and clinical standards that relate to detaining and transporting mental health patients, secluding/restraining, and management of aggressive behavior.
- Provides psychiatric care and medication management to patients admitted to Brookside Mental Health as needed.
- Assist nursing educators in identifying staff training needs in the recognition, understanding, safe and effective treatment of behavioral health patients.

Qualifications:

Basic Qualifications:
- Two (2) years of clinical psychiatric nurse practitioner in hospital or other acute setting.
- Two (2) years of providing psychiatric consults in a hospital setting, preferred.
- Two (2) years in emergency psychiatric setting, preferred.
- Two (2) years of providing psychiatric nursing care and prescribing psychiatric medication, preferred.
- One (1) year within managed care organization, preferred.
- Master of Science degree in Nursing.
- Psychiatric Mental Health Nurse Practitioner Licensure.
- Prescriptive privileges licensed in the state of Oregon.
- National Provider Identifier (NPI).
- Clinical assessment skills in the area of psychiatry and mental health, including bio-psychosocial assessments, diagnosis, suicide risk assessment and treatment interventions.
- Expertise in diagnosis of dementia, delirium and mental disorders.
- Working knowledge of psychotropic medications, their use and side-effects.
- Prescriptive authority
- Effective interpersonal communication skills
- Collaborative practice skills
- Problem solving skills
- Clinical assessment skills in the area of psychiatry and mental health, including bio-psychosocial assessments, diagnosis, and treatment interventions, preferred.
- Knowledge in addictive conditions, including assessment, withdrawal symptoms/syndromes, withdrawal medication protocols and clinically appropriate treatment protocols, preferred.
- Expertise in diagnosis of dementia, delirium and cognitive disorders, preferred.
- Working knowledge of psychotropic medications, their use and side-effects, preferred.
- Prescriptive authority, preferred.
- Excellent interpersonal communication skills, preferred.
- Collaborative practice skills knowledgeable and able to use motivational enhancement skills, preferred.
- Knowledgeable about Trauma-Informed Care, preferred.
- Excellent problem solving skills, preferred.
- General working knowledge of the policies and procedures in the institution, including but not limited to: seclusion and restraint policies and suicide risk assessment policies, preferred.
- Working knowledge of the state's legal requirements for placing an individual on a transport hold, preferred.
- Working knowledge of the legal requirements for reporting abuse and/or homicidal threats, preferred.
- Training and knowledge in crisis prevention and crisis intervention skills, preferred.
- Working knowledge of HealthConnect and other clinical computer systems, preferred.
- Thorough understanding of management of aggressive behavior and de-escalation skills, preferred.
- Knowledge of area hospital resources and referral procedures, preferred.

Pre\Post RN ASC (On Call) - (Salem, Oregon)

Sun, 17 Mar 2013 16:00:00 GMT

Req Id: 173992

Job purpose:
The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanente's mission, vision and values. The RN provides a variety of nursing services both in person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/She works under the general direction of the designated supervisor.

Essential Functions:
A.Professional Competencies
- Demonstrates personal commitment to service and to socially relevant practice
- Demonstrates ethical and legal behavior in all professional activities
- Utilizes a critical thinking approach to problem solve and make decisions
- Understands and provides competent care to a diverse population
- Practices health care team building and leadership skills
- Participates in population-based care activities
- Demonstrates technological literacy in using computerized information systems
- Participates in ongoing continuing education activities and shares knowledge with other health care team members
B. Clinical Competencies
- Provides evidence-based, clinically competent nursing care in a culturally sensitive manner
- Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum
- Facilitates member wellness and function and identifies needs for health care interventions
- Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care
- Integrates theory and research-based knowledge in the provision of direct and indirect nursing care
- Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing
- Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment
- Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts
C. Organizational Competencies
- Recognizes the impact of systems on health care delivery.
- Facilitates coordination of care across all settings with particular attention to transitional needs.
- Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patient's health care needs
- Acts as an advocate for individuals and groups with unmet health needs
- Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care
- Prepare and assess patient upon admission, discharge, and throughout peri-operative stay
- Completes admission and routine physical assessment of patient and documents in appropriate format
- Recognizes pertinent signs, symptoms, diagnostic data and changes in patient condition and responds in accordance to nursing policy using anesthesia guidelines in accordance with ACLS/PALS standards throughout the peri-operative continuum
- Uses scoring system per policy for assessment of patient's condition for discharge

Qualifications:

Basic Qualifications:
- 2 years of critical care experience (i.e., PACU/ICU/ED) within the last 3 years
- IV start skills
- Graduate of Accredited School of Nursing
- Demonstrates clinical nursing and leadership skills
- Able to type 20 words per minute
- Demonstrates effective interpersonal, communication and problem-solving skills
- Willingness to learn computerized information systems
- Demonstrates ability to work within teams and within a dynamic work environment
- Customer focused
- Current state RN license
- Current BLS/AED certification upon hire and to continue employment
- ACLS
- PALS (within 6 months of hire)
- Moderate Sedation Competency (within 1 month of hire)

Salary Range: $32.45 - 46.67

Home Health Nurse - (Portland, Oregon)

Tue, 12 Mar 2013 16:00:00 GMT

Req Id: 170953

The self-directed public health nurse provides home care services to Kaiser Permanente patients in community based and facility settings. This position may provide nursing services to patients in the home health, hospice, home infusion, palliative care, or other programs under the direction of the patient's physician(s) to provide quality health care outcomes and facilitate the achievement of maximum independence of the patient utilizing health care resources within Kaiser Permanente and the community.
Essential Functions:
- Provides nursing services to patients consistent with agency policy, state practice acts, and applicable state and federal regulations as directed by the patient's physician
- Manages the care of patients from admission to discharge, coordinating the multidisciplinary plan of care: including appropriate referrals to other disciplines; community resources; supervision of the home health aid plan of care; coordination of the discharge plan and documentation to reflect all activities provided in program appropriate care settings
- Assesses the learning needs of the patient/caregiver to develop the plan of care that meets patient and family needs and goals including the provision of effective teaching, supervision and delegation of care to achieve desired health care outcomes and timely discharge consistent with quality care
- Partners with agency management in the development and review of programs within Continuing Care Services. Facilitates the initiation of cost effective home care and provides consultation to clinicians regarding appropriate care setting alternatives
- Assures professional competency through maintaining state-of-the-art skills and knowledge consistent with Medicare and JCAHO regulations, applicable nurse practice acts and agency policies
- Participates in hospice, home infusion, home health and palliative care call duty consistent with agency policy
- Participates in department quality management/improvement activities; including but not limited to clinical record review, occurrence reporting, focused studies, process and outcome measurement, peer review, continuous quality improvement projects, partners in defining and achieving agency productivity standards
- Performs other duties as requested

Qualifications:

Basic Qualifications:
- 1 year medical-surgical nursing experience in an acute care setting
- Baccalaureate degree in nursing or commensurate knowledge and experience (Commensurate knowledge and experience may include recent experience in areas of care coordination, case management, community health, and public health)
- Licensed in Oregon and Washington. Requires license in primary state, (Oregon or Washington) prior to first day of employment. Application for licensure in secondary state must be made within six (6) weeks of start date. Licenses in both states required within six (6) months of hire
- Valid driver's license
- Basic Life Support CPR card for Health Care Provider. Valid card must be obtained prior to patient contact and within two weeks of hire
- Able to perform complete physical, psychosocial, spiritual assessments
- Able to operate stethoscope and sphygmomanometer
- Keyboarding or typing skills
- Able to learn to operate a laptop computer to perform clinical documentation.
- Working knowledge of concise, yet thorough clinical documentation of patient assessments and care
- Effective problem solving, written and verbal communication and organizational and time management skills required to accomplish case management responsibilities within allocated time frames
- Note: This position requires completion of a typing test
- Note: This position requires a reliable automobile to travel to and from patient homes
Preferred Qualifications:
- Operational knowledge of computerized clinical documentation and office application systems including the use of laptop/notebook computers
- Working knowledge of the managed care industry
- Knowledge of Medicare regulations/requirements
- Excellent time management, problem solving and customer service skills
- Excellent written and verbal communication skills.
- Able to work autonomously and manage patient caseload
- Knowledgeable of the care for the chronically ill and frail elderly
- Working knowledge of Hospice and palliative care for the terminally ill patient.
- Pediatrics, including well child care
- Oncology/hospice
- Rehabilitation nursing
- Hospice care and the dying process
- Peripheral and central line IV management
- Able to perform venipuncture and IV insertion
- Able to operate multiple IV pumps
- Able to perform surgical debridement as part of wound care

Salary Range:
$33.10 - $47.60

Nursing Manager 3 South - (Clackamas, Oregon)

Tue, 05 Mar 2013 14:00:00 GMT

Req Id: 163279

Accountable for management of a patient care unit (s). Partners with health care team to assure quality patient/family centered care.
Essential Functions:
- Uses established channels of communication to share information, receive feedback & report problems
- Communicates plans & decisions to staff & providers to facilitate linkages & flow of information to others
- Builds credibility with physicians as a champion for patient care, quality, & nursing professionalism
- Effectively facilitates consensus building to accomplish goals & objectives
- Provides constructive feedback & effectively manages conflict
- Creates & articulates a shared vision & goals
- Follows up on feedback & reports problems as well as positive comments
- Creates an environment which recognizes & values differences in staff, physicians, patients & communities
- Collaborates with nursing programs to provide required resources
- Acts as an expert resource for staff & utilizes knowledge in clinical area of practice
- Analyzes & evaluates nursing practice, research & trends.
- Applies knowledge to the development of standards of care & practice to ensure optimal patient outcomes
- Creates, modifies & evaluates policies & procedures as delegated &/or appropriate to the clinical unit & expertise
- Directs the development of competencies so staff achieve maximize performance.
- Maintains personal & professional growth of self & others by participating in educational offerings & professional organizations
- Partners with medical staff & other disciplines to establish patient care goals for unit development
- Evaluates patient care delivery model & the needed staff, equipment & resources to provide safe, optimal care
- Directs & supervises staff & ensures safe, therapeutic environment
- Supports the development & implementation of an organization wide patient safety program
- Ensures staff is educated on risk management & compliance issues & correct action is identified in areas of potential liability.
- Articulates the organization's performance improvement program & goals
- Develops, implements & maintains quality monitoring processes
- Formulates unit goals which are reflective of measurable objectives & evidence-based practice
- Maintains compliance on unit with all regulatory requirements
- Monitors unit quality assurance with safety, environment, pharmacy & documentation issues
- Supports the quality expert role on the unit & assists with the quality plan developed by the staff
- Formulates unit goals & quality management plans , which are responsive to the changing health care needs of the patients
- Recruits, selects, retains, coaches, mentors & counsels personnel
- Facilitates inter-departmental relationships so that mission, vision, goals of department & organization are achieved
- Demonstrates critical thinking & use of evidence based practice
- Develops & supports the Department Partnership Council (DPC) or Unit Based Team (UBT) to accomplish tasks & goals
- Actively participates in committees & task forces as needed
- Ensures staff compliance with all mandatory classes & education
- Facilitates a culture of creative thinking & acts as a change agent to challenge the status quo
- Consults with Human Resource department as needed for personnel issues
- Responsible for own professional growth & supports work-life balance
- Ensures staff has the knowledge & skills to provide appropriate, safe care to patients & families through education, coaching, training or experience
- Works with outside vendors/agencies to assure coordination of services & represent the organization in a professional manner
- This job description is not all encompassing

Qualifications:

Basic Qualifications:
- Clinical experience as a RN - five (5) year minimum
- Leadership experience in a health care field - two (2) year minimum
- BSN or health-related bachelor's degree or currently enrolled in BSN or health-related bachelor degree program with completion date defined
- Oregon RN license upon hire
- Basic Life Support (BLS) for Healthcare Providers within thirty (30) days of hire
Preferred Qualifications:
- Previous experience in a similar role - four (4) years preferred
- Master's degree preferred
- Demonstrated knowledge in area of clinical expertise - five (5) years preferred
- Knowledge of Nurse Practice Act, JCAHO, Labor Law, all related and affiliate contracts, workmen's comp, KSMC policies and procedures, Human Resource Policies and Procedures, OSHA, CMS, Health Department, Employee benefits, National Labor Relations Board, standards of practice of professional organizations preferred
- Financial/economic principles preferred

Salary Range: $40.14 - $72.16

Inpatient Care Manager - (Clackamas, Oregon)

Thu, 28 Feb 2013 14:00:00 GMT

Req Id: 172073

Inpatient Care Manager's are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in the acute care and emergency care settings, manage patients with routine and complex discharge planning needs by: independently assessing needs, developing and implementing plans of care for transitions across care settings. Inpatient Care Manager's also serve as expert resource consultants and educators for physicians and other health care team members in discharge transition of care, coordination of internal and community resources, and support the evaluation and improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe discharge plan of care for patients with complex care needs.

Essential Functions:
- Ensures review of all Kaiser Permanente patients admitted to service area hospitals for appropriateness of admission; admission to the appropriate level of care status; length of stay consistent with medical &/or surgical criteria; &, ensures authorization for hospitalization is received from non-Kaiser payer sources.
- Provides timely & accurate notification to Patient Billing Services verifying correct admit status.
- Facilitates care & services for non-Kaiser patients in the hospital setting approved by their payer source.
- Identifies potential delays in inpatient care or services that may result in length of stay extensions & communicate findings so improvement opportunities can be addressed by involved departments.
- Facilitates entries in patient charts that reflect & support definitive diagnoses & coding.
- Ensures coordination of care toward timely discharge for routine & complex medical/surgical patients in hospital setting; by:
- Independently & proactively completing assessments which are thorough, timely, age appropriate, & reflect psychosocial support systems, care needs, benefit array, level of care determinations, & document same for designated population of patients.
- Developing safe discharge plans by working with patients, families, & health care teams to develop a mutually agreeable plan of care that creatively optimizes the use of all available & appropriate resources to support the unique & particular needs of each patient on a case by case basis.
- Utilize case/family conferences & consults to develop these care plans as needed.
- Implementing care plans by ordering, brokering, & advocating for the patient & family, while educating the patient, family, & health care team about options & alternatives.
- Acting as Kaiser Permanente 'ambassador' to provide member information to care facilities (SNF, ICF, assisted living, adult foster homes, residential care facilities) & problem-solve/facilitate any issues which present barriers to safe transfers & the provision of quality care, such as: special equipment needs, symptom/behavior management, financial assessment & plan, clinical instability & complex care needs (IV therapy, enteral feedings, wound care, therapy needs).
- Develops & maintains expert level of knowledge & skills related to availability of & criteria for regulatory requirements for utilization management & ordering of, brokering for, & assertive advocacy for the patient & family as well as the health care system in all matters of optimal use of health care resources.
- This job description is not all encompassing.

Qualifications:

Basic Qualifications:
- Two (2) years of acute hospital experience with progressive levels of responsibility.
- BSN or bachelor's in a healthcare related field.
- RN License in Oregon and Washington. Requires license in primary state, (Oregon or Washington) prior to first day of employment. Application for licensure in secondary state must be made within six (6) weeks of start date. Licenses in both states required within six (6) months of hire.
- Basic Life Support (BLS) for Healthcare Providers within two weeks of hire.
- Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in interdisciplinary approach.
- Demonstrated ability to work as part of a team and work as a constant patient advocate.
- Basic physical, psychosocial, functional assessment skills.
- Familiar with care processes and systems in settings internal and external to Kaiser Permanente.
- Familiar with and able to collaborate with Kaiser Permanente and community resources.
- Thorough knowledge of principles of teaching and delegation, physical assessment and care planning and appropriate utilization of acute hospital, long-term care and home care resources.
- Able to document concise yet thorough clinical documentation of patient assessment and care needs.
- Highly effective problem solving, written and verbal communication, organizational and time management skills.
- Familiarity with and ability to use computers.

Preferred Qualifications:
- Two (2) years of medical/surgical or critical care nursing preferred.
- Three (3) years of recent experience in one or more of the following areas: Hospital Inpatient Discharge Planning, Community Health, Home Health and/or Utilization Management preferred.
- Recent experience in Home Health Agency or role responsibility for inpatient discharge planning preferred.
- MSN preferred.
- Current Certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred.
- Demonstrated ability to interrelate with physicians, nurses and patients preferred.
- Demonstrates customer-focused service skills preferred.
- Good clinical judgment to assess the needs of patients as they relate to next level of care preferred.
- Knowledge of the principles of patient teaching, disease prevention measures, physical assessment and appropriate utilization of acute hospital resources preferred.
- Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, home health and hospice eligibility requirements preferred.
- Knowledge of Kaiser Permanente resources preferred.
- Able to type 30 WPM with accuracy preferred.

Salary Range: $35.91 - $61.10

Quality\Utilization Coordinator - (Portland, Oregon)

Tue, 26 Feb 2013 14:00:00 GMT

Req Id: 164810

Under the supervision of the Home Health/Hospice Clinical Manager, coordinates the Quality/Utilization Management Program for Continuing Care Services.

Essential Functions:
- Implement the Quality Management program plan through the strategic collection and analysis of quality and utilization data.
- Identify opportunities to improve clinical processes.
- Design and implement process improvements in collaboration with process stakeholders and managers both within Kaiser Permanente and in organizations providing contracted services.
- Assist in the development and continuous improvement of the Quality Management Program for Continuing Care Services through a variety of planning and evaluation activities.
- Communicate findings of ongoing quality/utilization monitors to appropriate individuals utilizing written and verbal reports, charts and graphics.
- Coordinate and integrate quality assessment and improvement activities within Continuing Care Services with quality improvement efforts within the Northwest Region.
- Identify and disseminate state-of-the-art clinical practices for use in Continuing Care Services in order to improve the quality and cost-effectiveness of member care.
- Perform other duties as requested.
- This job description is not all encompassing.

Qualifications:

Basic Qualifications:
- One (1) to three (3) years of quality management or commensurate knowledge/experience.
- Two (2) years of community health/home health/hospice nursing experience.
- Two (2) to five (5) years spent as a registered nurse with experience in the care of the elderly.
- Bachelor's of science degree in Nursing.
- Licensed in Oregon and Washington. Requires Oregon or Washington license at time of hire. Licenses in both states are required within six (6) months of hire.
- Current Basic Life Support CPR card.
- Valid driver's license.
- Working knowledge of quality/utilization management, risk management and infection control principles.
- Thorough knowledge of Home Health/Hospice Medicare certification, state licensure regulations and JCAHO accreditation standards.
- Basic knowledge of continuous quality improvements principles.
- Demonstrates customer-focused service skills.
- Computer/word processing skills.
- Excellent written and verbal communication skills, analytical problem-solving skills, well developed project management skills, and competent quantitative skills.

Preferred Qualifications:
- Three (3) to five (5) years of experience as a public health nurse in a home health or hospice agency is preferred.
- One (1) to three (3) years of supervisory experience preferred.
- One (1) to three (3) years of experience in discharge planning/utilization management preferred.
- Master's degree in nursing, public health, business or health care administration preferred.
- Working knowledge of learning and behavior change theory preferred.
- Thorough knowledge of continuous quality improvements principles, tools, and practices preferred.

Salary Range:
$87,800 - $114,000

RN First Assist - (Clackamas, Oregon)

Thu, 07 Feb 2013 14:00:00 GMT

Req Id: 169805

Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Surgical Services region. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. All RNFA's will participate in a regional on-call rotation to provide surgical assistance for elective, emergent and urgent surgical cases.
Essential Functions:
- Performs pre-operative assessment and evaluation.
- Collaborates with the surgical team on plan of care.
- Provides knowledge based technical assistance to the surgeon during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including:
- Using instruments and medical devices.
- Providing surgical exposure.
- Handling and/or cutting tissue.
- Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon.
- Suturing as directed by the surgeon.
- Evaluates the patient post-operatively according to facility protocols.
- Communicates information so that continuity of care is maintained.
- Communicates with patient, family and other staff in a professional and courteous manner.
- Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience.
- Provides continuous reassessment through the intra operative period.
- Utilizes knowledge of type of procedure to plan for appropriate set up.
- Function as an assistant in all surgical specialties at the direction of the attending surgeon.
- Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants.
- Practice within limitations of preparation and experience.
- Demonstrate RNFA specific clinical skills.
- Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente.
- Intra operative nursing behaviors include: handling tissue, providing exposure, using instruments, clamp, cut, and legate as directed by the surgeon, providing homeostasis and suturing as directed by the surgeon.
- Assists with room preparation in collaboration with the Circulating Nurse and scrub person.
- Brings patient X-rays into room NOTE: Notifies Charge Nurse or designee if films are not available.
- Assists in patient transport to the operating room and patient transfer to the operating room table.
- Provides assistance to Anesthesia during induction.
- Participates in pre-op briefing time out process.
- Assists in patient preparation.
- Sets up ESU, lights, suction for the sterile field.
- Monitors free counted items on the sterile field.
- Observes for breaks in sterile technique and takes appropriate action as necessary.
- Assists with instrumentation and equipment as requested.
- Applies dressings and secures drainage tubes.
- Assists with patient transfer and positioning post operatively.
- Assists with room tear down and turn over in collaboration with the Circulating Nurse and scrub person.
- May perform pre and post-operative patient education as designated.
- Assist in maintaining a safe environment and promoting efficiency in surgical procedures.
- This job description is not all encompassing.

Qualifications:

Basic Qualifications:
- Two (2) years of peril-operative scrubbing and circulating experience.
- Successful completion of an RNFA program that meets the AORN Recommended Education Standards for RNFA and criteria for the CB.PMN acceptance program.
- Current Oregon RN license.
- Must maintain CNOR and RN licensure with the required amount of Continuing Education.
- Certification of Completion from AORN recognized RNFA course.
- Meets all qualification of an RNFA as outlined in AORN Position Statement.
- Current CNOR Certification.
- Current BCLS.

Preferred Qualifications:
- One year (1) of practice as an RNFA required, two plus (2+) years preferred.
- CRNFA certification preferred.
- ACLS preferred.

Salary Range: 36.41 - 52.36

RN Inpatient PACU\Surgical Prep Area (SPA) - (Hillsboro, Oregon)

Thu, 07 Feb 2013 14:00:00 GMT

Req Id: 156296

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.
- Able to assess and care for the critical care patient following ASPAN guidelines.
- Demonstrates ability to manage an airway.
- Knowledgeable in anesthesia agents and adjuncts - able to assess and care for adult patients that are post general anesthesia, regional anesthesia, epidural patients and MAC patients.
- Knowledgeable in caring for pediatric post-anesthesia patient and their families.
- Competent in pain management and nausea/vomiting control.
- Competent in thermoregulation; familiar with Malignant Hyperthermia protocol.
- Able to identify and document cardiac rhythm changes and report to physician as appropriate.
- Able to assess patients for post-op complications, intervene appropriately and notify physician.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Two (2) to five (5) years of critical care experience.
- Two (2) to five (5) years of PACU experience preferred.
- Previous health care experience preferred.
- Graduate of an accredited nursing program.
- Bachelor's degree in Nursing or a related field preferred.
- Current Oregon RN License upon hire.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- Current ACLS certification.
- Current PALS certification, or required within six (6) months of hire.
- Computer keyboarding skills.
- Advanced patient assessment skills.
- Able to coordinate care of up to two post anesthesia patients at a time.
- Able to respond to crisis situations calmly and appropriately.
- Able to work collaboratively with other members of the surgical team.

Salary Range:
$33.10 - $47.60

In anticipation of opening our new hospital, Kaiser Permanente is preparing to start our recruitment process this winter.
This job posting is representative of one of the types of positions we will be hiring for in the near future. If you are interested, please submit your resume and we will follow up with you on our hiring timelines and application process.

Possible Positions Represented:
On-Call Variable
20 hr Day
20 hr Day
20 hr Evening
30 hr Day
30 hr Day
30 hr Day
30 hr Evening
40 hr Day
40 hr Day
40 hr Day
40 hr Evening

Quality Improvement Specialist - (Hillsboro, Oregon)

Mon, 12 Nov 2012 14:00:00 GMT

Req Id: 149936

The Quality Improvement Specialist supports programs, departments, leadership and medical staff by providing consultation and guidance in supporting a quality and patient safety culture, coordinating quality activities, establishing measurements to monitor performance, insuring high data integrity, role-modeling quality improvement principles and rapid cycle change, and teaching and training others to promote the message of quality.
Essential Functions:
- Abstracts both qualitative and quantitative information from health records, surveys and other key data sources and uses the information for data entry and studies, trending reports, and identification of areas for prioritization and improvement.
- Reviews the health record retrospectively and/or concurrently and collects information to identify opportunities for improvement and initiates or refers follow-up as appropriate including presenting to quality committee, facilitating root cause analysis, failure modes and effects analysis, and other performance improvement tools.
- Assists management/medical staff in formulating requests for data and supports development of prioritized studies that fully use the system databases to address operational issues.
- Supports use of databases and registries by utilizing electronic data when available.
- Designs and follows data collection methodology, including defined data definitions and study parameters before initiating focused studies.
- Responsible for data management and support: analyzes, interprets, formats and presents clinical data for a variety of users; identifies services and/or cases for clinical studies and may support analysis of data through development of an internal database of activities.
- Uses basic statistical techniques to analyze outcomes to determine special or common cause variation.
- Provides expert knowledge to determine best display to support analysis. Utilizes graphics and visual aides whenever possible to improve data analysis.
- Demonstrates fundamental knowledge of healthcare regulatory and licensing agency requirements and applies requirements in identifying, referring and problem solving.
- As appropriate, provides feedback to departments on compliance with requirements.
- Provides consultation and education in performance improvement and CQI processes so that clinical practice improvement and service quality is enhanced.
- Participates as the facilitator or informal leader in process improvement teams.
- Addresses disruptive behaviors and recommends appropriate interventions to improve group dynamics.
- Uses problem solving methods and CQI tools to guide process-improvement-team progress.
- Selects, uses, and teaches the CQI tools which correspond to the problem solving process.
- Facilitates the development of action plans to address identified opportunities for improvement.
- Uses knowledge of process improvement, etc. to facilitate simplifying and standardizing process and equipment whenever possible.
- Supports a commitment to a culture of safety by establishing a safe, blame-free committee environment for team process activities.
- Maintains confidentiality. Encourages 'near miss' reporting.
- Utilizes standardized Root Cause Analysis methods to address near miss and adverse outcomes.
- Evaluates team meeting process to continually improve methods for addressing identified root causes and contributing factors.
- This job description is not all encompassing.

Qualifications:

Basic Qualifications:
- Minimum three (3) years of direct nursing care experience.
- Minimum three (3) years of applicable quality improvement experience, such as participating as a quality committee member, involvement on problem-solving teams, management of data, and use of CQI tools and techniques.
- Experience must include demonstrated problem-solving skills, data abstraction and analysis, facilitation skills and use of CQI tools and techniques including root cause analysis methods and tools and use of benchmarking concepts and tools.
- Critical Care experience preferred.
- Bachelor's degree or equivalent experience required.
- Registered Nurse in Oregon at time of hire.
- Certified Professional in Health Care Quality (CPHQ) required within twenty-four (24) months of hire for new employees, or by August, 2009 for current HQPS employees.
- Current certification in basic life support / CPR.
- Demonstrated knowledge of systems and data collection/analysis.
- Excellent written/oral communication skills, demonstrated ability to facilitate teams and serve as a consultant to diverse groups.
- PC computer skills.
- Demonstrated use of CQI principles and techniques including RCA, data abstraction and analysis, and work team facilitation.
- Demonstrated critical thinking, knowledge of medical service delivery in an acute care and/or outpatient setting. Familiarity with CQI techniques and principles.
- Demonstrated use of Quality processes and tools (Root Cause Analysis, FMEA, etc.), Utilization Management, and/or Risk Management principles and practices is preferred.
- Demonstrated ability to develop successful interpersonal and professional relationships with diverse populations (administrators, physicians, nurses, aides, technicians and other personnel) preferred.
- Demonstrated self-motivation and ability to work independently or as a contributing team member is preferred.
- Proficient in PC based computer skills preferred.

Quality Improvement Consultant - (Hillsboro, Oregon)

Mon, 12 Nov 2012 14:00:00 GMT

Req Id: 149934

In addition to performing the duties of a Quality Improvement Specialist, this role provides additional consultation, leadership and education to managers, supervisors and employees on matters related to performance measurement and quality improvement. Represents Hospital Quality and Patient Safety perspectives and activities on an organizational level, synthesizing a variety of results and initiatives and guiding collaborative efforts toward effective quality planning. Applies professional Quality theories in facilitating diverse groups, delivering public presentations and providing work team leadership.

Essential Functions:
- Provides leadership, consultation, advice and recommendations, coaching, education, and decision-making support to managers, supervisors, employees and professional peers related to clinical practices, adverse outcomes, policies and procedures and performance measurement and quality improvement activities
- Obtains and interprets data from a variety of sources into relevant and cohesive information for the purpose of guiding stakeholders in developing action plans designed to achieve the organization's quality objectives.
- Develops and tracks goals, strategies, tactics, and action plans for the assigned departments and serves as a resource for recommendations and next steps.
- Conducts and oversees investigations into adverse events, developing sufficient documentation to identify and evaluate human factors and system failures for the purpose of recommending changes to prevent recurrence and/or ensure patient safety.
- Integrates the tenets of a 'just culture' into consulting activities and written reports.
- Serves as a primary steward to patient safety and hospital quality on a clinical arena level, pursuing understanding of the services being provided within the arena, the nature of patient needs and the challenges unit and arena staff face in fulfilling assigned roles.
- Demonstrates proficiency in effective communication and negotiation skills.
- Seeks and capitalizes upon opportunities to provide education in performance and quality improvement, human factors and lean/six sigma theories.
- Acts as a leader in issues of performance measurement, quality improvement, and patient safety.
- This job description is not all encompassing.

Qualifications:

Basic Qualifications:
- Three (3) years of experience working in a health care field.
- Three (3) years of applicable quality improvement experience in an acute care setting, such as participating as a quality committee member, involvement with self-governed work teams, abstraction and interpretation of performance data, or demonstrated use of CQI tools and techniques is preferred.
- Bachelor's degree in a healthcare field or equivalent experience.
- Current Oregon or Washington State RN licensure.
- Certified Professional in Health Care Quality (CPHQ) required within twenty-four (24) months of hire for new employees, or by August, 2009 for current HQPS employees.
- Current certification in basic life support / CPR.
- Demonstrated use of Quality processes and tools (Root Cause Analysis, FMEA, Lean, Six Sigma, etc.), Utilization Management, and/or Risk Management principles and practices.
- Demonstrated ability to develop constructive interpersonal and professional relationships with diverse populations (administrators, physicians, nurses, aides, technicians and other personnel).
- Demonstrated self-motivation and ability to work independently and as a contributing team member.
- Proficient in PC based computer skills, as well as Excel and PowerPoint.
- Proficient facilitation and presentation skills preferred.
- Demonstrated knowledge of statistics, systems theory and organizational behavior preferred.
- Exceptional written/oral communication skills, demonstrated ability to facilitate teams and serve as a consultant to diverse groups preferred.

Infection Prevention and Control Coordinator - (Hillsboro, Oregon)

Mon, 12 Nov 2012 14:00:00 GMT

Req Id: 149931

Coordinates the functional components of surveillance and analysis of the region wide infection control program. Assists the program manager in providing services necessary for the prevention and control of infection.Essential Functions:- Assists with development, implementation, monitoring, evaluation and revision of Infection Prevention and Control Program goals, standards, policies and procedures, and surveillance activities- Coordinates multi-disciplinary and interdepartmental efforts to improve performance of infection prevention/control programs and services- Facilitates meeting applicable regulatory requirements through monitoring and reporting infection trends in the acute and ambulatory and other care settings- Coordinates the reporting of all communicable diseases reportable by law to appropriate public health authority- Acts as liaison to public health authorities by direct participation in the Oregon Emerging Disease Program- Maintains records of all reportable diseases- Participates in coordination of development and review of Infection Prevention and Control Standards of Care- Participates in epidemiological investigations of significant clusters of infection above established standards and unusual isolates as directed the Infection Control Manager or Infectious Disease Department- Gathers data, analyzes and prepares documents for focused studies- Interacts with Employee Health to institute and maintain control measures pertaining to health care workers and member infection control issues- Participates in activities to meet regulatory and accreditation requirements- Assumes the responsibility of the Infection Control Manager in her/his absence as assigned

Qualifications:

Basic Qualifications:- Minimum of 2 years experience as an Infection Control professional in an acute care hospital- Proof of APIC Membership- Laboratory Science MT (ASCP) or current Oregon RN- Certification in Infection Control (C.I.C.)- Must have thorough knowledge of Washington and Oregon Communicable Disease Reporting Rules- Knowledge of basic statistics- Skills/abilities: Computer experience with data analysis tools and word processing as a minimumPreferred Qualifications:- Working knowledge of management support tools; i.e., word processing, spreadsheet, graphic, and communication packages, etc- Comprehensive knowledge of surveillance principles, and the CDC NHSN System- Ability to communicate technical information- Ability to work with minimal supervision- Analytical and problem solving skills- Business communication skills- Completion of APIC or equivalent, basic course in infection control

RN Inpatient Operating Room - (Hillsboro, Oregon)

Mon, 15 Oct 2012 16:00:00 GMT

Req Id: 156289

Under general supervision and in collaboration with other members of the health care team, uses clinical judgment skills to diagnose and treat human responses to actual or potential health problems. The RN is responsible for assessing, planning, directing, providing and evaluation nursing care for patients and coordinating nurses care activities with other health care disciplines.

Essential Functions:
- Performs accurate multi-system assessments, including: biophysical, psychosocial, environmental, self-care, education needs and discharge planning needs.
- Identifies deviations from normal on routine lab diagnostic tests.
- Reassesses patient throughout hospitalization.
- Performs complete discharge assessment.
- Develops an individual nursing plan of care.
- Nursing plan of care is sensitive to the developmental needs of the patient.
- Coordinates patient care activities and discharge planning with other hospital and clinic departments and community agencies.
- Develops patient teaching plan and documents on care plan or teaching plan.
- Appropriately delegates patient care activities based on patient's condition and scope of practice of other health care providers.
- Establishes priorities for patient care.
- Classifies acuity level of assigned patients.
- Initiates appropriate measures based on protocol for the management of the medical and/or surgical patient.
- Bases nursing care on protocol in place for management of each patient.
- Correctly carries out the physician's plan of care.
- Accurately documents in the EMR.
- Documents care according to policy and procedure.
- Utilizes a multidisciplinary approach when appropriate.
- Performs all necessary procedures correctly.
- Utilizes available teaching plans in addressing patient teaching needs.
- Accurately calculates and administers medications.
- Initiates appropriate measures in emergency situations.
- Evaluates assessment methods, plan of care, and patient's response to treatment.
- Participates in unit quality assurance activities.

Qualifications:

Basic Qualifications:
- Nine (9) months of experience.
- Two (2) years of experience circulating in an inpatient or ambulatory surgery setting within the past three (3) years.
- Three (3) to five (5) years of operating room circulating and scrubbing experience preferred.
- Previous health care experience preferred.
- Graduate of an accredited nursing program.
- Bachelor's degree in Nursing or a related field preferred.
- Current Oregon RN License upon hire.
- American Heart Association Basic Life Support (BLS) for Healthcare Providers CPR with AED.
- CNOR preferred.
- ACLS preferred.
- Performs accurate pre-operative assessments including pre-operative checklist, operative consent, H&P, lab results and anesthesia evaluation.
- Continuous reassessment through intra-operative period.
- Utilizes knowledge of procedure to plan for appropriate set up.
- Applies principles of aseptic technique and proper body alignment.
- Initiates and facilitates room turnovers, light housekeeping duties, cleaning of instruments, procurement of equipment, supplies, and PACS images.
- Restocking of unused supplies and equipment.
- Participates in pre-operative briefing, surgical time-out, and debriefing processes.
- Computer keyboarding skills.
- Pre-op area skills preferred.
- IV start skills preferred.

Salary Range:
$33.10 - $47.60

In anticipation of opening our new hospital, Kaiser Permanente is preparing to start our recruitment process this fall and winter.
This job posting is representative of one of the types of positions we will be hiring for in the near future. If you are interested, please submit your resume and we will follow up with you on our hiring timelines and application process.

Possible Positions Represented:
On-Call Day
20 hr Day
30 hr Day
40 hr Day
40 hr Evening

RN DUAL RN\BLS Mental Health (On Call) Regional Service Areas - (Portland, Oregon)

Thu, 23 Aug 2012 16:00:00 GMT

Req Id: 149060

Kaiser Permanente nurses advance the art and science of nursing in a patient-centered healing environment through their professional practice and leadership. Mental health RN's provide regional support to the Mental Health Department prescriber team members in OR and WA as assigned geographically, regionally, by population or per specialty area below. The Advise RN and the Case Management RN are two distinct and separate roles. Mental Health RNs perform distinct and separate duties as referenced above. All mental Health RN's are cross trained and oriented to the duties of Advice RN and RN Case Management prior to being assigned to work. Cross training and competency ensure we maintain safe and efficient workflows. Mental Health RNs may be assigned to perform urgent or pre-planned coverage of another area in their daily work schedule by the nurse manager or designee. or departments goals.

Essential Functions:
- Strengthen the linkage between the assigned MH Prescriber team and members by responding to patient messages related to psychotropic medication problems, questions, or routine reports; concerns about mood or behavior; questions regarding lab results; or other urgent issue that fall within the nursing scope. Assess and evaluate patients based on the DSM IV, providing telephone advice independently and within scope of the Oregon and Washington Nursing Practice Act. Triage patients as needed.
- Provide patient and family education regarding side effects and efficacy of psychotropic medications and behavioral management.
- Facilitate care coordination with the patient's psychiatrist, primary care provider, other treating providers, lab, pharmacy, and others as needed.
- Assist their assigned MH team in hospitalization of patients which include: search for available beds, arrangement of transportation and ----follow to ensure transfers occurred successfully. -Future goals include development of partnership with EPS to arrange hospitalization of members
- Assist patients in crisis, patients stepping down from inpatient or residential programs into low levels of care either by telephone or in person.
- All MH RN are cross trained in Advice /Triage and Case Management roles and responsibilities.
- MHRN's support the Mental Health Department goals and the members recovery through the continuum of care. Current goals include: increase access to services, increase member satisfaction, provide transitional support for Mental Health members, and ensure continuity of care for high risk members at various levels of care such as inpatient hospitalization, residential care, outpatient programs and community supports.

Qualifications:

Basic Qualifications:
- Minimum of 5 years RN experience to include 1 year of medical/surgical (preferred) and 3 years (at 32 hrs per week or more) in Mental Health within the last 10 years
- Minimum of 6 months nursing phone/triage experience
- Graduate of Accredited School of Nursing
- Requires license in primary state, (Oregon or Washington) prior to first day of employment. Application for licensure in secondary state must be made within four (4) weeks of start date. Licenses in both states required within six (6) months of hire
- Current BLS w/AED certification
- Able to type 20 words per minute
- Board-based knowledge of Mental Health diagnoses and treatment, including psychotropic medications, and associated lab monitoring
- Knowledge of contributory and/or co-existing diagnoses such as chronic pain, fibromyalgia, eating disorders, and chemical dependency
- Skill and ability to assess suicidality, lethality, and to handle crisis situations
- Familiarity with Diagnostic and Statistical Manual of Mental Disorders
- Ability to identify and problem solve issues in a team environment as well as work collaboratively within a team
- Ability to work independently and maintain professional, respectful and supportive communication to patients/members and others
- Willingness to learn computerized information systems

Preferred Qualifications:
- Bachelor's of Nursing degree or board certification as Psychiatric and Mental Health Nurse
- 3 years work experience in community based mental health treatment and care coordination or inpatient mental health facility
- 2 years work experience within mental health treatment team
- Previous case management and/or care coordination experience within a managed care system

Salary Range:
$32.45 - $46.67