Registered Nurse; RN): Chowchilla, Madera, Firebaugh

Registered Nurse

Location:

Service in Chowchilla, Madera, Firebaugh, and surrounding areas.

• 401(k) matching
• Competitive salary
• Dental insurance
• Health insurance
• Vision insurance
• Paid time off (PTO)
• Parental leave
• Dynamic, team‑oriented work environment
• Strong, supportive company culture
• Growth and development opportunities
• Flexible schedules
• Mileage reimbursement at current federal rate
• Company vehicle when eligible
• Paid holidays
• Sick days

• Complete an initial comprehensive assessment of patient and family to determine hospice needs and provide a comprehensive physical assessment and history of current and previous illnesses.
• Provide professional nursing care using all elements of the nursing process as defined in the State Nurse Practice Act.
• Assess and evaluate patient status; write, initiate and regularly re‑evaluate the plan of care; revise as necessary.
• Use assessment data to determine nursing diagnosis and develop a care plan that establishes goals and incorporates palliative nursing actions, involving patient and family in the planning process.
• Initiate appropriate preventive and rehabilitative nursing procedures; administer medications and treatments as prescribed by the physician.
• Provide counseling to patients and families to meet nursing and related needs.
• Provide health‑care instructions, assist with activities of daily living, and facilitate patient self‑sufficiency and optional comfort care.
• Act as case manager when assigned and coordinate care for the assigned caseload.
• Maintain accurate and relevant clinical notes; record pain/symptom management changes and outcomes.
• Communicate with physicians regarding patient needs, report changes, and obtain orders as required.
• Coordinate care with community health providers and the interdisciplinary group.
• Teach self‑care techniques and provide medication, diet and other instructions as ordered, while recognizing opportunities for health counseling.
• Ensure a safe environment for patients and assist continuity of care.
• Attend interdisciplinary group meetings.
• Participate in on‑call duties as defined by policy.
• Arrange for equipment and other necessary items and services.
• Supervise ancillary personnel and delegate responsibilities.
• Maintain personal growth and professional knowledge through continuing education and in‑service classes.
• Fulfill accepted case assignments.
• Participate in quality assessment and performance‑improvement teams.

• Graduate of a National League of Nursing accredited nursing school.
• Current California license and current CPR certification.
• At least one year of professional nursing experience within the past three years, OR a baccalaureate nursing degree from an NLN accredited program and a current RN license; preferred two years of experience with at least one year in public health, home care, or hospice nursing.
• Licensed driver with an insured automobile in good working order.
• Responsible for supervising hospice aides; management experience not required.
• Self‑directed, able to work with minimal supervision.
• Excellent observation, verbal and written communication, problem‑solving, basic math, and nursing skills per competency checklist.
• Capable of prolonged walking or standing; able to lift, position, transfer patients and lift supplies and equipment; capable of reaching, stooping, bending, kneeling, and/or crouching; adequate visual acuity and hearing for nursing skills.

• Hourly and paid‑per‑visit (PPV) hybrid model; salary option available.
• Opportunities to accumulate overtime.
• Acute‑care experience preferred.