Registered Nurse jobs at Legacy Health

The Legacy nursing philosophy focuses on patients and their families. Our nurses embody this philosophy in everything they do, as advocates, communicators, problem-solvers and caregivers. Their expertise is sought after and respected by our health care team. In short, they are the face of wellness at Legacy. Does this sound like an environment in which you could thrive? If so, we invite you to consider this opportunity as an Registered Nurse on our Resource Team. Legacy Health is a locally owned, nonprofit health system driven by our mission to improve the health of those around us. We offer a unique blend of health services across the Portland/Vancouver metro area and mid-Willamette Valley - from wellness and urgent care to dedicated children's services and advanced medical centers - to care for patients of all ages when and where they need us. With an eye toward a healthier community, our partnerships tackle vital issues such as housing and mental health. Legacy strives to help everyone live healthier and better lives, with the vision of being essential to the health of the region. Responsibilities * Primary responsibility is to be available and flexible to float to various sites across the Legacy Health System and provide patient care as needed. * Functions as an integral part of the health care team, collaborating with and under the direction of a clinical manager or designee, in alignment with the Standards and Scope of Practice for Registered Nurses. * The RN Resource Team is responsible for the assessment, analysis, planning, implementation, and evaluation of patient care, following Legacy Health's established patient care standards, including protocols for patient assessment and safe transfer. * This position is compensated at a flat rate, with additional differentials applied based on work conditions (e.g., shifts, weekends, holidays, etc.). Qualifications Education: * As required by licensure. * BSN or degree in progress strongly preferred. * BSN may be required for specific assignments; experienced RNs without a BSN may be hired based on clinical experience with approval of the site CNO. Experience: * Three years registered nursing experience required. * Additional clinical experience requirements may vary dependent upon the specific department in which the position is utilized: * Critical Care: Three years critical care nursing experience required; the three-year requirement may be met for current Legacy employees who have a minimum of two years adult critical care experience plus one year emergency department, intensive care or pediatric critical care experience. ACLS required. Knowledge/Skills: * Demonstrated ability of positive interpersonal and communication skills with colleagues, patients, families, physicians and the community. * Keyboard skills and ability to navigate electronic systems applicable to job functions. Licensure * Both Oregon and Washington state RN licensure required. * BLS for Healthcare Providers from the American Heart Association required. * ACLS from the American Heart Association required. Pay Range USD $83.60 - USD $83.60 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************

Nurses at Legacy embody our mission of making life better for others. It's evident in their expertise as well as in their kind and caring nature. The Nurse Manager leads by example, overseeing patient care and carrying the Legacy mission into every responsibility, whether it's staffing, scheduling, budgeting or collaborating with peers. If you are ready to grow with a healthcare system that values your professionalism and compassion, please consider this opportunity. Legacy Silverton Medical Center serves the heart of the Willamette Valley with a wide mix of services, many not typically available in a community hospital: CT scan (computerized tomography), nuclear medicine, echocardiography, family birth center and much more. Responsibilities: Serves as the accountable department manager for a designated patient care unit or department(s) Oversees all daily operational activities, including: Staffing and scheduling Departmental planning and budgeting Ensuring efficient care delivery systems and processes Ensures delivery of safe, high-quality care and an exceptional patient and family experience Assumes 24/7 responsibility for all departmental functions Maintains effective interprofessional communication and fosters a positive work environment Promotes and supports shared governance principles Ensures staff education and competency for patient care Collaborates routinely and effectively with physicians, peers, and Legacy leadership Aligns departmental goals and operations with Legacy's strategic objectives Qualifications: Education: An academic degree in nursing is required (BSN or MSN/MN). Master's degree required. MSN/MN preferred. Internal candidates promoting from Assistant Nurse Manager may meet the master's degree requirement with verification of a master's degree in progress with an expected completion date within 2 years of the promotion date; progress will be reported periodically to the site CNO. Assistant Nurse Managers filling this role on an interim basis are not required to have an MSN/MN in progress so long as the assignment does not exceed 3 months, unless approved by CNO . Experience: Two years of leadership practice experience required. Demonstrated growth in leadership responsibilities and breadth desired. Previous clinical experience specific to the appropriate area of specialty practice is highly desirable. Skills: Demonstrated knowledge of clinical operations, including staffing and scheduling, budget management, workflow planning, staff development, quality, safety and patient experience management. Excellent communication (verbal and written) and leadership skills, and a willingness to lead by example. Keyboard skills and ability to navigate electronic systems applicable to job functions are essential. Licensure: Current RN licensure for applicable state. Specialty specific certification highly desirable. Pay Range: USD $78.22 - USD $118.10 /Hr. Our Commitment to Health and Equal Opportunity: Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here:

TITLE: Registered Nurse - Primary Care Primary Care Clinical Supervisor DEPARTMENT: St. Charles Health System DATE LAST REVIEWED: February 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: St. Charles Health System encompasses practices in three Central Oregon counties and numerous specialties including family care, obstetrics, gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care. POSITION OVERVIEW: The Registered Nurse - Primary Care provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System's mission, philosophy, policies, and procedures. The Registered Nurse applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and others. This position assesses, plans, implements, evaluates, and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. The Registered Nurse is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of the patient. This position may provide direct nursing care to primary care patients, as a member of a primary care team, at one or more SCHS Primary Care clinics. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and disposition planning needs. Reviews patient history, information and physical with patient/family and assures completion within appropriate timeframe. Reviews diagnostics and laboratory data and reports abnormal results to the physician and other appropriate caregivers. Completes assessment and reassessments according to patient need and care team plan of care. With care team, formulates and implements a plan of care, including follow-up planning, utilizing assessment data and patient, family, and health team input. Ensures goals for patient are realistic, measurable, and developed in conjunction with the patient and family. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately and provides nursing supervision in the provision of care to patients by other members of the care team as appropriate. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patient. Evaluates the patient's and family's response to care and teaching and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with the care team members. Documents assessment, planning, implementation, and evaluation in the patient record. Documentation is timely and reflects objective and subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. Provides care based on the best evidence available. May participate in the education, role development, and orientation of other personnel as requested. May participate in precepting and mentoring of new staff. This position may supervise staff and workflow as requested. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients, and guests Documents all patient care with proficiency in compliance with hospital policies, procedures, and regulatory agencies. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds. Supports the vision, mission, and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: As required by licensure. Preferred: Bachelor of Science in Nursing. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current license to practice as a registered nurse in the State of Oregon by the OR State Board of Nursing. AHA Basic Life Support for Healthcare Provider certification. Preferred: N/A EXPERIENCE: Required: N/A Preferred: Minimum one (1) year nursing experience. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing, or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/stepstool (varies by area), reaching overhead, lifting/carrying/pushing, or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/stepstool (varies by area), operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: NON CONTRACT RN SCMG CLINICS Scheduled Days of the Week: Variable Shift Start & End Time: 0700-17:30

Pay range: $49.72 - $74.58 per hour ($103,417 - $155,126 annually), based on experience. St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: RN-Patient Safety & Risk Management REPORTS TO POSITION: Director of Risk Management and Patient Safety DEPARTMENT: Risk Management and Patient Safety DATE LAST REVIEWED: March 12, 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring, Teamwork, and Safety DEPARTMENT SUMMARY: The Risk Management and Patient Safety Department protects and enhances clinical services, patient, employee, and visitor safety associated with the health system operations, through the development and implementation of a clinical risk management and patient safety program. This mitigates risk and promotes patient safety improvement and compliance with applicable clinical standards and best practices to promote a Just Culture in the organization. The department works in collaboration with legal, claims, quality, safety, and entity leadership. POSITION OVERVIEW: The RN provides leadership for the design, implementation and coordination of the organization wide Risk Management and Patient Safety program across the facilities and service areas within St. Charles Health System with the objective of maintaining patient safety. The RN develops, coordinates, and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks. This position promotes and facilitates the transition from a retrospective and reactive model of risk management to a prospective and proactive approach for patient safety models consistent with the concepts expected of Enterprise Risk Management (ERM) and a High Reliability Organization (HRO). The RN serves as Subject Matter Expert for Root Cause Analysis, Safety Culture, National Patient Safety Goals, and other evidence-based programs as needed. This position is responsible for reviewing policy operational changes and making recommendations to the Director of Risk Management and Patient Safety. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Maintains oversight of the Safety Alert System (SAS) reporting and response process, including severity rating and evaluation of all safety events, the investigation and identification of risk exposures; risk analysis using selected tools, RCA and apparent cause analysis; risk evaluation and monitoring using algorithms and review criteria; and risk treatment including establishing a potential claim file, working with medical malpractice and general liability carriers follow-up and performance of trending analysis for assigned facilities/service areas. Stops the line to mitigate potential patient safety conditions and maximize learning. Facilitates cross-functional/site process improvement endeavors to support elimination of errors and other factors that contribute to potential or actual adverse patient outcomes. Uses trends obtained from safety reports, patient safety rounds and other sources of patient safety data to focus on areas for further analysis, risk management, patient safety, and loss prevention activities. Identifies potential and actual sentinel events or serious safety events with prompt notification and debrief to key stakeholders including senior leadership, and site administration for conducting investigation of event and root cause analysis. Leads investigation for a Sentinel or serious safety event investigation and analysis. Leads RCA process and failure effect mode analysis (FMEA) to identify opportunities for system and process improvements. Supports the preparation of documents for reporting serious harm events to State and accreditation agencies. Develops and provides education/communication to leadership, physicians, colleagues and other stakeholders on patient safety needs, initiatives, activities, and for shared learning. Participates in assigned Medical Staff and Hospital Quality and Safety Committees. Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities, service areas and affiliated joint ventures. Collaborates with internal legal counsel to support their investigation and defense of claims against the Health System. Provides external defense attorneys requested information to prepare for pending litigation and/or claim review. Prepares and submits PCE (potentially compensable event) reports for potential claims. Provides caregiver and provider guidance and support for patient care issues with patient safety/risk or legal implications, i.e. consent issues. Works in collaboration with the compliance department for potential EMTALA and HIPAA violations. Provides guidance to leadership as to acceptable bill adjustments under CMS stipulations. Initiates bill adjustments to mitigate potential claims in collaboration with claims management and in congruence with policy and CMS limitations. Reviews and supports the completeness of patient complaint and grievance response letters. Provides guidance to caregivers and providers for disclosure of unanticipated events to patient and their families. Proactively conducts failure mode and effect analysis for high risk or problematic care processes across System facilities and joint venture businesses, at minimum as required by The Joint Commission for continued accreditation. Provides for 24/7 Patient Safety/Risk Management coverage and response for assigned areas of responsibility. Collaborates with Subject Matter Experts to develop and spread learnings via Safety Alerts, Advisories, and key learnings based on best practices and evidenced based medicine. Refers clinicians and caregivers to Critical Incident Stress Management (CISM) when appropriate. Understands the basic model of event management and being sensitive to frontline caregiver emotional needs. Supports the vision, mission, and values of the organization in all respects. Supports lean with goal of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: Bachelor's degree in related field. Preferred: Master's Degree in related field. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current Oregon RN license. Ability to travel to business functions/trainings/meetings and all SCHS worksites required. Certified Professional in Health Care Risk Management (CPHRM) required within three years of employment or Certified Professional in Patient Safety (CPPS) within two years Preferred: Certified Professional in Patient Safety (CPPS) or Certified Professional in Healthcare Risk Management (CPHRM. EXPERIENCE: Required: Three years experience with direct patient care. at a health system, hospital, or other health care facility. Use of an occurrence reporting system and Microsoft Excel, PowerPoint and Word programs. Preferred: Three years experience in quality, regulatory, healthcare risk management and/or patient safety at a health system, hospital, or other health care facility. Proficient in use of an occurrence reporting system and Microsoft Excel. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category: No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: NON CONTRACT RN SPECIALIST Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 0800-1700

TITLE: RN Wound Care Nurse Manager DEPARTMENT: Wound & Ostomy Services DATE LAST REVIEWED: June 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: St. Charles Health System's Wound & Ostomy Services provides the highest level of medical care for problematic, hard-to-heal wounds as well as ostomy care including colostomy, ileostomy, urostomy and fistulas to both inpatient and outpatients. POSITION OVERVIEW: The RN Wound Care provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System's mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse this position will oversee the work of other caregivers providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System's policies and work instructions and within laws and regulations governing nursing practice in the State of Oregon. Provides wound and ostomy care for patients per direction of the certified wound and ostomy nurse; including wound care assessment, implementation of wound care interventions per the supervision of the certified wound and ostomy nurse, communication and collaboration with members of the care team, and support organizational education activities promoting wound healing and preventing skin break down. Assesses the patient's condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress. Provides and maintains a safe environment for caregivers, patients and guests. Demonstrates awareness of and supports St. Charles Health System's departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Participates in activities that promote professional growth and development of self and others. Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests. Identifies work-related problems with possible solutions and implement solution(s) (within scope of practice), when appropriate. Manages the patient's experience by clarifying, integrating, and coordinating the roles of the interdisciplinary team. Performs stand by call as assigned. Varies by department. Supports the vision, mission and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Calculates dosages and administers medications accurately in accordance with the organization's policies and procedures for medication administration. Additional Job Duties: RN Certified Wound Care Responsible for wound and ostomy care and oversight for patients referred to the Wound & Ostomy department; including wound care assessment, implementation of wound care interventions, consultation with physicians, communication and collaboration with members of the care team, and support organizational education activities promoting wound healing and preventing skin break down. RN Certified Wound Ostomy Responsible for wound and ostomy care and oversight for patients referred to the Wound & Ostomy department; including wound care assessment, implementation of wound care interventions, ostomy consultations, stoma site markings, consultation with physicians, communication and collaboration with members of the care team, and support organizational education activities promoting wound healing and ostomy care. EDUCATION: Required: As required by RN licensure. Preferred: Bachelors degree in Nursing. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current valid Oregon RN license. Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements. AHA Basic Life Support for Healthcare Provider certification. Preferred: Board Certified Wound Care or Ostomy Care Certification through ABWM or WOCNCB. EXPERIENCE: Required: One (1) year experience in an acute wound care setting. Preferred: N/A PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Skills: Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Basic to intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office. Strong team working and collaborative skills. Ability to multi-task and work independently. Attention to detail. Strong analytical, problem solving and decision-making skills. Excellent organizational and multi-tasking skills. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP . Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: NON CONTRACT RN Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 0800-1630

TITLE: Urgent Care Center Registered Nurse Urgent Care Center Clinical Nurse Supervisor DEPARTMENT: Urgent Care Clinic DATE LAST REVIEWED: February 2, 2021 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: St. Charles Medical Group encompasses practices in three Central Oregon counties and numerous specialties including family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care. POSITION OVERVIEW: The UrgentCare Center Registered Nurse provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. This position does not directly supervise any caregivers. LOCATION: If mutually agreeable, nurses may work at multiple clinic locations at the request of management to fulfill short term, immediate staffing needs. Relief nurses however, will be required to work at multiple clinic locations at the request of management. ESSENTIAL FUNCTIONS AND DUTIES: Functions as staff nurse during regularly scheduled shifts. Assists supervisor with quality control for point-of-care tests performed on-site. Performs point-of-care lab tests in accordance to lab protocol. Assists supervisor with ordering and maintaining daily inventory of supplies and pharmaceuticals. Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques, and applies this knowledge in accordance with St. Charles Health System policies and work instructions and within the laws and regulations governing nursing practice in the State of Oregon. Assesses the patient's condition and needs using critical thinking and clinical judgment: set outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress. Demonstrates awareness of and supports St. Charles Health System's departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Participates in activities that promotes professional growth and development of self and others. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients and guests Documents all patient care with proficiency in compliance with hospital policies and regulatory agencies Calculates dosages and administers medications accurately in accordance with the organization's policies and procedures for medication administration. Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests. Identifies work-related problems with possible solutions and implements solution(s) (within scope of practice), when appropriate. Responsible to manage the patient's experience by clarifying, integrating, and coordinating the roles of interdisciplinary team. Assists with implementation of clinical practice changes. Functions as role model for clinical and process excellence, customer service, and the Healing Healthcare philosophy. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: As required by licensure. Preferred: BSN degree. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current Oregon RN license. BLS/CPR. PALS and ACLS within 3 months of hire. Preferred: N/A EXPERIENCE: Required: Emergency internship, urgent care, critical care experience, or previous experience as EMT Intermediate or Paramedic. Preferred: N/A PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System. Excellent organizational and multi-tasking skills. Strong team working and collaborative skills. Strong analytical, problem solving and decision making skills. Basic to intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office PHYSICAL REQUIREMENTS: Continually (75% or more): Standing, walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing/pulling 1-25 pounds. Occasionally (25%): Bending, stooping/kneeling/crouching, reaching overhead, grasping/squeezing, whispered speech level Rarely (10%): Climbing stairs Never (0%): Climbing ladder/ step-stool, lifting/carrying/pushing/puling 25-50 pounds, operation of motor vehicle Exposure to Elemental Factors Rarely (10%): Wet/Slippery Area, chemical solution Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP Schedule Weekly Hours: 0 Caregiver Type: Relief Shift: Variable (United States of America) Is Exempt Position? No Job Family: NON CONTRACT RN SCMG CLINICS Scheduled Days of the Week: Shift Start & End Time:

TITLE: RN - Preoperative Medicine Manager of Clinic Operations DEPARTMENT: St. Charles Medical Group Preoperative Medicine Clinic DATE LAST REVIEWED: August 13, 2019 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: St. Charles Medical Group encompasses practices in three Central Oregon counties and numerous specialties including family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care. POSITION OVERVIEW: The RN-Preoperative Medicine provides support to the provider and patient. Including, providing quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families and all others. Use triage skills to make appropriate patient health assessments and anticipate physician's needs regarding patient care. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES Deliver customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. Meticulous attention to detail, excellent communication and listening skills are necessary. Assesses the patient condition and needs using critical thinking and clinical judgment; implements appropriate nursing action and collaborates with other disciplines to meet the patient's/family's physical, emotional, and other needs; and evaluates patient's progress. Collaborate on care planning and implementation with physician and physician protocols, and members of the team Coordinate care for patients in accordance with providers plan and recommendations. Provide counseling to patients regarding nutrition, smoking, and other health related issues. Proficient in proper clinical and medical documentation within the EMR system Perform telephone triage; communicates (both written and orally) effectively and maintains a professional relationship with caregivers, medical staff, patients, and guests. Calculates dosages and administers medications accurately in accordance with the organization's policies and procedures for medication administration. Role models two-way communication of the St. Charles Health System mission, vision, values, and strategic plan for the department. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: As required by license. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION Required: Current Oregon RN license. BLS. Preferred: N/A EXPERIENCE Required: N/A Preferred: N/A PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System. Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees. Strong team working and collaborative skills. Ability to effectively reach consensus with a diverse population with differing needs. Ability to manage facilitation and consensus building among health care professionals and agencies and achieve expected results. Ability to work under pressure in a fast-paced environment. Attention to detail. Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision making skills. Excellent organizational and multi-tasking skills. Performs basic math (add, subtract, multiply and divide) calculations. Performs intermediate to advanced math (analysis, statistics, significant data or number manipulation). Read, write, speak and understand English. Basic to intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office. Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL's. Intermediate to advanced proficiency in Microsoft applications (Outlook, Word, Excel and Access), database management, and document preparation. Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, keyboard operation. Occasionally (25%): Standing, walking, bending, stooping/kneeling/crouching, climbing stairs, reaching overhead, lifting/carrying/pushing or pulling 1-10 pounds, grasping/squeezing, operation of a motor vehicle, ability to hear whispered speech level. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds. Exposure to Elemental Factors Occasionally (25%): Chemical solution for Laboratory Caregivers. Rarely (10%): Wet/slippery area. Never (0%): Heat, cold, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP . Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: NON CONTRACT RN SCMG CLINICS Scheduled Days of the Week: Monday-Friday Shift Start & End Time:

TITLE: RN - Operating Room - Bend Department Manager/Director DEPARTMENT: Varies DATE LAST REVIEWED: December 12, 2020 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: These RN positions include bedside RNs on various units throughout St. Charles Health System. These departments include all Operating Room and Open Heart departments. These departments provide specialized care to patients throughout their perioperative experience. POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure. ESSENTIAL FUNCTIONS AND DUTIES: Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon. Assesses the patient's condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies. Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Participates in activities that promote professional growth and development of self and others. Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests. Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients and guests Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. Performs stand by callback as assigned. Varies by department. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: As required by RN licensure. Preferred: BSN LICENSURE/CERTIFICATION/REGISTRATION Required: Current Oregon RN license AHA Basic Life Support for Healthcare Provider certification. Preferred: Department specific acute care certification. (i.e. CNOR) EXPERIENCE Required: 1 year OR experience required. Completion of St. Charles Health System Perioperative 101 or equivalent may be considered. Call required on a rotating basis. Preferred: Scrubbing experience. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: General: Call required on a rotating basis. Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System. Excellent organizational and multitasking skills. Strong teamwork and collaborative skills. Strong analytical, problem solving and decision making skills. Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. Occasionally (25%): Bending, stooping/kneeling/crouching, reaching overhead, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP . Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: REGISTERED NURSE ACUTE CARE Scheduled Days of the Week: Shift Start & End Time:

Responsible for the delivery of direct patient care using the nursing process and as defined by the healthcare facility in their unit specific job description. Requirements: -Graduate of an RN program -Previous work experience as an RN -Current unrestricted RN license in the state Workplace conditions: -Frequent lifting, bending, and reaching -May require lifting to 80 pounds (using proper techniques) -May require standing and walking 2-5 hours at a time -May have exposure to chemicals, radiation, infectious diseases/waste and/or blood borne pathogens

The Registered Nurse (RN) in Labor and Delivery (L&D) is responsible for providing comprehensive care to women during labor, delivery, and the immediate postpartum period. The RN in this specialty is skilled in managing both routine and high-risk pregnancies, monitoring fetal and maternal well-being, and assisting with deliveries. The L&D nurse collaborates with obstetricians, midwives, anesthesiologists, and other healthcare professionals to provide safe, compassionate, and effective care to both mothers and newborns. Key Responsibilities: Pre-Labor and Admission Assessment: Assess and monitor the health of pregnant women at various stages of labor, including gathering health histories, vital signs, and physical assessments. Perform non-stress tests (NSTs), monitor fetal heart tones, and evaluate uterine activity for signs of labor progression. Educate patients on labor and delivery processes, pain management options, and what to expect during childbirth. Labor Support and Monitoring: Monitor the progress of labor through regular assessment of contraction patterns, cervical dilation, fetal heart rate, and maternal vital signs. Administer medications, including epidurals, Pitocin, and pain relief options, as prescribed, and monitor their effects. Provide continuous emotional support and pain management throughout the labor process, using comfort measures, including positioning, breathing techniques, and offering encouragement. Assist with amniotomy, if necessary, and other procedures as directed by the healthcare team. Assisting with Delivery: Assist obstetricians or midwives during vaginal deliveries, including providing instrumentation assistance, suctioning, and other necessary actions during the birth. Participate in cesarean section procedures by ensuring the sterile field, assisting with the delivery process, and providing immediate newborn care after birth. Perform neonatal resuscitation and initial assessment of the newborn's health immediately after delivery. Postpartum Care: Monitor the health and recovery of both the mother and the newborn in the immediate postpartum period, including assessing vital signs, bleeding, and uterine tone. Assist with breastfeeding support, including teaching proper latch techniques, positioning, and addressing any concerns related to infant care. Provide education on postpartum recovery, self-care, and newborn care, such as diapering, bathing, and recognizing signs of illness. Documentation and Reporting: Document all assessments, interventions, medications, and patient progress accurately in the electronic health record (EHR) to maintain compliance with hospital policies and legal standards. Maintain accurate and timely records of labor and delivery processes, including patient and fetal monitoring results. Collaboration and Communication: Work closely with obstetricians, anesthesiologists, neonatologists, and other healthcare team members to plan and implement individualized care for each patient. Communicate clearly with patients and families about the progress of labor, potential complications, and available options, ensuring that informed consent is obtained for procedures when necessary. Infection Control and Safety: Follow infection control procedures to maintain a safe and sterile environment for labor, delivery, and postpartum care. Ensure that all equipment used during labor and delivery is properly sterilized and functioning, including fetal monitoring devices, IV pumps, and delivery instruments. Emergency and High-Risk Situations: Recognize signs of complications, such as fetal distress, preeclampsia, and hemorrhage, and initiate appropriate interventions or escalate care as needed. Respond to obstetric emergencies, such as shoulder dystocia, uterine rupture, and neonatal resuscitation, utilizing appropriate protocols and teamwork. Administer medications and interventions for high-risk pregnancies, including managing complications like hypertension, gestational diabetes, or infections. Patient Education and Advocacy: Provide education and support to patients and families regarding labor, delivery options, newborn care, and postpartum recovery. Advocate for patient preferences and informed decision-making, ensuring that patients have access to the resources they need to make choices about their care.

TITLE: RN - Critical Care - System Department Manager/Director DEPARTMENT: Varies DATE LAST REVIEWED: April 18, 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTSUMMARY: The Critical Care RN positions include bedside RNs on various units throughout St. Charles Health System. These departments include all Intensive Care Units, the Intermediate Care Unit, Progressive Care Unit and Critical Care Floats. These departments provide 24/7 specialized care to patients throughout their hospitalization and discharge. POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure. ESSENTIAL FUNCTIONS AND DUTIES: Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon. Assesses the patient's condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies. Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Participates in activities that promote professional growth and development of self and others. Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests. Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients and guests Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. Performs stand by callback as assigned. Varies by department. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: As required by RN licensure. Preferred: BSN LICENSURE/CERTIFICATION/REGISTRATION Required: Current Oregon RN license. AHA Basic Life Support for Healthcare Provider certification. ACLS Preferred: Department specific acute care certification (i.e. CCRN, PCCN, CEN) BEND-PROGRESSIVE CARE UNIT-EXP (PROGRESSIVE CARE EXPERIENCE REQUIRED): Additional Requirements: Basic ECG course, 12 Lead ECG course, or successful completion of Basic ECG competency test for internal applicants TNCC certification within 12 months of hire. Will then be required to maintain a minimum of 16 hours of trauma education every 4 years or continue TNCC certification. Code Grey training within 12 months of hire EXPERIENCE Required: See below Preferred: Department specific acute care experience. BEND PROGRESSIVE CARE UNIT EXP (PROGRESSIVE CARE EXPERIENCE REQUIRED): Additional Requirements: One-year Progressive Care Unit, Step Down, Intensive Care Unit or one year of Emergency Department experience within the past five years. Per the hiring manager's assessment, previous experience must enable performance of the full scope of the position. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: General: Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System. Excellent organizational and multitasking skills. Strong teamwork and collaborative skills. Strong analytical, problem solving and decision making skills. Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP Schedule Weekly Hours: 36 Caregiver Type: Regular Shift: Third Shift (United States of America) Is Exempt Position? No Job Family: REGISTERED NURSE CRITICAL CARE Scheduled Days of the Week: Variable; includes every other weekend and holidays Shift Start & End Time: 1900-0730

TITLE: Administrator On Duty Chief Nursing Officer Bend - Redmond DEPARTMENT: Nursing Administration DATE LAST REVIEWED: May 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Nursing Administration Department is responsible for leading and supporting nursing services on the Bend campus. The department works collaboratively with the multidisciplinary team to ensure clinical excellence in the care delivered to our patients. POSITION OVERVIEW: The Administrator On Duty (AOD) serves as the representative of Administration, providing leadership and accountability for overall management of hospital operations 24/7/365. The AOD assumes the role of in-house administrator during assigned shifts and has authority to provide operational oversight throughout the hospital, to handle crisis management, operational issues, provide interpretation of policies/procedures and make timely decisions that directly impact patient care. This position is also responsible for the distribution and utilization of available resources to provide safe patient care based on system-wide assessment assuring quality and cost efficiency. The AOD oversees the coordination and expedites patient throughput to the most appropriate available bed based on clinical criteria and patient placement guidelines in accordance with St. Charles Health System clinical standards, Joint Commission requirements, state regulations, and EMTALA and COBRA guidelines. The AOD acts as the administrative liaison to patients, families, caregivers, providers and external customers. The position requires a working knowledge of the overall operation of the hospitals, efficient patient throughput, crisis intervention, disaster management, conflict resolution and excellent interpersonal communication skills. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Oversees the activity in hospital operations; providing leadership and accountability for overall management of hospital operations 24/7/365. Serves as administrative agent of the hospital in off-hours and in the absence of administrative personnel: Responsible for staffing of patient care departments and resource allocation Emergency, code, disaster management, and initiation of initial Incident Command process after-hours or when Duty Administrator is unavailable. Media and law enforcement point of contact. Acts as a resource for organ donation when department leadership unavailable. Assists with managing morgue activities. Provides judgment and self-sufficiency in effective problem solving while serving as the administrative and operational resource for the hospital while collaborating with leadership. Obtains adequate facts and evaluates data to identify and intervene in actual and/or potential safety and risk management issues. Investigates and intervenes in situations involving patients, visitors, hospital staff and other external customers Investigates patient complaints and applies appropriate interventions as necessary. Refers follow-up solutions to nurse manager or other appropriate person. Maintains visibility with hospital staff through rounds, rounding through each unit, to collect information for patient flow and other concerns. Serves as a clinical and administrative resource to patient care units and support departments. Prioritized decision making to ensure timely patient flow (admits, discharges, transfers, emergencies) from all sources (internal departments, ER, provider offices and clinics, and other elective admissions and transfers) based on acuity, diagnosis, bed management, staffing, and resource / equipment availability. Coordinates with Patient Logistics RN. Collaborates with patient care departments regarding patient placement delays. Collaborates with Duty Administrator, ER, and Trauma services, regarding peak census protocol and diversion status. Delegated responsibility / authority for management of bed resources. Facilitates bed control meeting twice each shift: forecasts planned patient flow and staffing needs, monitors system status. Coordinates with environmental services and clinical leadership to facilitate efficient bed turnaround times, when escalated by Patient Logistics RN. Delivers excellent customer service in a manner that promotes goodwill, is timely, efficient and accurate. Monitor the overall capacity status of the four St. Charles Health System hospital campuses. Assumes responsibility and accountability for allocation of clinical resources to provide safe patient care and optimal fiscal management. Performs scheduling and staffing functions in automated time and attendance system, updating changes as necessary. Collaboration with clinical leadership to ensure appropriate staffing. Maintains collaborative relationships with managers and clinical leadership Communicates and documents pertinent information (verbal and/or electronic) in a timely manner to the hospital administration staff and department leadership Acts as requesting / approving authority for ordering of specialty clinical equipment (i.e. specialty beds) to ensure that internal resources are appropriately utilized as first line options, collaborating with clinical leadership as appropriate. Understands and ensures compliance with state, federal, and Joint Commission guidelines related to patient transport, transfers, and admissions. Demonstrates fiscally responsible resource utilization. Maintains working knowledge of collective bargaining agreements and state and federal labor / staffing laws. Provides caregiver performance feedback to appropriate managers as needed. Maintains ongoing communication with caregivers, medical staff and system leadership to ensure needs are being met for caregivers and patients. Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, guests and other hospital departments Attends and is actively involved in Hospital Leadership meetings, initiatives and process improvements. Supports the vision, mission and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Creates a healing environment that supports all aspects of care, respects the wholeness of the individual, and demonstrates therapeutic presence through attitudes and behaviors that enhance the care experience for patients and caregivers. Provides and maintains a safe environment for caregivers, patients and guests Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: Bachelor's Degree in Nursing. Consideration will be made for those actively enrolled in a BSN program. Must obtain BSN within 3 years of hire to position. Preferred: Master's Degree in Nursing or related Healthcare field LICENSURE/CERTIFICATION/REGISTRATION: Required: Current Oregon RN license. AHA Basic Life Support for Health Care Providers Certification. Preferred: Current CNML (Certified Nurse Manager and Leader) through the American Organization for Nursing Leadership or NE-BC (Nurse Executive Board Certified) through the American Nurses Credentialing Center or any preferred certification specified within the Bend ONA Approved Cert 1.00 Allowance list. EXPERIENCE: Required: Five (5) years acute care hospital experience. A working knowledge of overall hospital operations and the ability to prioritize multiple tasks. Strong analytical/problem solving skills with the ability to work independently. Demonstrated team and interpersonal skills. Knowledge of EMTALA regulations. Knowledge of computer software programs such as Microsoft Office and e-mail. Preferred: Previous leadership experience in healthcare Critical care & ER clinical experience. Experience with Scheduling and Staffing systems, Bed Tracking Software, and EMR. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. Occasionally (25%): Bending, stooping/kneeling/crouching, reaching overhead, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP . Schedule Weekly Hours: 12 Caregiver Type: Regular Shift: Third Shift (United States of America) Is Exempt Position? No Job Family: NON CONTRACT RN HOUSE SUPERVISOR Scheduled Days of the Week: Variable; includes every other weekend and holidays Shift Start & End Time: 1800-0630

TITLE: Registered Nurse - Pulmonary Clinic Clinic Manager of Operations DEPARTMENT: Pulmonary Clinic DATE LAST REVIEWED: August 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: St. Charles Health System encompasses practices in three Central Oregon counties and numerous specialties including family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care. POSITION OVERVIEW: The Registered Nurse - Pulmonary Clinic provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. The Registered Nurse applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and others. This position assesses, plans, implements, evaluates, and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. The Registered Nurse is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of the patient. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Conducts in clinic and phone triage of patients including urgent/emergent walk-ins; makes recommendations for care utilizing approved standing orders and protocols. Uses critical thinking to follow physician approved protocols for prescription refills, medication titration and home treatment; utilizes appropriate physician consultation to work within the scope of practice. Assists patients with scheduling acute or routine appointments, educates patients regarding abnormal test results and/or medical conditions, and explains medical terms and procedures. Conducts nurse only visits for patient education and/or medication administration with a Provider on site and may assist with clinic procedures. Assists the Cardiology team as needed. Demonstrates independent critical thinking with the ability to multi-task in various departments including: urgent situations, conscious sedation, giving work direction, and prioritizing work. Collaborates with healthcare providers and community partners to develop an evidence-based, comprehensive individualized plan of care. Interventions are patient centered and facilitate effective and efficient medical utilization. Develops, documents, and monitors patient/family response to plan of care, and revises the plan as indicated. Provides patient self-management support and tools with a focus on empowering the patient/family to build capacity for self-care. Participates in multidisciplinary team conferences, and participates in overall program evaluation of processes, identifies problems, and proposes/develops process improvement strategies to enhance care management services. Acts as a clinic resource to acute care departments and referral agencies to help develop best practice and up to date education. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient, and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients, and guests. Documents all patient care with proficiency in compliance with hospital policies, procedures, and regulatory agencies. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Complies with all applicable laws, regulations, policies, procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all company investigations and proceedings. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: As required by licensure. Preferred: Bachelor of Science in Nursing. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current license to practice as a registered nurse in the State of Oregon by the OR State Board of Nursing. AHA Basic Life Support for Healthcare Provider certification. Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements. Preferred: N/A EXPERIENCE: Required: One (1) year clinic nursing experience related to specialty area. Previous experience with emphasis on disease management and patient education. Preferred: Experience in case management, nurse navigation, and/or care coordination. Community health experience. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing, or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/stepstool (varies by area), reaching overhead, lifting/carrying/pushing, or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/stepstool (varies by area), operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: NON CONTRACT RN SCMG CLINICS Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 8:30am-5pm

(Full-Time, Nights) **Eligible for Relocation Bonus** Labor and Delivery Experience Required: EXPERIENCE BEND (LDR): Required: 1 year of recent Labor and Delivery experience This position is eligible for an in-state or out of state relocation bonus, amount based on location. ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: RN - Family Birthing Center REPORTS TO POSITION: Department Manager/Director DEPARTMENT: Varies DATE LAST REVIEWED: April 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Family Birth Center RN positions include bedside RNs on various units throughout St. Charles Health System. These departments provide 24/7 specialized care to patients throughout their hospitalization and discharge. POSITION OVERVIEW: The RN provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure. ESSENTIAL FUNCTIONS AND DUTIES: Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon. Assesses the patient's condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies. Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Participates in activities that promote professional growth and development of self and others. Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests. Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients and guests Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. Performs stand by callback as assigned. Varies by department. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: As required by RN licensure. Preferred: BSN LICENSURE/CERTIFICATION/REGISTRATION BEND (LDR) & MADRAS: Required: Current Oregon RN license AHA Basic Life Support for Healthcare Provider certification. ACLS within 6 months of hire NRP AWHONN Certified Fetal Monitoring Course Intermediate or Advance Fetal Heart Monitoring required within 2 year of hire STABLE required within 6 months of hire Preferred: Department specific acute care certification. (i.e. RNC, IBCLC) BEND (Post-Partum): Required: Current Oregon RN license AHA Basic Life Support for Healthcare Provider certification. NRP Basic Fetal Monitoring Course Intermediate or Advance Fetal Heart Monitoring required within 2 year of hire STABLE required within 6 months of hire Preferred: Department specific acute care certification. (i.e. RNC, IBCLC) EXPERIENCE BEND (LDR): Required: 1 year of recent Labor and Delivery experience. Preferred: N/A BEND (Post-Partum): Required: Recent RN postpartum experience Fully trained and proficient in LDRP within 1 year of hire Preferred: LDRP or LDRP Senior Capstone MADRAS: Required: 1 year recent acute care RN experience Preferred: Recent RN postpartum, LDRP or LDRP Senior Capstone PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: General: Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Excellent organizational and multitasking skills. Strong teamwork and collaborative skills. Strong analytical, problem solving and decision making skills. Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP Schedule Weekly Hours: 36 Caregiver Type: Regular Shift: Third Shift (United States of America) Is Exempt Position? No Job Family: REGISTERED NURSE FAMILY BIRTHING Scheduled Days of the Week: Variable; includes every other weekend and holidays Shift Start & End Time: 1900-0730

TITLE: Registered Nurse - Primary Care Primary Care Clinical Supervisor DEPARTMENT: St. Charles Health System DATE LAST REVIEWED: February 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: St. Charles Health System encompasses practices in three Central Oregon counties and numerous specialties including family care, obstetrics, gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care. POSITION OVERVIEW: The Registered Nurse - Primary Care provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System's mission, philosophy, policies, and procedures. The Registered Nurse applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and others. This position assesses, plans, implements, evaluates, and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. The Registered Nurse is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of the patient. This position may provide direct nursing care to primary care patients, as a member of a primary care team, at one or more SCHS Primary Care clinics. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and disposition planning needs. Reviews patient history, information and physical with patient/family and assures completion within appropriate timeframe. Reviews diagnostics and laboratory data and reports abnormal results to the physician and other appropriate caregivers. Completes assessment and reassessments according to patient need and care team plan of care. With care team, formulates and implements a plan of care, including follow-up planning, utilizing assessment data and patient, family, and health team input. Ensures goals for patient are realistic, measurable, and developed in conjunction with the patient and family. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately and provides nursing supervision in the provision of care to patients by other members of the care team as appropriate. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patient. Evaluates the patient's and family's response to care and teaching and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with the care team members. Documents assessment, planning, implementation, and evaluation in the patient record. Documentation is timely and reflects objective and subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner. Provides care based on the best evidence available. May participate in the education, role development, and orientation of other personnel as requested. May participate in precepting and mentoring of new staff. This position may supervise staff and workflow as requested. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients, and guests Documents all patient care with proficiency in compliance with hospital policies, procedures, and regulatory agencies. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds. Supports the vision, mission, and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: As required by licensure. Preferred: Bachelor of Science in Nursing. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current license to practice as a registered nurse in the State of Oregon by the OR State Board of Nursing. AHA Basic Life Support for Healthcare Provider certification. Preferred: N/A EXPERIENCE: Required: N/A Preferred: Minimum one (1) year nursing experience. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, lifting/carrying/pushing, or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers. Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/stepstool (varies by area), reaching overhead, lifting/carrying/pushing, or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level. Rarely (10%): Climbing stairs. Never (0%): Climbing ladder/stepstool (varies by area), operation of a motor vehicle. Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP Schedule Weekly Hours: 30 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: NON CONTRACT RN SCMG CLINICS Scheduled Days of the Week: Variable Shift Start & End Time: 7-5:30pm

TITLE: Intake and Referral Specialist Manager, Home Health DEPARTMENT: Home Health DATE LAST REVIEWED: September 5, 2017 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: St Charles Home Health Services provides skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work and home health aide services to patients in their homes. Services are provided by interdisciplinary team based on patient's needs to maximize patient's outcomes and to prevent hospitalizations. POSITION OVERVIEW: The Intake and Referral Specialist maintains daily contact with physicians, case managers, social workers, discharge planners, patients, families, caregivers, home health and hospice agencies and other referral sources in the hospital and the community regarding potential referrals to home health services. Markets the services of the home health department. Develops relationships with physicians, providers, skilled nursing facilities, payers and others in Central Oregon. Prepares patients and families for admission to the home health department, and facilitates that process. This position does not directly manage any other caregivers ESSENTIAL FUNCTIONS AND DUTIES: Accepts service referrals and clarifies needed services where possible (via fax, telephone, or direct contact). Coordinates referrals to Home Health and clarifies needed information (e.g., patient/family home health needs/expectations, diagnoses, appropriate demographic information, addresses, contact information, initial supply needs, special instructions, insurance information, etc.). Meets directly with patients in the hospital or local skilled nursing facilities to educate on home health services and to assist with determining patients level of need. Provides education about Home Health Services to potential referrals and referral sources. Evaluates prospective patient situations, including homebound status, to determine if appropriate for Home Health services. Timely documentation review to ensure accuracy of diagnosis coding, sequencing of coding, and completion of OASIS. Communicates with patient, family, and referral sources the progress and disposition regarding referral status. Assists with payer verification and authorization for patient care. Knowledgable regarding the home health benefit with commonly encountered insurance companies. Coordinate ETO and the general monthly schedule for Intake and Referral Specialists requesting coverage where needed. Initial diagnosis review (providing a couple of pertinent “working” diagnostic codes at the time of intake or acceptance of a referral). Identify patients on admission that may be appropriate for Lifeline Services. Markets the services of the Home Health department directly to patients, familys, the hospital, local Skilled Nursing Facilities, physicians and other referral sources Establish and maintain relationships with patients, referral sources and staff through consistent professional/informational communication. Meet departmental standards and deadlines for timely completion of educational/CBL requirements (specific to department and specific to discipline). Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients and guests Documents all patient care with proficiency in compliance with hospital policies and regulatory agencies Calculates dosages and administers medications accurately in accordance with the organization's policies and procedures for medication administration. EDUCATION: Required: As required for licensure. Preferred: BSN LICENSURE/CERTIFICATION/REGISTRATION: Required: Current RN licensure with the Oregon State Board of Nursing Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements Preferred: N/A EXPERIENCE: Required: Minimum of 3 years experience as a staff nurse; one year experience in home health care or public health nursing. Preferred: Home health experience PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Position Specific: Thorough knowledge of home health care, community resources, the insurance authorization system and nursing practice required. Proficient in utilizing Microsoft programs and able to access a variety of EMR platforms. Ability to follow verbal and written communications in order to complete duties and assignments Skills: General: Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System. Strong team working and collaborative skills Ability to multi-task and work independently Attention to detail Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office PHYSICAL REQUIREMENTS: Continually (75% or More): Use of clear and audible speaking voice and the ability to hear normal speech levels. Frequently (51% - 75%): Standing, sitting, walking, lifting 1-10 lbs and keyboard operation. Occasionally (26% - 50%): Bending, climbing stairs, reaching overhead, carrying 1-10 lbs, pushing/pulling 1-10 lbs and grasping/squeezing. Rarely (10% - 25%): Stoop/kneel/crouch, lifting 11-25 lbs, carrying 11-25 lbs, pushing/pulling 11-25 lbs and operation of motor vehicle. Never (Not Included): Climbing ladder/step-stool, lifting 25-50 lbs, carrying 25-50 lbs, pushing/pulling 25-50 lbs and the ability to hear whispered speech levels. Exposure to Elemental Factors Frequently (51%-75%): Heat, cold, wet/slippery areas, noise, dust, vibration and uneven surfaces. Never (0%): Chemical solutions. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP . Schedule Weekly Hours: 0 Caregiver Type: Relief Shift: Variable (United States of America) Is Exempt Position? No Job Family: REGISTERED NURSE HOME HEALTH AND HOSPICE Scheduled Days of the Week: As Scheduled (may include weekends and holidays) Shift Start & End Time: 0800-1630

Estimated Gross Weekly Pay: $0.00 About Alliance Services: Alliance services, Inc. wants you on our team! As a nurse-founded, nurse-owned, minority-owned travel-nurse agency, it is our first priroity to ensure that we offer top pay and an outstanding employee experience from start to finish. Making sure that you receive the most generous pay package possible, and a career-enhancing clinical experience at the destination of your choice. Our dedicated recruiters are committed to providing excellent service to you and foster a greater sense of belonging as not just an employee, but as a valued member of our extended family. Industry Leading Benefits: Weekly pay via direct deposit and accessible payroll support 401k with 100% matching Monthly reimbursement for health insurance Maximum non-tax stipends available including lodging, meals and incidentals 24/7 On-call support

Much of the work they do centers on assessing and tracking changes in patients' conditions and reporting this information to the doctor heading the treatment team. They also frequently change dressings, provide wound care and perform minor bedside procedures, such as IV or catheterization.

MedSource Travelers offers assignments nationwide and is currently seeking a qualified RN PCU with 1-2 year's experience for a travel assignment in Salem, Oregon. Please have resume, skills checklist and 2-3 references. Contact us today about job details. The benefits of MedSource Travelers include, Weekly Pay Holiday Pay Continuing Education Referral Bonus Completion Bonus Extension Bonus Medical Benefits Dental Benefits Vision Benefits Let's get started!