Clinic Registered Nurse jobs at Virginia Mason Institute

**Job Summary and Responsibilities** **Sign on Bonus for qualifying new external Clinic RNs available!** **Franciscan Medical Group, part of Virginia Mason Franciscan Health, is currently seeking a full time Clinic RN-Cardio for our Franciscan Heart and Vascular Associates in Tacoma, WA. This position is full time with no weekends, nights or organizationally recognized holidays required.** As our Cardiac Nurse, you'll care for patients who may have life-threatening cardiac events or conditions while helping their families navigate daily care and the long-term plan for healing and maintenance outside of the hospital. You'll never have the same day twice as your patients' needs evolve. That's why you must be adaptable and detail-oriented, observing vitals and reporting the warning signs early to our multidisciplinary team of cardiologists, EKG techs, and other cardiovascular professionals. Your success in this role comes from your enthusiasm to go the extra mile for your patients and your strong assessment skills. To further support your nursing career, we offer continuing education opportunities to help you advance your clinical nursing skills. + Administers cardiovascular and pharmacological stress tests with the use of imaging modalities and IV therapy as appropriate; interprets EKG findings in accordance with standard protocols. + Performs diagnostic procedures intended to estimate prognosis, assess for coronary artery disease and heart rhythm irregularities; continually monitors patient's blood pressure/EKG throughout procedures to ensure patient safety and identify issues. + Utilizes 12-lead ECG-Exercise treadmill-echocardiography-blood pressure and pulse oximetry equipment, IV equipment and pumps in administering, monitoring and evaluating patient stress tests. + Executes the procedure hookups, performs a brief evaluation and obtains patient history/assessment prior to beginning of study. + Starts IVs and administers inotropic and beta blocking pharmaceutical agents; assesses and evaluates patient condition as necessary during administration of IV and related therapies. + Monitors and screens diagnostic information obtained during the study; halts study in accordance with established protocols and notifies physician of abnormal findings. + Stocks and maintains crash cart to ensure rapid availability of equipment in the case of a code or other patient emergency. + Completes cardiac risk assessment forms in response to requests from internal/external providers for cardiac clearance for new/additional clinical/diagnostic tests/protocols; forwards assessments to Cardiologist for final determination. + Researches patient charts to respond to questions that impact on clinical decision-making on the advisability of cardiac clearance requests. + Complete multiple request forms for FMLA, disability, CDL and disability forms, FAA and other documentation. + Reviews protocols established for each procedure/study and provides patient with specifically-tailored training/information based on unique patient medical history and physician-specific protocols. + Reviews patient medical records in detail to determine medication regimes (e.g. blood thinner medications, insulin, etc) and confirms what and how to take them prior to the procedure. + Applies procedural guidelines as they relate to the patient's medical history and concomitant morbidities; orders pre-procedural lab tests and medications per protocols. + Coordinates and provides pre- and post-operative instructions on multiple different device implantations, watchman procedure as well as evaluate for wound infections post-procedure. + Provides post-procedure instructions to patient with regard to what to do and who/when to call with questions or concerns. + As initial point of patient contact, performs nursing triage activities based on direct patient contact or via phone within scope of licensure; independently triages cardiac patients/situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. + Assess complex patient health problems/needs utilizing disease specific elements; identifies potentially emergent or critical issues which require immediate action or interventions; determines whether patient acuity/symptoms warrant a clinic visit and/or immediate referral to the ER or physician/provider. + Executes nursing interventions and/or plan of care to facilitate the patient's achievement in acquiring their highest level of function. + Applies professional clinical judgment in making recommendations to physician/providers for further testing and/or new/adjusted treatment modalities. + Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances. + In collaboration with physician providers, reviews and assesses data from tools/equipment/devices (e.g. ECG, Holter Monitors, lab studies, remote device interrogation, etc.) relating to patient current health status and makes appropriate treatment decisions (e.g. starting IVs, nebulizer therapies, EKGs, medication adjustments, ordering imaging studies, etc.). + Documents studies, procedures, and interactions in patient's electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate. + Responds to/triages patient telephone calls using approved protocols, ensuring documentation of phone call meets standards. + Takes verbal orders from a provider in regard to urgent and/or emergent (not routine/non-complex care) patient safety issues; assures orders are signed off in accordance with established procedures. **Job Requirements** Required + Graduation from an accredited school of nursing approved by the Washington State Board of Nursing and Two years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities, upon hire and + Registered Nurse: WA, upon hire and + Basic Life Support - CPR, upon hire and + Advanced Cardiac Life Support, upon hire Preferred + Work experience in a cardiology-related field **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $43.83 - $65.03 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Sign on Bonus for qualifying new external Supervisor, Clinic Nurse, RNs available!** **Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently seeking a full time Supervisor, Clinic Nurse, RN for our Franciscan Maternal Fetal Medicine Clinic in Tacoma, WA. We are seeking a dynamic and experienced Clinic RN Supervisor to join our Maternal Fetal Medicine (MFM) department, providing expert care for high-risk obstetric patients. This leadership role will oversee a multidisiplinary team consisting of RN's (Diabetic Educators), LPN's, MA's and Perinatal Sonographers across 5 locations. This clinical RN supervisor will** **ensure the delivery of exceptional patient care while managing the day to day operations. No nights, weekends or organizationally recognized holidays required.** **Job Summary:** Responsible for planning, assigning, coordinating and controlling nursing care within scope of licensure and services for patients. Act as a clinic leader to ensure the mission and goals of the organization are met. **Essential Duties:** + Coordinate with the Clinic Manager, Medical Director and other staff to set appropriate goals for the clinic. Communicate clinic goals to employees and ensure that they have the tools and means necessary to achieve them. + Coordinate nursing operations and activities to ensure efficient and quality service; ensure compliance with regulations and clinic standards of quality patient care and patient confidentiality. Ensure that Infection Control/Exposure Plans are understood and followed by staff. Evaluate patient care needs within scope of licensure. Suggest solutions to patient care crisis problems and complaints. + Obtain and record vital signs and other appropriate information, such as height, weight, drug allergies, current medications and presenting problem. Anticipates the needs of the patient and the practitioner during the exam. Ensure patient privacy and comfort during the exam; instruct patients in the collection of samples and other tests. + Administer ordered medications via oral, subcutaneous, intramuscular or intradermal routes. Start intravenous lines and administer intravenous fluids with appropriate certification. Under supervision of the practitioner, inform patients of lab results, call in prescriptions to pharmacies and return practitioners' phone messages. Documents all procedures and interactions in patient's medical record. Assist with diagnostic tests and procedures to appropriate level of training and established procedures + Supervises all aspects of employee management including selection, orientation, training and staffing of the nursing staff; ensures the effective development and implementation of HR policies and procedures. Coordination of nursing activities with practitioners. Prepare clinical staff schedules. Monitor, edit and sign off on staff timecards each pay period. + Conduct employee performance appraisals for supervised staff, setting individual goals and follow-up as outlined in policies and procedures. + Review departmental supply requisitions, oversee records and reports. Track and analyze nurse staff expenses. Prepare, recommend, and monitor departmental budget, goals, and objectives taking into consideration input from clinic staff. + Participate in required meetings and professional development activities and maintain professional affiliations. Attend conferences and workshops. Required membership on the Clinic's Disaster Recovery Team **Other:** Performs related duties as required.\#MISSIONCRITICAL **Job Requirements** **Education/ Work Experience:** + Graduate of accredited school of Registered Nursing approved by the WA State Board of Nursing required. + BSN preferred. + Previous supervisory/lead experience preferred. + Within the last five- (5) years, three- (3) years of nursing experience in a clinic setting or five- (5) years of acute hospital nursing experience preferred. **Licensure/Certifications:** + Current WA State license as RN required. + Must have a current CPR certification or must be certified within 30 days of hire date. \#SupvClinicRN **Where You'll Work** In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities. CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region's most prestigious experts and innovative treatments and technologies. **Pay Range** $47.41 - $70.52 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** This Clinic RN position is per diem and will require the RN to work a minimum of 2 days per month (After Orientation and training is complete). This position is within our GI Clinic. At Virginia Mason our Registered Nurses blend skill, expertise and critical thinking with care, compassion and personal relationships to truly connect with their patients. Ours is a culture that fosters learning and innovation, and challenges you to reach your full potential. Our Registered Nurses, physicians and other team members collaborate to provide the most positive patient experience possible. As the experts on the front line of patient care, you will have the opportunity to provide input and insight in creating change, improving process and reshaping the way our patient care is delivered. As a Registered Nurse at Virginia Mason you are able to grow personally and professionally as you make a dramatic difference in the lives of others. **Job Requirements** Current Washington State licensure as an RN CPR certification is required every two years Graduation from an accredited school of nursing Strong patient assessment skills, ability to work collaboratively in team setting, Current working knowledge of electronic medical records. Virginia Mason offers much more than competitive compensation and benefits. With continuing education opportunities and the added potential of relocation assistance, you will find our commitment to your well-being is both rewarding and refreshing. There is also the lifestyle benefit that comes With finding yourself in the heart of the Pacific Northwest. Surrounded by the vibrancy and sophistication of one of the most livable cities in the country, finding the perfect urban or outdoor pursuit will instinctively and pleasurably become second nature. We are an equal opportunity/affirmative action employer. **Where You'll Work** Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more! **Pay Range** $43.01 - $63.98 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Job Summary/Purpose** This position is responsible for providing professional care specifically to adult, oncology/hematology patients. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician/provider. Work requires the application of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, and delegate appropriate tasks. **Essential Key Job Responsibilities** 1. Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy. 2. Administers chemotherapy. 3. Applies knowledge of current cancer treatment modalities to patient care. 4. Adheres to the department's and hospital's policies and procedures, including safety, risk management and regulatory standards. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility. 5. Cultural Sensitivity and Competence: Demonstrates proper use of available communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Populations Served: Demonstrates knowledge and proper skills associated with the department's defined specific populations served. 6. Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self-accountability to meet stated deadlines for all mandatory requirements. 7. Documents care delivered and patient status utilizing the nursing process in accordance with VMFH standards of care. 8. Incorporates critical thinking into daily practice as demonstrated by quality of care provided, transfer of knowledge, follow through and patient outcomes. **Required Minimum Knowledge, Skills, Abilities, and Training** Knowledge of cancer disease patho-physiology and current treatment modalities. Knowledge of chemotherapy administration and management of Central Venous Access Devices (Hickman, Groshong, Ports) Knowledge of the protocols and techniques for caring for the following patient populations: patients receiving chemotherapy, radiation therapy, and biotherapies; immune-compromised and myelo-suppressed patients; palliative care; terminally ill patients; and patients in pain, requiring high-dose narcotic management. Ability to work effectively as a member of the Oncology Multidisciplinary Team, incorporating the patient and family into the treatment plan of care. **Job Requirements** **Education and Experience** **Required:** Graduate of an accredited Registered Nurse program Preferred: BSN Oncology Experience A minimum of two years in an oncology care setting. **Required Licensure and Certifications** Current licensure as a Registered Nurse Current Healthcare Provider BLS Certification Preferred: Certification in Oncology Nursing preferred. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $44.90 - $71.01 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently seeking a full time Supervisor, Clinic Nurse, RN for our Franciscan Urgent Care Clinic in Puyallup, WA. No weekends or organizationally recognized holidays required.** **Job Summary:** Responsible for planning, assigning, coordinating and controlling nursing care within scope of licensure and services for patients. Act as a clinic leader to ensure the mission and goals of the organization are met. **Essential Duties:** + Coordinate with the Clinic Manager, Medical Director and other staff to set appropriate goals for the clinic. Communicate clinic goals to employees and ensure that they have the tools and means necessary to achieve them. + Coordinate nursing operations and activities to ensure efficient and quality service; ensure compliance with regulations and clinic standards of quality patient care and patient confidentiality. Ensure that Infection Control/Exposure Plans are understood and followed by staff. Evaluate patient care needs within scope of licensure. Suggest solutions to patient care crisis problems and complaints. + Obtain and record vital signs and other appropriate information, such as height, weight, drug allergies, current medications and presenting problem. Anticipates the needs of the patient and the practitioner during the exam. Ensure patient privacy and comfort during the exam; instruct patients in the collection of samples and other tests. + Administer ordered medications via oral, subcutaneous, intramuscular or intradermal routes. Start intravenous lines and administer intravenous fluids with appropriate certification. Under supervision of the practitioner, inform patients of lab results, call in prescriptions to pharmacies and return practitioners' phone messages. Documents all procedures and interactions in patient's medical record. Assist with diagnostic tests and procedures to appropriate level of training and established procedures + Supervises all aspects of employee management including selection, orientation, training and staffing of the nursing staff; ensures the effective development and implementation of HR policies and procedures. Coordination of nursing activities with practitioners. Prepare clinical staff schedules. Monitor, edit and sign off on staff timecards each pay period. + Conduct employee performance appraisals for supervised staff, setting individual goals and follow-up as outlined in policies and procedures. + Review departmental supply requisitions, oversee records and reports. Track and analyze nurse staff expenses. Prepare, recommend, and monitor departmental budget, goals, and objectives taking into consideration input from clinic staff. + Participate in required meetings and professional development activities and maintain professional affiliations. Attend conferences and workshops. Required membership on the Clinic's Disaster Recovery Team **Other:** Performs related duties as required.\#MISSIONCRITICAL **Job Requirements** **Education/ Work Experience:** + Graduate of accredited school of Registered Nursing approved by the WA State Board of Nursing required. + BSN preferred. + Previous supervisory/lead experience preferred. + Within the last five- (5) years, three- (3) years of nursing experience in a clinic setting or five- (5) years of acute hospital nursing experience preferred. **Licensure/Certifications:** + Current WA State license as RN required. + Must have a current CPR certification or must be certified within 30 days of hire date. \#SupvClinicRN **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891 when the Sisters of St. Francis of Philadelphia founded St. Joseph Hospital in Tacoma. Today, as Virginia Mason Franciscan Health, we remain committed to healing the whole person - body, mind, and spirit. Across the Puget Sound area, our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our organization boasts a comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities. **Pay Range** $47.41 - $70.52 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Franciscan Medical Group, a part of Virginia Mason Franciscan Health, is currently seeking a full time Urology Clinic RN for our Franciscan Urology Associates in SIlverdale, WA! Team based care in busy patient focused Urology Clinic No nights, weekends or organizationally recognized holidays required.** **Job Summary:** This job is responsible for providing professional nursing services which focus on the provision of quality patient care in a clinic setting consistent with Virginia Mason Franciscan Health standards/values, applicable regulatory requirements an Franciscan Medical Group (FMG) Scope of Practice policy. An incumbent is engaged in direct care of clinic patients, including assessing, coordinating, triaging, evaluating and delegating work to members of the patient care team, and for providing education and consultation with patients, families, physicians and other staff members in implementing appropriate nursing interventions for optimal patient care. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician/provider. Work requires the application of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, and delegate appropriate tasks. If assigned to the centralized FMG Float Pool, an incumbent provides patient care services within scope of practice to the assigned clinic/work unit as needed to meeting staffing needs. *RN-Clinic Specialty title applies only to employees assigned to the VM OB Clinic. **Essential Duties:** + Delivers professional nursing care to clinic patients; performs diagnostic testing and related clinical procedures to appropriate level of training/scope of licensure and established procedures; independently triages nursing situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. + Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances. + Assists with point of care testing (CLIA-Waived Tests only)/lab tests following established protocols/instructions. + Documents procedures and interactions in patient's electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate. + Prepares patients for practitioner visit; rooms patients, obtains and records vital signs and other appropriate information, such as height, weight, drug allergies, current medications and presenting problem; chaperones and documents the patient exam, ensuring patient privacy and comfort. + Organizes exam rooms, including general cleaning, upkeep and re-stocking of supplies; prepares, cleans and sterilizes instruments and maintains related equipment. + Cultural Sensitivity and Competence: Demonstrates proper use of communication tools/materials for/effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Population Served:Demonstrates knowledge and proper skills associated with the department's defined specific populations served. Performs related duties as required. **Job Requirements** **Education/ Work Experience:** + Graduation from an accredited school of nursing approved by the Washington State Board of Nursing. + One year RN work experience in a clinic setting OR two years of acute care RN work experience preferred. **Licensure/Certification** + Current licensure as a Registered Nurse by the Washington State Board of Nursing. + Current Healthcare Provider BLS Certification. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $44.90 - $71.01 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Sign on Bonus for qualifying new external Clinic RNs available!** **Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently seeking a full time Clinic RN I for the fast-paced Franciscan Women's Health Clinic in Enumclaw, WA. Excellent opportunity to become part of a team-based environment. Free parking and no weekends or organizationally recognized holidays required.** **Job Summary:** This job is responsible for providing professional nursing services which focus on the provision of quality patient care in a clinic setting consistent with Virginia Mason Franciscan Health (VMFH) standards/values, applicable regulatory requirements and Franciscan Medical Group (FMG) Scope of Practice policy. An incumbent is engaged in direct care of clinic patients, including assessing, coordinating, triaging, evaluating and delegating work to members of the patient care team, and for providing education and consultation with patients, families, physicians and other staff members in implementing appropriate nursing interventions for optimal patient care. Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician/provider. Work requires the application of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients, patient families, community agencies, patient care staff and management. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, and delegate appropriate tasks. **Essential Duties:** + Delivers professional nursing care to clinic patients; performs diagnostic testing and related clinical procedures to appropriate level of training/scope of licensure and established procedures; independently triages nursing situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff. + Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances. + Assists with point of care testing (CLIA-Waived Tests only)/lab tests following established protocols/instructions. + Documents procedures and interactions in patient's electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate. + Prepares patients for practitioner visit; rooms patients, obtains and records vital signs and other appropriate information, such as height, weight, drug allergies, current medications and presenting problem; chaperones and documents the patient exam, ensuring patient privacy and comfort. + Organizes exam rooms, including general cleaning, upkeep and re-stocking of supplies; prepares, cleans and sterilizes instruments and maintains related equipment. + Cultural Sensitivity and Competence: Demonstrates proper use of communication tools/materials for /effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Population Served: Demonstrates knowledge and proper skills associated with the department's defined specific populations served. Performs related duties as required. **Job Requirements** **Education/ Work Experience:** + Graduation from an accredited school of nursing approved by the Washington State Board of Nursing. One year RN work experience in a clinic setting OR two years of acute care RN work experience preferred. **Licensure/Certification:** + Current licensure as a Registered Nurse by the Washington State Board of Nursing. + Current Healthcare Provider BLS Certification. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $43.83 - $65.03 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** Sign-on bonus available for qualifing RN's! As a pivotal healthcare professional, a Registered Nurse (RN) delivers compassionate, high-quality care that genuinely impacts patient well-being and recovery. Leveraging your expertise daily, you will provide individualized, comprehensive care, conducting critical assessments, performing skilled procedures, and collaborating seamlessly within an interdisciplinary team focused on optimal patient outcomes. Success in this fast-paced environment requires keen assessment skills, acute critical thinking, a patient-first mindset, and dedication. + Adheres to the department's and hospital's policies and procedures, including safety, risk management and regulatory standards. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility. + Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy. + Assesses patient to include physical, psychosocial, cultural, behavioral/emotional, developmental and spiritual needs. Gathers data relevant for patient care. Implements appropriate patient interventions and evaluates outcomes. Plans care appropriately based on needs identified during initial and on-going assessments. Provides holistic, comprehensive, and professional nursing care to patient within the scope of practice. Implements appropriate patient interventions and evaluates outcomes. Prepares patient for discharge and assists with coordinating post discharge needs. + Cultural Sensitivity and Competence: Demonstrates proper use of available communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Populations Served: Demonstrates knowledge and proper skills associated with the department's defined specific populations served. + Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self accountability to meet stated deadlines for all mandatory requirements. + Documents care delivered and patient status utilizing the nursing process in accordance with FHS standards of care, for example, changes in patient condition, patient responses to intervention and reassessments of pertinent findings. Receives and assures appropriateness, accuracy, timeliness and execution of physician orders. **Job Requirements** Required + Graduation from an accredited school of nursing., upon hire and + Registered Nurse: WA, upon hire and + Basic Life Support - CPR, upon hire Preferred + Bachelors Of Science Nursing and One year of related work experience in an acute care setting, upon hire **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $47.86 - $79.78 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Become a Champion of Healing:** **Wound-Enterostomal Coordinator Nurse** Are you a passionate and experienced Registered Nurse dedicated to improving the lives of patients with complex wound, ostomy, and continence needs? Do you thrive on empowering patients through education and expert care? If so, we invite you to join our team as a Wound-Enterostomal Coordinator Nurse! In this vital role, you will provide acute and rehabilitative care for patients with disorders of the gastrointestinal, genitourinary, and integumentary systems. You will be a champion for your patients, guiding them towards independence and self-care through expert education, counseling, and compassionate support. **As a Wound-Enterostomal Coordinator Nurse, you will:** + **Develop and Implement Personalized Care Plans:** Create, implement, and modify individualized plans of care for wound, ostomy, and continence patients, ensuring the best possible outcomes. + **Empower Patients Through Education:** Serve as the primary patient educator, providing comprehensive instruction and support to patients and their families on ostomy care, wound management, and continence strategies. + **Be a Trusted Resource:** Serve as a consultant in your areas of expertise for our organization and the wider community, sharing your knowledge and promoting best practices. + **Drive Positive Change:** Contribute to research and administration within the specialty of Enterostomal (ET), Wound, Ostomy, Continence (WOC) nursing. + **Maintain Meticulous Documentation:** Complete accurate and timely documentation in accordance with established standards. **We are looking for someone who:** + Possesses a deep understanding of patient care standards and practices related to wound, ostomy, and continence care. + Is knowledgeable about current ostomy, prosthetics, and wound treatment modalities. + Is a compassionate and empathetic caregiver. + Is an excellent communicator and educator. + Is a strong advocate for patients' needs. **Join us and experience the rewards of:** + Making a significant impact on the lives of patients. + Utilizing your specialized skills and knowledge. + Working in a supportive and collaborative environment. + Contributing to the advancement of wound, ostomy, and continence care. **Job Requirements** **Qualifications:** + Bachelor's degree in Nursing required. + Graduation from an accredited Enterostomal Therapy Nursing Education program (at hire or within 9 months from date of hire). + One year of recent work experience in the practice of ET (WOC) nursing, demonstrating expertise in the field. + Licensure by the Washington State Board of Nursing required. + Board certification in Wound, Ostomy, and/or Continence Nursing required. + Current Health Care Provider BLS Certification required. If you are a dedicated and compassionate Registered Nurse with a passion for wound, ostomy, and continence care, we encourage you to apply! We look forward to hearing from you. \#WoundEnterostomalWA **Where You'll Work** CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region's most prestigious experts and innovative treatments and technologies. While you're busy impacting the healthcare industry, we'll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more! **Pay Range** $52.15 - $77.58 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Become a Champion of Healing:** **Wound-Enterostomal Coordinator Nurse** Are you a passionate and experienced Registered Nurse dedicated to improving the lives of patients with complex wound, ostomy, and continence needs? Do you thrive on empowering patients through education and expert care? If so, we invite you to join our team as a Wound-Enterostomal Coordinator Nurse! In this vital role, you will provide acute and rehabilitative care for patients with disorders of the gastrointestinal, genitourinary, and integumentary systems. You will be a champion for your patients, guiding them towards independence and self-care through expert education, counseling, and compassionate support. **As a Wound-Enterostomal Coordinator Nurse, you will:** + **Develop and Implement Personalized Care Plans:** Create, implement, and modify individualized plans of care for wound, ostomy, and continence patients, ensuring the best possible outcomes. + **Empower Patients Through Education:** Serve as the primary patient educator, providing comprehensive instruction and support to patients and their families on ostomy care, wound management, and continence strategies. + **Be a Trusted Resource:** Serve as a consultant in your areas of expertise for our organization and the wider community, sharing your knowledge and promoting best practices. + **Drive Positive Change:** Contribute to research and administration within the specialty of Enterostomal (ET), Wound, Ostomy, Continence (WOC) nursing. + **Maintain Meticulous Documentation:** Complete accurate and timely documentation in accordance with established standards. **We are looking for someone who:** + Possesses a deep understanding of patient care standards and practices related to wound, ostomy, and continence care. + Is knowledgeable about current ostomy, prosthetics, and wound treatment modalities. + Is a compassionate and empathetic caregiver. + Is an excellent communicator and educator. + Is a strong advocate for patients' needs. **Join us and experience the rewards of:** + Making a significant impact on the lives of patients. + Utilizing your specialized skills and knowledge. + Working in a supportive and collaborative environment. + Contributing to the advancement of wound, ostomy, and continence care. **Job Requirements** + Bachelor's degree in Nursing required. + Graduation from an accredited Enterostomal Therapy Nursing Education program (at hire or within 9 months from date of hire). + One year of recent work experience in the practice of ET (WOC) nursing, demonstrating expertise in the field. + Licensure by the Washington State Board of Nursing required. + Board certification in Wound, Ostomy, and/or Continence Nursing required. + Current Health Care Provider BLS Certification required. If you are a dedicated and compassionate Registered Nurse with a passion for wound, ostomy, and continence care, we encourage you to apply! We look forward to hearing from you. \#WoundEnterostomalWA **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $52.15 - $77.58 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** St. Anthony Hospital has been redesignated in 2022 by Pathway to Excellence for demonstrating a commitment to a healthy workplace through professional development, shared decision making, leadership, safety, quality and well-being. Current Incentives for qualifying Nurses: + Sign-On Bonus + Education Loan Forgiveness for qualifying loans + Relocation Assistance Summary: The 3rd floor Medical Telemetry unit at St. Anthony Hospital is a 32 bed unit that cares for a wide array of medical patients. As a member of this team, you will care for patients treated for stroke, infectious disease, pulmonary, GI, and many other diagnoses. Our team also proudly cares for patients pre/post diagnostic cardiac catheterization procedures. We have six rooms fully plumbed to handle dialysis patients. All rooms in our unit are private with their own restrooms, supply cabinets as well as couches and privacy curtains for the comfort of families who wish to stay close. Each room is equipped with a computer to facilitate documentation and medication verification. We utilize Epic as our electronic health record. Staffing: The management structure of the unit consists of an experienced Clinical Manager and a Clinical Coordinator who work together to oversee the unit. The Charge Nurses provide additional clinical support for the staff and help to maintain the flow of the unit. The staff is composed of RNs and Care Assistants, with support services provided by Respiratory Care, 24-hour Pharmacists, PT/OT, IV Therapy RNs, Dieticians and RN Care Managers. RN assignments are determined by patient census and acuity, and our typical RN ratios are 1:5, with CNA support. **Job Requirements** Graduation from an accredited school of nursing; BSN preferred Previous Medical/Surgical experience preferred. Current RN license from the Washington State Board of Nursing Current BLS with the American Heart Association only. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $46.34 - $77.24 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** As our RN Procedural Periop, you will provide high-quality, skilled nursing services essential for assisting patients to achieve optimum health, functional status, and safe passage through invasive or interventional procedures during episodic or series of visits. You will leverage your expertise across multiple dimensions of nursing practice, driven by the unique and often complex needs of each patient, ensuring optimal outcomes through effective nurse and patient synergies. Every day you will utilize the nursing process through skilled assessment, triage, education, collaboration, and coordination of healthcare and community resources to support patients in achieving an optimal level of wellness throughout their procedural experience. To be successful in this role, you will demonstrate clinical proficiency in procedural and potentially Periop/PACU environments. You will exhibit exceptional assessment, critical thinking, and communication skills, coupled with a deep understanding of patient needs across the health-to-illness continuum, and a commitment to providing patient-centered, safe, and effective care. **Job Requirements** **Required** + Current Washington state licensure as an RN + CPR certification is required every two (2) years + ACLS + PALS (depending on location) + Graduation from an accredited school of nursing approved by the Washington State Board of Nursing + Completion of related residency program with minimum two (2) years of experience in area of care (OR, PACU) + Strong patient assessment skills, ability to work collaboratively in team setting, current working knowledge of electronic medical records **Preferred** + Minimum (1) year experience in GI specialty + Certification in related areas of care, such as OR, PACU **Where You'll Work** Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. **Pay Range** $45.16 - $76.96 per /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** The RN Procedural Periop is responsible for providing high quality, skilled nursing services to assist patients to achieve optimum health, functional health status and safe passage while receiving an invasive or interventional procedure during an episodic or series of visits. All patients have unique needs and experience these needs across wide ranges or continuums from health to illness. The more compromised patients are, the more severe or complex their needs. The dimensions of a nurse's practice are driven by the needs of a patient and family, which requires nurses to be proficient in multiple dimensions of nursing practice. Nurse competencies stem from patient needs and the characteristics of the nurse and patient synergies are when optimal patient outcomes can result. The RN Procedural Periop may need to demonstrate technical expertise in the follow areas Periop, PACU, and procedural areas to support patient care during the episodic visit where interventions and procedures occur. A goal of nursing is to utilize the nursing process to support a patient in achieving an optimal level of wellness as defined by the patient. Through skilled assessment and triage, education, collaboration and coordination of healthcare and community resources, the RN Procedural Periop assists patients to achieve optimum functional health status and safe passage throughout their procedural experience. The RN Procedural Periop assists patients/families, staff and systems to achieve high quality, evidence-based, cost-effective, and patient-focused outcomes. Nursing care provided by nurses that function in the interventional/procedural areas reflects the nursing process through an integration of knowledge, skills, experience, and attitudes needed to meet the needs of patients and families. Specific domains of nursing practice include: Clinical Judgment: The RN Procedural Periop incorporates clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence- based guidelines. 1. Clinical Judgment: The RN Procedural Periop incorporates clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence- based guidelines. 2. Clinical Inquiry: The RN Procedural Periop exhibits the ongoing process of questioning and evaluating practice and providing informed practice changes. Creates practice changes through research utilization and experiential learning while leveraging the methods and tools of the Virginia Mason Production System (VMPS) to continuously improve the care delivery system. May be asked to participate in quality or safety process improvement teams or projects. 3. Caring Practices: The RN Procedural Periop demonstrates behaviors that create a compassionate, supportive, and therapeutic environment for patients and staff during their episodic visit, with the aim of promoting comfort and healing and preventing unnecessary suffering. Includes, but is not limited to, vigilance, engagement, and responsiveness of caregivers, including family and healthcare personnel. Incorporates the caring principles of Knowing, Doing For, Being With, Enabling and Maintaining Belief in accordance with Swanson's Caring Theory. 4. Collaboration: The RN Procedural Periop works with others (e.g., patients, families, healthcare providers) in a way that promotes/encourages each person's contributions toward achieving optimal/realistic patient/family goals. Involves intra- and inter-disciplinary work with colleagues and community 5. Advocacy and Moral Agency: The RN Procedural Periop works on another's behalf and represents the concerns of the patient when patient is unable as well as serves as a moral agent in identifying and helping to resolve ethical and clinical concerns within and outside the clinical setting. 6. Response to Diversity: The RN Procedural Periop demonstrates the sensitivity to recognize, appreciate and incorporate differences into the provision of care. Differences may include, but are not limited to, cultural differences, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values. Embraces organizational Respect for People tenets into all facets of professional nursing practice 7. Facilitation of Learning: The RN Procedural Periop exhibits the ability to facilitate learning for patients/families, nursing staff, other members of the healthcare team, and community. Includes both formal and informal facilitation of learning and education. 8. Systems Thinking: The RN Procedural Periop possesses the body of knowledge and tools that allow the nurse to safely transition patients from one care setting to another. Demonstrates leadership skills in navigating systems and environmental resources as needed for the patient/family and staff. **Job Requirements** Required: + Graduation from an accredited school of nursing approved by the Washington State Board of Nursing + Current Registered Nurse licensure by the Washington State Board of Nursing + Completion of related residency program with minimum one (1) year of experience in area of care (OR, PACU) + Strong patient assessment skills, ability to work collaboratively in team setting, current working knowledge of electronic medical records + CPR certification is required every two years + Advanced Cardiovascular Life Support (ACLS) certification + Pediatric Advanced Life Support (PALS) certification (depending on location) Preferred + A minimum of one (1) year experience in GI specialty + Certification in related areas of care, such as OR, PACU **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $47.22- $76.96 per /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** This position is responsible for serving as the primary Registered Nurse delivering care to patients who are admitted to the Family Birth Center. This patient population may include low-risk and high-risk pregnancies, as well as providing care to postpartum patients and well newborns. **Essential Job Functions:** ● Conducts Maternal-Fetal Assessment. ● Provides nursing support to the laboring patients, utilizing pharmacological and non-pharmacological pain management. ● Provides stabilization and transition of the normal newborn at delivery. ● Circulates for Cesarean Sections. ● Cares for the post-surgical patient. ● Assists the anesthesiologist with insertion of an epidural and provides care to the patient with regional anesthesia. ● Provides care to the High-Risk maternity patient ● Assesses and cares for post-partum and newborn patients. ● Identifies and provides appropriate interventions to mothers with post-partum complications. ● Provides support and education to breast-feeding mothers. ● Identifies full-term infants at risk for complications and provides appropriate care to the full-term infant with complications. **Job Requirements** Required + Graduation from an accredited school of nursing., upon hire and + One to two years Med/Surg experience with completion of Mother/Baby Education program or + New graduate with completion of senior practicum in L&D, Mother/Baby unit or nursery. + Registered Nurse: WA, upon hire and + Basic Life Support - CPR, upon hire. Current American Heart Association Healthcare Provider BLS certification. Please be advised that this location requires quarterly American Heart Association (AHA) Resuscitation Quality Improvement (RQI) competency certification post-hire. This ongoing competency is required through resources internal to the facility; outside RQI competency resources are not acceptable for CommonSpirit Health compliance requirements. + Neonatal Resuscitation Program, within 6 - months Preferred + Bachelors Of Science Nursing and One year of related work experience in an acute care setting, upon hire and + Previous Mother-Baby experience or + Electronic Fetal Monitoring offered by National Certification Corporation (NCC), or American Nurses Credentialing Center certification. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $46.04 - $77.77 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Are you a Registered Nurse looking for a rewarding career with exceptional benefits?** Join the award-winning team at St. Michael Medical Center, recognized among the **Best Hospitals in Washington** by U.S. News & World Report and one of only four hospitals in our state to achieve **Pathway to Excellence designation** ! We are currently seeking skilled Registered Nurses for our 8 North Tower, an 18-private room, Telemetry capable Medical-Surgical unit. Here, you'll care for adolescents (16+), adults, and geriatric patients with multi-system involvement, including general surgical (joint replacements, general surgery, gynecological procedures, urology) and overflow medical patients requiring non-acute cardiac telemetry monitoring. Our patient-to-nurse ratio is set to ensure optimal care, with shift assignments made by the Charge RN based on patient census, complexity, and nurse experience. Maintain your competency through continuing education, department in-services, and annual updates of unit-specific competencies. If you're a licensed Washington State RN ready to excel in a supportive and recognized environment, apply today and become a part of our dedicated team! **We offer current incentives for qualifying RNs, including:** + **Sign-on Bonus** + **Relocation Assistance** + **Education Loan Forgiveness** **Job Requirements** Graduation from an accredited school of nursing, BSN degree is preferred. Minimum 6 months previous RN experience required. One year of related work experience in an acute care setting is preferred. Current licensure as a Registered Nurse issued by the Washington State Board of Nursing. Specialty certification, as appropriate to the assigned work unit, is strongly preferred. Current American Heart Association Healthcare Provider BLS certification. Please be advised that this location requires quarterly American Heart Association (AHA) Resuscitation Quality Improvement (RQI) competency certification post-hire. This ongoing competency is required through resources internal to the facility; outside RQI competency resources are not acceptable for CommonSpirit Health compliance requirements. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $42.43 - $71.67 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** **Sign on Bonus for qualifying new external RN Navigators available!** **Franciscan Medical Group, part of Virginia Mason Franciscan Health, is currently seeking a full time RN-Navigator for our Franciscan Orthopedic and Sports Medicine Clinic in Gig Harbor, WA.Team based environment in very busy Orthopedic clinic. No nights, evenings, weekends or organizationally recognized holidays required. Come join our fast-paced, energetic team in a great learning environment.** **Job Summary:** This job is responsible for coordinating the individualized care continuum for patients diagnosed with on-going critical health conditions by serving as an advocate, educator, consultant, leader and community ambassador for the specific patient population served in accordance with CHI Franciscan Health (CHI-FH) standards/guidelines, applicable statutory requirements and accepted clinical practice for the clinical nurse profession to achieve quality, cost-effective and patient-focused outcomes. An incumbent is a consistent care coordinator throughout the continuum of care and is able to assess the physical, psychological and social needs of the patient. Work is strongly focused on: 1) guiding the patient/family through the complex healthcare system, working to eliminate barriers that might otherwise adversely impact patient care/outcomes; and 2) helping to coordinate the efforts of the medical team to facilitate continuity of care and enhance patient satisfaction. Incumbents are also accountable for keeping abreast of new/changing regulatory requirements impacting matters within designated scope of responsibility; maintaining current knowledge of departmental policies/standards/procedures, Joint Commission standards, new clinical procedures/processes, patient safety goals, core measure quality indicators and other issues/requirements impacting matters within assigned scope of responsibility; ensuring these factors are considered and integrated into clinical, performance improvement and education activities. **Essential Duties:** + Coordinates care for all assigned patients throughout the continuum of care from diagnosis to release from care. Develops and shares assessments, goals, nursing interventions and patient response; remains a support system throughout the patient's course of treatment. + Provides education to meet the needs to patient, families, healthcare providers, and the community. + Consults and collaborates with other providers to meet the medical, social, and financial needs of patients; Formulates an individualized, holistic care plan for patients and evaluates general management of patients and patient's response to nursing interventions and multi-disciplinary treatment plans. + Provides accurate and timely data tracking, management, evaluation and reporting of clinical/treatment protocols/practices through ongoing observation and analysis of current activities. + Provides operational support and contributes to clinical research activities conducted by department. + Cultural Sensitivity and Competence: Demonstrates proper use of communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Population Served: Demonstrates knowledge and proper skills associated with the department's defined specific populations served. **Job Requirements** **Education/Experience:** + Bachelor's degree in Nursing or other related discipline, graduation from an accredited school of nursing, and three years of related professional nursing work experience in the clinical focus area that demonstrates the attainment of the requisite job knowledge, skills and abilities. Previous navigator work experience is strongly preferred. + Additional equivalent qualifying work experience that demonstrates attainment of the requisite job knowledge/abilities may be substituted for two years of the degree requirement (Associate's degree required). + Master's degree in Nursing or related field is strongly preferred. **License/Certification:** + Current licensure as a Registered Nurse issued by the Washington State Board of Nursing. + Current Healthcare Provider BLS Certification. + If assigned to Cardiology/EP department: Current Advanced Cardiac Life Support (ACLS) certification. + If assigned to Oncology department: Certification by the Oncology Nursing Certification Corporation (ONCC) as an Oncology Certified Nurse (OCN) required within one year of date of hire. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $45.80 - $73.28 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** This position is responsible for serving as the primary Registered Nurse delivering care to patients who are admitted to the Family Birth Center. This patient population may include low-risk and high-risk pregnancies, as well as providing care to postpartum patients and well newborns. **Essential Job Functions:** ● Conducts Maternal-Fetal Assessment. ● Provides nursing support to the laboring patients, utilizing pharmacological and non-pharmacological pain management. ● Provides stabilization and transition of the normal newborn at delivery. ● Circulates for Cesarean Sections. ● Cares for the post-surgical patient. ● Assists the anesthesiologist with insertion of an epidural and provides care to the patient with regional anesthesia. ● Provides care to the High-Risk maternity patient ● Assesses and cares for post-partum and newborn patients. ● Identifies and provides appropriate interventions to mothers with post-partum complications. ● Provides support and education to breast-feeding mothers. ● Identifies full-term infants at risk for complications and provides appropriate care to the full-term infant with complications. Please take a virtual tour of our Family Birth Center at SMMC: **************************** **Job Requirements** ***Sign on Bonus Available *** **Qualifications** **Education/Work Experience:** ● Graduation from an accredited school of nursing. ● Possession of a BSN degree is preferred. ● Previous recent Labor and Delivery Experience is preferred, or ● 1-2 years Med/Surg experience, with expectation of completing our labor and delivery education program after hire. **Licensure/Certification:** + Current licensure as a Registered Nurse issued by the Washington State Board of Nursing. + Current American Heart Association Healthcare Provider BLS certification. Please be advised that this location requires quarterly American Heart Association (AHA) Resuscitation Quality Improvement (RQI) competency certification post-hire. This ongoing competency is required through resources internal to the facility; outside RQI competency resources are not acceptable for CommonSpirit Health compliance requirements. + Neonatal Resuscitation Program (NRP) completion within 6 months of date of hire. Electronic Fetal Monitoring offered by National Certification Corporation (NCC), or American Nurses Credentialing Center certification preferred. **Where You'll Work** Virginia Mason Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country. **St. Michaels Medical Center** delivers approximately 2000 babies annually and is the only hospital on the Kitsap Peninsula that offers obstetrical, delivery and postpartum care. We are proud to be recognized as among the country's top performing programs, designations that are only awarded to maternity care programs that maintain exceptional outcomes, and deliver patient focused care. + U.S. News & World Report recognizes St. Anne Hospital, St. Francis Hospital, St. Joseph Medical Center and **_St. Michael Medical Center_** as High Performing Hospitals for Maternity Care (2024-2025). Our offerings include High-Risk Pregnancy Care, Level II Special Care Nursery with a partnership with the Neonatal Practitioner Team from Seattle Children's Hospital, 24-hr OB Hospitalists, Childbirth and Family Education Classes, Breastfeeding support both inpatient and outpatient, Vaginal Birth After Cesarean (VBAC), and a volunteer doula program to provide physical and emotional support to pregnant patients both before and after childbirth. Our mission is to deliver high-quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach - physical, emotional, and spiritual - is essential to healing the whole person. Come join our team! While you're busy impacting the healthcare industry, we'll take care of you with benefits that may include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more! **Pay Range** $42.43 - $71.67 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** This 24 bed critical care unit houses patients being admitted for cardiac thoracic and vascular care. This unit also entails ICU and PCU levels of care. Each private room is large enough to house all necessary pumps and equipment while allowing for space for family support (when allowed). This includes CRRT Impella IABP and ventilators. Staffing is based on national standards of care and includes: 2:1 1:1 1:2 and 1:3. **Essential Duties:** + Provides continuous cardiac monitoring arrhythmia recognition and intervention. + Initiates and titrates multiple complex cardiac related infusions at higher doses. + Manages intubated/mechanically ventilated patients. + Manages patients with acute neurological/neurosurgical events. + Manages acute trauma patients. **Job Requirements** **Job Requirements** + Graduation from an accredited school of nursing, BSN preferred. + Previous PCU or ICU experience preferred. + Previous Emergency room experience also considered + Current licensure as a Registered Nurse issued by the Washington State Board of Nursing. + Current American Heart Association Healthcare Provider BLS Certification. Please be advised that this location requires quarterly American Heart Association (AHA) Resuscitation Quality Improvement (RQI) competency certification post-hire. This ongoing competency is required through resources internal to the facility; outside RQI competency resources are not acceptable for CommonSpirit Health compliance requirements. + Advanced Cardiac Life Support (ACLS) or attainment within six months of hire. + CCRN or PCCN preferred. **Where You'll Work** Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person - body, mind, and spirit - in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care. We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose. **Pay Range** $42.43 - $71.67 /hour We are an equal opportunity/affirmative action employer.

**Job Summary and Responsibilities** ****Sign on Bonus Available**** The Outpatient Clinic RN coordinates and facilitates quality management of a broad based outpatient population across the continuum of care. Through application of the nursing process through skilled triage and assessment, education, collaboration and coordination of healthcare and community resources, the Outpatient RN supports the care team in the provision of patient care. The Outpatient Clinic RN makes decisions about triaging medical situations, provides patient advice, assists in prioritizing daily work of the clinic and offering nursing practice services to match patient care needs, coordinates pre-visit testing to ensure value added visits, provides direction to team members, including oversight of Medical Assistant's clinical competency. All patients have unique needs and experience these needs across wide ranges or continuums from health to illness. The more compromised patients are, the more severe or complex their needs. The dimensions of a nurse's practice are driven by the needs of the patient, family and team members. This requires nurses to be proficient in multiple dimensions of nursing practice. When nurse competencies stem from patient needs and the characteristics of the nurse and patient synergize, optimal patient outcomes can result. The Outpatient Clinic RN provides a wide array of nursing care to support patient care flows within the ambulatory clinic. Nursing care provided by nurses that function as Outpatient Clinic RN reflects the utilization of the nursing process through an integration of knowledge, skills, experience, and attitudes needed to meet the needs of patients and families. **Job Requirements** Required: · Current Washington state licensure as an RN · CPR certification is required every two years · Graduation from an accredited school of nursing approved by the Washington State Board of Nursing · Strong patient assessment skills, phone skills, ability to work collaboratively in team setting, current working knowledge of electronic medical records Virginia Mason offers much more than competitive compensation and benefits. With continuing education opportunities and the added potential of relocation assistance, you will find our commitment to your well-being is both rewarding and refreshing. There is also the lifestyle benefit that comes With finding yourself in the heart of the Pacific Northwest. Surrounded by the vibrancy and sophistication of one of the most livable cities in the country, finding the perfect urban or outdoor pursuit will instinctively and pleasurably become second nature. We are an equal opportunity/affirmative action employer. **Where You'll Work** Virginia Mason Franciscan Health brings together two award winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. **Pay Range** $43.01 - $63.98 /hour We are an equal opportunity/affirmative action employer.