Clinical Nurse Specialist Jobs in California

Job Title: CLINICAL SUPERVISOR Expires 3-19-10 Company: Tule River Indian Health Center, Inc. Location: Porterville, CA Description: Position Summary: Under the direction of the Medical Director or Chief Executive Officer, the Clinical Supervisor assists in the delivery of direct patient care services. The Clinical Supervisor is expected to utilize independent judgment and discretionary decision-making within their scope of practice in addressing needs within the clinic. The Clinical Supervisor works under the guidelines set forth by the Policies and Procedures, as well as the scope of practice for the Indian Health Service, and other regulatory governing agencies, including the California Board of Nurses. The Clinical Supervisor is responsible for supervising, managing and directing the nursing care services for the TRIHC. The Clinical Supervisor provides leadership for the overall nursing care services which is an essential component to clinical care services of the clinic. The Clinical Supervisor is responsible and accountable for maintaining a safe patient care environment and using the performance improvement process to monitor, evaluate, and improve care. The work involves identifying and developing ways to resolve problems or cope with issues that directly affect the accomplishment of principle program goals and objectives (i.e., delivery of patient care). The Clinical Supervisor must be able to communicate well and be able to establish rapport with patient and their families. He/she must be sensitive to the needs of the Indian community; its cultures, traditions, behavior patterns, and background. The Clinical Supervisor must be familiar with the goals and objectives of the Health Center, also maintains genuine enthusiasm for the success of TRIHCI’s health programs and consequently exercises a strong sense of stewardship in developing and maintaining community relations. ________________________________________ Essential Duties and Responsibilities: a) Assists the clinical staff with daily patient flow. b) Responsible for overall managerial duties with planning, organizing, directing, and evaluating a comprehensive nursing program for TRIHCI. c) Responsible for establishing and implementing long and short-term policies, and program plans for nursing services. Monitors the nursing program plans. Prepares routine reports based upon program plans. d) Evaluates and adjusts organizational structures to accomplish TRIHCI Nursing Services goals. e) Keeps abreast on changing development, health care policies, directions, or practices and the changing health care needs of the population served. f) Responsible for nursing care and services compliance with HIPAA and Infection Control. g) Responsible and accountable for maintaining budget that include personnel, FTE’s equipment, supply purchases, travel, training, care and services. h) Responsible for the oversight and completion of GPRA requirements. i) Works on a daily basis with the Medical Director, CEO and other key staff with responsibility for fully participating in management discussions, decisions, and policy making and sharing accordingly in management decisions/actions relating to nursing services or overall clinical services. j) Develops and implements plans for the improvement for the revision of present programs and services to meet the changing needs of patient population, and or the integration of health activities with other programs. k) Participates in the formulation of strategic planning which incorporates long and short term goals. l) Develops and implements internal program plans and procedures to ensure that subordinate staff implement the provisions of various state, CRIHB, I.H.S., and grants entities. m) Reviews and resolves staff grievances and serious employee and patient complaints as well as recommending disciplinary actions involving nursing staff as well as overseeing performance appraisals and recommendations for merit and promotion plans. n) Approves or rejects formal requests for promotions, reassignments, status changes, awards, selections, scheduling, time accountability etc. o) Conducts meetings with staff to explain work requirements, changes, methods and procedures as needed, gives special instructions on difficult or different activities, and answer technical questions about work assignments. Formulates and issues written instructions and procedures for non-routine or complex assignments, new or changed programs, functions, or processes. p) Supervises nursing staff including medical records, medical reception and lab assistants, who engage in performing a variety of nursing care, technical and supportive activities. Determines personnel needs and manages available resources to provide optimal patient care. Additional Responsibilities may include: a) Participate in all required staff meetings including any necessary trainings. b) Perform general office duties or other responsibilities as needed and assigned. c) Must be willing and able to travel to different sites as necessary. ________________________________________ Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed here are representative of the knowledge, skills, and/or abilities required. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Knowledge, Skills, and Abilities 1) Knowledge of: medical terminology, medical processes, and medical procedures sufficient to perform routine patient care; 2) Must have good communication skills, be able to effectively communicate with diverse populations, and be willing to convey responsibilities to patients and employees. 3) Demonstrate the ability to work independently in carrying out assignments while remaining reliable and dependable. 4) Demonstrate professional competency in office and healthcare abilities, including the maintenance of client confidentiality. 5) Possess basic computer and database software operation knowledge, and demonstrate a working knowledge of routine office hardware and equipment (e.g. printers, copiers, fax machines, etc.). 6) Must demonstrate the ability to maintain accurate records and preparing clear and accurate reports for informational, auditing, and operational use, including capacities for attention to detail and for reviewing and verifying accuracy of data. 7) Possess the ability to organize and follow one’s own work schedule (i.e. setting priorities, being available during work hours, and meeting critical deadlines). 8) Possess the ability to perform well in group problem-solving situations and use reason even when dealing with highly emotional topics. 9) Possess the ability to become knowledgeable of health needs and services provided to the Indian community both on and near the reservation. 10) Demonstrate the competency and integrity to maintain the confidentiality of organizational, employee, and client records. 11) Possess the ability to deliver effective training and presentations on technical subjects to large and/or small groups of various educational and cultural backgrounds. 12) Possess knowledge of federal, state and local laws and regulations governing public health, principles of mental health. Laws and regulations relating to the practice of medicine and nursing; 13) Knowledge of causes, means of transmission and methods of control of communicable disease, principles and practices of diagnosis and treatment of common medical problems, child growth, and development. 14) A professional knowledge of nursing principles, practices and processes including the establishment of health and nursing care goals to plan and evaluate the nursing services in ambulatory care settings. 15) Ability to provide guidance, instruction and leadership to other personnel. Must recognize the different functions and motivations of various employees and groups in the health care delivery system; and ability to communicate effectively with each in order to gather information, present recommendations and coordinate services including meeting productivity goals, objectives and deadlines. 16) Must possess management ability including ability to delegate authority, evaluate, motivate people and programs, recognize and adapt to changing priorities. 17) Ability to respond to emergencies, disasters, and other crises by implementing emergency action plans including call back in these situations. 18) Stays up to date with guidelines including I.H.S., HIPAA, OSHA and HCFA standards, Corporate Compliance, and TRIHC policies, regulations, standards and procedures, professional journals and literatures ensuring quality assurance, workload reporting and safety, etc. 19) Knowledge and experience in financial management and manpower analysis for ambulatory care services. Education and/or Experience Graduation from an accredited Registered Nursing education program. Graduation from an accredited four-year nursing program with an earned bachelor’s degree (BSN) required, masters (MSN, MPH, MHA, etc) preferred. 2 years supervisory experience in clinical setting required, 4 years supervisory experience preferred. Certificates, Licenses, Registrations Valid registration and certificate as an RN issued by the California State Board of Registered Nursing Examiners, without restriction. A current California driver’s license and a good driving record are required for this position. First Aid/CPR at ACLS level Current certification to perform Venipuncture and administer injections Must have a current IV certificate; Valid phlebotomist certificate Contingencies TRIHCI maintains a drug- and alcohol-free workplace, and all offers of employment are contingent on the successful completion of a criminal background check, a post-offer drug test and physical, and verification of each candidate’s right to work in the United States. ________________________________________ Physical Work Environment: The description provided here is representative of those conditions in which the Clinical Supervisor will be required to perform the essential functions of this position. As stated earlier, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. While performing the duties of this position, the Clinical Supervisor is situated in a standard office environment within the health center, where there is little or no exposure to variations in the weather or other similar elements. The Clinical Supervisor will move throughout the health center to meet with supervisors and co-workers, and maintains direct patient/client contact. At times the Clinical Supervisor will work with other departments to make home visits or work at satellite sites as necessary. Consequently, the Clinical Supervisor must: Possess the mobility to work in a standard office setting (i.e. walk, stand, or sit for extended periods of time); Possess the ability to use standard office equipment to write, type, copy, fax, maintain E.H.R. or perform other duties; Possess the strength to lift and carry supplies weighing up to 15 lbs repeatedly and up to 45 lbs intermittently; Possess the visual acuity to read printed materials and a computer screen; and Demonstrate hearing and speech capabilities that allow him/her to communicate in person and over the telephone as required, Possess the ability to push, bend and/or lift to help patients to/from vehicle, wheelchairs, stretchers, etc. and moving equipment and medical supplies. The clinical setting at TRIHCI is categorized by OSHA as a Blood-borne Pathogen Category I facility. Consequently, there exists the potential for exposure to blood, body fluid/tissue, and infectious wastes. There also exists the potential for exposure to chemicals, biologicals, toxicants, and irradiants found on-site. ________________________________________ Disclaimer: This position description lists the major duties and requirements for the Clinical Supervisor position as established by subject-matter experts and the Human Resources Manager at the time of this document’s creation. This position may require additional performance of duties and responsibilities beyond those outlined in this document, and thus may require additional sets of knowledge, skills, and abilities not fully articulated herein.

Job Title: Clinical Nurse Specialist - B3/ICU Company: John Muir Health Location: Concord, CA Description: Requirements: Current California RN license. Masters degree in nursing. Demonstrates clinical competence in nursing care of the hospitalized patient, with in-depth knowledge and clinical expertise. Teaching experience in clinical and structured situation. Demonstrates participation in profession activities such as membership in professional organizations, attendance at conferences specific to area of expertise. These areas of expertise include clinical content, current medical practice, expanding role development. Utilizes other specialist for ongoing support, feedback, and current information on the changing healthcare environment. Demonstrates ability to be self directed and motivated Demonstrates effective written and verbal communication skills. Demonstrates effective problem solving and conflict resolution skills. Serves as liaison between nurses administration, physicians, health team members, patients and their families. Actively involved in Clinical Resource Management. John Muir Health embraces change and innovation in our advanced approaches to comprehensive patient care. On-going education, state-of-the-art equipment and facilities, and dedication to patients, employees and the community are why we are one of the most respected, well established health care systems in California. John Muir Medical Center, Concord Campus, a 259-bed acute care facility, is a preeminent center for cancer and cardiac care. Other areas of speciality include general surgery, orthopedic, and neurology programs. Our Concord campus was recently ranked in the top 5 percent of national hospitals in clinical excellence according to Healthgrades, an independent health care ratings survey. Benefits for joining JMH Nursing: We listened to what really resonates with our seasoned practitioners, and backed them up with live Lift Teams 24/7; a Shared Decision Making Model that encourages nurses' participation in Unit Councils; a huge patient safety initiative that has been in place and ongoing for years; and broad benefits that include alternative 12-hour shifts, 12-hour weekend bonus programs, Retiree medical benefits and Speciality Certification Award of $1,000 per year - all of this in addition to the opportunity of working alongside the best and the brightest.Support ServicesMuscles not machines. Some hospital's idea of a helping hand is a cumbersome contraption. At John Muir Health we have live Lift Teams 24/7 to take a load off your back, hefty patient Transport Teams so you don't have to push gurneys, and an IV Team to take care of tough veins. Some units have a dedicated Wound Care RN and energetic Service Workers. While other hospital are cutting back on support services, ours have never been stronger! And that's less wear and tear on your body.Rewards and RecognitionWe strongly believe in recognizing those who exemplify excellence, and reward them for contributing to our collective success. From individual to department to spontaneous recognition, Employee Suggestion Rewards, Employee Success Sharing Program, and many more...we find unique ways to thank our employees for the outstanding efforts they make everyday.If your goal as a nursing professional is to provide outstanding patient care, this is where you belong. Preceptors and mentors will guide your career path with ongoing education to improve your clinical skills in a high technology driven environment. Ask yourself: why tolerate good enough when you can Embrace Excellence? APPLY TO THIS JOB HERE

Job Title: Clinical Nurse Specialist #1043357 Company: Sharp HealthCare - San Diego, CA Location: San Diego, CA Description: About Sharp HealthCare ~Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, California. Sharp includes four acute care hospitals, three specialty hospitals and two medical groups, plus a full spectrum of other facilities and services. Sharps passion for caring is shared by our 2,600 physicians, including more than 1,000 physicians in our two affiliated medical groups Sharp Rees-Stealy and Sharp Community Medical Group and more than 14,000 employees. Together this team is working to make Sharp San Diego´s best place to work, the best place to practice medicine and the best place to receive care. The Sharp Experience is our unique, system wide commitment to transforming health care in San Diego.Sharp HealthCare is a recipient of the 2007 Malcolm Baldrige National Quality Award, the nation´s highest Presidential honor for quality and organizational performance excellence.Clinical Nurse SpecialistsWe are looking for nurse leaders for our Clinical Nurse Specialist positions. We currently have Clinical Nurse Specialist openings in the following areas:-Maternal Infant Services-Psychiatric/Behavioral Health (Outpatient)-In-Service Education (Acute Care)Qualifications:-Masters Degree in nursing-Current California Registered Nurse licensure-Clinical Nurse Specialist certification-CPR certification-Clinical expertise in theory and/or research-based nursing practice in the specialty area

Job Title: Adult Med/Surg Clinical Nurse Specialist Company: Hospital Corporation of America Location: San Jose, CA Description: Under general supervision, provides clinically competent professional nursing care in accordance with the multidisciplinary plan of care and physician orders. Meets and exceeds all performance expectations for Registered Nurse. Functions as an expert clinical educator, consultant, and researcher for the health care team, patients, and family members of Adult Medicine and General Surgery. Delivers and facilitates high quality care for normal and high-risk patients. The Program Manager of Clinical Education is prepared academically in an advanced educational setting focusing on adult learning theories, advanced theoretical education for population(s) served and clinical decision support. CLINICAL PRACTICE1. Models professional nursing practice through the utilization of advanced theoretical concepts following the nursing process.2. Participates and collaborates in development, implementation and standards of care for Adult Medicine and General Surgery services to include Medical Oncology, Telemetry, General Surgery and Skilled Nursing.3. Functions as facilitator in the evaluation and implementer of new patient care equipment.4. Provides staff with direct clinical decision support in areas of assessment, resuscitation, stabilization, crisis intervention, disaster planning and responses.5. Acts as a clinical resource guide for staff, patients and families for internal and external agency contact related to patient plan of care, discharge planning and case management support. EDUCATION/CONSULTATION1. Collaborates with management, staff and other clinical education managers to identify and meet educational needs. In doing so serves as staff and student resource for Adult Medicine and Surgical Services.2. Participates with academic institutions in the design and implementation of patient care curriculum, student experience and the integration of theory into practice.3. Develops and implements educational information, materials, and programs for patient care through the continuum to include discharge planning.4. Participates in patient care consultation with staff, patient/family and physicians and assists in the coordination of care through appropriate resources. In doing so acts as expert resource for specialty patient care needs.5. Active participant in external education and outreach programs.6. Assumes assigned projects that benefit the specified population or the hospital and corporation as a whole. This is accomplished through Quality Improvement programs, department and medical section meetings, nursing management team and other assigned hospital committees. Active is defined as 80% attendance at all meetings and accepting assignments through completion within the timeframe(s) allotted.MANAGERIAL1. Active participation in conjunction with the Unit Director/manager in the development of staff through identification of education needs, planning of curriculum and evaluation of outcomes.2. Actively assists Unit Director/manager in budgetary planning for education needs, classes, equipment, reference material and ensures that operation expenses remain within budgeted allocations.3. Assists Unit Director/manager in acuity monitoring, revision of monitoring tools, and staff education regarding patient scoring.4. Actively participates in department meetings, strategic planning for patient care, budgeting and monitoring of annual skills day programs.5. Actively participates in all orientation programs related to assigned departments to include initial interview, establishment of personalized education plan, periodic and scheduled follow-up meetings, 90-day recommendations for continued employment or orientation plan revision, and annual recommendation of patient care performance for Unit Director/manager for inclusion in annual performance evaluation.6. May act in a substitute roll for direct employee supervision in the absence of the assigned Unit Director/manager, during times of emergency, or if otherwise directed by member of administrative team.

Job Title: Nurse Specialist Job in TRAVIS AFB, CA Company: Federal Government Jobs Location: Travis AFB, CA Description: Nurse Specialist Job in TRAVIS AFB, CA Vacancy No. AFPC Register to View 94-5X-ANR Department Salary $94,870.00 to $120,485.00 Grade 11 to 11 Perm/Temp Permanent FT/PT Full-time Open Date 3/17/2010 Close Date 3/23/2010 Job Link Who may apply Status Candidates Locations: ( Help make everyone's job search easier! Report incorrect job locations. Include a new Location) TRAVIS AFB, CA remove Job Description (Please follow all instructions carefully) Job Title: NURSE SPECIALIST Department: Department Of The Air Force Agency: Department of the Air Force Job Announcement Number: AFPC Register to View 94-5X-ANR Salary Range: 94,870.00 - 120,485.00 USD /year Series & Grade: GS-0610-11 Promotion Potential: 11 Open Period: Wednesday, March 17, 2010 to Tuesday, March 23, 2010 Position Information: Full Time Career/Career Conditional Duty Locations: 4 vacancies - Travis AFB, CA Who May Be Considered: Status Candidates (Merit Promotion Eligibles) Job Summary: The mission of the United States Air Force is to fly, fight and win…in air, space and cyberspace. To achieve that mission, the Air Force has a vision of Global Vigilance, Reach and Power. That vision orbits around three core competencies: Developing Airmen, Technology-to-Warfighting and Integrating Operations. Core competencies and distinctive capabilities are based on a shared commitment to three core values -- integrity first, service before self, and excellence in all we do. This Announcement May Result In A 90-Day Register That May Be Used To Fill Like Vacancies For 90 Days From The Closing Date.  Applicants May Be Referred For Consideration As Vacancies Occur. This Announcement Is A Non-Competitive External Announcement Open To Applicants With The Appointment Eligibilities Listed Under The "Qualifications" Tab Of This Announcement. Key Requirements: U.S. Citizenship Required Travel and relocation expenses will not be paid Direct Deposit is required for all Federal Employees to receive pay This is a Key Position This is a Drug Testing Position Major Duties: THIS IS A KEY POSITION.  INCUMBENT MUST BE REMOVED FROM THEIR MILITARY RECALL STATUS IF ALTERNATIVES FOR FILLING THE POSITION DURING AN EMERGENCY ARE NOT AVAILABLE. THE INCUMBENT MAY BE REQUIRED TO TAKE PART IN TEST ALERTS AND PRACTICE EXERCISES The primary purpose of this position is to provide comprehensive nursing care to critically ill patients in Critical Care units, i.e., Intensive Care, Coronary Care, Step Down, and Neonatal Intensive Care Units.  Patients are characterized by the presence of actual or potential life-threatening health problems.  May be used in appropriate ICU, Critical Care, or NICU units.  Provides comprehensive professional nursing care to critically ill patients such as cardiac, surgical, medical, neurological, hematology, oncology, neonatal, and other medical specialties that require adaptation of established nursing procedures.  Patient conditions include such ailments as acute myocardial infraction, immediate post-operative thoracic, abdominal, neurosurgical, orthopedic, pediatrics, obstetrical, neonatal, or head injury patients.  Patients are either recovering from major surgery or are characterized by the presence of real or potential life-threatening health problems and require continuous observation and intervention to prevent complications and restore health.  Assesses nursing needs to provide safe and efficient nursing care.  Independently plans, schedules, and provides comprehensive nursing care without specific instructions, and solves all but the most acute problems on own initiative.  Discusses the needs of the patient, the kind of physical care and personal relationships and behavioral patterns to be enforced and those to be avoided.  Communicates patient progress or lack of to physicians and supervisory nursing personnel.  Accompanies and assists physicians with complex and potentially life-threatening procedures such as the insertion of arterial and venous catheters, chest tubes, and endotracheal tubes.  Monitors intake and output and notifies physician when fluid/dietary needs change.  In the absence of a physician, independently determines and implements emergency measures after identifying and interpreting life-threatening conditions.  Initiates life saving measures such as advanced cardiopulmonary resuscitation.  This include such actions as calculating dosages, mixing potent and potentially lethal drugs prior to arrival of the physician and administering these drugs on the physician’s directive.  Performs various pulmonary ventilation treatments such as administration of oxygen, nebulizer treatments, and peak flow measures.  Inputs patient care information in manual or automated record systems.  Mixes and administers prescribed medications orally, intramuscularly, subcutaneously, intravenously, topically, etc., and knows which drugs will alter the effects of another drug if administered concurrently prior to the administration of medication.  Assesses patient’s response to medication.  Administers intravenous fluids such as lipids and blood volume expanders including blood transfusions, and infrequently used and special drugs.  Orders drugs and narcotics as needed.  Provides for safekeeping and accurate accounting of controlled drugs and narcotics in accordance with Air Force Regulations, Medical Center Regulations, and Department of Nursing guidelines.  Sets up, operates, and monitors sophisticated technical equipment such as cardiac monitors, respirators, ventilators, various intravenous infusion pumps, defibrillators, and equipment required for peritoneal dialysis.  Sets up, operates, and monitors therapeutic and emergency equipment, i.e., EKGs, cardiac monitor, life, pak, and IVAC, and oxygen analyzers.  Participates in continuing education programs to update and/or maintain skills and knowledge to meet annual requirements.  Participates in department’s in-services meetings/briefings, and in continuing quality improvement measures.  Participates in evaluation of the quality and effectiveness of activities/services of the unit by organizing nursing monitoring and evaluation activities.  Participates in planning care conferences and with other nurses and nonprofessional personnel to determine and communicate the steps needed to achieve the aims of the total staff.  Assesses patient and family to include physical and psychological needs through a detailed history.  Provides instructions to patient/significant other and/or family members.  Provides individualized, thorough instructions prior to surgery, delivery, diagnostic procedures and/or in-home care.  Emphasizes the preventive, curative, and restorative aspects of instructions.  Follows established protocols using professional judgment to individualize instructions to meet each beneficiary’s needs.  Directs the activities of ancillary personnel engaged in carrying out the nursing and administrative duties.  Ensures assignments are compatible with the individual’s skill level.  Performs patient teaching with patients requiring special approaches.  Serves as a resource person with whom other critical care nurses and other health care providers consult when particularly difficult problems in care of critically ill patients arise.  Serves as a role model to experienced critical care nurses as well as those not fully trained.  Provides guidance and leadership to other professional nurses and provides instructions and training to paraprofessional personnel, including on-the-job training, as necessary. Qualifications: THE FOLLOWING ARE EXTERNAL ELIGIBILITIES FOR NON-COMPETITIVE APPOINTMENTS BEING CONSIDERED FOR THIS POSITION.   If you do not have at least one of these eligibilities you will be found ineligible.  Please ensure you submit the required documents to prove your eligibility for these non-competitive appointments. DoD Transfer (Excluding Air Force) - Current career or career-conditional DoD Employees

Job Title: Employee Health Nurse Nurse Specialist Company: San Joaquin Community Hospital Location: Bakersfield, CA Description: Employee Health Nurse Job Code 336 Registered prof. nurse. Responsible for overall daily activities of Employee Health Services, inlc. Developing, implmt. & maint. Hospital safety & wellness programs, & recommends methods for improving overall health and safety for employees. Responsible for record keeping, surveillance & mgmt of certain aspects inlc. Fitness-for- duty, infectious diseases, blood borne pathogen exposures, work related injury & illness. For qualifications, further info., or to apply please visit www.sjch.us/job

Job Title: Clinical Nurse Specialist/CNS, Special Care Nursery/SCN/Level 2 Nurser Company: Hospital Jobs Online Location: San Diego, CA Description: Company: Scripps Mercy Hospital Title: Clinical Nurse Specialist/CNS, Special Care Nursery/SCN/Level 2 Nurser JobID: Register to View 117 City: San Diego State: CA Description: Assumes leadership responsibilities for the specific business unit/department reports to. Directs clinical nursing practice in SCN: evaluates clinical practice for the unit, and monitors the standards of care. Responsible for the coordination of orientation and delivers education and staff development. Active in program planning. Oversees parent or primary caregiver education activities and coordinates effective discharge planning program.

Job Title: Clin Nurse Specialist-Med Surg Company: Kaiser Permanente Location: San Rafael, CA Description: At Kaiser Permanente Northern California, you’ll join a team of health advocates who share your passion for helping people. From our financial professionals and IT team members to our RNs and physicians on the front line of care—we work together to help our members achieve their best level of wellness. And you’ll be inspired to do the same. Whether you dream of sailing the bay, hitting the slopes in the Sierras, hiking Yosemite, attending the opera, or strolling the vineyards, you’ll discover the cultural and recreational diversity that makes Northern California one of the most desirable places in the world to live and work. Northern California’s largest health plan, Kaiser Permanente provides you with the resources, scope, and opportunity you need to realize your goals. Come see for yourself.Please be aware that this position is currently under review as part of the jurisdictional process with the California Nurses Association to determine whether such position should be assigned to the CNA bargaining unit. This review is on a position-by-position basis and includes an analysis of the actual duties performed in each position under review. This determination will be made within the next several months. Should the determination be made that the position does belong to the CNA bargaining unit, you will be offered the opportunity to (a) follow the work into the CNA bargaining unit and become a member of the union, or (b) seek other employment within the organization. Should you have any questions regarding this notice, please contact your recruiter for further information.Provides in-depth clinical expertise in a defined area of nursing practice (eg., pediatrics, oncology, adult medicine). Develops ensures quality standards for nursing practice for a specific patient population. Provides advanced clinical practice education, consultation, research administration.Essential Functions:• Establishes monitors care standards makes recommendations for changes in area of clinical practice.• Collaborates w/ nursing staff in assessing patient, family age-specific nursing needs develops plan of care for complex high-risk patients.• Evaluates the effectiveness of the care provided.• Designs teaching programs for patients/families provides assistance to nursing staff in program implementation.• Develops interdisciplinary plans of care for complex high risk patients. In conjunction w/ members of the health care team, assesses staff knowledge identifies competency-based education needs of staff members.• Designs implements education programs to ensure the quality of staff knowledge skills. Introduces new techniques/innovation based on advanced practice trends.• May serve as a preceptor to graduate healthcare students.• Provides consultation to physicians, nurses other heath care providers in meeting care needs of individual or groups of patients in both outpatient inpatient settings.• Makes recommendations to change standards of care or standards of practice based on own research or the research of others. Defines implements best nursing practices.• Assists in interviewing staff provides input into evaluations regarding clinical competence provides coaching counseling.• Participates consults in setting the direction for QAI monitoring, establishing standards evaluating outcomes.• Collects analyzes data regarding patient care outcomes, trends, morbidity mortality.

Job Title: Clinical Nurse Specialist Acute Company: Mercy General Hospital Location: Sacramento, CA Description: TITLE (REQ ID):  Clinical Nurse Specialist Acute & Critical Care * (88496) DEPARTMENT: Nursing Educators EMPLOYMENT TYPE: FULL TIME SHIFT:  DAY   HOURS PER PAY PERIOD:  80 SHIFT HOURS:  8HOUR FACILITY:  METHODIST HOSPITAL SACRAMENTO LOCATION:  SACRAMENTO, CA FACILITY INFORMATION Methodist Hospital serves the Sacramento southern suburbs, including Elk Grove, Laguna Creek and Galt communities. Located in one of the fastest growing areas of Sacramento, Methodist employs more than 700 people to serve the, more than, 7,000 patients seen annually. Built in 1973, Methodist has a state of the art Family Birth Center, an active Occupational and Physical Therapy Department, that includes a Hand Therapy Program, and plans on expanding the Emergency Department to continue to support the growing needs of the community. For more information about Methodist hospital, visit us at www.methodistsacramento.org. POSITION REQUIREMENTS Responsible for contributing to the health of our community by providing quality services in a compassionate and cost-effective manner. As defined by the Nurse Practice Act, the CNS has five component areas of competency and practice: Expert Clinical Practice, Education, Research, Consultation, and Clinical Leadership. Current California RN License Master?s Degree in Nursing. 2 years of experience as a CNS in an acute care hospital preferred. Emergency/critical care experience preferred. Current certification as Clinical Nurse Specialist in the State of California is preferred, CCRN preferred. - Advanced medical and surgical nursing - Regulatory/accreditation agency standards - Effective oral and written communication skills - Staff development and needs assessment techniques - Current trends and issues in nursing - JCAHO, Title 22, Nurse Practice Act and other standards - CQI and QA methodologies ~cb~02-18-2010

Job Title: Clinical Nurse Specialist Company: Location: Livermore, CA Description: DUTIES: Responsible for directing/managing an integrated population of sub acute and palliative care patients. Actively participate in evaluating the practice of the sub acute and hospice programs based on regulatory standards. Coordinate the Skin Management Program including ordering specialty beds and supplies. Provide leadership to validate and improve the practice in the Sub Acute and Hospice programs. Participate in the screening of patients for admission to the Sub Acute unit. Responsible for staff training including development of annual clinical competencies and unit orientation. As unit Clinical Nurse Specialist, write nursing text orders and consults to other services. Participate with the interdisciplinary care planning process.