Registered Nurse-Advanced Practice Nurse - ICU
$64.81 - $97.21
Mid
Visalia, CA, USA
In Person
Medical, Clinical & VeterinaryAdvanced Practice Providers
About the job
Requirements
- A California registered nurse license is required.
- California licensure as an Advanced Practice Nurse, such as a Clinical Nurse Specialist or Nurse Practitioner, is required.
- Basic Life Support certification is required.
- Three years of recent experience in the specialty clinical area is required.
- For NICU assignments, the three years of recent specialty experience must be in a neonatal nursing care unit, including at least one year in a facility with a NICU equivalent to a Regional (Level III) or Community (Level II) NICU; recent Level III experience is required.
- Excellent written and oral communication skills and effective interpersonal relationships are required.
- Critical thinking, creative thinking, and problem-solving skills are required.
- The role requires knowledge of Joint Commission standards; California's Nursing Practice Act; applicable California Title 22 and 16 requirements and other regulations; applicable federal guidelines and regulations, including HIPAA; American Nurses Association Scope and Standards of Practice; specialty-area policies and procedures; and national specialty standards.
- The role requires knowledge and skills to provide care appropriate to the population served, including awareness of growth and development and patient and family cultural, linguistic, spiritual, gender, and age-specific needs, and the ability to communicate and provide care as reflected in the Plan for Provision of Care.
Responsibilities
- Use patient knowledge and assessments to design, implement, and evaluate specialty-related care plans, applying advanced knowledge of physiology, pathophysiology, pharmacology, and health assessment.
- Assess and intervene in complex health care problems within the selected specialty area.
- Manage populations with disease states and non-disease-based etiologies to improve and promote health care outcomes.
- Consistently collaborate with the interdisciplinary team on the most complex patients within the specialty area.
- Design, implement, and evaluate innovative individual or population-based care programs to achieve high-quality, cost-effective outcomes.
- Serve as a leader, consultant, mentor, and change agent to advance nursing practice and achieve outcomes across organizations.
- Assist with and promote staff development, and assist with formal and informal education classes.
- Use direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes; mentor and coach staff and students.
- Develop high-quality health care standards, assist in implementing standards, facilitate goal-setting and achievement, and evaluate outcomes as a change agent in health care settings.
- Advance nursing practice through evidence-based interventions, best-practice guidelines, and modifications to professional standards and organizational policies that direct care and improve outcomes.
- Use clinical inquiry and research in an advanced specialty practice area and promote evidence-based practice.
- Use a PDSA performance improvement model to improve advanced clinical practice and care.
- Evaluate clinical-practice policies and procedures, develop and review evidence-based policies and procedures, and review specialty standards and national guidelines for appropriateness and alignment with current nursing practice.
- Participate in the organization and division journal club.
- Lead multidisciplinary groups to facilitate collaboration with other disciplines and achieve outcomes across the continuum of care.
- Perform consultative functions and provide clinical expertise and recommendations to physicians, other health care providers, patients, and health care organizations.
- Attend specialty-area staff meetings, Unit Based Council, and Nurse Practice Council meetings on an ad hoc basis; attend Professional Practice Council monthly and appropriate Medical Staff committees.
- Interpret nursing-care resource needs at the system level and provide leadership to ensure the system supports nursing care delivery.
- Select, use, and/or evaluate technology, products, and devices appropriate to the specialty practice area.
- Stay current with specialty literature and collaborate with the Nursing Research consultant.
- Educate and promote the organizational evidence-based practice model (Iowa Model) to improve patient outcomes.
- Follow Kaweah Health policies when conducting research, including Institutional Review Board requirements.
- Submit research data related to the specialty practice area for publication.
- Demonstrate professional citizenship and fiscal responsibility by focusing on health policy and/or resource management to ensure quality, cost-effective nursing care.
- Collaborate with the Nurse Manager, Nursing Director, Director of Nursing Practice, Clinical Education Department, and other health care providers to assess and coordinate education that ensures clinical competency of nursing staff.
- Ensure nursing competency through educational programs for newly hired and experienced nursing staff; consult with staff on complex nursing issues and review education activities provided by the registered nurse.
- Collaborate with the Medical Director on research and development of evidence-based policies and protocols.
- For the specialty service line, collaborate with the area Nursing Director to manage and monitor the specialty's strategic direction to ensure optimal, efficient, cost-effective care.
- Partner with health care providers and clinical staff to develop an internal marketing strategy for the specialty; identify appropriate referral candidates and facilitate referral relationships; and collaborate with the Marketing Department on internal and external marketing strategies as appropriate.
- Assist in preparing, managing, and monitoring the specialty's operational and capital budget.
- Collaborate between the nursing unit and ancillary departments to facilitate problem-solving, and use appropriate communication channels across departments.
- Use available resources to report and track utilization and outcomes against regional, state, and national benchmark data.
- Support professional growth and development through educational programs, professional affiliations, current literature, in-services, workshops, and completion and maintenance of required specialty certifications.
- Represent the service line or specialty at department, hospital, and community events.
- For a Community NICU CNS assignment, direct clinical nursing practice in the NICU and coordinate and assess critical-care education and nursing competency development.
- For a Community NICU CNS assignment, consult staff on complex neonatal critical-care nursing issues, oversee parent or primary-caretaker education, and ensure coordinated and effective discharge planning.
- Perform other duties as assigned.
Desired Qualifications
- For NICU assignments, current NICU certification from a nationally recognized accrediting organization is preferred.
About the company
Kaweah Health is a public, not-for-profit health system based in Visalia, California, serving the Central Valley since 1963. It operates a 581-bed medical center, a large outpatient clinic, and several facilities, offering emergency care, cancer treatment, cardiovascular services, rehabilitation, and other medical services. It is the largest hospital system in Tulare County and a certified trauma center. As a not-for-profit, it reinvests earnings back into the community to fund new services, facilities, and programs, with a strategic focus on accessible, high-quality healthcare. The organization has launched an financial recovery plan, “Operation Back in Black,” to improve finances through revenue enhancement and cost reduction, and partners with Medline to enhance supply chain and operational efficiency. Its goal is to provide broad, high-quality healthcare to its community while strengthening financial sustainability and expanding services as needed.
Company Size
1,001-5,000
Company Stage
Grant
Total Funding
$8.7M
Headquarters
Visalia, California
Founded
1963
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Simplify's Take
What believers are saying
- Kaweah reported $1.1 million profit for fiscal 2026's first six months.
- Vacant-position cuts, not layoffs, helped offset projected $25 million Medicaid pressure.
- Akers Clinic, Tulare therapy, and lab consolidation expand outpatient capacity in 2026.
What critics are saying
- Gary Herbst retires June 30, 2026, forcing a nationwide CEO search during recovery.
- Burger wrongful-death litigation and RN licensing actions spotlight emergency-department failures in 2025.
- One budget shock or payer-rate cut could revive 2023 default fears and closure talk.
What makes Kaweah Health unique
- Visalia's only trauma center and largest Tulare County hospital anchors regional care.
- 2026 youth mental-health expansion adds 22 beds and admits children as young as 12.
- Kaweah's residency, nursing, and clinic pipeline deepens local training and physician recruitment.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Disability Insurance
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Flexible Work Hours