Kaweah Health

Kaweah Health

Non-profit hospital system delivering trauma care

Charge Nurse - Acute Dialysis

Full-Time
$50.24 - $75.36/hr
Mid
Bachelor's, Master's
Visalia, CA, USA
In Person

About the job

Requirements
  • A California Registered Nurse license is required.
  • Basic Life Support certification is required.
  • Kaweah Health-approved crisis intervention training must be completed within 60 days of hire or transfer.
  • The role must provide care appropriate to the population served, including patient and family cultural, linguistic, spiritual, gender, and age-specific needs.
  • If assigned to Emergency Department, Intensive Care Unit, Intermediate Critical Care Unit, Cardiovascular Intensive Care Unit, Cardiac Services, Medical Telemetry 4T, Post-Anesthesia Care Unit, Ambulatory Surgery Center, or Catheterization Laboratory, Advanced Cardiovascular Life Support certification is required within one year of hire or transfer.
  • If assigned to Neonatal Intensive Care Unit, Obstetrics, or Labor and Delivery, Neonatal Resuscitation Program Provider certification is required within six months of hire or transfer.
  • If assigned to Pediatrics, Pediatric Advanced Life Support certification is required within six months of hire or transfer.
Responsibilities
  • Provide oversight of efficient operations to protect and promote health, prevent illness and injury, and alleviate suffering through nursing diagnosis and treatment.
  • Provide high-level leadership and oversee the interdisciplinary healthcare team to deliver holistic care and advocate for patients and families.
  • Serve as the primary clinical resource for staff on the assigned unit.
  • Model professional practice and mentor staff.
  • Represent unit leadership in the absence of the Assistant Nurse Manager, Nurse Manager, or Director.
  • Provide leadership and support through problem solving and decision making.
  • Provide clinical assessment, clinical, and professional support to staff.
  • Advocate for patients and line staff and support shared decision making.
  • Support nurse preceptors and new employees during orientation.
  • Orient float staff to the unit and help them integrate into the team.
  • Provide input on employee evaluations.
  • Prepare and adjust staff assignments based on staff abilities and patient needs.
  • Prioritize care according to patient needs and acuity.
  • Assign admissions and arrange transfers in coordination with the House Supervisor, Bed Coordinator, or Manager.
  • Ensure shift report starts on time using the bedside handoff process.
  • Monitor breaks to maintain adequate staffing.
  • Determine staffing needs for the next shift and communicate them to the Staff Facilitator or Nursing Supervisor.
  • Assign staff to complete equipment checks, including PCX controls, crash cart, refrigerator temperatures, red books, and narcotic counts.
  • Set clear expectations and communicate them to the team in accordance with unit goals.
  • Make shift decisions aligned with team goals.
  • Collaborate within and across units to support patient and fiscal outcomes, including flexing staff according to patient census.
  • Coordinate collaboration among staff, physicians, other providers, and departments involved in patient care.
  • Facilitate nurse-physician collaboration through professional communication, including SBAR and rounding.
  • Support, oversee, and coach team members regarding the work environment, patient care, and physician relations.
  • Coordinate care during high-risk and emergent situations and notify the Nurse Manager, Director, or Nursing Supervisor about critical patients and unit issues.
  • Ensure patient-care issues are documented and reported and ensure the appropriate nurse completes a Statement of Concern.
  • Promote a positive and professional environment for internal and external customers.
  • Follow Medical Staff and Kaweah Health chain-of-command procedures.
  • Provide employee guidance and alert the Nurse Manager when counseling is needed.
  • Provide patient care as needed or requested and perform the duties of a Registered Nurse.
  • Make fiscally responsible decisions regarding staffing and patient supplies.
  • Maintain awareness of regulatory compliance and perform assigned audits and reporting.
  • Perform other assigned duties.
Desired Qualifications
  • A nationally recognized specialty certification through the Core Curriculum Pathway is preferred.
  • A Bachelor of Science in Nursing, Master of Science in Nursing, or current enrollment in an RN-to-BSN program is preferred.
  • At least two years of Registered Nurse experience in the specialty area 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

Get referred to Kaweah Health

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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

Growth & Insights and Company News

Headcount

6 month growth

↑ 8%

1 year growth

↑ 8%

2 year growth

↑ 8%
The Valley Voice, LLC
Mar 6th, 2026
Kaweah Health board appoints Jonna Schengel as Zone 2 representative.

Kaweah Health board appoints Jonna Schengel as Zone 2 representative. The Kaweah Health Board of Directors has appointed Jonna Schengel, PT, MA, Ed.D., to serve as the Zone 2 representative, filling the seat vacated by the retirement of Lynn Havard Mirviss, RN, Ed.D. Schengel will serve out the remainder of the term through Dec. 4, 2026. Schengel is currently the Dean of Career Technical Education (CTE) and Workforce Development, Industry and Technology, Manufacturing, Nursing and Allied Health at College of the Sequoias (COS). Selected from a pool of highly qualified candidates, she brings extensive expertise in healthcare education and workforce development to the board. A Visalia resident since 1991, Schengel has deep roots in the local healthcare community. She worked as a physical therapist and founded Central California Physical Therapy Specialists before selling the practice in 2011. At COS, she developed the physical therapist assistant program and significantly expanded the nursing program, further demonstrating her commitment to building the regional healthcare workforce. "I understand how important Kaweah Health is to the vitality of the Central Valley, not just for the employees who work here, but also for the patients," Schengel said. "Ultimately, I want Kaweah Health to be the premier provider of healthcare in the Central Valley." With her strong background in health sciences and educational leadership, Schengel looks forward to contributing her experience, perspective, and commitment to supporting the mission and future of Kaweah Health. Kaweah Health is the community name for the Kaweah Delta Health Care District, a public hospital district serving the greater Visalia area. The district covers 183 square miles, encompassing all of Visalia and Goshen and parts of Ivanhoe and Farmersville. The district is divided into five equally populated zones, each represented on the board by a locally elected member. Board members serve four-year terms and may run for re-election without limit.

KVPR
Jan 29th, 2026
Kaweah Health graduates nursing staff as shortage plagues county

Kaweah Health graduates nursing staff as shortage plagues county. VISALIA, Calif. - Kaweah Health has graduated an inaugural class of nurses under a new partnership that seeks to address a shortage in Tulare County. In 2020, the hospital partnered with Unitek College, an institution that offers higher education in medicine and nursing throughout the country. It has physical campuses in California, Nevada, and New Mexico. Thirteen graduates received their Bachelor of Science in Nursing degrees this month. The new nurses come at an opportune time, as there has been a decline in the number of people working in hospitals across the nation and the Central Valley. The COVID-19 pandemic left significant impacts in the medical field - like stress and excessive workloads - which made the nursing shortage worsen... Kaweah Health officials say the hospital faced a 25% nursing shortage in 2021. That figure sparked the urge to close the gap and improve nurse capacity in the county. The college proposed creating a program within Kaweah Health for prospective nurses who are interested in studying and working at the same time. Dianne Cox, chief human resources officer at Kaweah Health, says the nursing shortage at its hospital is now 7%. "We have 70 vacancies of registered nurses and about 1000 direct patient care registered nurses positions available. We're doing very well with recruitment and retention," Cox said. "We really believe that we will have solved our nursing shortage in Visalia and Tulare County." The program is primarily available to hospital employees, though there are some exceptions. To apply, employees must go through a testing process and provide references. Currently, 160 employees are enrolled. After the 13 graduates who completed the program this month, the hospital expects roughly 50 participants will graduate each year after. Interim Chief Nursing Officer Scott Baker says this program has great potential, especially since it could help fill vacancies by nursing staff who will soon retire. "As we grow this program, and as we hire more of these nurses, this is going to feed the hospital," Baker said. "Having this pool of nurses to pull in will refresh that, and as we grow them into clinical experts, it really balances out what we're going to be losing." Kaweah Health has also partnered in recent years with Porterville College and San Joaquin Valley College's radiologic technology program to boost training and medical staffing.

YourCentralValley.com
Feb 27th, 2025
WATCH: Kaweah Health and Award Winning Spine Surgery in the Central Valley

FRESNO, Calif. (KGPE) - Kaweah Health was recently recognized as being a top 100 hospital in the nation for spine surgery by Healthgrades.

The Valley Voice, LLC
Oct 6th, 2023
Kaweah Health named in employment discrimination case

Kaweah Health named in employment discrimination case.

Exeter Chamber
Sep 25th, 2023
Kaweah Health's Open House Journey to Care

You'll learn first-hand why so many have picked Kaweah Health to pursue their career in healthcare, and why Kaweah Health was named Healthgrades® America's 100 Best Hospitals™ for 2023.