Registered Nurse - Advanced Practice Nurse
$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.
- Three years of recent experience in a specialty clinical area is required.
- If assigned to the NICU, 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.
- The candidate must demonstrate critical thinking, creative thinking, and creative problem-solving skills.
- The candidate must be self-motivated and able to work independently and cooperatively within a team.
- Excellent customer service and communication skills are required.
- The candidate must be comfortable and confident in public speaking.
- The candidate must be detail-oriented and able to handle high-volume work and multiple task assignments in an organized fashion.
- The candidate must demonstrate the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area, including growth and development needs specific to patients' and families' cultural, linguistic, spiritual, gender, and age circumstances, and must effectively communicate and provide care as reflected in the Plan for Provision of Care.
Responsibilities
- Demonstrate knowledge and understanding of Joint Commission standards; California's Nursing Practice Act; applicable sections of California Title 22 and 16 and other regulations; applicable federal guidelines and regulations, including HIPAA; American Nurses Association Scope and Standards of Practice; policies and procedures for the specialty area; and national standards for the specialty area.
- Use patient knowledge and assessments to design, implement, and evaluate specialty-related plans of care, applying advanced theoretical and empirical knowledge of physiology, pathophysiology, pharmacology, and health assessment.
- Assess and intervene in complex health care problems within a 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 and population-based programs of care to achieve high-quality, cost-effective outcomes.
- Serve as a leader, consultant, mentor, and change agent to advance nursing practice among nurses and across organizations and achieve outcomes.
- 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 optimal 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 innovative evidence-based interventions, best-practice guidelines, and modifications to professional standards and organizational policies that direct care by nursing personnel and other health care providers.
- Evaluate clinical practice standards with appropriate disciplines in the specialty area; use clinical inquiry and research in an advanced specialty area; promote evidence-based practice; use a Plan-Do-Study-Act performance improvement model; evaluate and develop evidence-based clinical policies and procedures; review specialty practice standards and national guidelines for currency and appropriateness; and participate in organizational and division journal clubs.
- Lead multidisciplinary groups to facilitate collaboration across disciplines and the continuum of care, and perform consultative functions.
- 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 as needed, Professional Practice Council meetings 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 evaluate technology, products, and devices appropriate to the specialty area.
- Maintain expert clinical competence by staying current with specialty literature and following Kaweah Health policies, including Institutional Review Board policies, when conducting research; submit specialty-related research data for publication.
- Demonstrate professional citizenship and fiscal responsibility by focusing on health policy and resource management to support quality, cost-effective nursing care.
- Collaborate with Nurse Managers, Nursing Directors, the Director of Nursing Practice and Professional Development, the Nursing Professional Development Department, and other health care providers to assess and coordinate education that ensures nursing staff clinical competency.
- Collaborate with staff on complex nursing issues and with the Medical Director on research and development of evidence-based policies and protocols.
- For the specialty service line, work with the area Nursing Director to manage and monitor strategic direction for optimal, efficient, cost-effective care.
- Partner with health care providers and clinical staff to develop an internal marketing strategy for the specialty, identify referral candidates, facilitate referral relationships, and collaborate with the Marketing Department on internal and external marketing strategies for specialty programs 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, use appropriate communication channels across departments, and report and track utilization and outcomes against regional, state, and national benchmarks.
- Represent the service line or specialty at department, hospital, and community events.
- For the Community NICU CNS role, direct clinical nursing practice in the NICU; coordinate and assess critical care educational development and nursing staff clinical competency; maintain neonatal critical care competency through education for newly hired and experienced staff; consult on complex neonatal critical care nursing issues; oversee parent or primary caretaker education; and ensure coordinated, effective discharge planning.
- For the Diabetes role, medically manage inpatients, report inpatient program quality outcomes, and serve as the primary clinical liaison and resource for physicians, health care providers, and administrative staff.
- For the Diabetes role, translate Kaweah Health's mission, goals, and objectives into a structured approach to excellent service, high-quality care, and fiscal integrity; provide vision and leadership for diabetes care and continuous quality improvement; and secure engagement from medical staff, hospital executives, and units through performance feedback.
- For the Diabetes role, provide inpatient diabetes medical consultation, including proactive monitoring for glycemic outliers and protocol nonadherence, and direct consultation for primary teams, nurses, and patients.
- For the Diabetes role, maintain familiarity with Joint Commission recognition standards and evidence-based practices of the American Diabetes Association and American Association of Clinical Endocrinologists, and continually review program processes for compliance across all sites.
- For the Diabetes role, maintain specialty competency and education skills to serve as a resource to team members, physicians, and other staff.
- For the Diabetes role, actively participate in the Kaweah Health Diabetes Management Committee and contribute to inpatient diabetes protocols, care paths, and order sets to support glycemic management best practices across care settings.
- For the Diabetes role, coach, mentor, conduct peer review, and guide health care providers in diabetes care.
- Identify opportunities to improve patient and customer experience and participate in service-delivery and satisfaction improvement projects and programs.
- 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