Full-Time
Graduate Registered Nurse Anesthetist
Posted on 10/31/2025
Kaiser Permanente
10,001+ employees
Integrated healthcare provider and payer platform
No salary listed
Riverside, CA, USA
In Person
Full-time on-site in Riverside; rotating weekends/holidays and on-call.
 Medical, Clinical & Veterinary (1) |
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- Education: Graduate of an educational program in Nurse Anesthesia accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs and Schools by date of hire.
- License, Certification, Registration: Registered Nurse License (California).
- License, Certification, Registration: Certified Registered Nurse Anesthetist (California) within 5 months of hire.
- License, Certification, Registration: Advanced Cardiac Life Support required at hire from American Heart Association.
- License, Certification, Registration: Basic Life Support required at hire from American Heart Association.
- Experience: New Graduate. Experience in anesthesia for major procedures involving extensive monitoring and fluid, blood, and electrolyte replacement for various age group patients.
- Additional skills: GRNAs must demonstrate both technical/clinical and professional skill and ability along with all related techniques and procedures within the scope of practice as defined by the State of California Department of Consumer Affairs.
- Additional requirements: Charting and documentation, knowledge of equipment and supplies, productivity, job and personal maturity communication, and education and staff development.
- Administers anesthesia to all age groups.
- Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws.
- Complies with organizational rules, policies and procedures (i.e. TJC, Title 22, Regional and Department requirements).
- Evaluates patients pre-operatively by interviewing and examining patient.
- Reviews chart for relevant information.
- In collaboration with MD selects anesthetic for patient based on pre-operative examination.
- Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of each age group served: neonatal, pediatric, adolescent, adult and geriatric.
- Selects anesthetic for patient based on pre-operative examination.
- Evaluates patients response to pre-medication.
- Communicates with surgeon and physician anesthesiologist regarding special concerns of patient.
- Checks anesthesia equipment daily and between cases to assure safe operating condition.
- Prepares drugs for administration.
- Administers anesthesia in accordance with delineated clinical privileges and any conditions or restrictions imposed thereof.
- Monitors the patient intraoperatively.
- Evaluates operative and post-operative condition of patient and takes necessary action to maintain stability.
- Evaluates the patients postoperatively (within 24 hours).
- Maintains an accurate accounting of controlled substances in accordance with departmental guidelines.
- Maintains equipment and supplies as outlined in department policies and procedures.
- Complies with organizational rules, policies and procedures (i.e. TJC, CAC Title 22, Regional and Department requirements).
- Establishes and maintains courteous and cooperative relations when interacting with public, patients, staff and other personnel.
- May perform other duties within scope of licensure/certification as required.
- Note: Must be able to work within an Anesthesia team model, work with MDAs, CRNAs and Anesthesia TECHs.
- General and Regional administration, deep sedation, Hemodynamic monitoring, use of all Anesthesia related equipment, communication skills and a team player.
Kaiser Permanente runs an integrated healthcare platform that lets members manage and pay medical, premium, and pharmacy bills online. It serves Medicare Advantage, Individual and Family, and non-employer plans, offering options to pay as a guest or set up payment plans. The platform works by presenting a centralized online portal where users can view bills, choose how to pay, and handle multiple types of charges in one place. Revenue comes from premiums and medical services fees, while the service aims to reduce administrative work for both providers and patients and encourage on-time payments. What sets Kaiser Permanente apart is its combination of healthcare services with a single billing experience across multiple plan types, focusing on a user-friendly, centralized payment process rather than handling billing through separate systems. Its goal is to provide a straightforward, reliable way for members to manage and pay their bills, improving convenience and payment timeliness.
Company Size
10,001+
Company Stage
Grant
Total Funding
$7.5M
Headquarters
Oakland, California
Founded
1945
Simplify's Take
What believers are saying
- New hospital construction in San Francisco, Oregon, and San Bernardino increases capacity and modernizes facilities.
- All-electric hospital design reduces operational costs and attracts environmentally conscious Medicare Advantage members.
- Expanded inpatient partnerships like Apple Valley collaboration improve care coordination and member retention.
What critics are saying
- 31,000 workers across 500+ facilities striking over wages and staffing through March 2026 disrupts operations.
- Mental health therapists rejecting AI integration threatens behavioral health services for millions of members.
- Sutter Health's Van Ness hospital operational since 2019 captures market share from Kaiser's aging facilities.
What makes Kaiser Permanente unique
- Integrated managed care model combines insurance, hospitals, and physicians under unified ownership.
- Expanding hospital infrastructure with three new all-electric facilities across West Coast through 2033.
- 12.6 million members across nine states provides scale for negotiating pharmaceutical and provider costs.
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FFLC settles COVID lawsuits against Kaiser Permanente. The lawsuit filed by the Founding Freedoms Law Center (FFLC) last year against Kaiser Permanente on behalf of three women fired because of their religious objections to taking the COVID-19 shot has now been settled for all three plaintiffs. While the terms of the settlement are confidential, FLLC and its clients are pleased with the results. Each of the women - Marisol Gates, Moira David, and Zena Reeves - is a faithful adherent to Protestant or Catholic religious beliefs, which prevented them from taking the COVID shot that was mandated by their former employer. It should have been easy for Kaiser Permanente to accommodate their faith as required by state and federal law, as they each worked from home and posed no risk to their employer. Nevertheless, their religious accommodation requests were denied, and they were fired. With their case now settled, its clients are able to finally put this behind them and move forward. FFLC was honored to represent them, and Founding Freedoms Law Center stand ready to represent others who have faced unlawful discrimination because of their faith.
Administrative failures may be driving up the cost of Medicare. April 12, 202615:25 hs Reading 4 min New findings highlight structural pressures within a major federal program, raising concerns about long-term cost sustainability. The long-standing promise of Medicare Advantage has been simple: expanded benefits at a lower cost to taxpayers. But new analysis suggests that the reality may be moving in the opposite direction. A recent report from the Joint Economic Committee (JEC) indicates that administrative practices within private Medicare plans are contributing to higher overall program costs - costs that are ultimately being passed on to beneficiaries. At the center of the issue is a growing gap between the cost of Medicare Advantage and traditional Medicare. According to the report, private plans are now costing the federal government approximately 20% more per enrollee than original Medicare for comparable coverage. This discrepancy is not only affecting federal spending but is also directly influencing the premiums paid by millions of Americans. How overpayments are passed to beneficiaries. The JEC's study, titled "The Part B Premium Pass-Through," outlines how increased spending within Medicare Advantage translates into higher costs for all enrollees. Because Medicare Part B premiums are designed to cover roughly 25% of total program costs, any rise in spending - including overpayments to private plans - automatically results in higher premiums. In 2025, these overpayments increased Part B premiums by an average of $212 per enrollee, adding approximately $13.4 billion in total premium costs. Importantly, these increases affect all beneficiaries, regardless of whether they are enrolled in Medicare Advantage or traditional Medicare. For most seniors, who have their Part B premiums deducted directly from Social Security payments, this dynamic effectively reduces their monthly income. The financial impact is therefore not abstract - it is immediately felt in reduced take-home benefits. Looking ahead, the JEC warns that this "premium pass-through" effect could intensify. By 2035, projections suggest that as much as $450 of an individual's annual Part B premium could be attributed solely to Medicare Advantage overpayments. Administrative drivers behind rising costs. The report identifies two key administrative practices contributing to these higher costs: coding intensity and favorable selection. Coding intensity - often referred to as "upcoding" - occurs when insurers document additional or more severe diagnoses for enrollees, which increases the risk-adjusted payments they receive from the government. Favorable selection, on the other hand, reflects the tendency of Medicare Advantage plans to attract healthier individuals while still receiving payments benchmarked against the higher average costs of traditional Medicare populations. These practices have drawn increasing scrutiny from regulators. In January 2026, affiliates of Kaiser Permanente agreed to a $556 million settlement to resolve allegations brought under the False Claims Act. The U.S. Department of Justice alleged that the organization inflated Medicare Advantage reimbursements by submitting unsupported diagnosis codes and encouraging retrospective documentation adjustments. While the case was settled, no admission of wrongdoing was made. The JEC report suggests that these types of administrative behaviors are central to understanding why Medicare Advantage costs have diverged from expectations. Uneven impact across states. Although Part B premiums are standardized nationwide, the distribution of costs linked to Medicare Advantage varies regionally. States with higher enrollment in private plans - such as Florida (56%), Alabama (59%), and Michigan (62%) - generate a larger share of total overpayments. At the same time, residents in states with lower participation rates, including Wyoming (18%), Vermont (32%), and Alaska (3%), still pay the same premium increases. This creates what the report describes as a form of financial redistribution, where individuals in lower-enrollment states effectively subsidize the enhanced benefits offered in higher-enrollment regions. This imbalance underscores a broader policy concern: while the cost per person remains consistent, the underlying financial flows differ significantly depending on geographic participation patterns. Long-Term implications for Medicare sustainability. The widening gap between Medicare Advantage and traditional Medicare spending raises questions about the long-term sustainability of the program. Without structural changes, the JEC projects that the financial pressure on Part B premiums will continue to grow. This trend is already visible. Part B premiums rose nearly 10% between 2025 and 2026, and projections from the Medicare Trustees suggest premiums could reach $347.50 by 2034. As these costs rise, they place increasing strain not only on beneficiaries but also on the Supplemental Medical Insurance trust fund, which relies on both premiums and general tax revenue. For retirees living on fixed incomes, the stakes are particularly high. Rising premiums directly reduce available income, while broader fiscal pressures may limit future policy flexibility. The findings from the Joint Economic Committee point to a system in need of reassessment. While Medicare Advantage continues to offer expanded benefits and remains popular among enrollees, its current cost structure may be undermining broader program stability. Addressing these challenges will likely require policy changes aimed at aligning payments more closely with actual care costs. Until then, the financial burden associated with administrative inefficiencies may continue to fall on beneficiaries - both directly through premiums and indirectly through the broader tax system. Visit its website for more news __________________________ Disclosure: Some images used in this article were created with artificial intelligence and are for illustrative purposes only. They do not depict real products, brands, or specific situations. Irma León has eight years of professional experience, consolidating four years of experience in in-depth analysis of personal finances and the US economy. She has a bachelor's degree in investigative journalism, giving her a rigorous foundation for documenting and verifying complex data and news. Her field experience is grounded in direct coverage of national and local issues crucial to the American public, including monitoring Social Security policies, the impact of Internal Revenue Service (IRS) regulations, the Fed, Central Bank, and White House, tariffs and consumer prices and regulations, as well as key adjustments to the Medicare, Medigap, and ObamaCare systems, among other healthcare coverage. This commitment is also reflected in immigration issues related to USCIS, personal finances, technology, current events, and direct issues related to mortgages, credit, loans, credit cards, retirement accounts such as Roth plans, 401(k)s, and IRAs, investments, stimulus checks and social programs, travel, discounts and offers, and, of course, the automotive sector. León stands out for his focus on interacting with readers and addressing direct questions from the audience, using these inquiries to guide his in-depth research on policies related to the family economy and what truly interests millions of readers.
Memorial Hermann Health System appoints Desiree Gandrup-Dupre, Senior Vice President, Information Systems Division. Desiree Gandrup-Dupre CONTRIBUTED PHOTO Posted Thursday, April 9, 2026 2:47 pm CONTRIBUTED REPORT Memorial Hermann Health System announced March 30 that Desiree Gandrup-Dupre has been appointed Senior Vice President and Chief Information Officer, effective Apr. 13, 2026. In this role, Gandrup-Dupre will join the system's executive leadership team and lead the operational management of the Information System's Division while advancing the implementation of technologies that elevate high-value care delivery. Recognized for her deep expertise in digital strategy and tech-enabled care ecosystems, Gandrup-Dupre brings more than two decades of leadership in transformational health care technology to Memorial Hermann. "We look forward to welcoming Desiree to Memorial Hermann and the executive leadership team," said Alec King, Executive Vice President and Chief Financial Officer of Memorial Hermann. "Through her leadership, we will further establish our Information Systems Division as an essential partner in enabling technology transformation that supports our patients, physicians and workforce." Gandrup-Dupre joins Memorial Hermann from Kaiser Permanente, where she served as Senior Vice President of Care Delivery and Technology Services, leading large-scale technology transformation initiatives that modernized systems at scale and strengthened integration across care settings. Through her leadership, the system architected an enterprise-wide digital strategy that streamlined patient experiences and improved efficiency for clinical staff. "I am honored to join Memorial Hermann at a time when health care is evolving rapidly," said Gandrup-Dupre. "We have an extraordinary opportunity to accelerate technology transformation that advances care delivery, empowers patients and supports employees." Throughout her career, Gandrup-Dupre has been recognized nationally for her leadership in healthcare technology. She is a five-time CIO 100 Award recipient, a two-time Stevie Award recipient and is a recognized voice at global forums, including Reuters, VIVE, HIMSS and Digital Health Now. Other items that may interest you
Kaiser Permanente begins construction on hospital tower in Oregon. by Gus Iversen, Editor in Chief | April 06, 2026 Kaiser Permanente has started construction on a new hospital tower at its Sunnyside Medical Center in Clackamas, Oregon, with completion expected in 2029. The project will add a seven-story, 615,000-square-foot facility to the campus and is designed to operate as a fully electric hospital, a first in the state. The building is also targeting LEED Gold certification, part of the Oakland, California-based health system's broader sustainability efforts. The expansion is intended to increase capacity and modernize care delivery at the medical center, which first opened in 1975 and now employs more than 2,300 clinicians and staff. The site includes regional programs in neurosurgery, cancer care, cardiovascular services, and a Level III neonatal intensive care unit. MIT labs, experts in Multi-Vendor component level repair of: MRI Coils, RF amplifiers, Gradient Amplifiers Contrast Media Injectors. System repairs, sub-assembly repairs, component level repairs, refurbish/calibrate. [email protected]/+1 (305) 470-8013 According to Kaiser Permanente, the new tower will include private patient rooms throughout, expanded emergency department capacity, and updated surgical and imaging capabilities. Plans also call for integrated telemedicine functionality and redesigned clinical spaces aimed at supporting team-based care. "This new hospital tower is a direct investment in their ability to continue that work," said Leong Koh, M.D., executive medical director of Northwest Permanente. "Designed for team-based care, advanced technology, and a healing environment, it will give our patients the privacy, safety, and comfort they deserve while supporting our clinicians in delivering the best possible outcomes." The project reflects a growing focus among health systems on reducing environmental impact through building design and energy use. Kaiser Permanente said the fully electric infrastructure is expected to significantly lower the facility's carbon footprint. Construction is projected to support more than 600 jobs at peak activity. Once the new tower opens, the existing hospital building is expected to be replaced with parking and outdoor spaces. Sunnyside is one of two Kaiser Permanente hospitals serving Oregon and southwest Washington, alongside Westside Medical Center in Hillsboro.
FranklinCovey provides customized solutions for Healthcare Organizations to solve key issues: nurse retention and Patient satisfaction. It's a proven partnership model helping hospital leaders build teams that deliver extraordinary patient outcomes. SALT LAKE CITY-(BUSINESS WIRE)-#CNO - FranklinCovey (NYSE: FC), a global leadership and organizational performance partner, is providing customized solutions for healthcare organizations to address the most pressing challenges they face today, including nurse retention and patient satisfaction. FranklinCovey is partnering with hospital leaders to help them build teams that deliver extraordinary patient outcomes. And the documented results are exceptional. Today's hospital leaders face unprecedented disruption. Rising costs, workforce shortages, advancing AI, regulatory shifts, employee burnout, cybersecurity threats, and supply chain disruptions are converging simultaneously - all while leaders are expected to accomplish more with fewer resource without compromising patient care. Paul Walker, FranklinCovey CEO, said, "The key for senior hospital leaders is to focus on what really matters - great patient outcomes, which are driven by high employee engagement and consistent execution. By building agility and trust, embracing emerging technologies, and creating a cadence of consistent execution, these leaders can help their teams effectively navigate change, reduce burnout and disengagement, and improve patient satisfaction." "The demands on CNOs and nurse leaders today are extraordinary," said Holly Procter, FranklinCovey Enterprise President and former CRO of Incredible Health. "They're asked to transform care delivery, retain talent, and improve outcomes all at once, often with fewer resources. But when they foster trust and collaboration and manage change effectively, their teams push through uncertainty and find new ways to grow, care, and achieve greatness. We're honored to partner with them and bring decades of healthcare experience to help them achieve outcomes that matter most." FranklinCovey's Partnership with Healthcare Organizations Yields Exceptional Outcomes FranklinCovey has partnered with numerous healthcare organizations to achieve measurable, documented results, including Baptist Health, Sanford Health, Ballard Health, Kaiser Permanente, Advent Health and Hoag Hospital. (See healthcare case studies.) * Improved in-patient satisfaction from 26th to 76th percentile within four months (Not-for-profit healthcare network) * 50% reduction in leadership turnover (Advent Health) * 50% increase in employee engagement and 37% increase in team trust (500+ bed hospital system) * 52% reduction in perioperative incidents (Metropolitan area hospital) * Moved Press Ganey scores (among all hospitals) from 14th to 95th percentile in one quarter (100+ bed medical center) Procter said, "FranklinCovey continues to deepen its impact in healthcare by helping hospital systems solve their most pressing challenges, and documenting the outcomes that prove it's working." FranklinCovey Will Offer Complimentary Webcasts and Events for Senior Hospital Leaders to Help Them Build Cultures of Trust, Drive Workforce Engagement, and Create Consistent Patient Experiences The webcasts and events for senior hospital leaders will be held in April and May in major US cities. They will feature New York Times and #1 Wall Street Journal bestselling author Stephen M. R. Covey, author of The Speed of Trust and Trust & Inspire, who has partnered with over 100 healthcare organizations worldwide to achieve strategic objectives. Other presenters will include senior healthcare professionals and consultants. Attendees will learn the principles and practices that build cultures of trust, drive workforce engagement, and create consistent patient experiences. The High Trust Hospital: How Great Leadership Drives Workforce Engagement and Patient Experience * Date: April 7, 12:00 pm - 1:30 pm ET * Key Takeaways: Learn how to close the trust-driven leadership performance gap - transforming communication, culture, and team engagement to improve retention, reduce costs, elevate patient experience, and deliver measurable workforce results. * Presenters: * Stephen M. R. 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Nolfe has served Loma Linda University Health since 2005 and oversees all clinical operations for Loma Linda University Children's Health. * Registration: https://www.franklincovey.com/events/webcast-series/excellence-as-the-standard/ LIVE EVENTS The High Trust Hospital: How Great Leadership Drives Workforce Engagement and Patient Experience * Cities and Dates (events run from 8:30 am - 10:30 am): * Atlanta: April 21 * Los Angeles: April 23 * Houston: April 28 * Dallas: April 29 * Chicago: May 5 * Key Takeaways: Learn how to close the trust-driven leadership performance gap - transforming communication, culture, and team engagement to improve retention, reduce costs, elevate patient experience, and deliver measurable workforce results. * Presenters: * All Cities: Stephen M. R. Covey, New York Times and #1 Wall Street Journal bestselling author * Los Angeles: Dr. Anthony Hilliard, CEO, MD FACC of Loma Linda University Health Hospitals, who leads a six-hospital system. He will share the principles they utilized to move their hospital from the 40th to the 85th percentile in patient experience and sustained it. * Houston: Rafia Saqib, MSBE, MBA, LSSGB, a director and leader from MD Anderson, who will share how their organization uses trust-centered leadership and predictable execution to strengthen culture and elevate results. Steve Sosland, former COO of a rural Texas hospital and former Vice Chancellor for Leader and Culture Development at Texas Tech University System, will share how he led his organization to receive the Malcolm Baldridge National Quality Award by building a culture rooted in trust, accountability and shared purpose. * Dallas: Dr. Brennan Lewis, DNP, APRN, PCNS-DC, NEA-BC, Senior Vice President of Nursing Excellence, Innovation, and Patient Experience at Children's Health. With more than 23 years of progressive nursing and leadership experience, she will share how Children's Health has applied leadership principles to strengthen culture and accelerate results. * Registration: Seating is limited. To request an invitation to these exclusive live events for senior hospital leaders, email [email protected]. About FranklinCovey FranklinCovey (NYSE: FC), a global leadership and organizational performance partner, gives strategy the human edge. HealthTech HotSpot LLC help clients achieve breakthrough results and transform how they execute strategy at scale. Its Enterprise and Education Divisions develop high-performing leaders at all levels of the organization and align people around purpose and priorities. Through proven, principle-centered frameworks and practices, HealthTech HotSpot LLC build high-trust leaders, teams, and cultures and help organizations translate strategy into consistent execution. Its approach enables lasting, repeatable results by helping clients identify, align, and execute their most important priorities. This approach has been tested and refined through more than 40 years of work with tens of thousands of leaders and organizations - from Fortune 100 and 500 companies to small and mid-sized businesses, as well as educational institutions and government entities. HealthTech HotSpot LLC provide professional services in over 160 countries and territories through directly owned operations and licensee partners, serving both enterprise and education clients. Its solutions are delivered through the FranklinCovey All Access Pass(R) and Leader in Me(R) subscriptions which combine world-class content and tools with the trusted expertise of consultants, coaches, and facilitators and are available in multiple modalities and in more than 20 languages. Media Contact: FranklinCovey, Debra Lund, Phone: 801-244-4474, Email: [email protected] March 28th, 2026 March 27th, 2026