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Community Medical Centers is seeking a Registered Nurse (RN) First Assist for a nursing job in Fresno, California. Job Description & Requirements • Specialty: First Assist, • Discipline: RN, • Duration: Ongoing, • 40 hours per week, • Shift: 8 hours, days Opportunities for you! • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek, • Tuition reimbursement, education programs, and scholarships, • Vacation time starts building on Day 1, and builds with your seniority, • Enroll in DailyPay and access your earned pay on your own schedule, • 403(b) retirement plan with up to 7% matching contributions, • Free parking and electric charging, • Great food options with on-demand ordering Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here. \n\nResponsibilities:\n Community Health Partners, part of Community Health System — the region's largest healthcare system and home to the only Level I Trauma Center — provides trusted, high-quality care within multiple specialties in outpatient settings across the Valley. As an RN First Assistant (RNFA) for Community Health Partners' Urology team, you'll play a vital role in the surgical environment, collaborating directly with surgeons and care teams to support exceptional outcomes and patient experiences. • Provide intraoperative support under the direct supervision of the surgeon, assisting with surgical exposure, hemostasis, and other technical functions to ensure optimal patient outcomes., • Function as a Scrub Nurse or Circulating Nurse when not serving as the RNFA, maintaining readiness to support surgical cases across multiple specialties., • Collaborate closely with multidisciplinary teams to uphold safety, sterile technique, and evidence-based best practices in every procedure., • Contribute to the overall efficiency of the surgical team by anticipating surgeon and patient needs while fostering a collaborative, patient-centered environment. This is a unique opportunity to grow your surgical expertise within an integrated outpatient care setting that values skill, teamwork, and professional growth. \n\nQualifications:\n Education & Experience • Bachelor's Degree in Nursing, Public Health, Physiology, Healthcare or related field required, • Successful completion of an RNFA program that meets the Association of Perioperative RN (AORN) standards required, • Credentialed by the CHS Medical Staff Office as an Allied Health Professional and privileged to perform RN First Assistant standardized procedures required, • 1 year of relevant experience required Licenses and Certifications • RN - Current and valid Registered Nurse license to work within the state of California required, • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required \n\nDisclaimers:\n • Pay ranges listed are an estimate and subject to change., • If any bonuses are noted, they are only applicable to external hires meeting criteria. Community Medical Centers Job ID #2025-45142. Posted job title: RNFA, Urology

Job DescriptionBenefits: • Company parties, • Competitive salary Job Description Summary Supervised By: Registered Nurse The Licensed Vocational Nurse provides direct care to home health patients based on an established plan of care created by the registered nursing in collaboration with the IDT. Care is provided under the direct supervision of a registered nurse in collaboration with the IDT and comprehensive plan of care to provide safe and effective patient care. Roles & Responsibilities • Provides direct care to patients following the home health plan of care, • Submits accurate and timely nursing follow up assessment notes to organization, • Reports to RN any changes in patients condition, • Provides routine and continuous level of care as ordered by IDT, • Performs skilled instruction to patients and families regarding medication administration, management, and treatments, • Provides patients and families with emotional support and therapeutic communication, • Encourages patients and families to participate in the home health plan of care, • Provides patient education regarding disease process, s/s of exacerbation and measures to promote comfort, • Coordinate care with other home health care providers including nursing, therapy and supportive services, such as CHHA, • Provides safe medication administration, reconciliation and home oxygen therapy management and education, • Performed duties as assigned by the registered nurse timely and accurately, • Attends monthly in-services and professional development opportunities, • Follows all agency policies and procedures, including in Infection Control, Emergency management, medication management, emergency management, pain management and overall patient care policies and procedures., • Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in accordance with federal, state and organizational policiesQualifications, • Current LVN license issued from the California Board of Vocational Nursing and Psychiatric Technicians, • At least one year of nursing experience, preferably in home health, homecare or public health nursing., • Has an active CPR Card, • Knowledge and compliance of professional nurse's act and standards of care, • Must have a valid and active drivers license, • Must have car insurance, • Liability insurance is optional, • Must have an automobile in good working condition, • Must have great interpersonal and communication skills, • Must be proficient in the use of computers for computerized clinical documentation

Job DescriptionBenefits: • 401(k), • Competitive salary, • Dental insurance, • Health insurance, • Paid time off, • Training & development Search no further. Compassionate Care Hospice was established to serve our communitys terminally ill, so that their last days on earth are peaceful and dignified. Help us write beautiful final chapters for those in need. We are headquartered in Fresno and services the Central Valley, including the following counties: Fresno, Merced, Madera, Tulare, Kings, Mariposa, Stanislaus, and Kern County. Our top priority is maintaining our culture of respect and love for our patients and team, alike. Our commitment to our core values allows us to be a provider and employer of choice. We understand that our employees are key to providing quality care and are our most important resource. We actively seek career-oriented individuals, to whom we offer job security and upward mobility when appropriate - based on merit and performance. We proudly employ an accomplished team of professionals and our team is as diverse as the communities we serve, representing different ethnicities, religions, ages, national origins, and sexual orientations. Join us today and grow with us! We are currently seeking to fill the Hospice RN Case Manager position. -Position to be performed in Fresno and surrounding areas -Compensation $50-$55/ hr (negotiable, based on experience, etc.). -1 year of experience in Hospice required. Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es)., 2. Provides professional nursing care by utilizing all elements of the nursing process and as defined in the state Nurse Practice Act., 3. Assesses and evaluates patient's status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change., 5. Uses health assessment data to determine nursing diagnosis., 6. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process., 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician's plan of care., 8. Counsels the patient and family in meeting nursing and related needs., 9. Provides health care instructions to the patient as appropriate per assessment and plan., 10. Assists the patient with the activities of daily living and facilitates the patient's efforts toward self-sufficiency and optional comfort care., 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient's condition and care given. Records pain/symptom management changes/outcomes as appropriate., 2. Communicates with the physician regarding the patient's needs and reports changes in the patient's condition; obtains/receives physicians' orders as required., 3. Communicates with community health related persons to coordinate the care plan., 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group., 5. Provides and maintains a safe environment for the patient., 6. Assists the patient and family/caregiver and other team members in providing continuity of care., 7. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver., 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy., 2. Ensures that arrangements for equipment and other necessary items and services are available., 3. Supervises ancillary personnel and delegates responsibilities when required., 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes., 5. Fulfills the obligation of requested and/or accepted case assignments., 6. Actively participates in quality assessment performance improvement teams and activities. Qualifications 1. Graduate of a National League of Nursing accredited school of nursing., 2. Current license in California and current CPR certification., 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of one years' experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred., 4. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order., 5. Management experience not required. Responsible for supervising hospice aides., 6. Self-directed and able to work with minimal supervision., 7. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Employees and patients are equally precious to us. Your happiness is our happiness - we offer you the following benefits for any full-time position: Dynamic, fun, team-oriented work environment Unparalleled company culture Local company with soul Countless growth and development opportunities Flexible Schedules Medical, dental and vision insurance Mileage Reimbursement at current Federal rate Gas reimbursement for those in company cars PTO Paid Holidays Paid Sick Days 401K And so much more! Compassionate Care Hospice has grown into the Valleys leading Hospice establishment. Compassionate Care provides in-home medical, rehabilitative, and support services by seasoned professionals with comprehensive clinical training and robust hospitality experience. CompassionateCare.com

Job Description Overview We are looking for an RN Clinical Nurse Specialist to join our growing team! In your role, you will update policy, develop education programs and work very closely with your Clinical Nurse Educator. Communication will be key in this role as you liaison between interdisciplinary practice and nursing practice. You will have the opportunity to research current practices and new practices all while ensuring practices are uniform throughout the system. Community Health System is a locally owned, not-for-profit, public-benefit organization based in Fresno, California. Community is the region's largest healthcare provider and private employer. We operate a physician residency program with one of the nation's top medical schools – the University of California, San Francisco. We are home to the only Level 1 Trauma Center and comprehensive burn center between Los Angeles and Sacramento and also serve as the area's "safety net provider." In fiscal year 2021, Community provided nearly $231 million in uncompensated services and programs. We know that our ability to provide the highest level of care begins with our incredible staff. Because of this, we provide unique benefits like free concierge services to run your errands while you work and well-being support through on-demand resources, as well as excellent retirement options and core benefits. Financial benefits are important too, and outside base compensation, we provide relocation bonuses if you are moving to our wonderful community. Your Career at Community | Opportunity. Challenge. Growth. Responsibilities In your role, you will: • Conduct comprehensive health assessments in diverse care settings including psychosocial, functional, physical, and environmental factors., • Create evidence-based, cost-effective interventions, to meet the multifaceted needs of complex patients., • Design and employ educational strategies to patients, families and caregivers that consider readiness to learn, complex learning needs, individual preferences, atypical responses, and other social determinants of health., • Provide expert patient/caregiver-centered consultation based on a broad range of theories and evidence for patients with complex healthcare needs. Is also able to use advanced communication skills to navigate difficult conversations. As appropriate, facilitates patient and family understanding of the risks, benefits, and outcomes of proposed health care regimens to promote informed, shared decision-making., • Evaluate impact of nursing interventions on patients’ aggregate outcomes using a scientific approach. Qualifications Education • Master's Degree in Nursing required, • Graduate of a CNS program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE) required, • RN - Current State of California Registered Nurse license required, • CNS - Clinical Nurse Specialist required, • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required, • NATIONAL - National Certification related to specialty and applicable to role preferred

Job DescriptionBenefits: • 401(k), • Dental insurance, • Health insurance, • Paid time off, • Signing bonus Search no further. Compassionate Care Hospice was established to serve our communitys terminally ill, so that their last days on earth are peaceful and dignified. Help us write beautiful final chapters for those in need. We are headquartered in Fresno and services the Central Valley, including the following counties: Fresno, Merced, Madera, Tulare, Kings, Mariposa, Stanislaus, and Kern County. Our top priority is maintaining our culture of respect and love for our patients and team, alike. Our commitment to our core values allows us to be a provider and employer of choice. We understand that our employees are key to providing quality care and are our most important resource. We actively seek career-oriented individuals, to whom we offer job security and upward mobility when appropriate - based on merit and performance. We proudly employ an accomplished team of professionals and our team is as diverse as the communities we serve, representing different ethnicities, religions, ages, national origins, and sexual orientations. Join us today and grow with us! We are currently seeking to fill the Hospice Office-Based RN Case Manager position. -Position to be performed in the Fresno Headquarters. -Compensation $50-55/hr (negotiable, based on experience, etc.). -1 year of experience in Hospice required. JOB DESCRIPTION SUMMARY The Office-Based RN Case Manager is a central clinical leader responsible for the oversight, coordination, and communication of hospice care for both home-based and facility-based patients. Operating from the central hospice office, this RN ensures timely implementation and monitoring of individualized plans of care (POCs), facilitates communication between interdisciplinary teams, and supports families, caregivers, and facility staff. This role is essential to ensuring regulatory compliance, timely documentation, and seamless coordination across all levels of hospice care delivery. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Core Responsibilities 1. Clinical Oversight & Plan of Care Management • Initiate, review, and revise hospice POCs, • Ensure interventions are carried out by field staff, • Track documentation to confirm symptom management and visit completion, • Maintain up-to-date documentation in the EMR (HospiceMD)2. Communication & Coordination, • Serve as the primary point of contact for families, facilities, marketers and providers, • Notify parties before and after changes in condition or orders, • Conduct wellness calls for new admissions, imminent cases, and random check-ins, • Monitor Google Chat rooms and follow up on issues to ensure loop closure, • Review EOS reports from night/weekend shifts, post to patient chats, and follow up3. Documentation & Compliance, • Document all care coordination and communication activities, • Ensure hospice and facility documentation align (meds, DME, MAR, 485s), • Prepare and submit recert narratives notes in advance to field RN., • Ensure all notes, plans, and IDG documentation are survey-ready4. Resource & Order Management, • Submit and follow up on medication and DME orders, • Confirm delivery from pharmacy and vendors, • Work with staff and couriers to resolve pharmacy billing/authorization issues, • Coordinate deprescribing discussions with pharmacists and families5. Team Integration, • Attend and prepare for weekly IDG meetings, • Provide handoffs and updates to night/weekend on-call staff, • Support field team with triage, follow-up, and case management guidanceDaily Tasks Home Patients • Review prior shift charting and communications, • Conduct wellness and symptom check-in calls, • Update care plans and coordinate field visit follow-through, • Monitor medication/DME delivery and order status, • Document updates in the chart and patient chat roomsFacility Patients (SNF, ALF, B&C), • Call facility nurses for overnight updates and visit coordination, • Review meds, MARs, wound care, and order follow-through, • Ensure documentation is delivered/uploaded as needed, • Communicate family updates and participate in facility discussions POSITION QUALIFICATIONS 1. Graduate of a National League of Nursing accredited school of nursing., 2. Current license in California and current CPR certification., 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years OR (b) have a baccalaureate degree in nursing from a program accredited by the National League for Nursing and a current RN license. Minimum of one years' experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred., 4. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order., 5. Management experience not required. Responsible for supervising hospice aides., 6. Self-directed and able to work with minimal supervision., 7. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist., 8. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Additional Information Employees and patients are equally precious to us. Your happiness is our happiness - we offer you the following benefits for any full-time position: Dynamic, fun, team-oriented work environment Unparalleled company culture Local company with soul Countless growth and development opportunities Flexible Schedules Medical, dental and vision insurance Mileage Reimbursement at current Federal rate Gas reimbursement for those in company cars PTO Paid Holidays Paid Sick Days 401K And so much more! Compassionate Care Hospice has grown into the Valleys leading Hospice establishment. Compassionate Care provides in-home medical, rehabilitative, and support services by seasoned professionals with comprehensive clinical training and robust hospitality experience. CompassionateCare.com

Job Description Overview Opportunities for you! • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek, • Tuition reimbursement, education programs, and scholarships, • Vacation time starts building on Day 1, and builds with your seniority, • Enroll in DailyPay and access your earned pay on your own schedule, • 403(b) retirement plan with up to 7% matching contributions, • Free parking and electric charging, • Great food options with on-demand ordering Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here. Responsibilities Community Health Partners, part of Community Health System — the region's largest healthcare system and home to the only Level I Trauma Center — provides trusted, high-quality care within multiple specialties in outpatient settings across the Valley. As an RN First Assistant (RNFA) for Community Health Partners' Urology team, you'll play a vital role in the surgical environment, collaborating directly with surgeons and care teams to support exceptional outcomes and patient experiences. • Provide intraoperative support under the direct supervision of the surgeon, assisting with surgical exposure, hemostasis, and other technical functions to ensure optimal patient outcomes., • Function as a Scrub Nurse or Circulating Nurse when not serving as the RNFA, maintaining readiness to support surgical cases across multiple specialties., • Collaborate closely with multidisciplinary teams to uphold safety, sterile technique, and evidence-based best practices in every procedure., • Contribute to the overall efficiency of the surgical team by anticipating surgeon and patient needs while fostering a collaborative, patient-centered environment. This is a unique opportunity to grow your surgical expertise within an integrated outpatient care setting that values skill, teamwork, and professional growth. Qualifications Education & Experience • Bachelor's Degree in Nursing, Public Health, Physiology, Healthcare or related field required, • Successful completion of an RNFA program that meets the Association of Perioperative RN (AORN) standards required, • Credentialed by the CHS Medical Staff Office as an Allied Health Professional and privileged to perform RN First Assistant standardized procedures required, • 1 year of relevant experience required Licenses and Certifications • RN - Current and valid Registered Nurse license to work within the state of California required, • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required

Job Description Overview Opportunities for you! • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek, • Sign-on and relocation bonus incentives available for qualified applicants, • Time and a half after 8 hrs + weekend and night differential (call pay for procedural areas)., • Free Continuing Education and certification including BLS, ACLS and PALS, • Tuition reimbursement, education programs, and scholarships, • Vacation time starts building on Day 1, and builds with your seniority, • 403(b) retirement plan with up to 7% matching contributions, • Free parking and electric charging, • Great food options with on-demand ordering Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here. Responsibilities You love what you do, now love where you do it. Located in downtown Fresno, Community Regional Medical Center is the region’s flagship hospital and home to the only Level I Trauma Center between Los Angeles and Sacramento. As a Registered Nurse First Assistant (RNFA) on our cardiac surgery team, you’ll be part of a 40-member team — including three RNFAs — supporting procedures across Community Regional, Clovis Community, and Fresno Heart & Surgical Hospital. • Provide intraoperative support under the direct supervision of the surgeon, assisting with surgical exposure, hemostasis, and other technical functions to ensure optimal outcomes., • Collaborate with cardiovascular surgeons and multidisciplinary teams on more than 100 cardiac surgery cases each month, helping uphold excellence, sterile technique, and evidence-based best practices., • Function as a Scrub or Circulating Nurse when not serving as RNFA, maintaining readiness to assist with cases across all three campuses., • Contribute to operational efficiency by anticipating surgeon and patient needs while fostering a culture of safety, precision, and teamwork. Join the largest healthcare system in the Central Valley, where your expertise helps advance cardiac care and improve outcomes for patients across the region. Cardiac Team Video Qualifications Education & Experience • Bachelor's Degree in Nursing, Public Health, Physiology, Healthcare or related field required, • Successful completion of an RNFA program that meets the Association of Perioperative RN (AORN) standards required, • Credentialed by the CHS Medical Staff Office as an Allied Health Professional and privileged to perform RN First Assistant standardized procedures required, • 1 year of relevant experience required Licenses and Certifications • RN - Current and valid Registered Nurse license to work within the state of California required, • BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required, • ACLS - Advanced Cardiac Life Support Certification required within 180 days of hire or transfer into position, • CNOR - Certified Operating Room Nurse from the Competency and Credentialing Institute (CCI) required