What are the responsibilities and job description for the Nurse Resident - Acute Care position at Confluence Health?

Salary Range

$41.37 - $77.74

Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

Employees of Confluence Health receive a wide range of benefits in addition to compensation.

Medical, Dental & Vision Insurance
Flexible Spending Accounts & Health Saving Accounts
CH Wellness Program
Paid Time Off
Generous Retirement Plans
Life Insurance
Long-Term Disability
Gym Membership Discount
Tuition Reimbursement
Employee Assistance Program
Adoption Assistance
Shift Differential

For more information on our Benefits & Perks, click here!

Summary

2026 Start Dates: April 27th

Residency Completion Bonus of $8,000 to be paid out at completion of Residency.

Requires a two year commitment to Confluence Health.

Only applicable to New Graduates*

Designed to transition a new graduate or an experienced nurse wishing to enter/reenter acute inpatient care, emphasizing high quality, evidence-based patient care. The Nurse Resident will work with a preceptor to deliver care to patients on multiple units, assuming increasing responsibility. Utilizes Nursing process of assessment, planning, intervention, implementation and evaluation to achieve patient goals and optimize outcomes. Effectively interacts with patient, significant others and other health team members, while maintaining standards of professional nursing (Washington State Nurse Practice Act, WAC, ANA scope and standards of practice).

The Residency Program supports the resident through their first six month of practice. Includes online and classroom-based learning, clinical simulation, skills development, direct clinical experiences and mentorship.

Position Reports To: Residency Manager/Director

Essential Functions

Demonstrates communication and interactions in accordance with Confluence Health’s Code of Conduct in all aspects of job performance.
Maintain a safe and sanitary work environment.
In collaboration with assigned preceptor, provides all aspects of nursing care to patients with increasing independence during progression in the program.

Accurately collects patient information needed to provide safe, high quality care. Completes holistic ongoing assessments of patient’s status and responds appropriately.
Coordinates and provides high quality patient care in a caring and compassionate manor, utilizing the nursing process and unit specific standards of practice.
Demonstrate competency of the ANA standards of practice: assessment, diagnosis, outcome identification, planning, implementation, coordination of care, evaluation. Including professional standards of performance: ethics, cultural congruent practice, communication, collaboration, leadership, education, evidence-based practice, quality of practice, resource utilization and environmental health.
Develops, implements, and continually reassesses patient’s individualized plan of care.
Sets priorities for nursing action in a logical sequence according to patient's needs and formulates an appropriate plan of nursing care as defined by nursing policy.
Teaches patient/family and/or caregiver appropriate health information.
Continual evaluation of discharge plan for appropriateness, educational needs, and changes as needed.
Document’s care provided, assessments, plan of care, interventions, and responses accurately in the patient’s medical record.
Demonstrates ability to handle emergency situations in a prompt, precise and professional manner.
Demonstrates ability to delegate care to other licensed or non-licensed assistive personal based on Washington and Central Washington’s Guideline on scope of practice.
Communicates and collaborates with members of the healthcare team including physicians, patients and families to facilitate effective patient care and treatment.
Demonstrates ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders, and nursing policy and procedure.
Administers medications in accordance with WA State WAC and current licensure scope of practice unless under direct supervision of Preceptor.
Consistently functions within the guidelines of the Washington Nurse Practice Act, unit specific standards of practice, and keeps current with the legal aspects of nursing.

Required to maintain active Basic Life Support (CPR) certification.
Other duties as assigned

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required:

Graduate of an accredited school of nursing, or due to graduate within 30 days with proof supplied upon graduation.
Licensure:

Current LPN, or RN licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). If LPN licensure, eligible to sit for NCLEX exam. Clinical experiences with a preceptor will be tailored to their level of licensure.
Active Washington State RN licensure by the end of 90 days.

Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.

Desired

Not Specified

Physical/Sensory Demands

O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.

F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.

C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position

Walking - C
Sitting/Standing - F
Reaching: Shoulder Height - F
Reaching: Above shoulder height - O
Reaching: Below shoulder height - F
Climbing - O
Pulling/Pushing: 25 pounds or less - F
Pulling/Pushing: 25 pounds to 50 pounds - F
Pulling/Pushing: Over 50 pounds - O
Lifting: 25 pounds or less - F
Lifting: 25 pounds to 50 pounds - F
Lifting: Over 50 pounds - O
Carrying: 25 pounds or less - F
Carrying: 25 pounds to 50 pounds - O
Carrying: Over 50 pounds - O
Crawling/Kneeling - O
Bending/Stooping/Crouching - F
Twisting/Turning - F
Repetitive Movement - O

Working Conditions

Acute care nursing.

Job Classification

FLSA: Non-Exempt
Hourly/Salary: Hourly

Physical Exposures For This Position

Unprotected Heights - No
Heat - No
Cold - No
Mechanical Hazards - Yes
Hazardous Substances - Yes
Blood Borne Pathogens Exposure Potential - Yes
Lighting - Yes
Noise - Yes
Ionizing/Non-Ionizing Radiation - Yes
Infectious Diseases - Yes

Salary : $41 - $78

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