Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: The Clinical Manager holds twenty-four hour accountability for the delivery of quality nursing care and operational management of assigned unit. The job encompasses integration, facilitation, and coordination of the leadership, management, operational, quality improvement coordination, and clinical activities of patient care services. This individual serves as a professional role model, leader, mentor, and clinical resource for nurses and other members of the health care team. Individual is responsible for supervising all department employees. Understands and adheres to the California Nurse Practice Act, the American Nurses Association (ANA) Code of Ethics for nurses, the ANA Bill of Rights for Registered Nurses, and the ANA Scope and Standard for Nurse Administrators. Supports the mission and values of the Medical Center. Possess knowledge and skills necessary to provide care appropriate to the age of the patient population in the department under their r management.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Integration, facilitation, and coordination of the leadership, management, operational, quality improvement coordination, and clinical activities of assigned patient care department.  - Serves as a professional role model, leader, mentor, and clinical resource for nurses and other members of the health care team.  - Maintains working knowledge of local health care issues, community standards as well as providers. Participates in strategic business planning and action implementation.   - Conducts performance assessments and evaluations of staff in accordance with hospital policies and procedures.  - Utilizes appropriate TCMC staff disciplinary processes. - Performs other duties as assigned.  Qualifications: - Three (3) years of clinical experience in area of leadership, required.  - Minimum two years of management experience in clinical area, required. Education:  - Education Requirements for all Departments except NICU: - Graduate of an accredited school of nursing, required.  - BSN or Bachelor’s degree in related field, required. - Master’s degree (MSN/MBA/MHA or relevant to area of leadership), preferred. - Education Requirements for NICU Department: - Registered CA RN with Master’s Degree in Nursing required, OR; - Registered CA RN with BSN and either a master’s degree in a related field or certificate in nursing or health care administration from an accredited organization (see Certification section below), AND at least 3 years of clinical nursing experience with at least 1 year in a NICU department. - RNC in leadership/administration/clinical specialty within 18 months of hire. Licenses: - Current California RN Licensure, required. Certifications: - Current BLS certification, required; American Heart Association - Current ACLS certification, required; American Heart Association (only departments where required) - Neonatal Resuscitation Program completion (Labor & Delivery & NICU, Women’s /Newborn Services only), required. - ACLS certification obtained within 6 months of hire, required (Women’s, Newborn Services, NICU, L&D only) - RNC in leadership/administration/clinical specialty within 18 months of hire, required for NICU.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.    

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: The Clinical Manager holds twenty-four hour accountability for the delivery of quality nursing care and operational management of assigned unit. The job encompasses integration, facilitation, and coordination of the leadership, management, operational, quality improvement coordination, and clinical activities of patient care services. This individual serves as a professional role model, leader, mentor, and clinical resource for nurses and other members of the health care team. Individual is responsible for supervising all department employees. Understands and adheres to the California Nurse Practice Act, the American Nurses Association (ANA) Code of Ethics for nurses, the ANA Bill of Rights for Registered Nurses, and the ANA Scope and Standard for Nurse Administrators. Supports the mission and values of the Medical Center. Possess knowledge and skills necessary to provide care appropriate to the age of the patient population in the department under their r management.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Integration, facilitation, and coordination of the leadership, management, operational, quality improvement coordination, and clinical activities of assigned patient care department.  - Serves as a professional role model, leader, mentor, and clinical resource for nurses and other members of the health care team.  - Maintains working knowledge of local health care issues, community standards as well as providers. Participates in strategic business planning and action implementation.   - Conducts performance assessments and evaluations of staff in accordance with hospital policies and procedures.  - Utilizes appropriate TCMC staff disciplinary processes. - Performs other duties as assigned.  Qualifications: - Three (3) years of clinical experience in area of leadership, required.  - Minimum two years of management experience in clinical area, required. Education:  - Education Requirements for all Departments except NICU: - Graduate of an accredited school of nursing, required.  - BSN or Bachelor’s degree in related field, required. - Master’s degree (MSN/MBA/MHA or relevant to area of leadership), preferred. - Education Requirements for NICU Department: - Registered CA RN with Master’s Degree in Nursing required, OR; - Registered CA RN with BSN and either a master’s degree in a related field or certificate in nursing or health care administration from an accredited organization (see Certification section below), AND at least 3 years of clinical nursing experience with at least 1 year in a NICU department. - RNC in leadership/administration/clinical specialty within 18 months of hire. Licenses: - Current California RN Licensure, required. Certifications: - Current BLS certification, required; American Heart Association - Current ACLS certification, required; American Heart Association (only departments where required) - Neonatal Resuscitation Program completion (Labor & Delivery & NICU, Women’s /Newborn Services only), required. - ACLS certification obtained within 6 months of hire, required (Women’s, Newborn Services, NICU, L&D only) - RNC in leadership/administration/clinical specialty within 18 months of hire, required for NICU.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.  

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary:   Responsible in managing automation and technology in the pharmacy department by coordinating and participating in projects, providing reports and audits within their respective applications/systems, creating technology and automation related documents, and improving the quality of customer service. Performs professional functions relating to providing appropriate drug information participating in all clinical programs, dispensing, and compounding of drugs.  Has responsibility for drug control within the pharmacy and distribution throughout the hospital. Assists in other areas as directed by the Director of Pharmacy.  In the absence of the Director of Pharmacy, Pharmacy Supervisor or Clinical Coordinator assumes responsibility for the operation of the Pharmacy.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Lead the implementation and management of various pharmacy systems and automation. - Serve as a liaison between IT and pharmacy operations and clinical pharmacy, analogous to the liaison role physician informaticists fulfill with the clinical service lines. Provide advice and consultation to pharmacy leaders regarding informatics-related topics, participate in pharmacy-led improvement projects, and ensure that drug-related clinical guidelines are reflected in the IT systems. - Responsible for taking a lead role in the design and optimization of drug-related clinical decision support including tools in our IT systems as well as tools provided by our content vendors, will develop and maintain the means to assess the ongoing effectiveness of those tools, and design medication groupers and other content that requires pharmaceutical expertise. - Works with Physician, Nursing and Quality Committees to improve efficiency of the medication process and to ensure that quality measures are met. - Maintains quality assurance, system integrity, and customer satisfaction for assigned technology or automation including but not limited to automated dispensing cabinet, IV workflow system, IV pumps, electronic health record, inventory management hardware/software, and temperature monitoring system. - Responsible for accurate billing for medications. - Provides reports and analytical recommendations that align clinical areas and enable the organization to achieve strategic initiatives. - Compiles, analyzes, and organizes data to best provide information to the intended audience. - Utilizes technology appropriately for the purpose of providing safe, accurate, cost effective comprehensive drug therapy. - Ensures that all changes to applications and technologies are made using existing change management methodologies to protect system performance, availability, and integrity. - Coordinates and provides educational in-services and training of designated users in system functions and operations in order to maximize effectiveness. - Provides ongoing review and assessment of user training needs and performs or arranges training as required. Promotes and assists in the coordination of staff development/education of information system programs. - Provide clinical oversight and ad hoc clinical consultation to technical team members on topics including but not limited to interface design, drug database decisions. - Performs additional duties as assigned.   Qualifications: - Hospital residency (PGY1), or minimum three (3) years inpatient acute care hospital experience, required. - Two (2) years’ experience in hospital IT/informatics, preferred. - Must have current knowledge of drugs, their actions, availability, and I.V. incompatibility. - Be professionally competent in all phases of pharmaceutical care. - Must be able to plan, develop, and validate new pharmacy computer systems and subsystems. - Must be able to work closely with members of the Information Technology team. - Must be knowledgeable in data base management, spreadsheets, software, word processing and MS Windows. Education: - Pharm D, preferred. Licenses: - Current license by the California State Board of Pharmacy, required. Certifications: - Building and Maintenance PharmNet Inpatient, preferred. - Building and Maintenance Medication Processes, preferred. - BCPS, preferred. - Pharmacy Informatics Certification, preferred. Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: The Clinical Supervisor assists in planning, coordinating, implementing and evaluating patient care. Responsible for managing and supervising nursing functions in assigned department(s).   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Plan, delegate and control work assignments to ensure delivery of comprehensive nursing services. - Responsible for staff timecard monitoring & approval. - Responsible for staffing and scheduling personnel considering scope of practice, competencies, patient needs and complexity of care. - Participate in the recruitment, selection of personnel. - Responsible for orientation of personnel assigned to department(s). - Provide guidance and supervision of personnel, including, but not limited to, performance evaluation of personnel, providing timely feedback, and corrective actions. - Performs other duties as assigned. Qualifications: - Five (3-5) years acute care Charge Nurse or similar supervisor experience in assigned department(s), required. Licenses: - Current California RN Licensure, required. Certification: - Current BLS, required; American Heart Association Healthcare Provider. - Current ACLS, required; American Heart Association Healthcare Provider. - Current NIH, required for Emergency, ICU, Monitored Medical Unit and Telemetry.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: The Clinical Supervisor assists in planning, coordinating, implementing and evaluating patient care. Responsible for managing and supervising nursing functions in assigned department(s).   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Plan, delegate and control work assignments to ensure delivery of comprehensive nursing services. - Responsible for staff timecard monitoring & approval. - Responsible for staffing and scheduling personnel considering scope of practice, competencies, patient needs and complexity of care. - Participate in the recruitment, selection of personnel. - Responsible for orientation of personnel assigned to department(s). - Provide guidance and supervision of personnel, including, but not limited to, performance evaluation of personnel, providing timely feedback, and corrective actions. - Performs other duties as assigned. Qualifications: - Five (3-5) years acute care Charge Nurse or similar supervisor experience in assigned department(s), required. Licenses: - Current California RN Licensure, required. Certification: - Current BLS, required; American Heart Association Healthcare Provider. - Current ACLS, required; American Heart Association Healthcare Provider. - Current NIH, required for Emergency, ICU, Monitored Medical Unit and Telemetry.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: Performs clinical laboratory test procedures according to the quality control and quality assurance procedures of the department.  Performs instrument maintenance, instrument troubleshooting and inventory control with thorough and accurate documentation.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Performs accurate work at a speed and volume consistent with the turnaround time goals of the department. - Prioritizes the workflow to ensure that all testing to be performed on priority patients is completed first. - Instrument maintenance and function checks are performed and documented. - Quality control procedures are performed and documented appropriately. - Quality assurance procedures are performed and documented appropriately. - Demonstrates a high level of concern for the patient and all Laboratory clients; communicates ideas and information clearly and concisely. - Familiar with infection control policies of the department, and adheres to all such policies, including wearing of lab coats, gloves and other PPE. - Participates in appropriate continuing education programs. - Performs other duties as assigned.   Qualifications: - One year recent experience in Microbiology, preferred. - Must demonstrate a thorough knowledge and expertise in the area to which he/she is assigned. - Must be capable of applying excellent judgment and communication skills to the job. Education: - Meets education requirements for CLS licensure.  Licenses: - Valid California license as a Clinical Laboratory Scientist, required.     Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**    TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: Under the supervision of the Director or Manager, the Coder 3  is responsible for coding all diagnoses and procedures using current ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding systems in compliance with Uniform Hospital Discharge Data Set (UHDDS) guidelines, ICD-10-CM coding conventions, federal and state regulations.  The hospital services that are coded in this position may include acute inpatient (including Obstetric and Newborn), Physical Rehabilitation, Behavioral Health, Same Day Surgery, Interventional Radiology, Emergency Department records and Outpatient Ancillary.  The Coder 3 is also responsible for abstracting the required data elements for accurate data collection, reporting, and billing.     Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Codes records of discharged patients using the current ICD-10-CM, ICD-10-PCS and CPT/HCPCS coding system guidelines in accordance with regulatory compliance and quality monitoring criteria Adheres to the AHIMA Standards of Ethical Coding developed by the AHIMA Council on Coding and Classification. - Queries the physicians as needed to obtain clarification of chart documentation to accurately assign codes to reflect the patient’s diagnoses and procedures performed and maintains supporting documentation obtained. - Abstracts data from the medical record document according to data collection, reporting, and billing requirements in compliance with quality monitoring criteria. - Verifies that patient abstracts have been completed for all the required patient hospital services monthly for data retrieval, hospital Case Mix reporting, and billing of the outstanding account receivables (delinquent data). - Efficiently utilizes the Medical Centers’ medical record abstract, encoder, patient index, and other computerized department products that are used in the performance of all assigned duties. - Responsible for on-going education to maintain current professional certification. Responsible for the review and comprehension of current information regarding coding and compliance issues. - Performs other related duties or projects as requested by Management. Qualifications: - Two (2) years current acute care/hospital coding experience, required. - Internal transfers: will consider one year Coder 1 or Coder 2 experience at Tri-City Medical Center in lieu of two years current acute care/hospital coding experience. - Intermediate computer skill, required. - Knowledge of medical terminology, anatomy, physiology, pathophysiology, coding compliance and reimbursement guidelines. - Successful completion of skills assessment with a score of at least 70% that evaluates application of candidate’s knowledge. - Detail oriented with strong analytical skills, required. - Ability to demonstrate flexibility in response to unexpected change in work volume and work schedule, required. - Excellent human relations skills including listening, conflict resolution, and team building, required.  Certifications: - Requires (1) one of the following: - Current Registered Health Information Administrator (RHIA) - Current Registered Health Information Technician (RHIT) - Current Certified Coding Specialist (CCS)   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: Under the supervision of the Director or Manager, the Coder 4 is responsible for coordinating the ED/OP or the IP/SDS coding quality review program and physician documentation improvements in this area.  This includes initiating physician and clinician education activities to support coding practices and training and education of new and existing coders on coding rules/changes.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Initiates Physician documentation improvement education/communication activities to include meetings, postings, newsletters, etc. - Creates on-going education/training activities for new and experienced coders to address new coding practices and problematic areas identified in quality reviews. - Reviews accounts monthly identified with Hospital-Acquired Conditions to confirm supporting documentation. - Participates in RAC Steering Committee as support in conducting coding audits to evaluate compliance with coding guidelines, MS-DRG/APC (IP/SDS) or CPT/APC (ED/OP) assignment, and abstracting practices. - Formalizes coding guidelines and procedures to reflect current practice and supports coder self-development in creation of guidelines. - Coordinates coding section participation in addressing issues affecting coding performance (i.e. billing edits, Core Measures, system upgrades). - Facilitates ongoing Coder training to all Coder levels and of all service types. Qualifications: - Coder with two to four years current Emergency/Outpatient coding experience, required (ED/OP), or coder with five to seven years current Inpatient /SDS coding experience, required (IP/SDS). - Experience in Emergency and Outpatient Ancillary coding required (ED/OP only) - Extensive background in acute care and outpatient surgery coding required (IP/SDS only) - Experience in coding within the state of California preferred (both ED/OP and IP/SDS) - Knowledgeable in Clinical disease processes and their relationship to coding guidelines required - Excellent verbal and written communication and organization skills for interactions with Coders and Physicians. - Experience in conducting audits with summarization of results and development of action plans – required - Previous Supervisor /Lead experience preferred - Technical experience to include us of the 3M Coding and Grouping products, Microsoft Office products and coding reference   materials – required. - Successful completion of skills assessment with a score of at least 80% that evaluates application of candidate’s knowledge. Certifications: - Requires (1) one of the following: - Current Registered Health Information Administrator (RHIA) - Current Registered Health Information Technician (RHIT) - Current Certified Coding Specialist (CCS)   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: A professional caregiver who performs diagnostic, fluoroscopic, CT and radiography procedures at a technical level not requiring constant supervision; under the guidance of the CT/IR supervisor. The CT technologists is responsible for the performance of all aspects of CT and routine imaging, accurately and independently in accordance with established procedures and policies in the diagnosis and treatment of disease in patients of all age groups.   Uses independent judgment to accomplish the efficient completion of prescribed CT and routine imagine procedures utilizing good patient care and proper radiation protection standard; processes images; assures correct images; accurate billing and file documentation; records information related to exams into department computer system.  Performs other activities in support of clinical team members when not engaged in imaging activities.  The CT Technologist provides service in a manner consistent with TCMC’s mission and values.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Greets patients and provides procedure education to patient and/or family member. - Transports patient to examination room. Assists patient to the examination table. - Operates CT scanners using correct scan parameters. Adjust KV and MA setting appropriate to patient population in accordance with Title 17 and follows ALARA. - Operations contrast injector delivery systems. - Screens all contrast procedures for risk factors and documents in the patients medical record. - Records pertinent patient history, unusual conditions or patient limitations, Documents incidents or variances on appropriate forms as necessary.  Qualifications: - Good customer service skills. - Experienced in fluoroscopy, emergency room, portable radiography, minor invasive procedures and some O.R. experience, required. - Experienced in CT procedures in a medical center setting preferred. Experience in invasive CT procedures, preferred. - 1 year hospital based clinical medical experience, preferred. Licenses: - CRT (California Registered Technologist) license, required. - ARRT- CT (American Registry of Radiologic Technologists) license required within 1 year of hire or initiation of training. Certifications: - Venipuncture certification, required within 6 months of hire. - Current BLS certification, required upon hire; American Heart Association Healthcare Provider. Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.  

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: A professional caregiver who performs diagnostic, fluoroscopic, CT and radiography procedures at a technical level not requiring constant supervision; under the guidance of the CT/IR supervisor. The CT technologists is responsible for the performance of all aspects of CT and routine imaging, accurately and independently in accordance with established procedures and policies in the diagnosis and treatment of disease in patients of all age groups.   Uses independent judgment to accomplish the efficient completion of prescribed CT and routine imagine procedures utilizing good patient care and proper radiation protection standard; processes images; assures correct images; accurate billing and file documentation; records information related to exams into department computer system.  Performs other activities in support of clinical team members when not engaged in imaging activities.  The CT Technologist provides service in a manner consistent with TCMC’s mission and values.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Greets patients and provides procedure education to patient and/or family member. - Transports patient to examination room. Assists patient to the examination table. - Operates CT scanners using correct scan parameters. Adjust KV and MA setting appropriate to patient population in accordance with Title 17 and follows ALARA. - Operations contrast injector delivery systems. - Screens all contrast procedures for risk factors and documents in the patients medical record. - Records pertinent patient history, unusual conditions or patient limitations, Documents incidents or variances on appropriate forms as necessary.  Qualifications: - Good customer service skills. - Experienced in fluoroscopy, emergency room, portable radiography, minor invasive procedures and some O.R. experience, required. - Experienced in CT procedures in a medical center setting preferred. Experience in invasive CT procedures, preferred. - 1 year hospital based clinical medical experience, preferred. Licenses: - CRT (California Registered Technologist) license, required. - ARRT- CT (American Registry of Radiologic Technologists) license required within 1 year of hire or initiation of training. Certifications: - Venipuncture certification, required within 6 months of hire. - Current BLS certification, required upon hire; American Heart Association Healthcare Provider. Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.  

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: The Clinical Director holds twenty-four-hour accountability for the delivery of quality nursing care and operational management of surgery.  The job encompasses integration, facilitation and coordination of leadership, management, operational, quality improvement, and clinical activities of surgery.  Serves as a professional role model, leader, mentor and clinical resource.  Responsible for supervision and day to day operations of assigned department(s).   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Responsible for daily operation of Surgery areas. - Integration, facilitation and coordination of leadership, operations, quality improvement and clinical activities. - Conduct performance assessment and evaluations of staff - Works collaboratively with Medical Directors, Division Chiefs, Surgeons, Anesthesiologists and staff to design and implement surgical services program enhancement to continually improve efficiency and effectiveness of surgery. - Maintains knowledge of regulatory standards, recommended standards of nursing practice and employment regulations Qualifications: - Minimum of three (3) years of progressively responsible leadership in surgery/surgical services, required. - Must be dependable, have integrity, initiative, tact, ability to work on details, ability to learn and possess a sense of values and ethical standards, required. - Effective communication skills, required. - Demonstrated knowledge to lead change and support achievement of strategic initiatives, required. - Experience with regulatory standards, required.  Education: - Graduate of Accredited School of Nursing, required. - BSN or Bachelor’s Degree in health-related field, required. - MSN or Master’s Degree in Business or Health Related field, required (will consider progress toward Master’s degree with completion date within six months of hire). Licenses: - Current California RN license, required. Certification: - Current BLS certification from the American Heart Association (healthcare provider), required.  - CNOR, required   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: Coordinates, plans, manages, and directs the operation of Food and Nutrition Services, including all aspects of food service and clinical nutrition care for patients, catering, and cafeteria.  Responsible for all departmental performance management and improvement activities.  Coordinates the staffing, scheduling, employee relations, development, and training of staff.   Oversees coordination of special events within and outside the medical center, to include the Wellness Center.  Coordinates the provision of all nutritional care for patients in all age groups, from NICU to geriatrics.   Assesses, recommends, implements, and evaluates the nutritional care of critically ill patients; directs nutritional care of patients of all age groups.    Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Leadership and accountability to include selection, training, development of  skills and scheduling of staff.  Manages employee relations within the department, to include mentoring, coaching, active listening, oversight of disciplinary actions for all staff. - Prepares and is accountable for budgets, productivity, financial reports, oversees departmental purchasing and service contracts. - Assures staff adherence to all applicable TCMC policies & procedures.  Develops and implements departmental policies and procedures and collaborates with others on interdepartmental policies and procedures. - Develops and implements customer service performance standards and is accountable for results. - Responsible for operational quality and on-going performance improvements by developing, implementing, and monitoring quality controls and departmental operations plans to assure quality food service and nutritional care that is safe and sanitary - Develops and assures effective training, education, and development of staff to assure safe and sanitary production of food and optimal nutritional care to patients. - Insures adherence to all regulatory guidelines. - Guides leadership and staff within department to meet/exceed customer expectations. - Active participation on appropriate hospital wide committees. - Manages clinical nutrition care for all patients, to include development of policies, procedures, oversight of menu development and production; also provides nutrition care for critically ill patient throughout the continuum. -  Maintains application of State, Federal, & Joint Commission standards to Dietary Department - Ability to Conduct nutritional assessments and follow-ups, including nutrition care plan & education   Qualifications: - Minimum of 5 years management experience in hospital food and nutrition services, required. - Knowledge of dietetic terminology, required - Numerical ability to calculate nutritional values, enteral feedings, modified diets and parenteral nutrition, required. - Ability to communicate ideas, to instruct patients and/or their relatives regarding diet therapy, direct personnel and their activities and to solve related problems, required - Demonstrates abilities for complex problem solving and innovation as well as critical thinking skills, required. - Demonstrated experience in departmental strategic planning, operations with implementation, systems planning and development, required. - Knowledgeable of Joint Commission standards, required. - Minimum of 3 years’ experience working as a registered dietitian. Education: - Bachelor's degree from an accredited university, required. - Master’s degree, required within 36 months of hire.   Certification: - Registered Dietitian, required. - CDM/CFPP preferred - ServSafe certification required.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.  

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: This position is responsible for the provision of clinical services in support of patient care for Tri-City Medical Center.  This individual will assess, plan, implement and evaluate all aspects of care and/or programs and ensure their financial viability.  The Director is responsible for ensuring that twenty-four hour accountability for the delivery of quality services and operational management of assigned area(s) is consistently provided.  The job encompasses integration, facilitation and coordination of the leadership, management, operational, and clinical activities of services.  This individual serves as professional role model, leader, mentor and clinical resource to the health care team.  This individual serves as a liaison between the MSO and all other areas of the Medical Center that provides medical staff support. It is essential that this person collaborates and develops a relational connection with Administration, other leaders in the Medical Center and the Physicians.   The individual must consistently support the mission and values of the Medical Center.    Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - This role is responsible for supervisory and administrative work in directing and coordinating the Medical Staff Support. Work includes responsibility for coordination of all operational aspects of the office, including organizing, and conducting programs required for establishing procedures for medical staff functions. - Provides operational, financial, and quality oversight for Medical Staff services inclusive of credentialing, maintenance of medical fair hearing plan staff privileging, and physician twenty-four hour availability via the call schedule. - Innovates to streamline medical staff workflows, and is service-oriented to enhance the reputation of the medical staff organization as a conduit to the physician and allied health community. - Maintains systems to identify (and disseminate to others) medical staff members and their clinical privileges, prepares and maintains other related records and reports in accordance with established policies, regulations, and laws. - Collaborates with Chief of Staff and other Physician leaders to coordinate medical staff operational effectiveness via meeting structure and communication, educational offerings, and quality effectiveness. - Provides oversight for the effective management of the Institutional Review Board programs at Tri-City Medical Center.  Qualifications: - At least five years of leadership experience in a Medical Staff Office, required. - At least ten years experience in a hospital setting, required. - Possesses mastery of medical staff credentialing, peer review, OPPE/FPPE, quality programs, regulatory compliance, medical staff committees, bylaws, and physician fair hearing rights, required. - Demonstrated ability to work collaboratively with all staff to facilitate alignment between hospital and medical staff, required. - Must be dependable, have integrity, initiative, tact, ability to work on details, ability to learn and possess a sense of values and ethical standards, required. - Experience with product line development preferred. - Leadership demonstration of openness to change thorough implementation of creative programs that support achievement of strategic initiatives, required. - Proven record of accomplishment of mastery of the fundamental leadership skills of planning, organizing, facilitating, coordinating, collaborating, execution and ability to communicate effectively in writing and verbally with all levels of the organization, required. - Must also have the ability to train and develop other personnel by providing them with the knowledge gained through years of experience on the job, required. - Possess knowledge of the business of health care along the continuum of care, clinical decision support data analysis/syntheses and quality improvement, regulatory and legislative issues, required. Education:  - Bachelor’s degree, required. - Master’s or JD from an accredited university, preferred. Certifications: - CPCS certification, required. - CMSC certification, preferred.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.    

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: The Emergency Department Emergency Medical Technician (EMT) is responsible for assisting the registered nurse, physician assistant or physician with simple procedures. A staff EMT functions under the direction of a Registered Nurse. EMT provides care for infant (0-1 year of age), pediatric (1-13 years of age) and adult (14 years of age and older) populations.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Assists RNs, PAs or physicians with simple procedures/Patient care.  - Provides or assists with splinting, casting, immobilizing of patient extremities.  - Assists with transporting patients as needed to and from the ED.  - Completes daily unit equipment checks and logs to meet JCAHO/DHS requirements.  - Assists with inventory, stocking, and ordering of supplies and equipment (voluntary). Qualifications: - Must be able to communicate effectively in oral and written form in English. - Computer skills preferred. - Must be able to meet the physical demands of the job (light to heavy lifting and/or pushing of patients or equipment). - 2 years experience working in an emergency department preferred. Education:  - High school diploma or GED, required. Certifications: - One of the following is required upon hire effective 2/4/2020: - Current San Diego County EMT certificate or - Current Paramedic certificate. - Current BLS certification, required upon hire; American Heart Association Healthcare Provider. - NVCI certification, required within 90 days of hire or transfer. - Maintain an annual minimum of 10 related to work CEUs from TCMC, or other source, in lieu of maintaining CNA certification. - Applies only to employees with CNA certifications who were hired or transferred to this job prior to 2/4/2020.     Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.  

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: The Emergency Department Emergency Medical Technician (EMT) is responsible for assisting the registered nurse, physician assistant or physician with simple procedures. A staff EMT functions under the direction of a Registered Nurse. EMT provides care for infant (0-1 year of age), pediatric (1-13 years of age) and adult (14 years of age and older) populations.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Assists RNs, PAs or physicians with simple procedures/Patient care.  - Provides or assists with splinting, casting, immobilizing of patient extremities.  - Assists with transporting patients as needed to and from the ED.  - Completes daily unit equipment checks and logs to meet JCAHO/DHS requirements.  - Assists with inventory, stocking, and ordering of supplies and equipment (voluntary). Qualifications: - Must be able to communicate effectively in oral and written form in English. - Computer skills preferred. - Must be able to meet the physical demands of the job (light to heavy lifting and/or pushing of patients or equipment). - 2 years experience working in an emergency department preferred. Education:  - High school diploma or GED, required. Certifications: - One of the following is required upon hire effective 2/4/2020: - Current San Diego County EMT certificate or - Current Paramedic certificate. - Current BLS certification, required upon hire; American Heart Association Healthcare Provider. - NVCI certification, required within 90 days of hire or transfer. - Maintain an annual minimum of 10 related to work CEUs from TCMC, or other source, in lieu of maintaining CNA certification. - Applies only to employees with CNA certifications who were hired or transferred to this job prior to 2/4/2020.     Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: Accountable for Human Resource related functions including employee/labor relations, performance improvement, assisting with policy and contract interpretation and conflict resolution.  Works with union and non-union employees.  Applies a comprehensive level of human resources knowledge that may include employment law, employee/labor relations, coaching and counseling, training, and other related skills.  Maintains effective working relationships with all levels of the organization.    Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Point of contact for employee relations issues including policy interpretation as it relates to union contracts.  - Responsible for assisting and training managers on best practice performance management.  - Responsible for receipt and processing of Add/Change/Hire (ACH) forms.  Works with managers and HR employees to obtain reliable information and ensure accurate data transfer to HRIS system.  - Works with Compensation and HRIS functions to apply accurate pay rates, status, department, and other job related information for new hires, transfers, promotions, etc. - Consults with management regarding preventative labor relations or interpretation and resolution of disputes for both collective bargaining union and non-union employees. - Provides operational HR support to management team including assessing and making recommendations pertaining to HR related matters.  - Knowledge of, and able to apply applicable Employment laws. - Applies Weingarten rights and issues Skelly letters according to policy and union contracts.  - Under the direction of HR Leader, handles labor and union issues related to employee relations and grievances.  - Applies employee relations programs which address consistent application of HR policies and bargaining unit contracts, including progressive discipline, termination issues and grievances.  - Initial contact point for employee relations issues and policy interpretation. - May function as SEIU/CNA point of contact and liaison between TCMC, Union, and employee regarding dues authorizations, changes, system adjustments, payroll deductions and questions.  - Reports, conducts research, works on special projects and other duties as necessary.   Qualifications: - Minimum five (5) years’ experience in Human Resources with a focus on employee relations and labor relations, required.    - Union experience, required. - Hospital experience, preferred. - Ability to prioritize demands to meet multiple deadlines while offering detailed oriented work, required. - Must be discreet and maintain confidentiality.  - Requires strong initiative, able to work independently and have the ability to assert ones influence to achieve department goals.  Strong presentation, verbal/written communication and conflict resolution skills. - Intermediate skills in Microsoft Office, Outlook, Excel and MS Word, required. Education:  - BS or BA from an accredited university, required. - Masters Degree, preferred. Certifications: - PHR or SPHR, preferred   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.   employee relations   labor relations  union  hospital   

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: Assists in the care of patients undergoing endoscopy. Works within the policies and procedures set forth by the hospital and Surgery department.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Provides quality care to endoscopy patients. - Facilitates collection and appropriate processing of tissue specimens obtained during endoscopy procedures. - Cleans and maintains endoscopy equipment and monitors the quality of equipment processing to assure compliance with regulations, policies, and procedures.  - Participates in Surgical Services department meetings, in-services, and skills labs.  Maintains current knowledge of Society of Gastrointestinal Nurses and Associate standards.  . - Coordinates and communicates with, Pre-OP Tech, PACU, and other Surgery staff regarding projects, performance improvement, staffing, and quality of service.   Qualifications: - Minimum of 1 year as an Endoscopy Tech or graduate of an approved surgical technologist program with experience in scrubbing endoscopy procedures, required. - Knowledge of JCAHO rules and regulations as they relate to Surgery department and Endoscopy, required - Basic computer applications knowledge including Word and Outlook, required.  Education: - High School diploma or GED, required.  - SGNA Associates program completion within 6 months of hire or transfer, required. Certification: - Current BLS certification, required upon hire; American Heart Association Healthcare Provider.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.  

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: Works with multiple departments, including but not limited to, Plant Operations, Security, Biomedical Engineering, Environmental Services, Infection Prevention, Risk, Regulatory and Compliance to ensure the development and implementation of required safety and environment of care management plans. Assumes the position of Safety Officer and advisor to the Incident Commander during times of disaster and emergent operations.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Plan, coordinate, direct and administer the safety, security and environment of care programs in all clinical and non-clinical areas. Responsible for implementation and monitoring of policies and procedures related to safety and environment of care. - Assumes the position of Safety Officer and advisor to the Incident Commander during times of disaster and emergent operations. - Responsible for organization-wide safety and security. Appointed the authority to exercise appropriate administrative and physical actions to address any incidents that pose immediate threat to life, health or harm of patients, visitors, staff or damage to buildings and property. - Supervise Fire, Active Shooter, Disaster and all other required training/drills for the hospital and offsite clinics. Train all hospital employees on proper responses and procedures during an emergency that requires evacuation or response to fire. Ensure all drills comply with regulatory requirements. - Oversee the management of Life Safety Program and Preconstruction risk assessments. In coordination with the facilities department and infection prevention, creates interim life safety risk assessment for any repair work and construction projects. Ensure compliance with all regulatory agencies. Oversee the management of Environment of Care (EOC) Program in all patient areas and non-clinical areas. Generate reports on findings from EOC rounds and ensure that deficiencies are corrected in a timely manner. - Ensure that the organization conforms to all federal, state, county and municipal laws, codes and ordinances pertaining to the environment of care. - Perform regularly scheduled EOC rounds to identify any non-compliant EOC and safety items. Develop action plans to resolve and/or mitigate the safety risk. Work with hospital staff to resolve identified deficiencies. Responsible for ensuring disaster supplies are stocked, unexpired and replenished as necessary. - Manage the fire and life safety testing in coordination with the facilities department as required by CMS, Joint Commission and other regulatory agencies. Ensure all tests are done on time and all required tests are performed. - Serve as Chairperson for EOC related committee meetings. Ensure meeting minutes are recorded and appropriate follow-up takes place as a result of meetings. - Perform other duties as assigned.   Qualifications: - Minimum of five (5) years’ experience in the development, implementation and management of Environment of Care program in an acute care hospital, required.  - Thorough knowledge of TJC, CMS, OSHA and local standards applicable to acute care facilities, required. - Experience with a minimum of one (1) Joint Commission accreditation survey, required. - Complete knowledge of Federal, State, DHA and Join Commission regulatory agency requirements, required. - Experience in chemical safety, radiation protection, hazardous material management and interpreting occupational safety and health laws and regulations, required. - Excellent communication and interpersonal skills necessary to interact with all levels of employees, visitors and representatives of regulatory agencies, required. - Able to use independent judgment to analyze health and safety issues and determine proper course of action, required. - Knowledge of the Hospital Incident Command System (HCIS) structure, required. Education: - Bachelor’s degree, required. May consider ten (10) years directly related experience in lieu of degree. Certification: - Certified Healthcare Emergency Professional (CHEP) required or obtained within two (2) years of hire or transfer. - Certified Healthcare Safety Professional (CHSP) required or obtained within two (2) years of hire or transfer. - Certified Safety and Health Manager (CSHM) preferred.   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work. TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: This job performs a variety of housekeeping and janitorial duties to maintain order and sanitary conditions in patient care, administrative offices, and public areas.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Clean and maintain assigned areas according to TCMC standards. - Maintain a safe environment at all time.  This includes the proper use of wet floor signs. - Use appropriate protective equipment while performing duties.  This includes proper hand washing and hand sanitizing at all times.  - Understand the role and responsibility of the position in the event of a disaster. - Clean discharge/occupied rooms according to the departmental training checklist. - Maintain professional and courteous customer service at all times. - Maintain current status with all hospital requirements (Annual TB Skin Test,  Fit Testing, Net Learning, other requirements). Qualifications: - Previous housekeeping / janitorial experience, strongly preferred.  - Must be able to work with cleaning solutions and chemicals and have knowledge of proper handling of these cleaning solutions.  Must demonstrate ability to complete on-the-job training, including the proper operational procedures for the cleaning equipment and tools, and must demonstrate knowledge of health and sanitation standards - Required to read and understand written instructions and labels and to communicate with supervisors, health care staff and environmental service employees Education:  - High school diploma or GED, preferred   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Tri-City Healthcare District has been serving the North County region for almost 60 years and remains committed to providing high quality healthcare and community services for every individual we encounter regardless of race, color, ethnicity, gender, sexual orientation, disability or socioeconomic status.   Our mission is to advance the health and wellness of the community we serve. In order to achieve our mission, we see, hear and listen to our front line healthcare workers, employees, medical staff and all community stakeholders in order to understand and meet our community’s needs.   Position Summary: This job performs a variety of housekeeping and janitorial duties to maintain order and sanitary conditions in patient care, administrative offices, and public areas.   Major Position Responsibilities: The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization. - Maintains a safe, clean working environment, including unit based safety and infection control requirements. - Clean and maintain assigned areas according to TCMC standards. - Maintain a safe environment at all time.  This includes the proper use of wet floor signs. - Use appropriate protective equipment while performing duties.  This includes proper hand washing and hand sanitizing at all times.  - Understand the role and responsibility of the position in the event of a disaster. - Clean discharge/occupied rooms according to the departmental training checklist. - Maintain professional and courteous customer service at all times. - Maintain current status with all hospital requirements (Annual TB Skin Test,  Fit Testing, Net Learning, other requirements). Qualifications: - Previous housekeeping / janitorial experience, strongly preferred.  - Must be able to work with cleaning solutions and chemicals and have knowledge of proper handling of these cleaning solutions.  Must demonstrate ability to complete on-the-job training, including the proper operational procedures for the cleaning equipment and tools, and must demonstrate knowledge of health and sanitation standards - Required to read and understand written instructions and labels and to communicate with supervisors, health care staff and environmental service employees Education:  - High school diploma or GED, preferred   Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.   **To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)**   TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.