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RN, House Supervisor (Per Diem, Variable Shift)

Adventist Health
Tulare, CA Per Diem
POSTED ON 7/20/2026
AVAILABLE BEFORE 9/20/2026

Centrally located within the heart of California, Adventist Health Tulare has been serving the Central Valley since 2018. We are comprised of a 108-bed acute care hospital, emergency department and provide primary and specialty care services to best serve our community. Tulare is situated in a delightful and geographically diverse region. There are a variety of opportunities for all-season outdoor recreation such as camping, hiking, water and snow skiing, fishing and boating. It is also within an hour's travel time to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities.

Job Summary:

Provides overall supervision of the organization in collaboration with and in the absence of the administrative/executive team. Makes administrative decisions, collaborates with the Nursing Directors and other departments, ensures patient and staff safety, and oversees the functioning of the organization. Assists with/facilitates clinical functions. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.

Job Requirements:

Education and Work Experience:

  • Bachelor’s Degree in nursing or equivalent combination of education/related experience: Required
  • Master's Degree: Preferred
  • Five years' technical experience: Preferred
  • One year's experience working in a critical care setting: Preferred

Licenses/Certifications:

  • Registered Nurse (RN) licensure in the state of practice: Required
  • Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required
  • Advanced Cardiovascular Life Support (ACLS) certification from approved vendor per AH policy: Required for all facilities, except Behavioral Health
  • Clinical specialty and/or nursing administration certification: Preferred

Facility Specific License/Certifications:

  • AHA-PALS or ARC-PALS: Required
  • AHA-ACLS or ARC-ALS: Required

Essential Functions:

  • Supervises nursing personnel and operations by making rounds on a regular basis. Assesses routine and non-routine conditions of patients through identification of symptoms and behavioral changes, reviewing histories of physiological/psychological, cultural and spiritual information, reviewing medical data such as medical history, physical exams, plan of care, etc. Works with staff in unusual cases to develop a prioritized interdisciplinary plan of care. May assist staff to revise the plan of care to meet changing needs of patients, making appropriate referrals, i.e. dietary, spiritual care, etc. Responds to all acute unit codes. Attends to medical emergencies for inpatients. Works with other area supervisors when needed to provide advice or assistance.
  • Facilitates hospital throughput including providing resources, managing bed placement, and patient transfers/discharges. Coordinates "bed huddles" as needed. Participates in discharge planning with patients, physicians, social workers, patient education, utilization review and other personnel as appropriate.
  • Supervises professional and ancillary personnel. Assists with orientation and training of registry/traveler staff, new and existing employees, assisting them in learning department routines, policies and procedures, etc. Supervises the quality and effectiveness of patient care delivered throughout the Hospital, using such methods as: direct observation, rounds, reviewing reports, checking documentation in the medical record, and exerting influence and giving direction to employees as needed. Ensures compliance of team with applicable laws, rules and regulations.
  • Maintains and adjusts unit-based staffing in order to meet patient needs, while observing regulatory mandates, budget guidelines and needs throughout the hospital.
  • Evaluates employee, patient, family, and physician complaints. Responds courteously and promptly and resolves problems within the scope of delegated authority, consulting with administration as required. In the review of patient conditions, works with patients, family, physician, and healthcare team members in order to maintain standards of acceptable quality care.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

JOB INFO

Job Category: RN

Job Shift: Variable Shift

Assignment Category: Per Diem

Pay Range: The estimated base pay for this position is $61.00 to $83.67. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Hiring Department: Nursing Administration

Salary : $61 - $84

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