Registered Nurse - NOC Shift in Fresno, CA

Job Summary Keystone Post Acute is excited to announce we have our NOC Shift Registered Nurse position open for those with a passion to care for others! We offer comprehensive benefits, and the unique opportunity to help people, one resident at a time. We will give you the support you need to thrive and grow! Keystone Post Acute is a 65-bed community that offers exceptional skilled nursing care for seniors recovering from surgery, rehabilitating from a specific injury or trauma, or those in need of high acuity nursing care. Our highly trained team of nurses are on-site 24 hours a day, 7 days a week, providing general and specialized care to ensure a swift and complete recovery Responsibilities • Conduct thorough patient assessments, including vital signs, physical examinations, and medical history documentation using electronic health record Point Click Care. • Administer medications and injections accurately while adhering to aseptic techniques and HIPAA regulations to ensure patient safety and confidentiality. • Perform specialized procedures including IV insertion, suturing, catheterization, tube feeding management, and wound care in accordance with established protocols. • Collaborate with physicians and healthcare teams to develop individualized care plans for patients with complex conditions such as trauma, infectious diseases, or chronic illnesses. • Ensure compliance with infection control standards and participate in quality improvement initiatives aligned with NCQA standards. • Document all patient interactions thoroughly in medical records using Point Click Care for accurate case management and billing purposes. • Provide direct nursing care to residents, including assessments, treatments, and medication administration. • Complete and document comprehensive nursing assessments in accordance with Title 22, OBRA, and facility policy. • Monitor residents’ conditions and communicate changes promptly to physicians, families, and the interdisciplinary team. • Supervise and support LVNs, CNAs, and other clinical personnel to ensure quality care delivery. • Ensure proper infection control practices and follow all CDPH, CMS, and facility regulations. • Respond to emergencies and perform clinical interventions within scope of practice. • Maintain accurate and timely nursing documentation in the EMR. • Uphold resident rights, dignity, and safety at all times. Qualifications • Current California RN license in good standing. • Experience in long-term care or post-acute/SNF setting preferred but not required—new grads welcome! • Strong assessment, communication, and leadership skills. • Ability to work collaboratively with a multidisciplinary team. • Knowledge of Title 22, OBRA guidelines, infection control standards, and SNF regulatory requirements preferred. • Demonstrated expertise in handling complex cases involving acute pain management, trauma medicine, infectious disease care, or geriatrics such as memory care or Alzheimer's/dementia care. • Proficiency in performing diagnostic evaluations utilizing laboratory testing, sonography, or medical imaging techniques like mammography or gastroscopy. • Familiarity with coding systems such as ICD-10/ICD-9 and CPT coding for accurate documentation and billing processes. • Knowledge of nursing procedures including phlebotomy, specimen collection/processing, sterile processing techniques, and ostomy care. • Prior experience working within compliance frameworks such as HIPAA regulations and NCQA standards is highly desirable. • Additional qualifications include certification in basic life support (BLS), advanced cardiovascular life support (ACLS), or specialized training in hospice & palliative medicine or occupational health. Join our team of compassionate healthcare professionals committed to delivering exceptional patient-centered care through expertise across multiple disciplines! Pay: $40.00 - $46.00 per hour Work Location: In person