Description - External

Job Summary:

Selects and administers intravenous, spinal and other anesthetics prior to and during surgical or medical procedures, as a member of the anesthesia care team and in accordance with Kaiser Permanente policies and procedures. Monitors patient reactions and vital signs during and after anesthesia and takes remedial action when warranted. Submits postoperative report on patient condition, and maintains records of anesthetics administered. Performs procedures outside of the OR, in accordance with KP policies and procedures, established competency, and MD order. Essential Responsibilities:

• Conducts and/or reviews anesthetic evaluation of patients prior to surgical proceedings, deliveries or other pertinent medical procedures in hospital setting; consults with anesthesiologists and/or surgeons.

• Reviews patients charts, including permits, pre-operative medications, lab work, and any other significant variations, such as hearing aids, dentures, contact lenses, or other prostheses, in accordance with KPs policies and procedures and the departmental policy.

• Evaluates patients to identify apparent difficulties with airway control, etc. Ensures that all pre-anesthesia evaluations are documented thoroughly according to policies and standards. Explains tests, procedures and disease processes to patients and their family as indicated; explains the major anesthetic risks to patients as requested and documents that the risks are explained to patients.

• Develops the care regimen of assigned patients; reviews the care regimen with the supervising physician and gains concurrence; implements the anesthesia plan;  starts IV solution, administers selected anesthetic, choice of anesthetic consistent with patient safety, surgical need, possible post operative complications, and patients history and conditions. and evaluates and manages the patient, according to departmental policy.

• Participates with post anesthesia care unit personnel in a patient safety oriented interface when patients are transferred from the surgery suite. Monitors patients vital signs, such as blood pressure and observes any significant physical changes; informs anesthesiologist and/or surgeon of patients condition and takes any necessary remedial action such as infant resuscitation when necessary.  Mixes solutions to required concentrations, such as pentothal, succinylcholine, vaso-active drugs etc.

• Keeps current accurate and complete record of procedures performed and patients conditions immediately prior to the administration of anesthesia according to established standards.

• Performs procedures done outside of OR, such as intubation, arterial line placement, etc., in accordance with policies and procedures, competencies, and physician order.  Charts details of procedures done on progress notes.

• Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser Permanente reserves the right to reevaluate and change job descriptions, or to change such positions from salaried to hourly pay status. Such changes are generally implemented only after notice is given to affected employees.

Qualifications - External

Basic Qualifications:

Experience

• N/A

Education

• Graduate of an accredited registered nursing program.Graduate of an accredited school of anesthesia by date of hire.High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• Certified Registered Nurse Anesthetist (California) required at hire

• Registered Nurse License (California) required at hire from Centers for Medicare & Medicaid Services

• National Provider Identifier required at hire

• Basic Life Support

• Advanced Cardiac Life Support

Additional Requirements:

• Demonstrated understanding of all regulatory requirements and legal consequences of anesthesia care.

• Proven ability to exercise professional prerogatives based on sound clinical judgment.

• Demonstrated track record of following the precautionary and preventive measures in giving patient care.

• Demonstrated ability to work in teams and have proven communications and listening skills.

• Demonstrated knowledge of and skill in interpersonal relations, customer service, adaptability and change management.

• Must be able to work in a Labor/Management Partnership environment.

• Must be eligible for Medicare/Medi-Cal enrollment. Medicare enrollment requires current certification by one of the following organizations: Council on Certification of Nurse Anesthetists or the Council on Recertification of Nurse Anesthetists.

Preferred Qualifications:

• N/A

At Kaiser Permanente, our focus on total health allows us to work as one. As one team driven by talented, passionate health care professionals. One community focused on making healthy choices. One organization using the latest innovations and most advanced care to serve 12.5 million people across the country. If you’re looking for an opportunity to make a real difference in each member’s mind, body, and spirit, join us at the heart of health care.

The goal of the Center for Black Health and Wellness is to improve the health of our Black members, elevate their care experience, continue to build trust, create culturally responsive care, and best practices that can be shared across our organization and the health care community. It is led by a team of clinicians with experience in providing exceptional culturally responsive care for Black patients and their families. We here at Kaiser Permanente Northwest recognize that studies show Black patients have better health outcomes when they have Black clinician(s) and care teams that are highly experienced in providing culturally responsive care.

Provide high quality health care to Kaiser Permanente members in a cost-effect manner and in accordance with accepted professional practice standards. This Clinician floats to all service areas in the NW Region, works in adult Primary Care covering for other Clinician panels and/or for short term (three months or less) needs in the MOB.

Provide high quality health care to Kaiser Permanente members in a cost effect manner and in accordance with accepted professional practice standards. This Clinician sees patients for Medicare Wellness visits so geriatric, long-term, full-body care experience is preferable. Ambulatory primary care experience is preferred.

Provide high quality health care to Kaiser Permanente members in a cost effect manner and in accordance with accepted professional practice standards. This Clinician works in OBGYN care.

Provide direct assessment, diagnosis, and formulation/implementation of treatment plan for patients with common acute and chronic illnesses and injuries (may include performing histories and physicals; ordering, interpreting, and following up on diagnostic studies; ordering medications). Perform health maintenance services, including patient education, for well members. Refer patients for specialty consultations or difficult problems. Document in writing all care in patients permanent medical record in accordance with accepted medical/legal standards. Provide all medical care in accordance with accepted practice standards, hospital/clinic protocols (including supervision by a physician), and State licensing guidelines for Oregon & Washington.

At Kaiser Permanente, your skills can make a real difference in the lives of our members and in the communities we serve. That’s because we all share a focus on delivering a healthier tomorrow. Join us and bring your passion for healing and your commitment to finding innovative ways to shape care. Your visionary thinking will find a home on an amazing team united in a mission of total health.

Sacramento

Our nurse anesthetists thrive as valued members of the Anesthesia Care Team in a supportive team environment. A broad scope of practice and no ‘medical direction’.

The Practice

• Anesthesia Care Team (ACT) model

• Autonomous practice

• Diverse cases: Neuro/spine, complex cases, adult/pediatric (over 2 y/o), trauma, stroke designated center, ambulatory

Lifestyle

• CRNA education focus

• Self-scheduling

• Flexible shifts (8, 10, 12, 24)

Exceptional Total Compensation, Benefits and Retirement

• Highly competitive salary

• 20% sign-on bonus ($54,000+) for offers accepted in 2025

• Relocation assistance

• Medical Malpractice fully paid

• Salary plus, guaranteed for FTE and paid for any time worked over FTE

• Differential for evening and night shift

Retirement includes:

• Defined pension benefit (traditional plan 5 years vesting) – KP funded 

• Supplemental retirement savings plan – KP funded

• Tax deferral plan

Generous paid time off

• PTO: Accrual starting with 19 days, 2 years – 24 days, 5 years - 29 days, 10 years – 34 days

• 7 Holidays + Extended sick leave

• Education leave – 5 days each year after 1 year of service     

Nurse anesthetists thrive as valued members of the Anesthesia Care Team in a supportive team environment. A broad scope of practice and no ‘medical direction’.

Santa Clara

The Practice

CRNAs service most surgical specialties with the exceptions of trauma, spine, bariatrics, gender affirmation, and neuro (except for a limited number of pediatric neuro cases done by dedicated pediatric anesthesia staff).  

Service provided to a variety of hospital venues including the Main Operating Room, Ambulatory Surgery Unit, Labor & Delivery, Electrophysiology Lab and Eye Surgery Unit. In addition, CRNAs respond to emergencies throughout the hospital for airway management.

• 38 CRNAs and 33 Anesthesiologists regular staff + per diem staff

• Supportive caring team members

• Autonomous and diverse practice

• Inpatient and ambulatory surgical services, high-risk, OB and hospital emergencies

• Well-equipped hospital facility

• All shifts in-house with predictable end times

Lifestyle

• Desirable Bay area location

• Flexible scheduling

• All shifts in-house with predictable end times

• No call from home

• CRNA education focus

• Specialized service teams

Basic Qualifications:

Experience

• N/A

Education

• Graduate of an accredited registered nursing program. Graduate of an accredited school of anesthesia by date of hire. High School Diploma or General Education Development (GED) required.

License, Certification, Registration

• Certified Registered Nurse Anesthetist (California) required at hire

• Registered Nurse License (California) required at hire

• Advanced Cardiac Life Support required at hire

• Basic Life Support required at hire

• National Provider Identifier required at hire

Exceptional Total Compensation, Benefits and Retirement

• Highly competitive salary

• 20% sign-on bonus ($54,000+) for offers accepted in 2025

• Relocation assistance

• Medical Malpractice fully paid

• Salary plus, guaranteed for FTE and paid for any time worked over FTE

• Differential for evening and night shift

Retirement includes:

• Defined pension benefit (traditional plan 5 years vesting) – KP funded 

• Supplemental retirement savings plan - KP funded

• Tax deferral plan

Generous paid time off:

• PTO: Accrual starting with 19 days, 2 years – 24 days, 5 years - 29 days, 10 years – 34 days

• 7 Holidays + Extended sick leave

• Education leave – 5 days each year after 1 year of service     

Job Summary:

The Nurse Practitioner (NP) is responsible for the assessment of selected patients in the designated service. The NP performs physical examinations, confers with patients in person and by phone/electronically, collaborates with others in the department to assure smooth flow of patient care consistent with established quality indicators and participates in the overall coordination of patient care. The NP reports to the Chief of the designated service and to the Department Manager.

Essential Responsibilities:

• Practices under the standard procedure established for the NP role consistent with Kaiser Permanente policy and in accordance with requirement set forth by the California Board of Registered Nursing.

• Conducts age appropriate assessments of patients, including history taking and physical examination consistent with department protocol.

• Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive status; patient/family education, family involvement and patient advocacy.

• Consults with supervising physician or other clinicians as dictated by patient need and assessment findings.

• Participates with physicians and other clinicians in the department to assure effective patient care consistent with quality indicators for patients cared for in the designated service.

• Reviews medical record for follow up or ordering of diagnostic studies under established protocols.

• Establishes and maintains communication with other health care providers and departments to ensure operational efficiency and effectiveness and to promote consistency and continuity of care.

• Establishes effective working relationships with members of the health care team, patients, and families. Acknowledges staff rights and cultural and ethical beliefs.

• Delegates appropriately and coordinates duties/activities of health care team members. Evaluates effectiveness of care given by team members.

• Demonstrates knowledge of and applies safety principles as identified by the institution. Performs efficiently in emergency situations following established protocols, remaining calm, informing appropriate persons, and documenting events.

• Demonstrates responsibility and accountability for own professional practice. Participates regularly in staff development activities for unit and department personnel. Demonstrates knowledge of legal issues, including patient confidentiality and risk management in all aspects of patient care and unit functioning.

• Participates in unit and department Performance Improvement activities. Participates in nursing research activities as requested. Identifies and solves problems effectively.

• Demonstrates a service philosophy in all interactions with patients, families, and all members of the health care team. Demonstrates proficiency in the use of computers and telecommunication modalities to document, track and convey information.

• If practicing in a specialty role, fulfills the expectations established for the particular role.

• Perform other related duties as necessary.

Basic Qualifications:

Experience

• Minimum of 6 months experience as a nurse practitioner.

One (1) year of experience within the past three (3) years as a NP providing care for patients undergoing surgical procedures and/or those who have undergone surgical/invasive procedures.

Education

• Masters Degree in Nursing (unless already a Kaiser Permanente employee who was grandfathered in prior to California Business and Professions Code requirement in January 1, 2008)

• Completion of masters program in Adult NP, Family Practice NP, Acute Care NP or Pediatric NP required: Adult, Family or Acute NP if practice limited to adults; Family or Pedi NP if practice limited to pediatric patients. If only caring for specific patient population of adult or pediatrics then Acute Adult NP or Acute Pediatric NP required.

License, Certification, Registration

• Nurse Practitioner Certificate (California)

• Nurse Practitioner Furnishing Number (California)

• Registered Nurse License (California)

• Basic Life Support

• Nurse Practitioner National Certificate

• National Provider Identifier required at hire

Additional Requirements:

• Must meet credentialing requirements established for nurse practitioners within the Kaiser system (Masters Degree in Nursing and National Certification from one of the following organizations: American Academy of Nurse Practitioners; American Credentialing Center; National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties; National Certification Board of Pediatric Nurse Practitioners and Nurses.)

• Candidates must meet requirements to apply for PTAN (Provider Transaction Account Number) at the time of hire and apply within 30 days of hire

• Also refer to Position Specifications outlined in the appropriate collective bargaining agreement.

• RN First Assist experience required if assisting with surgical procedures.