Post-Surgical Recovery Nurse - Per Diem

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perioperative Department-specific competency validation. Completion of all annual competency verification requirements. Experience Perioperative RN Residency, or recently practicing in an OR/Perioperative Setting preferred. Licenses, Registrations, or Certifications Current ACLS certification required Current PALS certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: PRN Work Type: Per Diem As Needed

RN Clinical Supervisor - Cardiology Cath

Description Summary: The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence. Responsibilities: Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act. Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints. Champions change by identifying obstacles and requesting resources for effective improvement. Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion. Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs. Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department. Monitors, coaches and reinforces associate's compliance with policy and procedures. Applies and holds associates accountable for infection control policies and processes. Monitors and coaches staff in hourly rounding and use of patient communication boards. Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population. Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies. Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals. Facilitates associate participation in unit based multi-disciplinary rounds. Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG. Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard. Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations. Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance. Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices. Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process. Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures. Accurately interprets monitored rhythms and intervenes according to hospital policies and standards. Assists with special procedures as applicable to patient population. Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population. Communicates appropriate data to the physician and other patient care team members. Ensures timely and accurate implementation of physician orders. Performs emergency equipment checks at start of shift. Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization). Code Blue Alert Management - Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life. Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end. Provides appropriate hand-off communication with patient transitions of care. Assists manager/director in development of unit associate time schedule. Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates. Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process. Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated. Performs patient care duties when appropriate. Requirements: Education: Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred. Experience: 3 years relevant experience preferred but not required. Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. Certifications, Registrations, or Licenses: Current RN license in the State of New Mexico. Current BLS Certification. Current ACLS Certification or obtain within 6 months. Current PALS/NRP if applicable to area. Current TNCC if applicable to area or obtain within 6 months. Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department. BLS, ACLS and PALS must be issued through American Heart Association. Work Schedule: 4 Days - 10 Hours Work Type: Full Time

CN I - Cardiology Cath - PRN

Description Summary: The Registered Nurse is a clinical practitioner who coordinates and implements patient care specific to the age of the patient population served on the assigned units. He/she ensures that quality care is provided in an efficient and safe manner, consistent with the unit's standards of care. He/she demonstrates performance consistent with the mission, philosophy and goals of the unit and organization. Demonstrates quality and effectiveness in work habits and clinical practice. Treats staff, physicians, patients and families with consideration and respect. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Obtains and records initial assessment and establishes priorities according to patient age, symptoms and psychosocial needs. Re-assesses patients systematically to identify progress and trends that require intervention. Develops and implements a measurable individualized plan of care for the patient within the time frame established by Nursing Standards of Care. Makes comprehensive nursing decisions based on the interpretation of facts and evaluations of patient outcome; modifies the plan of care based upon the evaluations. Participates in patient/significant other health education and discharge planning. Implements and documents timely interventions appropriate to patient needs. Evaluates the plan of care. Performs various Point of Care testing procedures. Staff Responsibilities: Utilizes effective communication strategies, which result in intended outcomes. Delegates unit work assignments appropriately to ensure completion of required patient care support activities. Coordinates team assignments and makes adjustments based upon patient and unit needs; follows up on delegated patient care tasks for quality and completeness. Utilizes the appropriate chain of command for resolution of difficult issues. Participates in orientation of new staff/students on the unit. Functions as a resource to visitors, physicians and staff; greeting them promptly and courteously. Promotes a positive work environment as evidenced by demonstrating a professional, supportive attitude for the unit staff. Being receptive and responsive to new ideas. Participates in the unit's growth and development through various mechanisms to improve organizational performance. Collaborates by working with others to achieve unit and organizational goals. Job Requirements: Education/Skills Graduate of an accredited program for Registered Nursing Current knowledge and skills appropriate to age/type of patient population served Knowledgeable and sensitive to patients' rights in the delivery of care Communicates in a clear concise manner appropriate to the developmental age of patient. Experience All newly hired nurses with two or less years of experience as a Registered Nurse will be hired in at a CN I status. A new hire can be considered for a higher clinical ladder level (level II and III only) based on years of relevant experience to the clinical area, national professional nursing certification, achievement of additional nursing education (B.S.N. and MSN). Licenses, Registrations, or Certifications Current New Mexico RN license or current Compact state license. BLS Certification required or within 2 weeks of hire date. All other required certifications must be obtained within 6 months of hire date. If nurse has the required certifications at time of hire, they must maintain the certifications and will not have a grace period to renew. In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame. Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Per Diem As Needed

RN, Registered Nurse - Surg General CVOR

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: 10AM - 7PM 8 HR Shift Work Type: Part Time

RN, Clinical Supervisor - Nursing Float Pool

Description Summary: The Clinical Supervisor, in collaboration with and under the direction of the Nursing Department Director/Manager, is accountable for ongoing shift leadership and operations of a clinical department and for nursing care safety and quality. The Clinical Supervisor uses sound human resource and budget principles to guide the daily provision of nursing services to patients and families. The Clinical Supervisor supports comprehensive patient and family services through effective participation with the interdisciplinary team. The Clinical Supervisor is responsible for supervising nursing department associates and providing patient care when needed. Coaches and guides employees under his/her supervision. Demonstrates Professionalism and Excellence by performing as role model for clinical and service excellence. Responsibilities: Demonstrates current, comprehensive, professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights and Joint Commission/CMS regulations, Standards for Nursing Care for the Patient Care Unit and the New Mexico Nurse Practice Act. Conducts patient experience rounds to determine satisfaction with services and performs service recovery real-time. Assists manager/director in investigation of patient or physician complaints. Champions change by identifying obstacles and requesting resources for effective improvement. Prepares patient assignments based on patient need and associate competency level. Assigns unit tasks, meal/break time and ensures completion. Assists Patient Flow Supervisor in monitoring and improving patient flow metrics, including collaborating to determine appropriate placement based on patient needs. Promotes cohesive work teams and constructive conflict resolution, actively supporting intra- and inter-disciplinary teamwork, within the department. Monitors, coaches and reinforces associate's compliance with policy and procedures. Applies and holds associates accountable for infection control policies and processes. Monitors and coaches staff in hourly rounding and use of patient communication boards. Serves as clinical resource for associates related to complex clinical situations and invasive devices relevant to unit patient population. Monitors fall risk and skin at risk programs to ensure appropriate interventions are implemented to meet prevention strategies. Monitors pain management regimes with nursing staff and facilitates physician communication when not meeting patient pain goals. Facilitates associate participation in unit based multi-disciplinary rounds. Demonstrates awareness and implementation of National Patient Safety Goals as applicable in their area of practice. Monitors and coaches associates for compliance with NPSG. Reassesses the effectiveness of comfort measures (including PRN medications given) within 1 hour of intervention. Monitors associate compliance with this standard. Coaches and mentors associates to make cost effective decisions and use resources prudently achieving both productivity and competence expectations. Adheres to guidelines for IV therapy/Blood Administration. Monitors and coaches staff compliance. Adheres to medication administration guidelines and safe medication practices. Monitors and coaches staff to ensure for compliance with medication administration and safe medication practices. Utilizes AIDET to make a positive first impression. Monitors and coaches associates to achieve AIDET process. Demonstrates and takes responsibility for workplace safety. Exhibits knowledge regarding the hazard and injury reporting procedures. Accurately interprets monitored rhythms and intervenes according to hospital policies and standards. Assists with special procedures as applicable to patient population. Assists in data collection, assessment and documentation appropriate to nature and severity of the need of the patient population. Communicates appropriate data to the physician and other patient care team members. Ensures timely and accurate implementation of physician orders. Performs emergency equipment checks at start of shift. Primary responder to unit emergent events including Code Blue Alert and Rapid Response Team. (Critical Care responds to RRT throughout the organization). Code Blue Alert Management - Prepares patients for emergency treatment with thorough knowledge of emergency practices. Coordinates emergency measures to sustain life. Performs end of shift controlled substance count and ensures resolution of all Pyxis discrepancies prior to shift end. Provides appropriate hand-off communication with patient transitions of care. Assists manager/director in development of unit associate time schedule. Assists staffing office in determining real time staffing needs based on census, patient needs and skill set of associates. Assists with new associate selection and unit education-participating in staff interviews, setting clear staff performance expectations, encouraging staff development, and completing timely performance evaluations-including staff input in each process. Initiates first level counseling as appropriate. Assists manager/director in corrective action/discipline process as indicated. Performs patient care duties when appropriate. Requirements: Education: Graduate of an accredited school of Nursing. BSN preferred. National specialty certification preferred. Experience: 3 years relevant experience preferred but not required. Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. Certifications, Registrations, or Licenses: Current RN license in the State of New Mexico. Current BLS Certification. Current ACLS Certification or obtain within 6 months. Current PALS/NRP if applicable to area. Current TNCC if applicable to area or obtain within 6 months. Current CPI or equivalent must be obtained within six months for Behavioral Health and Emergency Department. BLS, ACLS and PALS must be issued through American Heart Association. Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Full Time

RN, Registered Nurse - Coushatta General Surgery - PRN

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: PRN Work Type: Per Diem As Needed

RN, Registered Nurse - Surgical Services

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: MULTIPLE SHIFTS AVAILABLE Work Type: Full Time

RN, Registered Nurse - Labor and Delivery

Description Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Position Requirements: Education/Skills All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire. New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a Perinatal Services-specific competency validation. Completion of all annual competency verification requirements. Experience Perinatal RN Residency, or recently practicing in a Perinatal Setting is preferred. Licenses, Registrations, or Certifications Current certification required from one of the following: AWHONN Intermediate FHM, AWHONN Intermediate FHM Instructor, AWHONN Advanced FHM Instructor, AWHONN Instructor Trainer, or NCC Electronic Fetal Monitoring (C-EFM) Current NRP certification required Current ACLS certification required In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain required certifications for their respective positions within the designated time frame. Credential Grace Periods: If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level. Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate. Any Candidate/Associatewho doesnothave at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty. Credential Grace Periods for Experienced Associates Grace Periods for New Graduates & Experienced Associates New to the Specialty Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire. Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire. Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire. Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire. Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire. Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire. AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire. STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire. Work Schedule: 7PM - 7AM Work Type: Full Time

Registered Nurse, Acute MedSurgical B - PRN

Description Come joinourMedSurg team and try out our PRN Tier Plan. Flexible schedule that allows you to pick your rate! PRN - Tier Plan available - Flexible Schedule Tier 1: $40/hr for 6 shifts in a 6 week schedule Tier 2: $45/hr for 12 shifts in a 6 week schedule Tier 3: $50/hr for 18 shifts in a 6 week schedule Shift Differentials also apply for nights and weekends! Summary: The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients. Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice. Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed. Documents patient history, symptoms, medication, and care given. Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources. Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience 1 year of experience in the related nursing specialty preferred Licenses, Registrations, or Certifications BLS required RN License in state of employment or compact Work Schedule: 6AM - 6PM 12 HR Shift Work Type: Per Diem As Needed