Clinical Nurse IV

Alameda Health Sytem; Oakland (CA); On-site; USD 107,000 - 151,000; Full time

Job summary

Alameda Health System in Oakland is seeking a Clinical Nurse IV to oversee the HGH Medicine/Telemetry/Oncology unit. This role is full-time day shift and involves directing nursing staff, ensuring high-quality patient care and regulatory compliance.

The position emphasizes leadership during after-hours periods, staff development, and collaboration with hospital leadership to optimize patient flow and outcomes. Requires an accredited nursing program credential and an active California RN license.

Qualifications

• Graduate of an accredited Nursing Program required.
• Bachelor's degree in Nursing preferred.
• Valid California RN license required to practice.
• Additional certifications like ACLS/BLS may be required per unit.

Responsibilities

• Directs professional and support nursing personnel and provides individualized, goal-directed care using the nursing process.
• Assumes leadership during after hours, weekends and holidays as needed.
• Promotes patient- and family-centered care and staff satisfaction across the unit.
• Ensures efficient use of personnel, supplies, and equipment.
• Maintains adherence to regulatory and accreditation standards.
• Participates in staffing plans, performance evaluations, and staff development.
• Monitors patient care standards and documentation quality.
• Interacts with medical staff and other departments to coordinate care.

Skills

Nursing leadership

Quality improvement

Staff development

Unit management

Education

Nursing degree (RN)

Bachelor's degree in Nursing preferred

Job description

Clinical Nurse IV Internal Only

Available to current Alameda Health System employees only

• Oakland, CA
• Highland General Hospital
• HGH Medicine/Telemetry/Oncology 7th Floor
• Full Time - Day
• Management
• $77.87/hr-$109.48/hr
• Req #: 45197-33633
• FTE: 1
• Posted: November 13, 2026

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Summary

SUMMARY: Under general supervision, directs the professional and support nursing personnel and provides individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Performs related duties as required.

DUTIES & ESSENTIAL JOB FUNCTIONS:NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

1. Assists in developing and conducting quality improvement studies/activities.

2. Assumes the role of leadership in the absence of Administration during after hours, weekends, and holidays. Resource for the supervisor is the Administrator on-call; assumes a leadership role within the hospital during the time of disaster and other crisis situations. Contacts appropriate persons and gives directions to hospital staff.

3. Assures the establishment and maintenance of a system of administration of a unit which facilitates patient and family centered care and the promotion of staff satisfaction.

4. Assures the establishment and maintenance of the organizational structure of a unit which promotes effective and economic utilization of personnel andsupplies;assures availability and operability of supplies and equipment.

5. Communicates regularly with immediate supervisor to report on status of activities, studies, trends, programs, resources, personnel, needs and problems.

6. Contributes to the establishment of Nursing Department goals and objectives and promotes their achievement; interprets and implements charge system as well as policies, procedures, andregulations.

7. Identifies staff with growth potential and makes recommendations to the nursing administration; reviews progress of employees and prepares with others the performance evaluations records and the content of associatedguidance sessions; participates in interviewing, evaluating and recommending nursing personnel for employment and promotion.

8. Implements consistently the standards set by State and National regulatory and/or accrediting agencies; monitors the regularity of programs providing for infection control, quality assurance, continuity of care, teaching of patients, and coordination of care with other departments.

9. Makes regular rounds to all patient areas on the unit to evaluate status of patient care, operation and environment of the unit, staff needs and patients' perception Immediately remedies any issuesidentified.

10. Obtains and incorporates when feasible suggestions and recommendationsfrom staff.

11. Participates in the determination and implementation of patient care and documentation standards and quality assurance program criteria and monitors the documentation of their achievement.

12. Plans and conducts staff development programs pertinent to unit needs and makes recommendations for programs to meet broader needs; contributes to the development of staff performance standards, monitors activities of personnel and evaluates achievement of performance standards.

13. Prepares documentation to support requests for continuing enhancement of nursing capabilities and make budgetary recommendations on personnel, supplies, equipment,remodeling and contracts.

14. Promotes an environment therapeutic for patients, pleasant for personnel and visitors and conducive to ease of communication, to respectful and impartial treatment of employees and patients, and to learning by staff andstudents.

15. Promotes cordial and productive patterns of communication and relationships with medical staff and inter/intra-departmentalpersonnel.

16. Responds promptly to employee problems and grievances.

17. Responsible for effective bed management and patient flow throughout the house.

18. Reviews priorities of patient care and unit operation and makes adjustment in resources and/or staffing; contributes to adoption of master staffing schedule to unit operation; maintains approved personnel assignments, time allowance and records and personnel policies and procedures.

MINIMUM QUALIFICATIONS: Education: Graduate of an accredited Nursing Program required; Bachelor's degree in Nursing preferred.
Minimum Experience: One year full-time, continuous experience as a Clinical Nurse III or three years experience as a Clinical Nurse II with AHS, or four years full-time, continuous experience in a large facility in the clinical area of application. (NOTE: a Bachelor's Degree in Nursing from a recognized school may be substituted for one year of the required experience.)
Required License/Certifications: CCRN - Critical Care Registered Nurse is desirable.
Required Licenses/Certifications: ACLS - Advanced Cardiac Life Support Certification - issued by AHA -American Heart Association, may be required per facility or unit/department specialty according to patient care policies.
Required Licenses/Certifications: Acquire certification in chemotherapy within one year of hire (certain positions only)
Required Licenses/Certifications: BLS - Basic Life Support Certification issued by the American Heart Association. Other advanced life support certifications may be required per unit/department specialty according to patient care policies.
Required Licenses/Certifications: CEN - Certified Emergency Nurse is desirable (for Emergency Department positions)
Required Licenses/Certifications: Certification as a Public Health Nurse in the State of California (required for certain positions).
Required Licenses/Certifications: Completion of Perinatal Safety Modules within 3 months of hire. Evidence of completion and continuing annual competency must be in the employee file and/or AHS’s learning management system (LMS) (for certain positions).
Required Licenses/Certifications: Coronary Care Unit certification (required for certain positions at Fairmont Hospital's Monitoring Unit).
Required Licenses/Certifications: CPI -Crisis Prevention Intervention Training (required for all positions at John George Psychiatric Pavilion; and preferred for certain positions in the Emergency Department).
Required Licenses/Certifications: MICN - Mobile Intensive Care Nursing certification (required for certain positions).
Required Licenses/Certifications: NRP - Neonatal Resuscitation Program Certification- AHA American Heart Association (required per unit/department specialty according to patient care policies).
Required Licenses/Certifications: PALS - Pediatric Advanced Life Support Certification- AHA American Heart Association (Required for Emergency Department or if overseeing or providing pediatric care on a regular basis).
Required Licenses/Certifications: TNCC -Trauma Nurse Core Course (Required for Emergency department).
Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate’s experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program. $77.87/hr-$109.48/hr Share: Apply Now

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