Job Title

Job Description Salary - OverviewLocated in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.Employees of Confluence Health receive a wide range of benefits in addition to compensation.Medical, Dental & Vision InsuranceFlexible Spending Accounts & Health Saving AccountsCH Wellness ProgramPaid Time OffGenerous Retirement PlansLife InsuranceLong-Term DisabilityGym Membership DiscountTuition ReimbursementEmployee Assistance ProgramAdoption AssistanceShift DifferentialFor more information on our Benefits & Perks, clickhere! SummaryUp to $, in Bonuses! $5, sign on - paid after day probationary period, $5, paid after 6 months, and $5, retention bonus at 1 year.*Additional rules apply*External applicants only.This position does not take call, work weekends or holidays.Join our team of experienced cardiac sonographers. Enjoy our professional and supportive work environment, with a reasonable work-life balance and a positive team-oriented culture. Recent graduates are welcome to bring their enthusiasm for learning and the willingness be mentored by experienced sonographers. Experienced cardiac sonographers will appreciate the great relationship that we have with our cardiology team and reading physicians, the positive work environment, supportive management, and the ability to continue to grow and develop professionally. If you value the opportunity to be a part of a team committed to technical excellence, where quality is not sacrificed for quantity, and where you are valued and appreciated by a supervisor who is also a cardiac sonographer, then this may be the position for you.Under general supervision the Cardiac Sonographer will perform, analyze, and interpret comprehensive, complex diagnostic cardiac ultrasound procedures such as Transthoracic Echo, Treadmill and Dobutamine Stress Echo, and assist physicians with Transesophageal Echo (TEE) procedures on patients referred for evaluation of suspected or known heart disease, post-operative evaluation of surgical therapy, or placement of cardiac prosthetic devices. The Cardiac Sonographer will tailor examination as necessary to provide accurate representation of cardiac anatomy and pathology throughout examination; monitor patient’s vital signs and condition during examination; measure cardiac structures and blood flow throughout the heart; and complete preliminary report for the reading cardiologist.Position Reports To: Echocardiography Supervisor Essential FunctionsIndependently perform high-quality, professional level, complex diagnostic cardiac ultrasound examinations adhering to the Echo Lab policies and procedures and the American Society of Echocardiography standards and guidelines.Determine diagnostic parameters and adjust imaging as needed throughout the exam to acquire accurate images of cardiac anatomy, pathophysiological data, and blood flow analysis relative to patient’s clinical presentation, review of previous imaging studies, and relevant cardiac history.Provide real-time assessment of image quality to adjust imaging protocols and to determine the need for and utilize echo contrast/ultrasound enhancing agents, agitated saline “bubble” studies, 3-D quantification, Myocardial Strain Imaging, and other specialized imaging techniques following established lab protocols and American Society of Echocardiography standards and guidelines.Perform echocardiographic studies in the Cath Lab to provide imaging to guide pericardiocentesis and to evaluate TAVR valve placement.Provide Treadmill Stress Echo, Dobutamine Stress Echo imaging as a part of the cardiac stress testing team, including, pharmacological viability and valve stress echocardiograms.Assist the physician in the performance of 2-D and 3-D Transesophageal Echocardiograms (TEE) and other special procedures.Perform accurate measurements and calculations on acquired images, adhering to established lab protocols for pathology identified during exam.Summarize and enter patient history, exam measurements, and other relevant data as necessary in order to complete an accurate preliminary assessment of cardiac structures and function to be sent to the reading cardiologist for final interpretation and reporting.Recognize and alert the attending reading cardiologist of critical findings requiring immediate attention.Provide excellent patient care consistent with professional practice standards published by the American Society of Echocardiography and adhering to all Confluence Health policies and procedures.Contribute to the professional development of self, peers, and others through participation in departmental meetings, training, peer review and case presentations as required for professional development and IAC lab accreditation.Demonstrate excellent communication skills with physicians, colleagues and support staff to promote best quality patient care.Participate in the training and orientation of cardiac sonographer students completing clinical internships.Paid travel to remote clinic sites up to two hours away.Equitable On-call rotations.Required to maintain active Basic Life Support (CPR) certification.|Other duties as assigned.Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times. QualificationsRequired:Current Registered Diagnostic Cardiac Sonographer (RDCS) credential from ARDMS or Registered Cardiac Sonographer (RCS) credential from CCI.Current BLS certification.Valid state driver’s license and reliable vehicle transportation.Desired:Previous experience as an Adult or Pediatric Echocardiographer, Echo Tech, or Cardiac Sonographer.New graduates encouraged to apply and will participate in 6-month echocardiography preceptorship/mentorship program. Physical/Sensory DemandsO = Occasional, represents 1 to % or up to minutes in a 2 hour workday.F = Frequent, represents to % or up to 1 hour of a 2 hour workday.C = Continuous, represents % to % or up to 2 hours of a 2 hour workday.Physical/Sensory Demands For This Position:Walking - F Sitting/Standing - CReaching: Shoulder Height - OReaching: Above shoulder height - OReaching: Below shoulder height - FClimbing - OPulling/Pushing: pounds or less - OPulling/Pushing: pounds to pounds - OPulling/Pushing: Over pounds - OLifting: pounds or less - OLifting: pounds to pounds - OLifting: Over pounds - OCarrying: pounds or less - OCarrying: pounds to pounds - OCarrying: Over pounds - OCrawling/Kneeling - OBending/Stooping/Crouching - OTwisting/Turning - ORepetitive Movement - CWorking Conditions:The staff cardiac sonographer will work in both an outpatient clinic and inpatient hospital environment. Staff will share after hours hospital call coverage equitably, generally per week. There may be light travel to satellite clinics periodicallyJob Classification:FLSA: Non-exemptHourly/Salary: HourlyPhysical Exposures For This Position:Unprotected Heights - NoHeat - NoCold - NoMechanical Hazards - YesHazardous Substances - NoBlood Borne Pathogens Exposure Potential - YesLighting - NoNoise - NoIonizing/Non-Ionizing Radiation - YesInfectious Diseases - Yes