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Kern Medical
Bakersfield, California

Respiratory Therapist IV - Per Diem - Shift

Respiratory TherapistPer Diem

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1mo ago · Verified live

Job Description

Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year.

  • Per Diem employees supplement department staffing needs, with no guarantee of minimum hours.
  • Per Diem minimum scheduling expectation is four (4) shifts per four-week schedule.

Position: Respiratory Therapist IV - Per Diem

Distinguishing Characteristics

This is the highest level in the Respiratory Therapist flexible classification series. The Respiratory Therapist IV is fully competent in the use of the most complex treatment techniques and assists in training others in these techniques. This level works with a minimum of supervision and carries out routine medical technical therapeutic and diagnostic procedures, and may be assigned off-site to perform duties that are consistent within this classification.

This level is distinguished from the Respiratory Therapist III classification by requiring a higher level of accredited respiratory therapy education and professional credentialing. It is further distinguished by its responsibility to serve as lead practitioner for specified hours or shifts.

Essential Functions

  • Administers IPPB therapy.
  • Performs humidity and aerosol therapy.
  • Administers medical gas and pulmonary drainage procedures.
  • Performs cardiorespiratory resuscitation, electrocardiography testing, and related procedures.
  • Administers aerosolized drugs.
  • Provides continuous mechanical ventilation; maintains artificial airways.
  • Performs more complex pulmonary function testing.
  • Performs arterial blood gas sampling.
  • Cleans and prepares equipment; performs routine mechanical maintenance on respiratory therapy equipment.
  • Makes periodic and emergency checks on respiratory therapy equipment installations.
  • Operates analyzers to determine saturation of oxygen and other gases in the blood.

Essential Functions (Continued)

  • Serves as a knowledge resource to the physician and hospital staff in relation to the technical aspects of respiratory care and the effectiveness of methods to administer safe respiratory therapy.
  • Provides suggestions regarding the patients' treatment and pulmonary progress; instructs the patient and his family in the use of equipment and techniques involved in self care; provides instruction to patients and family in the nature of cardiorespiratory disease and its ramifications.
  • Develops individual exercise routines, bronchial clearing procedures, evaluation and monitoring techniques for each patient.
  • Implements infection control and demonstrates knowledge of aseptic techniques.
  • Responds to emergency calls throughout the hospital.
  • Documents care given; maintains records of treatment given; generates necessary documents for charges or record keeping.
  • Conducts quality assurance monitors.
  • Dependent upon area of practice or department assignments, demonstrates clinical knowledge and skill in the care of the newborn, infant, toddler, child, adolescent, adult and geriatric patient ranging up to 100+ years of age.

Other Functions

  • Assists with maintenance and processing of equipment and products used in providing cardiopulmonary services.
  • Assists with bronchoscopies.
  • Provides assistance in cardiorespiratory rehabilitation.
  • Participates in training and supervision of new employees; assists in the instruction of nursing personnel in surveillance of patient and equipment after initial installation.
  • Performs other job-related functions as required.

Employment Standards

Appointees not possessing the American Heart Association Provider Basic Life Support (BLS) card at time of hire must successfully complete appropriate training and qualify for the RQI Provider certification within 60 days of employment. As a continued condition of employment, employee must maintain RQI Provider certification and competency.

Registration: Registered with the National Board for Respiratory Care as a Registered Respiratory Therapist (RRT).

Licensure

Possession of a valid, current license as a Respiratory Care Practitioner, issued by the State of California.

Depending on assignment incumbents may be required to possess and maintain specific certificates of competency as a condition of employment.

Possession of a Class C California Driver’s License may be required by assignment to off-site locations.

Knowledge Of

Operating principles of commonly used types of ventilators and respiratory care equipment, including intermittent positive pressure breathing apparatus, nebulizers, humidifiers and oxygen analyzers; cardiopulmonary physiology, electrocardiography testing and related equipment used in testing and diagnostic studies, the chemistry of gases in respiratory therapy and the symptoms common to patients suffering respiratory ailments.

Ability To

Learn and conduct diagnostic tests such as EEG, EKG, Pulmonary Function and Echocardiograms; explain and teach others the fundamentals of respiratory therapy, cardiopulmonary services, electrocardiography testing and related procedures; the use of respiratory equipment and how to adjust the equipment to individual patient needs; implement goal oriented ventilator management with close interaction with physicians and nurses; interpret arterial blood gas results and recommend appropriate action so timely therapy changes can be made; understand hospital routine and organization; work with medical staff and patients.

Supplemental

A background check may be required for this classification.

All Kern Medical employees are designated “Disaster Service Workers”. In the event of a disaster or civil disorder, all Kern Medical employees are to remain at work or to report to work in a safe and practicable manner.

If position responsibilities require driving a personal vehicle, then possession of a current valid California Driver’s License and adherence to the Kern County Hospital Authority Vehicle Use and Driving Standard Policy (ENG-EC-119) is required.

If position responsibilities require driving a vehicle owned, leased or rented by Kern Medical, then possession of a current valid California Driver’s license, a signed authorization for Release of Drivers Record Information and adherence to the Kern County Hospital Authority Vehicle Use and Driving Standard Policy (ENG-EC-119) is required.

Key Responsibilities

The Respiratory Therapist IV performs complex diagnostic and therapeutic respiratory procedures, including mechanical ventilation and emergency response. They also serve as a lead practitioner, providing clinical expertise and training to staff and patients.

Requirements

Candidates must be registered with the National Board for Respiratory Care as an RRT and hold a valid California Respiratory Care Practitioner license. A BLS certification is required, and the role demands advanced competency in complex respiratory treatment techniques.

Qualifications

Education
Professional certificate or licensure
Experience
5+ years of experience

Key Skills

Cardiopulmonary resuscitationPatient educationClinical documentationEquipment maintenance

Respiratory Therapy Career Context

Of the 50 active Respiratory Therapy listings this role was benchmarked against, 4% are remote, 54% have no call, 50% require no weekends.

Respiratory Therapy pay on WeekdayDoc is up 2.1% vs. the prior quarter (through Oct 2026).

Respiratory Therapy by the numbers
MeasureThis jobMarket
Listed paynot listedRespiratory Therapy median $111k (middle half $68k–$111k)27 comparable listings, Nov 2026
Cost of livingCalifornia index 110.7US average = 100BEA Regional Price Parities (2024)
Respiratory Therapy listings in California197 active4,024 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 4% remote · 54% no call · 50% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia healthcare professional listings: 6% state a sign-on bonus (median $1k) · 7% offer loan repayment204 active listings, Nov 2026
New Respiratory Therapy listings1,278 in the last 30 days802 the 30 days before (+59%)U.S., first seen on WeekdayDoc, Nov 2026
Respiratory Therapy pay trend+2.1% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top contract/1099 Respiratory Therapist Jobs

36 matches · ranked by pay

Salary Distribution

28 jobs · 20 employers
13
<$85k
2
$85k-100k
10
$100k-115k
2
$115k-130k
1
$131k

Annual compensation range

Benefits & Perks

18 jobs
401k / retirement match
72%
Sign-on bonus
67%
Loan repayment
39%
PSLF eligible
17%
CME allowance
6%

Share of similar jobs offering each benefit

#1

Respiratory Therapist II

Olympic Medical Center · Port Angeles, Washington

$41.41-$62.92/hr
#2

Senior Respiratory Therapist -Dayshift

Sentara Health · Norfolk, Virginia

$41.74-$62.48/hr
#3

Respiratory Therapist

$34-$56.1/hr
#4

Respiratory Therapist

$37.61-$55.27/hr
+ 34 more · ranked by pay

Work-life snapshot

median 3.0this job 3.0
Better work-life than 50% of Respiratory Therapy listings

Listing-based score, 0–10, across 3,953 comparable listings. Shaded area = the share scoring below this one.

Living in Bakersfield

Typical 3-bedroom home value
$354k
Typical market rent
$1,901/mo
Residents’ average commute
24 min
State income tax
Up to 13.3%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.