Find the Right Nursing Jobs Near You

Ciena Healthcare Chagrin Falls, OH

Respiratory/Ventilator Nurse (RN)

$15,000 Sign On Bonus for full-time! Night shift (7pm-7am) Are you a critical thinker, a skilled communicator, and passionate about caring for residents? Are you seeking career advancement? As a Vent Nurse (RN) at Regency of Chagrin Falls, you have the opportunity to use your nursing skills and become a leader. Benefits: Comprehensive health insurance - medical, dental and vision. 401K with matching funds. Career ladder programs. Paid time off (beginning after six months of employment) and paid holidays. Flexible scheduling. Tuition reimbursement and student loan forgiveness. Zero cost uniforms. Responsibilities: Supervise the care/services provided by the LPNs, STNAs, and other team members who care for the residents. Coordinate the nursing care of residents on the unit assuring all residents are assigned staff capable of providing appropriate care to the resident. Provide safe and accurate Medication Related interventions to residents. Assess the health of residents and notify the physician of changes in status and promptly implement new orders. Develop a plan of care based on assessment, implementing nursing care. Select and institutes appropriate nursing interventions to stabilize a resident’s condition and /or prevent complications. Contribute to the resident’s assessment (MDS/CAA’s) and the development of a plan of care. Requirements: ADN or BSN. Demonstrates knowledge of basic nursing practice with an interest in gerontological nursing. Must have a current state license to practice as a Registered Nurse (RN). CPR certification. Vent certification. Ciena Healthcare: We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123

University of Maryland Medical System Towson, MD

Clinical Nurse II (Sign on Bonus Eligible)

$39.35 - $54.05 / hour

Job Requirements Job Requirements Summary I. General Summary This role is considered for the new graduate or nurse with less than 12 months experience . The nurse will utilize this time to learn the institution and nursing practice. . It is expected that a nurse in this role successfully meets all requirements of the Nurse Residency Program and Departmental Orientation. Utilizes the institution’s care delivery and professional practice models as the frame of reference for practicing as a professional nurse. Participates in activities to develop own practice, and to support group practice goals at the unit level. Is accountable to patient, family and team members for care provided and to the nurse manager for totality of work performance. Is accountable to hold to the Service Standards and to the Nursing Mission, Vision and Values. Responsibilities II. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Clinical Practice/Care Delivery Focus of clinical practice/care delivery and on own learning. Uses/applies evidence-based practice, accesses appropriate resources. Follows unit based protocols, documentation, pathways, etc Involves patient and family in care; follows model of care delivery guidelines. Conducts patient/family needs assessment; initiates and documents patient/family education, seeks guidance in advocating the patient/family needs when appropriate. Delivers care consistent with unit operations to ensure safe, timely, effective, efficient, equitable, patient centered care. Professional Development Responsible for accessing education applicable to own professional development; focus on completion of competencies appropriate for patient care setting. Successful completion of orientation. Accountable for achieving/maintaining requirements for unit practice. Assists with precepting students, unlicensed assistive personnel or peer for isolated days (not accountable for entire orientation); may assist with share days or shadow days. Completes CE’s on an annual basis based on the facility minimum requirements. Service/Quality Becomes familiar with National Hospital Quality Measures, National Patient Safety Goals, Quality Indicators, Nursing Sensitive Indicators, and Facility Annual Operating Plan. Aware of patient and team member satisfaction scores and contributes to unit initiatives for improvement. Participates in some or all elements of research/EBP/QI. Provides high quality, safe, patient centered care with focus on exceeding service expectations. Maintains regulatory requirements for overall readiness; participates in tracer activities when requested. Patient Safety Takes action to correct observed risks to patient safety. Reports adverse events and near misses to appropriate management authority. Implements policies, procedures, and guidelines consistently in the performance of assigned duties. Develops effective working relationships and maintains good communication with other team members. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge. Participates in hospital, departmental and/or unit patient safety initiatives. Operations Supports Charge Nurse role and demonstrates basic understanding of the role. Actively contributes to teamwork (cooperates with peers, flexible with assignments, takes admissions as required, etc). Attends briefings/staff meetings regularly. Aware of and supports unit, nursing division, and organizational governance structure. Participates in recruitment and retention activities at the unit level. Provides feedback in peer review as requested. Work Experience Work Experience III. Qualifications Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required. 12 months or more of unsupervised RN experience Current AHA BLS certification required. Basic computer skills are required. Effective verbal and written communication skills. Benefits Benefits Compensation Pay Range: $39.35 - $54.05 Other Compensation (if Applicable) Review the 2025-2026 UMMS Benefits Guide This position is eligible for a 20k sign on bonus

Manager/Supervisor

Hertford Rehabilitation and Healthcare Hertford, NC

Registered Nurse Supervisor on the Weekends

Lead With Excellence. Care With Heart. Hertford Rehabilitation and Healthcare Center in Hertford, NC is seeking an experienced RN Weekend Supervisor to oversee nursing units in our respected long-term care (LTC) facility . Join a team where your skills and compassion are valued every day. Why Join Us: Competitive wages + very high PRN rates Comprehensive benefits package and PTO New bonuses, perks, and employee discounts Supportive leadership and growth opportunities Responsibilities: Supervise nursing staff and ensure quality resident care Administer medications and maintain accurate documentation Oversee resident schedules and individualized care plans Collaborate with interdisciplinary teams for compliance and excellence Qualifications: Current Registered Nurse (RN) license in NC Nurse supervisor experience preferred LTC/SNF experience required Take your nursing career to the next level—apply today! Yadhealth.com #YAD123

Manager/Supervisor

UT Southwestern Medical Center Dallas, TX

Assistant Nurse Manager - APHERESIS

WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! Benefits UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100% coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! Required EXPERIENCE AND EDUCATION Education Graduate of an accredited Nursing program; and Bachelor's Degree in Nursing, BSN Experience 3 years experience as a RN. Specialty areas may have increased experience requirements as dictated by unit or standard of care. Preferred Experience 1-2 years Leadership experience strongly preferred. Apheresis experience preferred not required. Licenses and Certifications (NLC) NURSING LICENSURE COMPACT-BNE Current Texas (or BNE Compact State) license Upon Hire and (BLS) BASIC LIFE SUPPORT course accredited by the American Heart Association (AHA) or American Red Cross (ARC). Upon Hire and (ACLS) ADV CARDIAC LIFE SUPPORT course accredited by the American Heart Association (AHA) or American Red Cross (ARC). Upon Hire and Specialty areas may have increased certification/license requirements as dictated by unit or standard of care. Upon Hire Job Duties Demonstrate continuous performance improvement in targeted areas of responsibility in alignment with the overall annual Hospital performance improvement targets. Meets or exceeds financial goals and objectives of the department. Directly supervises and evaluates the provision of patient care by other personnel assigned to the unit. Makes daily patient rounds. Does random chart audits. Utilizes opportunities to teach and mentor other nursing and ancillary personnel. Manages staff to meet established productivity targets as appropriate. Reviews staffing/nursing assignments and revises as necessary to meet the specific needs of the patients on a shift by shift basis. Coordinates staffing with Central Staffing Office/House Supervisor. Makes ongoing changes to staffing as determined by fluctuations in census and patient acuity, to assure safe delivery of care. Role models pro-active problem solving by collaborating with staff to ensure effective resolution of identified issues. Utilizes chain of command for unresolved or escalating issues. Advocates for patients and staff to provide for safe delivery of care and/or a safe environment of care. Demonstrates flexibility and willingness to provide coverage during shifts when staffing crisis/shortage occurs. Provides timely, confidential coaching and/or counseling of nursing personnel as appropriate and follows up with accurate reports to Unit Manager and Assistant Manager, Care Coordination, Promotes and enthusiastically supports professional growth of staff by providing equal opportunities for participation in unit based activities, patient care/unit decisions, hospital committees, and/or continuing education. Responsible for maintaining/improving/implementing plans for employee engagement scores. Assures first person reporting of events through RL Solutions. Ensures all staff are competent in entering event reports and serves as a resource when necessary. Investigates facts of event reports. Facilitates timely receipt of these reports for follow-up by the Unit Manager. Notifies Nurse Manager/Risk Manager immediately of high risk situations. Actively participates in routine and special patient care conferences. Responsible for maintaining/improving/implementing plans for patient satisfaction scores. Works with Unit Manager, Assistant Manager Care Coordination, Transition Coordinator and other disciplines to streamline discharge of patients and reaches goals for time to discharge from orders written. Collects information and maintains records regarding performance and contributions on an on-going basis throughout the fiscal year. Provides input and/or conducts annual performance reviews and orientation evaluation of personnel assigned to the unit. oordinates self-scheduling to maintain appropriate coverage for unit needs. Maintains Kronos records on a daily basis, monitoring for trends that require intervention i.e., late clock-ins, incremental overtime, missed punches. Assumes delegated responsibility for inventory control of equipment and supplies to ensure safe and effective patient care. Facilitates timely return of rented or borrowed specialty equipment. Solicits staff input regarding equipment and supply needs for the unit. Assists with staff meetings, special projects and the development, implementation and evaluation of performance improvement activities. Communicates data and solicits input from staff regarding performance and quality improvement i.e. patient safety, infection control. Actively participates on hospital work groups. SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Primary Location Texas-Dallas-5323 Harry Hines Blvd Work Locations 5323 Harry Hines Blvd Organization 867150 - Apheresis - CUH Schedule Full-time Shift Day Job Employee Status Regular Job Type Standard Job Posting Jul 2, 2026, 12:09:39 AM

SRNA

Majestic Care Wurtland, KY

State Registered Nurse Aide

State Registered Nurse Aide - SRNA / CNA Wurtland Nursing and Rehabilitation is looking for a State Registered Nurse Aides (SRNA / CNA) to join our team's mission and believe in our core values! Our mission: Through the hearts of our Care Team Members, we provide excellent healthcare to those we serve. Our Core Values... L - Listening E - Empathy A - Accountability D - Decisiveness This is how we create a culture to LEAD with Love. Position Overview: The SRNA is a member of the community nursing team whose responsibility is to assist professional nursing personnel by delivering direct hands-on nursing care to ambulatory and non-ambulatory residents on a daily basis. The SRNA is also responsible for assisting the residents to achieve the highest level of functioning while living as normal a lifestyle as possible. Key Responsibilities: • To perform or assist the resident with completing Activities of Daily Living (ADL). • Respond to residents call lights to provide maximum comfort, safety and privacy. • Transport residents by ambulation or by wheelchair to areas of community (dining room, lobby and activities). • Report any significant findings/observations to nurse immediately. • Assist residents on admission, transfer and discharge to make a smooth transition. • Responsible for the safekeeping of residents’ personal possessions. • Keep resident rooms neat and safe. • Follow proper infection control techniques • Respect the rights of each resident, particularly privacy and confidentiality. • Re-teach resident to perform ADL skills. • Provide restorative care to prevent pressure sores, contractures, and complications. • Participate in Continuous Quality Improvement and ensures follow-up occurs. • Converse with resident and family; assist them on adjustment to the community. • Ensure adequate hydration and nutrition of resident; report deviations from norm to the Charge Nurse promptly. • Perform blood pressure, pulse, respirations, intake/output and weights accurately. Qualifications: • Certified and state tested as a State Registered Nurse Aide in the state employed; certificate must be active, valid, and in good standing. Majestic Difference Benefits: Quarterly Pay Increase Daily Pay Company-Paid Life Insurance Telehealth Services Double Pay on Holidays Care Team Member Relief Fund Join the Bluegrass Consulting Group team where compassion meets excellence! #LoMed

Caregiver

Right at Home East Tennessee Foothills Lenoir City, TN

Caregiver: Weekend 9am-7pm

Right at Home is dedicated to providing compassionate and high-quality care to individuals in their homes. We believe in enhancing the quality of life for our clients while respecting their independence and dignity. We are currently seeking caring and reliable Home Health Aides / In-Home Caregivers to join our team. Have the flexibility to work around your current schedule! Shifts: Friday, Saturday, Sunday 9am-7pm Pay: $16 per hour Location: Lenoir City Our Home Health Aides/Caregivers enjoy the following benefits and incentives while working for us: Pay starting at $16 per hour! Weekly Pay or Daily Pay Options Flexible Scheduling! Paid Time Off Mileage reimbursement Insurance Benefits (Health, Dental, Vision) 401K Retirement Training and development Referral programs Employee Assistance Program As a caregiver/home health aide you might be responsible for the following tasks: Maintaining a safe environment for your clients Light Housekeeping and cleaning Meal preparation and cooking Assisting with daily acts of living like bathing, grooming, and personal hygiene Companionship activities like music, reading, puzzles, etc. Requirements of a home health aide/caregiver: 18 years of age or older Valid driver's license Vehicle with valid auto insurance Willing to travel to client's homes Ability to pass a background check Ability to lift 50 pounds 6 months of caregiving experience We are proud to be an equal opportunity employer, providing fair employment opportunities regardless of race, gender, age, disability, sexual orientation, or any other characteristic protected by law.

Outpatient

Alaska Native Tribal Health Consortium Anchorage, AK

Clinic Nurse Enid Primary Care

Integris Health Enid, OK

Job Description Join our team as a day shift, full time, Clinic Nurse, at INTEGRIS Medical Group, in Enid, OK. Get to Know Your Team INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us. Responsibilities The Clinic Nurse assumes responsibility for the delivery of patient care utilizing the nursing process, under the supervision of a physician. This position requires population specific competencies. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires. The Clinic Nurse responsibilities include, but are not limited to, the following: Contributes to the assessment/reassessment of patients Participates in the development, implementation and evaluation of appropriate patient care interventions Monitors for signs and systems related to abnormal lab values, and deviation from baseline assessments Reports changes in patient status to the physician and initiate any new orders from the physician as directed Promotes patient satisfaction and ensures patient confidentiality at all times. INTEGRIS Family Care Clinics: Participates in charge management to ensure chart accuracy with each visit. Documents patient information in the medical record accurately and timely. Reports suspected abuse and refers patient/family to appropriate health or social resource. Performs Venipuncture, EKG, Waived Testing, Bone Density, X Ray, and other procedures as assigned by the physician, manager or clinical supervisor. Performs sterilization of equipment after a procedure is performed. Gathers and documents information about patient condition, which includes lab values, pain levels, patient education needs, nutritional status and potential complications. INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status. Qualifications REQUIRED QUALIFICATIONS LICENSE/CERTIFICATIONS: RN (Registered Nurse) Current licensure as a Registered Nurse (RN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state OR LPN (Licensed Practical Nurse) Current licensure as a Licensed Practical Nurse (LPN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state BLS (Basic Life Support) Issued by American Red Cross or American Heart Association within 30 days of hire

Charge Nurse - NICU

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction. ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state. Our vision: Alaska Native people are the healthiest people in the world. ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes: Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers. Cost-Share Dental and Vision Insurances Discounted Pet Insurance Retirement Contributions with Pre-Tax or Roth options into a 403(b). 401(a) ANTHC Retirement Plan: After one year of employment, ANTHC will begin making matching contributions of up to 5% of your eligible pay, based on your own contributions. In addition, you may be eligible for an annual discretionary contribution of up to 3% from the employer. Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service. Eleven Paid Holidays Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members. Flexible Spending Accounts for Healthcare and Dependent Care. Ancillary Cash Benefits for accident, hospital indemnity, and critical illness. On-Site Child Care Facility with expert-designed classrooms for early child development and preschool. Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice. Tuition Discounts for you and your eligible dependents at Alaska Pacific University. On-Site Training Courses and Professional Development Opportunities. License and certification reimbursements and occupational insurance for medical staff. Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals. Emergency Travel Assistance Education Assistance or Education leave eligibility Discount program for travel, gym memberships, amusement parks, and more. Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org. Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act. Summary Provides oversight of the activities on a nursing unit during a specific shift including serving as a resource to staff, directing patient flow, precepting or mentoring staff, assuring appropriate utilization of resources, and providing oversight for the provision of quality care in a manner satisfying to patients. Responsibilities Performs all duties included in the registered nurse job description. Evaluates one’s own nursing practice in relation to professional practice standards and relevant statues and regulations, identifying short and long-term professional goals. Maintains current knowledge, serves as a resource on departmental policies, procedures and processes, and assists in education and assuring compliance. Assists in finding creative solutions to issues and contributes knowledge to process and quality improvement. Utilizes the ANA scope and standards practice and the code of ethics for nurses with interpretive statements as the foundation of nursing practice. Mentors other in areas such as competency, documentation, equipment use, plan of care, National Patient Safety Goals and participation in in-service education. Exhibits a general understanding of the process for dealing with ethical dilemmas, understand, and coordinates the process for obtaining an ethics consult. Coordinates patient flow throughout the facility with f timely and effective care. Expedites admission process for ready beds when assigned. Provides and ensures quality patient care. Communicates effectively with patients and families to resolve issues and provides service recovery when needed. Participates in daily rounds and other patient satisfaction activities and ensures staff are working within their scope, educational opportunities, correcting behavior, problem-solving. Performs routine environment of care rounds and facilitates resolution of issues. Assures patient privacy is protected and confidentiality of information is maintained on the unit. Participates on a hospital or departmental level committee as requested. Assists in assuring appropriate utilization of supplies and equipment, maintenance of supply levels and are of equipment and facilities. Assures appropriate utilization of staff on unit by preparing staff schedules, overseeing staffing for shift and making patient assignments to meet patient needs in an efficient and cost effective manner. Regularly attends hospital wide bed meetings. Assists with hiring, onboarding, orientating, precepting, coaching and evaluating staff. Evaluates care given by staff. Coaches to improve care. Establishes effective work relationships with staff and supports action plans in meeting staff satisfaction goals. Understands, articulates, supports and serves as a resource for the components of the nursing bundle. Including observation and coaching of staff. Maintains professional, effective and timely communication with physicians, other departments, (fast track) patients and families, staff, EMS partners and community members. Provides departmental leadership in the absence of the unit director/manager/supervisor. Meets or exceeds productivity standards. Assures patient flow is efficient. Distributes staff resources to meet patient occupancy. Role model for teamwork, fills beds, cleans beds, assists others with their assignment, facilitates admissions, recognizes when staff members are overwhelmed and adjusts assignment according; balances assignments, delegates appropriately. Assists in providing positive impressions to patients and visitors, promotes a caring and compassionate approach to all interactions. Performs other duties as assigned. Other Information KNOWLEDGE and SKILLS Knowledge of nursing science, principles, techniques, and procedures for the care of patients. Knowledge of healthcare terminology, anatomy, physiology and concepts of disease. Knowledge and ability to utilize evidence based practice to develop the plan of care and interventions. Knowledge of the hospital environment and how the services and functions interact. Knowledge of Alaska Native cultures and the Alaska Tribal Health System. Knowledge of nursing theorists and ability to provide theory based care for patients. Knowledge of shared governance environment with shared-decision making. Skill in critical thinking to provide effective and compassionate nursing care, assessing patient situations and taking effective courses of action. Skill in providing cardiopulmonary resuscitation. Skill in providing effective nursing services, assessing patient situations and taking effective courses of action. Skill in assessing and prioritizing multiple requests by patients, families, and team members. Skill in evaluating health problems, and making recommendations based on observations. Skill in operating a personal computer utilizing a variety of software applications. MINIMUM EDUCATION QUALIFICATION An Associate’s Degree in Nursing. Equivalent knowledge, experience, education, or training may be substituted for education. Minimum Experience Qualification 1-year nursing experience in area of specialty or previous charge nurse or supervisory experience. MINIMUM CERTIFICATION QUALIFICATION Current registered nurse license in the State of Alaska. Current Basic Life Support card required. All other certifications as required for specific work area: New Employees must obtain the required Certifications within six months of hire; Contract and MOA employees must come to us with the required training completed as outlined in their individual contracts/MOAs, and must be licensed as a registered nurse by the State of Alaska and remain active with all annual licensing requirements. Preferred Education Qualification Bachelor’s degree in nursing preferred. Preferred Certification Qualification Specialty certification applicable to position. Additional Requirements Must have participated in 30 hours every 2 years continuing education in nursing in general, 16 of which are in the specific area of practice. Successful completion of Charge RN training program within 3 months of promotion to charge RN Successful completion of preceptor training program within 3 months of promotion to charge RN. May be required to work outside the traditional work schedule. May be called out to work off-shift in emergency situations. According to the needs of the organization, some incumbents in this job class may be required to obtain specific technical certifications and programming language skills. Charge House Supervisor Nurse – Specifically assist in providing oversight of the House Supervisors, Transfer Center, Float Pool Nurses, Patient Observers (PO), and Patient Care Technicians (PCT) during a given shift. Rounding/breaks/lunch assistance to the TED space, 2 Central, House Supervisors, Transfer Center.

Aesthetic

OrangeTwist Santa Clara, CA

Experienced Aesthetic Nurse Practitioner/Physician Assistant/Registered Nurse (Part-time)

$63 - $128 / hour

We want people to look + feel amazing. “Look good feel good” isn’t just a cute phrase around here. We make it happen, in real life, every single day. It’s all about innovation, personalization, and connection. No two people are ever alike, and neither are their treatments. We have high standards. Our treatments are curated from nothing but the best. We believe chic and high-end should still be friendly and approachable. This is OrangeTwist. Your treatment shop. 24 locations and growing 7 different types of treatments in 1 shop Our current eNPS (Employee Net Promoter Score) score of 75—Exceptional, world-class score— Extremely high employee's satisfaction and loyalty, showcasing a strong and positive work culture. We are seeking an Aesthetic Nurse Practitioner/Physician Assistant/Registered Nurse to join our OrangeTwist Team. The Aesthetic Nurse Practitioner/Physician Assistant/Registered Nurse will provide high-quality aesthetic treatments and services to OrangeTwist clients. They will collaborate closely with the team to ensure the delivery of exceptional client care and promote a positive client experience. Location: 2722 Augustine Dr #120, Santa Clara, CA 95054 Schedule: 2-3 shifts a week, Every other weekend. Compensation: Total compensation of $63-$128 hourly, based on performance What You Will Do: Conduct thorough consultations with clients to understand their personalized aesthetic goals and concerns Perform Good Faith Exams Educate clients on available treatment options, benefits, and potential risks, including pre and post treatment care instructions Administer injections, such as neuromodulators, dermal fillers, and other cosmetic treatments, with precision and expertise Stay informed on advancements in medical aesthetics including injection techniques, skincare treatments, skincare products Develop personalized treatment plans for clients based on their unique needs and desired outcomes Work collaboratively with other healthcare professionals, if needed, to ensure comprehensive client care Prioritize client safety during all procedures, following established protocols and guidelines Monitor clients for any adverse reactions and provide appropriate post-treatment care instructions Maintain accurate and detailed client records, including treatment plans, injection details, and post-treatment notes Participate in ongoing education and training to enhance skills and knowledge Provide excellent customer service, ensuring a positive experience for clients Address client concerns and inquiries with professionalism and empathy Adhere to all relevant laws, regulations, and industry standards Ensure compliance with safety protocols Clean and maintain equipment and inventory of products Generate and maintain a client base Assist with other duties as assigned Must exhibit excellent customer service, communication & integrity with clients. Ability to build and maintain rapport with clients Must enjoy and developing relationships and interacting with clients Qualifications: Valid State license to practice as a Physician Assistant - OR - Valid State license to practice as a Registered Nurse - AND/OR - Valid State license to practice as a Nurse Practitioner Current, unrestricted medical license to practice in the State Additional Specialized training in medical aesthetics and injectables Minimum 2 year’s experience with neuromodulators, dermal filler injections, and other cosmetic treatments Perks Forward-thinking, transparent, and inclusive company culture Competitive salary, incentive plan, generous paid time off, sick time, and paid holidays Comprehensive benefits package including medical, dental & vision insurance 401k employee contributions, FSA, and dependent care options Continuing education with our own University Employee referral bonus program, employee resource groups, and professional development All benefits dependent on role and eligibility We’re accepting applications on an ongoing basis and will continue reviewing candidates until the role is filled. All candidate email communication will be done through an @orangetwist.com email address. If you ever receive communication regarding a job posting from an entity that does not match that or seems concerning, please contact Recruiting@orangetwist.com. OrangeTwist is a leading national Aesthetic treatment with a mission to make our clients look + feel amazing. OrangeTwist is “your treatment shop for body, face, and skin,” offering curated treatments including Botox + fillers, CoolSculpting, HydraFacial, lasers, micro-needling, skin and scalp care, and more. We recognize that the key to success lies in valuing the minds, experiences and perspectives of people from all walks of life. OrangeTwist is proud to value diversity and be an equal opportunity employer. Pursuant to the San Francisco Fair Chance Ordinance and the Los Angeles Fair Chance Initiative for Hiring, we will consider for employment qualified applicants with arrest and conviction records. OrangeTwist is an E-Verify employer. GDPR & CCPA disclosure notice here.

CNA

Helping Hearts USA LLC Nashville, TN

CNA

Join the Helping Hearts Team – Make a Difference Today! Helping Hearts is on an exciting mission to expand our dynamic and growing team of passionate, experienced caregivers! If you're ready to bring your energy, compassion, and dedication to a role that truly makes a difference in the lives of others, we want to hear from you! Job Title : Floating CNA Location : Designated Facility Job Description : We are seeking a dedicated Certified Nursing Assistant (CNA) to join our team. This position is location-specific and involves providing services to multiple clients in 30-minute to 4-hour increments throughout your shift. Shifts are 12-hour shifts from 7 am to 7 pm. Certified Nursing Assistants (CNAs) must possess a valid and non-expired CNA license to be eligible for employment. Ensuring that all CNAs maintain current licensure is essential for compliance with regulatory standards and to uphold the quality of care provided to clients. What You'll Do : Personal Care : Assist clients with daily living activities, ensuring dignity and independence. Companionship : Build meaningful connections and enhance quality of life. Housekeeping : Maintain a clean, safe, and organized living environment. Meal Preparation : Provide nutritious meals tailored to clients' needs. Health Monitoring : Observe and report changes in clients' well-being. Transportation : Provide safe and reliable transportation to appointments and errands. What We're Looking For : Experience : Proven caregiving experience, including personal care and blood sugar management. Skills : Compassionate, professional, and detail-oriented. Transportation : Valid driver's license, car insurance, and a reliable vehicle. Background Check : Must pass a thorough background check and drug screening. Why Join Helping Hearts At Helping Hearts, we're committed to providing the highest standard of care while fostering a supportive and inclusive work environment. We offer flexible shifts (4 to 12 hours, day and night options), opportunities for professional growth, and the chance to make a real impact in the lives of our clients. How to Apply : Submit your resume and a brief cover letter detailing your caregiving experience and why you're excited about this opportunity. Required Documents : Proof of identity and work authorization Valid driver's license. Social security card. Birth certificate. Proof of high school completion or equivalent. Certified Nursing Assistants (CNAs) must possess a valid and non-expired CNA license to be eligible for employment. Ensuring that all CNAs maintain current licensure is essential for compliance with regulatory standards and to uphold the quality of care provided to clients. Additional Requirements : Minimum age of 18. Comprehensive 15-year background check. Drug screening (if applicable). Five professional references (no friends or family). Transportation Requirements : Valid driver's license, car insurance, and good driving record. Contingencies and Compliance : Employment offers are contingent upon passing background checks, drug screenings, and providing favorable references. If you are compassionate, detail-oriented, and committed to providing high-quality care, we encourage you to apply. Join Helping Hearts – Make a Difference Today! To apply or learn more, please call or text our main hiring number at 615-645-3999 anytime.

CNA

Magnolia Health Systems Logansport, IN

Certified Nursing Assistant

$31,200 - $46,800 / year

Job Description: Certified Nurse Assistants are valuable members of our health care team who work under the supervision of a licensed nurse to perform basic nursing care tasks as assigned according to plan of care. Annual Wage Scale: $31,200-$46,800 About us: Camelot Care Center is a skilled pediatric nursing facility located in Logansport, Indiana. Camelot Care Center is seeking compassionate Certified Nurse Assistants to become a part of our team where our primary goal is to provide exceptional care to our residents. About the Role: Camelot Care Center is seeking Certified Nurse Assistants- To observe and report any changes in residents’ health status to the Charge Nurse on an ongoing basis. To provide assistance with activities of daily living (i.e., bathing, dressing, oral hygiene, skin care) That can follow instructions and complete records under supervision To document all care given and observations made while giving care That can follow Magnolia Health Systems guidelines in dealing with patient care About you: The ideal candidate would have the following skills and experience: Must be Certified Nursing Assistant; or In a State recognized and approved training program to become a Certified Nursing Assistant. Should have patience and tact in dealing with anyone at the facility Must display good emotional health and be capable of extended periods of standing, bending and heavy lifting. Benefits: Camelot Care Center offers - Health Insurance through United Healthcare Dental Insurance through HRI Dental Vision Insurance through EyeMed Supplemental Insurance: Critical Illness Accident Disability Coverage Hospital Indemnity Life Insurance through Cincinnati Life: Builds cash value Employee-owned policy Family coverage, including grandchildren Paid Vacation Attendance Bonuses Weekend Bonuses Holiday Pay – starts immediately with no waiting period Tuition Assistance Programs Student Loan Repayment Program Career Advancement Opportunities If you are ready to join the Camelot Care Center team, please apply online today! Camelot Care Center is an equal opportunity employer and gives employment and promotional consideration without regard to race, color, sex, religion, age, national origin, marital or veteran status, disability, sexual orientation, gender identity, or any other protected class as defined by local, state, or federal law.

LVN

Heritage Plaza Nursing Center Texarkana, TX

LVN (Licensed Vocational Nurse) Multiple Shifts Available

Licensed Vocational Nurse (LVN) Multiple Shifts Available Heritage Plaza Nursing Center Texarkana, TX Heritage Plaza Nursing Center in Texarkana, TX has opportunities for Licensed Vocational Nurses (LVN) to join our team! A rewarding career is waiting for you at a great facility that specializes in long-term and rehabilitative care! If you are a Licensed Vocational Nurse (LVN) with skilled nursing supervisory experience, we have the opportunity for you. As a Licensed Vocational Nurse (LVN) you will participate in and direct the delivery of patient care in accordance with facility clinical systems, regulatory requirements, and physician orders. You will be responsible for ensuring that the highest quality services are delivered in a customer-service-friendly environment. You will play a key role in creating a positive resident experience by providing quality compassionate healthcare. Come be a key part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients and residents. At Heritage Plaza Nursing Center in Texarkana, TX we offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and much more. Don’t miss out on this exciting nursing opportunity. We look forward to you joining our team! Benefits Medical Insurance Dental Insurance Vision Insurance Company Paid Life Insurance 401k Retirement Savings Supplemental Voluntary Benefits Paid Time Off with Cash-Out and Donation Options Paid Holidays Pay on Demand - Payday Advance Gym Membership and Fitness Program Discounts Employee Discounts on Everyday Purchases and Services Access to Automobile and Home Insurance Marketplace and more! LVN responsibilities: Maintains appropriate nursing service objectives, goals, and standards of nursing practices consistent with licensure requirements and the Nurse Practice Act. Evaluates staffing pattern needed to meet the needs of the residents in conjunction with the Director of Nursing. Administers medication/treatments as prescribed. Receive, transcribe, and implement physician’s orders. Implements and evaluates care plans. Identifies/secures equipment supplies Directs/oversees subordinates. Participates in duty assignments. Organizes/coordinates subordinates, job tasks, and time allotments. Oversees/monitors function and activities of subordinate staff. Evaluate staff performance and institutes appropriate action discipline/training. Monitor’s infection control compliance. Investigates/documents accidents/incidents. Other duties as assigned. LVN Requirements: Current, valid licensure as a LVN required Experience in long-term healthcare preferred Management/Supervisory experience required Strong communication and interpersonal skills needed Strong written and verbal skills required Benefits: Medical Insurance Dental Insurance Vision Insurance Company Paid Life Insurance 401k Retirement Savings Supplemental Voluntary Benefits Paid Time Off with Cash-Out and Donation Options Paid Holidays Pay on Demand - Payday Advance Gym Membership and Fitness Program Discounts Employee Discounts on Everyday Purchases and Services Access to Automobile and Home Insurance Marketplace and more!

CNA

Rolling Hills Healthcare Belle Fourche, SD

Certified Nursing Assistant CNA (Evening Shift)

*$2,000 Sign-On Bonus!* Certified Nursing Assistant (CNA) Rolling Hills Healthcare is looking for an experienced Certified Nursing Assistant (CNA) to join the long-term care unit at our beautiful skilled nursing facility. Rolling Hills Healthcare is committed to providing high quality services so that every resident receives the care and attention that they need. We also recognize that our services would not be possible without our valued Certified Nursing Assistant (CNA). To help you foster a long and successful career with us, we offer a generous benefits package and ample professional development opportunities to support your continued growth as a Certified Nursing Assistant (CNA). The primary purpose of the position is to ensure the highest quality of resident care available, support staff, and establish a positive reputation in the community while delivering on the Eduro Healthcare values. Benefits 401(k) Medical, dental, vision, and life insurance Disability coverage Flexible spending account Health savings account PTO and holidays Daily pay available Eduro discount program Duties and Responsibilities Provide comprehensive Certified Nursing Assistant (CNA) care for residents Reporting observations of the patient to nursing supervisor Documents actions by completing forms, reports, logs, and records. Answering patients’ call lights and requests Assisting patients with eating, dressing, and bathing Preparing patients for transfers or discharge Comply to all regulatory protocols and policies related to infection control and nursing care Observance of patient diet restrictions as prescribed by the physician Assist in the provision of emergency care Schedule Schedule: Evening shift Location: Belle Fourche, SD Skills and Qualifications Active Certified Nursing Assistant (CNA) license issued by South Dakota required BLS certification from the AHA required Eduro Healthcare, LLC is an Equal Opportunity Employer and does not discriminate on the basis of any protected status under federal, state, or local law. The essential functions of this position describe the general nature of the work and may be performed with or without reasonable accommodation. Eduro Healthcare, LLC complies with the Americans with Disabilities Act (ADA) and applicable state disability laws. If you require a reasonable accommodation to apply for or perform this role, please contact benefits@edurohc.com . Employment with Eduro Healthcare, LLC is at‑will and may be terminated at any time, with or without cause or notice, subject to applicable law. This job description does not constitute a contract of employment and may be modified at any time to meet business needs. Employment may be contingent upon successful completion of background checks, licensure verification, or other pre‑employment requirements, as permitted by law.

Medical Assistant - Pediatrics & Internal Medicine Float- Jefferson (Oceanside)

Scripps Health Oceanside, CA

$25.95 - $32.56 / hour

Scripps Coastal Medical Center makes it easy and convenient for our community to receive exceptional health care in San Diego. Our primary care physicians and their teams provide annual exams, preventive health screenings, wellness information and diagnostic services for you and your family. With offices throughout San Diego County, our doctors specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology. Some locations also provide rheumatology and orthopedics care. When further specialty care is needed, you have access to an extensive network of medical experts throughout the region. Scripps also provides health education resources, including weight management programs, nutrition and fitness classes, and programs for chronic conditions, such as diabetes. This is a benefited, full-time position that generally works Monday through Friday from 8:30 a.m. to 5:00 p.m., with a 30-minute lunch. The schedule also includes 1 Saturday every 4 to 6 months to cover the Pediatric Clinic. This position primarily supports the Pediatric Department in Oceanside at the Jefferson Clinic, while maintaining flexibility to provide coverage within Internal Medicine as operational needs require. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2026 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Why Scripps Coastal Medical Center Jefferson Pediatrics? Meaningful Work: Help provide high-quality care to our youngest patients in a supportive, family-centered environment. Team-Based Culture: Collaborate daily with a consistent provider and care team that values communication, compassion, and collaboration. Growth Opportunities: As part of the Scripps Health network, you’ll have access to ongoing professional development, education, and advancement pathways. Exceptional Environment: Work in a modern, well-equipped pediatric office that prioritizes safety, efficiency, and the well-being of both patients and staff. What You'll Do The ideal candidate will be dependable, self-motivated, and a team player looking to join a group that is committed to delivering exceptional patient care. In this role you will assist the department clinically as a Medical Assistant and support the team with front office responsibilities such as answering phones, scheduling, and call backs when needed. Clinically, you will support our providers by checking patient vitals, rooming patients, stocking patient rooms, assisting with procedures and providing patient education as needed. The MA maintains a clean, organized, and safe environment, and organizes and performs patient care services that support the physician’s practice. This includes the following: Checking patients in and out with administrative duties as needed assisting in preparing patients for examination/procedures assisting physicians with procedures relaying instructions from the physician to the patient or authorized person collecting patient data in person and by phone and documenting patient concerns, messages and care provided in the electronic medical record for the physician's review administering medications specifically directed by the physician performing vital sign documentation scheduling of appointments and procedures complete and accurate message taking routing messages to the appropriate area for direction order and referral entry acquisition of pre-certifications and setting up of cases in EPIC basic registration and updating of demographics floating within Internal Medicine as operational needs require Requirements Completion of a formal Medical Assistant Program, or Medical Assistance Certification, or a minimum of two years of experience as a military corpsman BLS certification for the Healthcare Provider by the American Heart Association (AHA) Preferred Education/Experience/Specialized Skills/Certification One year of experience as an MA in an outpatient setting Primary Care experience Pediatrics experience At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work. You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential. Position Pay Range: $25.95-$32.56/hour

LPN

Logan Square Rehabilitation and Healthcare Center Philadelphia, PA

Licensed Practical Nurse (LPN)

Join our team at Logan Square Rehabilitation as an LPN! Proudly supported by Marquis Health Consulting Services Part-time, 7am-7pm $30 to $37 per hour (all inclusive) Same Day Pay! At Logan Square Rehabilitation and Healthcare Center , we believe that compassionate, high-quality nursing care is at the heart of resident well-being. Guided by our core values of Passion, Respect, and Excellence , the Licensed Practical Nurse (LPN) plays a vital role in delivering safe, effective, and person-centered care while supporting residents’ physical and emotional needs. Responsibilities for Licensed Practical Nurse (LPN): Provide patient care in accordance with accepted standards of nursing practice, the written plan of care, and the physician’s plan of treatment. Follow and implement individualized care plans developed by the Nurse Manager and interdisciplinary team. Perform medication administration and prescribed treatments in accordance with the plan of care (POC) and facility policies. Monitor residents’ conditions, report changes promptly to the supervising nurse or physician, and respond appropriately to clinical needs. Maintain accurate, timely documentation in accordance with physician orders, care plans, and regulatory standards. Support a safe, respectful, and therapeutic environment for residents and their families. Qualifications for Licensed Practical Nurse (LPN): Current, unencumbered active LPN license in the state of Pennsylvania. Valid BLS Certification (CPR) required. Ability to care for and manage multiple patients in a fast-paced healthcare environment. Strong clinical judgment, communication skills, and attention to detail. Our Core Values in Action Passion – Providing compassionate, attentive nursing care that supports residents’ dignity, comfort, and well-being. Respect – Treating residents, families, and colleagues with kindness, professionalism, and empathy in every interaction. Excellence – Delivering safe, accurate, and high-quality nursing care in alignment with clinical standards and best practices. Benefits for LPN: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Shift differentials Company-sponsored life insurance Employee assistance program (EAP) resources Join our team at Logan Square Rehabilitation and Healthcare Center, a 109-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.

The Christ Hospital Health Network Cincinnati, OH

Registered Nurse H&V - Anderson Heart Center - Full Time - Days

Job Description The practice of nursing requires specialized knowledge, judgment, and skills to provide care to groups and individuals. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate patient care. All care is provided based on the concepts inherent in the model of care for TCH which promotes an on-going partnership between patients and families and the team of healthcare providers. The care is culturally based and age specific. The RN adheres to American Nursing Association (ANA) code of ethics and to the scope of practice described in the Ohio Nurse Practice Act. Responsibilities The Nursing Process Assessment - Demonstrates the nursing skills to complete a holistic assessment of the patient’s physical, psychosocial, spiritual, and education needs utilizing The Christ Hospital Professional Practice Model. Understands signs and symptoms and data related to the patient’s presenting needs and actual or potential nursing diagnosis. Recognizes and appropriately reports to the physician and charge RN pertinent abnormal data and changes in the patient’s condition. Utilizes appropriate handoff methods to collaborate with other healthcare team members to communicate pertinent data regarding patient’s physiological and psychological data. Assesses patient, family, and environment for safety risks, proactively seeks out and performs safety initiatives. Diagnosis and Planning - Utilizes collected data to establish and prioritize a list of actual, and potential, individualized patient problems and needs. Prepares, coordinates, and revises multidisciplinary plan of care in collaboration with the patient and family to be supportive of the TCH model of care/Patient and Family Centered care. For each problem a measurable goal is set. Communicates the plan of care utilizing SBAR and handoff processes with all team members. Establish priorities of care, discusses plan of care during shift report, and participates in care conferences. Initiates discharge planning upon admission, makes appropriate referrals consistent with the anticipated length of stay. Implementation – The method of providing evidence based, quality care is based on assessed needs and standards of care while adhering to hospital policy and procedures to achieve set goals. Performs and delegates nursing actions based on appropriate orders demonstrates critical thinking and accountability for appropriate implementation. Provides ongoing, individualized holistic patient and family education based on needs and plan of care in collaboration with the multidisciplinary team. Demonstrates critical thinking upon review of physician orders, making appropriate referrals, & contacts other health team professionals. Responds to emergency situations that require an immediate, controlled precision in a skillful manner. Implements measures to prevent contamination and/or transmission of disease to include the use of appropriate protective devices and equipment to prevent injury and maintain a safe environment. Evaluation – Continuously evaluates nursing practice related to the plan of care in relation to the standards of care established through evidence-based literature and standards established by professional organization that have been built into order sets in the electronic medical record, the individual plan of care, and patient outcomes and goals. Evaluates effectiveness of nursing care interventions, adjusts or continues with plan of care based on patient and family response. Maintains continuity of care by continuous evaluation during ”handoff” report, rounding, and upon transfers to other specialty units and post care facilities. Documentation Nursing process is accurately and concisely documented in the patient’s electronic medical record reflecting the plan of care as implemented by the patient, family, and multidisciplinary team. Documents information in a timely manner, according to hospital policy, to include the plan of care, accurate updates, teaching and the patients’ and family response to care. Leadership and Professional Development Demonstrates leadership skills such as the ability to motivate, educate, delegate, and mentor peers and other members of the healthcare team while effectively managing the care of patients and family members. Assumes responsibility and accountability for professional growth and development. Contributes to the professional development of peers, colleagues, and others. Participates in 75% of staff meetings and 75% of council meetings as appropriate. Participates in unit based activities/initiatives for performance improvement, evidence based projects, and research as needed. Participates in council activities and task forces to improve competencies of self, co-workers, and staff members related to patient care. Supports self and peers in professional growth and development utilizing resources and opportunities within and outside of The Christ Hospital. Participates in self and peer review activities to include the positive recognition of peers and staff on a regular basis. Acts as a resource, educator and preceptor for multidisciplinary team members, staff and nursing students, continuously evaluating and documenting competency. . Maintains competency in POC (point of care) testing for unit specific nursing practice. The following are strongly encouraged: Participation in the professional advancement program Certification specific to work area of professional practice when eligible. Participation in chosen professional organizations and conferences. Participation in development and maintenance of research activities. Participation in community service activities. Employee Responsibilities Complies with organization and department policies and required training. Completes all educational requirements to maintain competency related to specific population of patient and/or regulatory agencies (Healthstream education 100% on-time completion and attendance for annual education day). Submits required tests and paperwork in a timely manner without management interventions. Attendance Follows the time and attendance policy; reports to work on time, maintains a good attendance record, has badge and uses it to clock in and out, makes requests for tie off as far in advance as possible, etc. Qualifications Education: TCH does hire AD and Diploma nurses; however all nurses hired after January 2010 must receive their BSN within 5 years of the date of hire. RN’s who were employed at TCH prior to January 2010, and have more than 20 years of experience as an RN are permitted to pursue their BSN on a voluntary basis. A MSN or DNP are not required but supersede the requirement for the BSN. Years of Experience: None required Required Skills and Knowledge: The RN demonstrates the knowledge, abilities, and skills to provide age and culturally specific patient care and education. The RN effectively communicates with peers, utilizes appropriate channels of communication and maintains absolute confidentiality. The RN maintains competence and demonstrates evidence of continuing professional growth. The RN demonstrates the ability to accept and implement change and the ability to work in a culturally diverse setting. Licenses and Certifications: The RN holds a current licensure to practice nursing in Ohio. Membership in professional organizations is desirable. BLS certification is required prior to patient contact. ACLS is required within 6 months of hire in step-down and ICU areas. Certification in area of clinical specialty is expected within five years of eligibility.

RN Supervisor

Highland Rehabilitation & Nursing Center Middletown, NY

Shift: 11pm - 7am Available New Rate: (Up to $105/k) Annual Salary We offer the Following: Premium Compensation Great Benefits Package Professional Growth & Stability Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Educational Requirements : Graduation from an accredited program in Nursing. Experience Required : Minimum of 1-year Long Term Care RN supervision experience, strong leadership and excellent clinical skills required. Professional Licensure and Certification Required : Current, unencumbered RN license in NY state. Current CPR and IV certifications. Essential Functions Ensures that new admissions are completed in a thorough manner and that all pertinent assessments are completed. Participates in inspections (surveys) made by authorized agencies. Participates in and assures appropriate assessment of residents, validates nursing staff’s clinical decisions. Participates in the development, implementation, and communication of resident’s plan of care. Making frequent rounds on nursing units to ensure that all personnel are performing their work assignments in accordance with established nursing standards, and that all resident’s needs are being met. Monitors documentation procedures of nursing staff. Follows- up on problem areas with employees and makes oral/written reports to the Director of Nursing. Shift: 11pm - 7am Available New Rate: (Up to $105/k) Annual Salary ACKNOWLEDGEMENT Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. All pay rates and bonuses are paid and/ or awarded to employees based on the facilities policy and/ or the CBA, depending on the position.

Prime Healthcare Olympia Fields, IL

Registered Nurse - Surgery

$35.35 - $53.58 / hour

Overview • Department: Surgery • Schedule: Full-Time, Days, on-call requirements • Facility: Prime Healthcare Olympia Fields Hospital • Location: Olympia Fields, IL 60461 Responsibilities Staff RN is directly accountable to the OR Charge Nurse and the Director of Surgical Services, and indirectly to the House Supervisor. The Registered Nurse is responsible for the delivery of direct and indirect patient care in the peri-operative setting through the nursing process of assessment, planning, implementation, and evaluation for neonates, pediatrics, adolescents, adults and older adults. The Registered Nurse coordinates the care of the patient with the surgeon and anesthesiologist, directs and guides the OR Technician and other personnel while maintaining standards of professional nursing. Works with other departments to provide a continuum of care and co-workers to provide continuous, quality patient care, efficient patient flow and unit maintenance and organization. Responsible for adherence to regulations, standards and hospital or unit policies and procedures. Responsible for participation in Performance Improvement activities, unit meetings and in-services. Acts as a resource for other personnel as appropriate. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Current and valid state RN License. 2. Current BLS (AHA) certificate upon hire and maintain current. 3. Current ACLS (AHA) certificate 30 days upon hire and maintain current. 4. Current PALS (AHA) certificate 30 days upon hire and maintain current. 5. Minimum of one year previous Perioperative experience or on the job training 6. Certified Nurse OR (CNOR) Certification (AORN) preferred 7. Bachelor of Science in Nursing (BSN) preferred. Pay Transparency Olympia Fields Hospital offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $35.35 to $53.58. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. The company is dedicated to empowering its staff with a comprehensive, competitive benefits package, allowing them the freedom to customize their benefits to fit their unique needs. Our abundant resources, programs, and voluntary options serve as a foundation for individual growth and well-being. Learn more here: https://www.primehealthcare.com/benefitsthatmattermost/ #LI-ME1 Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

In Home Caregiver

Right at Home Northeast & Central Nebraska Fairfield, NE

? Calling All Caregiving Superstars in Fairfield, NE! ? In-Home Caregiver | Right at Home – Where Compassion Meets Purpose Are you ready to turn your caring heart into a career you love? ? Right at Home is looking for friendly, dependable, and compassionate individuals to join our growing caregiving team in Fairfield, NE ! If you enjoy brightening someone's day, lending a helping hand, and being part of something truly meaningful—you’re our kind of person! ? What You’ll Do: ? Be a trusted companion to seniors and adults with disabilities ? Assist with light housekeeping and meal prep ? Provide medication reminders and personal care support ? Help clients stay safe and independent at home Why You’ll Love It Here: ? Competitive pay (your time and heart are worth it!) ? Flexible hours – part-time, full-time, evenings & weekends available ? Paid training – no experience? No problem! ? Be part of a Forbes 2024 Great Place to Work ? Fun team culture with bonuses, shoutouts, and appreciation events! You’re a Great Fit If You: ✅ Are 18 or older with a valid driver’s license and reliable transportation ✅ Love working one-on-one with people ✅ Have a positive attitude and a heart for helping others ✅ Are dependable, professional, and ready to make a difference! ? Whether you’re a seasoned caregiver or just starting out, we’d love to welcome you into the Right at Home family. ? Apply today and make a real impact—one smile, one visit, one life at a time.

Hospice STNA

Affinity Care of Ohio Lebanon, OH

Must have Hospice Experience! JOB DESCRIPTION SUMMARY The hospice aide works under the supervision of a registered nurse and performs various tasks as assigned in accordance with the patient’s plan of care to meet the patient's personal needs and to promote comfort. The hospice aide is responsible for reporting and documenting observations and care performed. The hospice aide will be assigned in a manner that promotes quality, continuity and safety of a patient's care. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Responsibilities of the hospice aide include, but are not limited to, the following: 1. Performing personal care needs after given a patient's assignment and attending to his/her requests promptly. If unable to perform a certain task, report to the Case Manager immediately. 2. Providing patient and family with positive communication techniques, within realm of ethical and respectful care, including confidentiality. 3. Meeting safety needs of patient and using equipment safely and properly (foot stools, side rails, O2 etc.) 4. Giving personal care including baths, back rubs, oral hygiene, shampoos and changing bed linen as often as assigned. 5. Assisting in dressing and undressing patients as assigned. 6. Assisting in feeding the patient as assigned. Hospice Aides may not provide patients with homemade food items or baked goods that they themselves prepared 7. Providing proper care and observation of patient's skin to prevent breakdown of tissue over bony prominence. 8. Reporting any complaint of pain or other symptoms or changes in the patient's condition to the RN Case Manager. Also aware of the caregiver or other individuals living with the patient and interpersonal issues. 9. Assisting in ambulation and exercise as instructed by the hospice nurse or therapist. 10. Provide normal range of motion and transfers/positioning as directed. 11. Assistance with self-administered medications as allowed by state regulations, such as “reminders.” 12. Offering and assisting with bedpans and urinals. Providing assistance as assigned with light laundry needs, emptying waste baskets and other light homemaker tasks. 13. Performing range of motion and other simple procedures as ordered with appropriate completed/demonstrated skills competency. 14. Providing respite for patient's/family/caregiver when on-site, as appropriate. 15. Keeping patient's living area clean and orderly, as assigned. 16. Adhering to the organization's documentation and care procedures and standards of personal and professional conduct. 17. Participates in quality assessment performance improvement teams and activities. 18. Respectful of patient and family/caregiver environment and patient's personal needs. 19. As a mandatory reporter, reports failure to comply with the requirements of chapters 246- 335 WAC and 70.127 RCW to the Washington Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 20. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of RCW 74.34.020 or 26.44.030 to the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. JOB LIMITATIONS The hospice aide will not function in any manner viewed as the practice of nursing according to the Nurse Practice Act. Specifically, the hospice aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a licensed nurse, such as sterile techniques. POSITION QUALIFICATIONS 1. Completion of a state approved certified nursing assistant course or equivalent training 2. Current Healthcare Provider CPR (Cardiopulmonary Resuscitation) certification ((may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer) 3. Due to nature of job and working with multiples facilities with multiple covid guidelines must be covid vaccinated. 4. High school diploma or General Equivalency Degree (GED) 5. Ability to read and follow written instructions and document care given. 6. Understands hospice philosophy, comfortable providing specialized care to the terminally ill. 7. Prior experience in hospice, orderly, acute , rehabilitative, or long term care facility. 1 year previous home health/hospice experience preferred 8. Basic computer skills to document in electronic medical records (EMR) 9. At least 18 years of age. 10. Licensed driver with automobile that is insured in accordance with organization requirements and is in good working order.

Northside Hospital Sandy Springs, GA

Staff RN Lead, Emergency

Overview Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today. Responsibilities The Registered Professional Nurse at Northside Hospital independently plans and provides professional nursing care to patients in accordance with physician orders and established guidelines, and in accordance with the scope of practice as defined by the Georgia Nurse Practice Act. The American Nurses Association's (ANA) Nursing: Scope and Standards of Nursing Practice, 3rd Edition (2015), provides a definition of nursing as: 'Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations.' Furthermore, the scope of practice of the registered nurse and the corresponding standards and competencies are dependent on the nurse's education, experience, role and population served (ANA, Scope and Standards of Practice, 2015, p 2.). The practice of Professional Nursing at Northside Hospital utilizes ANA's Scope and Standards of Professional Practice and Professional Performance, incorporates two additional components of clinical practice, and classifies all elements into five domains: 1. Clinical Knowledge and Practice . Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, Evaluation; Clinical Information Systems (Documentation); Patient Care Technology. 2. Professional Practice . Communication, Culturally Congruent Practice, Ethics, Professional Practice Evaluation and Resource Utilization 3. Leadership . Collaboration, Community Involvement, Environmental Health and Leadership 4. Professional Development . Education of Self and Others, Expansion of Knowledge, Advancement of Practice, Contribution to the Professional/Clinical Specialty 5. Evidence-Based Practice, Quality and Research . Evidence-based Practice, Nursing Research, Quality of Practice, Patient Satisfaction Scores, External Reporting/Benchmarks The Staff Registered Professional Nurse III (Staff RN III) is licensed to practice professional nursing in the state of Georgia, in good standing and without limitations; has a minimum of two years (2) years full-time experience as a registered professional nurse, and has a Bachelor of Science in Nursing (BSN) degree, an Associate Degree (AD) or a Diploma in Nursing. The Northside Hospital Staff RN III manages care of an assigned group of patients in accordance with the philosophy and policies of the nursing division, to include the Northside Nursing Collaborative Care Model. The practice of all professional nurses at Northside Hospital reflects the values of collaboration, communication, coordination, integration, and empowerment. Northside Hospital Staff Registered Nurse positions are based on a sequential progression from a novice nurse to an expert. The job descriptions for Staff RN I to Staff RN VI therefore imply that a nurse who is employed at a specific level possesses the knowledge, skills, competencies and critical thinking abilities of all prior (lower) levels. As an example, the job description for Staff RN III includes all provisions of Staff RN I and II in addition to the specific requirements of the Staff Qualifications KNOWLEDGE, SKILLS AND ABILITIES, LICENSE OR CERTIFICATION REQUIRED: Must be a graduate of an accredited school of nursing Licensed as a RN in the State of Georgia in good standing without limitations. Must hold Certified in American Heart Association’s Basic Cardiac Life Support (BLS). KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED: BSN degree Two (2) years of experience as a Registered Professional Nurse (RN). Additional Life Support credential (ACLS, PALS, NRP, etc.) or other clinical specialty certifications in specific units. Visual color acuity depending on the role in specific units. Work Hours: 7p-7a Weekend Requirements: Yes

LIVE IN CERTIFIED - Personal Care Assistant (PCA)Home Health Aide(HHA) Dutchess County

Always Compassionate Home Care Newburgh, NY

$18.65 - $21 / hour

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. ESSENTIAL DUTIES & RESPONSIBILTIES: By following the Care Plan that has been completed by the Nursing Supervisor, the Home Health Aide provides assistance with the following: • Maintain a healthy, safe environment. Providing nutritional and environmental support. • Assist with personal hygiene, toileting, dressing, walking and feeding the client. • Position the client when instructed to do so. • Assist with certain treatments and therapy as ordered by the physician and approved by the nursing supervisor. • Remind the client to take medications. • Assist with payment of bills ONLY when authorized to do so and it is documented on the assignment sheet. • Run errands when authorized to do so. Documentation on the Aide Charting Sheet daily. • Report any important information or changes in the client's condition to the agency and/or the nursing supervisor when necessary. • Use of medical supplies and equipment when appropriate. • Emotional support and the development of a trusting relationship between the aide and the client. • Encouragement of client independence. QUALIFICATIONS/EDUCATION: • Must be eighteen (18) years of age or older. • Must have a certificate from a Home Health Aide training program consistent with State requirements with evidence of ongoing in-service education to maintain the certificate. • Must have the maturity necessary for establishing and maintaining a good work relationship with the client, the client's family and agency personnel. • Have a sincere interest in and a sympathetic attitude towards caring for the sick and disabled. A HOME HEALTH AIDE MUST: • Get along well with others. • Be dependable and trustworthy. • Maintain compliance with all agency policies and procedures. • Maintain in-service requirements as specified in State and agency regulations. • Enjoy working with others. • Be a good listener, exhibit empathy for the sick, disabled and elderly, and be sensitive to the feelings of others. • Be neatly dressed and have good personal hygiene habits. • Maintain good health habits with regular physical and dental exams. • Wear an identification badge while working. FUNCTIONAL ABILITIES: • Able to lift, turn and transfer clients • Able to lift up to 50 pounds. • Must be able to stoop and bend. • Visual/ hearing ability sufficient to comprehend written and verbal communication. • Able to verbalize so that the average person can understand. • Provide direct care according to the established client plan of care. • Carry out a wide variety of tasks under the direction of the nursing supervisor. WORK ENVIRONMENT: • Regular exposure to client elements and occasional stress. The hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). 18.65 - $21.00 PER HR WKDNEPCS If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Per Diem

Houston Methodist Houston, TX

Case Manager-Registered Nurse (RN)-PRN

At Houston Methodist, the Case Manager PRN (CM) position is a licensed registered nurse (RN) who comprehensively plans for case management of a target patient population on a designated unit(s). This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient quality care and achievement of desired treatment outcomes. The CM PRN holds joint accountability with social worker for discharge planning and continuity of care and assures that admission and continued stay are medically necessary and communicates clinical information to payors to ensure reimbursement. The CM PRN helps drive change by identifying areas where performance improvement is needed (e.g., day-to-day workflow, education, process improvements, patient satisfaction). FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates, Licenses and Registrations section. EXPERIENCE Three (3) years hospital clinical nursing experience which includes two (2) years in case management LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations. Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security. Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles. Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components Knowledge of Medicare, Medicaid and Managed Care requirements Comprehensive knowledge of community resources, health care financial and payer requirements/issues, and eligibility for state, local and federal programs Comprehensive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement. Understanding of pre-acute and post-acute venues of care and post-acute community resources. Ability to work independently Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components Demonstrates critical thinking and makes decisions using evidence-based analytical approach in interactions with physicians, payors, and patients and their families Well versed in computer skills of the entire Microsoft Office Suite (Access, Excel, Outlook, PowerPoint and Word) ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Collaborates with the physician and all members of the interprofessional health care team to facilitate care for designated case load; monitors the patient’s progress, intervening as needed to ensure that the plan of care and services provided are patient-focused, high quality, efficient, and cost-effective; facilitates timely: • completion and reporting of diagnostic testing; • completion of treatment plan and discharge plan; • modification of plan of care, as necessary, to meet the ongoing needs of the patient; • assignment of appropriate levels of care; • completion of all required documentation in EPIC and MIDAS Serves as a preceptor, as appropriate, and implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. Serves a resource for case management and social work resources and needs for the department and the hospital. SERVICE ESSENTIAL FUNCTIONS Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance. Identifies when services no longer meet InterQual/Millman l criteria, initiates discussion with attending physicians, coordinates with the external case manager to facilitate discharge planning, seeks assistance from the physician advisor, if needed, and informs management of the possible need for issuing Medicare Hospital Initiated Notice of Non-coverage. Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Reviews level of care denials to identify trends and collaborate with team to recommend opportunities for process improvement. QUALITY/SAFETY ESSENTIAL FUNCTIONS Documents assessment and interventions efficiently and effectively. Plans for routine/difficult discharge and anticipates/prevents and manages emergent situations. Specific focus given to discharge plan and elimination of barriers. Performs post-discharge review by analyzing the inpatient record to ensure that compliance with quality indicators are met. Intervenes and takes appropriate action to foster real-time compliance with CMS guidelines and other performance measures associated with certification programs and other regulatory, national, regional or locally- sponsored quality programs. Provides reports, as needed, to appropriate parties showing: • compliance with established governmental and/or institutional rules and regulations • analysis of problematic areas, and • actions taken to improve compliance Conducts chart audits and performs peer-to-peer evaluations for continuous quality improvement. Identifies opportunities to improve patient satisfaction with focus on discharge domain and collaborates with unit leadership to implement evidence-based patient engagement strategies. FINANCE ESSENTIAL FUNCTIONS Monitors Length of Stay (LOS) for case load on an ongoing basis. Identifies population and/or service-specific trends impacting LOS and addresses/resolves problems impeding treatment progress. Proactively takes action to achieve continuous improvement and expedite care/facilitate discharge. Contributes to meeting departmental financial target on scorecard Manages all patients in Observation Status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital. Secures reimbursement for hospital services by communicating medical information required by all external review entities, managed care contracts, insurers, fiscal intermediaries, and state and federal agencies. Responds to requests for information, monitors covered days, and initiates review to assure that all days are covered and reimbursable. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Provides education to unit-based physicians, nurses, and other healthcare providers on any case management topics. Identifies opportunity for practice changes. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities. Identifies and presents areas for innovation, efficiency and improvement in case management or department operations using evidence-based practice literature. Completes and updates the individual development plan (IDP) on an on-going basis. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: No Scrubs: No Business professional: Yes Other (department approved): No ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below. On Call* Yes TRAVEL** **Travel specifications may vary by department** May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates, Licenses and Registrations section. EXPERIENCE Three (3) years hospital clinical nursing experience which includes two (2) years in case management LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)