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Full-time Nursing Jobs

Caregiver Assistant

$15.25 - $17.75 / hour

**Evening Shifts Available!! Join our DYNAMIC team at Bickford Senior Living as a Caregiver Assistant! The Caregiver Assistant supports resident care within the branch. Ensuring Resident’s daily needs are met in a compassionate way that maintains their dignity, allowing them to live their life to the fullest! This position offers a full suite of benefits options that vary based on employment status. Some of the benefits include, but are not limited to: FULL-TIME Full-time employees (30+ hours per week) are eligible for all benefits (medical, dental, vision, and voluntary products) Benefits start on the 1st of the month following 30 days of employment Prescription savings plans All employees are eligible for 401(k) with employer match Pay available daily Eligible for PTO PART-TIME Part-time employees (29 or fewer hours per week) are eligible for Voluntary Life, Voluntary Short-Term Disability, Voluntary Long-Term Disability, Accident, Critical Illness, Identity Protection, and Cyber Monitoring Benefits start on the 1st of the month following 30 days of employment Prescription savings plans All employees are eligible for 401(k) with employer match Pay available daily Eligible for PTO PRN All employees are eligible for 401(k) with employer match Pay available daily Eligible for PTO There is no higher calling, no greater purpose than a caregiver. Somehow, we’ve come to believe that caregiving is just for some of us and not all. Yet, at our core, we are all made to love, connect, to extend ourselves in service to others. The question is… do we have the will to love, do what it takes, and risk ourselves in caring, even when the burden is great? In times of happiness and sadness, we are that caregiver” - www.bickfordseniorliving.com/caregivers-manifesto RESPONSIBILITIES & QUALIFICATIONS Responsibilities: Know the residents you serve, providing care based on their service plans. Assist in all aspects of a resident’s daily life, including activities of daily living, meal service, and social engagement. Appropriately communicate with branch clinical leadership when a resident’s needs change. Knowledge of how to approach and care for residents with dementia. Qualifications: High School Diploma or GED; or one-year related experience. Willing to successfully complete the Certified Nurse Aide course within six months of hire. Willing to take additional training or education, which specific states may require. CPR and First Aid certifications required or willingness to obtain certification. Ability to handle multiple priorities. Possess written and verbal skills for effective communication. Competent in organizational and time management skills. Demonstrates good judgment, problem-solving, and decision-making skills ABOUT BICKFORD SENIOR LIVING: Bickford Senior Living is a community of caregivers who are dedicated to doing whatever it takes to enrich our resident’s happiness. Founded in 1991 in Olathe, Kansas, by the Eby Family. Mary Bickford, the matriarch of the family, was the first resident of a Bickford Branch and our namesake. That location became the start of a tradition of caring that has extended to over 50 locations in 7 states. Although Bickford Senior Living has grown in size… we pride ourselves in the family environment that is the foundation on which Bickford has served thousands of residents and employees throughout the years. www.bickfordseniorliving.com/our-story At Bickford, you will… Make a Difference Every Day We are passionate about our mission — to champion quality of life for all seniors. We deliver high-quality care with a personal touch and encourage our residents to enjoy life to the fullest. Be Part of a Uniquely Supportive Community The care-focused environment we create for residents extends to our team members. We offer programs, rewards, and benefits to help you live your best. Ignite Your Potential We believe potential has no limits. We offer best-in-class leadership development programs designed to grow our leaders. We are committed to helping our team members achieve their career goals. #GoBickfordcaregiver

Full-time

6 days ago

RN Registered Nurse Inpatient - Operating Room

Penn State Health Camp Hill, PA

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology. $10,000 SIGN-ON BONUS - eligible to those that qualify* Penn State Health - Holy Spirit Medical Center Location: US:PA: Camp Hill Work Type: Full Time FTE: 1.00 Shift: Day Hours: Varied Recruiter Contact: Amanda A. Frankhouser at afrankhouser2@pennstatehealth.psu.edu SUMMARY OF POSITION: The RN inpatient Nurse assesses patient health problems and needs, develop and implement nursing care plans, and maintain medical records. The inpatient Registered Nurse administers nursing care to ill, injured, convalescent, or disabled patients. The RN may advise patients on health maintenance and disease prevention. The inpatient RN will maintain accurate, detailed reports and records and administer medications to patients while monitoring for reactions and side effects. The RN will monitor, record, and report symptoms or changes in patients’ conditions. MINIMUM QUALIFICATION(S): Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact required. BLS required prior to orientation completion. PREFERRED QUALIFICATION(S): Bachelor's degree in Nursing preferred WHY PENN STATE HEALTH? Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave. Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. WHY PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER? Penn State Health Holy Spirit Medical Center brings acute inpatient medical services to the greater Harrisburg region with outpatient and inpatient locations in Cumberland, Dauphin, Perry, and Northern York counties. The facility features 281 beds, a four-story Ortenzio Heart Center, and around-the-clock complex critical care for those suffering from life-threatening injuries. YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you. This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities. Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health’s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.

Full-time

6 days ago

Staff Nurse position on Yawkey 6 (40 hrs/week)

Dana-Farber Cancer Institute Boston, MA

$44.14 - $109.51 / hour

The Staff Nurse’s responsibilities include assessment, planning, implementation and evaluation of nursing care for a complex patient population. The infusion nurse provides patient and family education and psychosocial and emotional support. He/she is a member of a multidisciplinary care team that requires effective communication and collaboration with co-workers and staff at the Institute, BWH, and other collaborating institutions and agencies. The infusion nurse identifies his/her own professional goals and learning needs. The role requires clinical expertise, critical thinking, collaborative practice, excellent communication skills and an understanding of the principles and practices of clinical research. The Mission, Vision and Core values of the Dana-Farber Cancer Institute are incorporated into all areas of practice. Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals. Primary Duties And Responsibilities Delivers expert, evidence-based nursing care to patients and families. Implements nursing process: Assesses patient and family needs. Analyzes assessment data to develop and support clinically accurate diagnoses. Plans care by establishing goals with measurable outcomes. Implements the plan of care. Evaluates the patient’s response to interventions. Documents care according to Institute and regulatory agencies’ requirements. Administers medications, which may include chemotherapy, and performs procedures safely and efficiently in accordance with Institute policy. May administer blood transfusions. Evaluates educational and psychological needs of patient and family, and incorporates identified needs into the plan of care. Educates patient and family regarding various aspects and treatment modalities of disease, which may include chemotherapy and radiation therapy. Recognizes and responds to emergency situations appropriately. Maintains BLS certification. Identifies appropriate community resources to promote continuity of care and makes appropriate referrals. Complies with accepted standards of professional nursing practice, as well as with all licensure/registration requirements applicable to the nursing role. Establishes rapport with patients and families from a variety of cultural, ethnic and religious backgrounds. Interacts with patients and families in a caring and compassionate manner respecting the need for privacy and confidentiality. Develops approaches to problem solving which meet the individual needs of the patients and families. Demonstrates the knowledge and skills necessary to provide age-specific care and support to the populations served. Fosters an environment that is sensitive to the needs of diverse populations, including but not limited to culture, ethnicity, gender, and age. Manages the environment of patient care. Monitors the environment of care with attention to patient safety, and assures compliance with regulatory agency standards. Complies with Institute, Nursing and Patient Care Services, and unit policies, procedures, work rules and standards of conduct. Adheres to the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) in all aspects of professional practice. Contributes to the formulation and achievement of goals on the unit, within the Division of Nursing and Patient Care Services, and the Institute. Assists in defining goals and developing systems and work processes for the unit, the Division of Nursing and the Institute. Participates in unit, program-based, and divisional committees, councils, and initiatives. Demonstrates flexibility in setting and changing priorities. Accepts additional responsibilities as needed. Participates in QA/QI projects for the unit and the Division of Nursing and Patient Care Services. Supports research activities within the unit, Division of Nursing and Patient Care Services, and the Institute. Works collaboratively and functions as an effective member of the health care team. Demonstrates the ability to work collaboratively with peers and co-workers. Effectively addresses and manages conflicts. Demonstrates effectiveness as a contributing member to the multidisciplinary health care team. Delegates as appropriate, and supervises assistive personnel in their provision of patient care. Functions in the charge nurse role when necessary, collaborating with staff and coordinating flow of patients into the infusion areas. Seeks opportunities to foster professional growth. Identifies areas for professional growth. Formulates professional goals, objectives and methods for accomplishing these. Attends inservices, workshops and seminars. Shares information gained with colleagues. Facilitates professional growth of self and others by acting as a preceptor and mentor for new staff. Collaborates in preparing professional reports, articles and presentations for colleagues and the public. Meets all annual evaluation requirements and competencies within the established time period. Pursues active membership in local and national professional organizations. Procedural Nurse Responsibilities Delivers expert, evidence-based nursing care to patients and families. Perform pre procedural assessment with patients by obtaining medical history via pre procedural phone call to provide patient specific instructions: Assess safety and tolerability of procedural sedation. Perform medication reconciliation. Review procedural sedation history. Provide pre procedural instructions, providing the patient with opportunity to ask clinical questions without requiring separate call back. Create patient specific premedication regiment in collaboration with procedure APP. Obtain IV access and preprocedural lab work. Administered preprocedural procedural medications, titrating according to specific patient needs. Also administer chemotherapy and performs procedures safely and efficiently in accordance with Institute policy. May administer blood transfusions. Work as co-sign to Intrathecal Chemotherapy administered by APP. Assists in emergency nursing procedures necessary for prompt control of changes in patient`s physical condition. Maintains awareness of procedural suite activities and works with the Procedure Suite team to maximize workflow. Keeps abreast of changing techniques in procedural nursing and maintains a high level of expertise in critical care. Responsible for intraprocedural monitoring of patients not limited to maintain active airway, assesses effective circulation and respiration via capnography and telemetry monitoring. Safely recover patients post sedation, perform discharge teaching, and evaluate safety of patient discharge. Coordinate correct research specimen collection with research coordinators. Maintain Joint commission readiness. Provide as needed support for biopsy specimen collection when not acting in a procedural sedation role. Knowledge, Skills And Abilities Demonstrated ability to work as an effective member of an interdisciplinary team. Demonstrated skills in critical thinking, problem solving, and ability to make independent decisions. Ability to function in a busy work setting with patients with complex needs. Minimum Job Qualifications Education: Associate degree, Nursing. Baccalaureate degree in Nursing strongly preferred. If Associate degree in Nursing, must complete BSN degree within 4 years. Experience: Completion of the Oncology Nurse Residency Program (ONRP) or 1 year of recent experience as a Registered Nurse. Ambulatory and/or oncology experience preferred. License/Certification/Registration Required Licensed as a Registered Nurse in the Commonwealth of Massachusetts, or State of New Hampshire as appropriate required. AHA BLS required (AHA ACLS accepted as minimum requirement). Professional nursing certification preferred (OCN, BMTCN, CPHON, AOCNP, CRNI, RN-BC). Supervisory Responsibilities None Patient Contact Yes. Demonstrates understanding of special needs and behaviors of age groups of the population served: young adults to geriatrics. At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply. Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law. EEO Poster Pay Transparency Statement The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate’s relevant experience, skills and qualifications. For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA). $44.14 - $109.51

Full-time

6 days ago

RN Registered Nurse Clinical Staff Leader - Operating Room

Penn State Health Hershey, PA

Invest in Your Future and Theirs: Full-time Milton S. Hershey Medical Center employees receive a 75% Penn State tuition discount for themselves and eligible dependents through the Grant-in-Aid program. Penn State Health - Hershey Medical Center Location: US:PA: Hershey Work Type: Full Time FTE: 1.00 Shift: Varied Evening Shift Differential: $2.00/hour Night Shift Differential: $2.50/hour Hours: Varied Recruiter Contact: Corey Cunningham at ccunningham3@pennstatehealth.psu.edu SUMMARY OF POSITION: The Registered Nurse Clinical Staff Leader supporting CT and Vascular Service lines will ensure clinical care delivery and ensure optimal patient outcomes. The RN Clinical Staff Leader will be involved in providing clinical patient care. The RN Clinical Staff Leader will assist in ensuring the quality of patient care delivery in a specific patient care area and will serve as a role model for professional nursing practice. The RN Clinical Staff Leader will review appropriate staffing based on patient acuity and patient needs and assess nursing service needs relative to the needs of patients within the unit and recommend corrective actions when appropriate. DEPARTMENT DESCRIPTION : Our progressive and innovative surgical team fosters an environment that is challenging, dynamic and state-of-the-art. Our operating room suites consist of 34 operating rooms and four procedure rooms. You will have the opportunity to work in a variety of cases. The operating room completes over 20,000 procedures annually. Because we are part of an academic medical center, as well as a Level I Trauma Center, you'll be exposed to a wide variety of patients and experiences. Some of the OR services we provide on a daily basis include general, vascular, neurosurgery, cardiothoracic, orthopaedic, ENT, transplantation, gynecology, urology, plastic and reconstructive, and pediatric surgery. MINIMUM QUALIFICATION(S): Bachelor's Degree in Nursing or Master's Degree in Nursing required Two (2) years clinical experience required Progressive leadership experience required Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact. AHA BLS prior to end of orientation period. WHY PENN STATE HEALTH? Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave. Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. WHY PENN STATE HEALTH MILTON HERSHEY MEDICAL CENTER? Penn State Hershey Medical Center is Central Pennsylvania’s only Academic Medical Center, Level 1 Regional Adult and Pediatric Trauma Center, and Tertiary Care Provider. As a four-time Magnet-designated hospital, Hershey Medical Center values the hard work and dedication that our employees exhibit every day. Through our core values of Respect, Integrity, Teamwork, and Excellence, our employees are a team committed to compassionate care for our diverse patient population, our community and each other. As a valued team member, we promote continued professional development, specialty certification, continuing education, and career growth. YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you. This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities. Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health’s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination. Union: Non Bargained IND567

LPN

Full-time

6 days ago

UniversaCare Hawthorne, NY

Join Our Care Team as an HHA/PCA – Make a Difference Daily! Are you a compassionate caregiver ready to bring comfort, dignity, and joy to those who need it most? UniversaCare is hiring Home Health Aides (HHA) and Personal Care Assistants (PCA) who want more than just a job—they want purpose. What We Offer: Competitive pay + weekly direct deposit Flexible schedules – full-time, part-time, live-in Supportive team culture Ongoing training & career growth Immediate openings in NY and CT You’ll Help With: Personal care & hygiene Light housekeeping & meal prep Medication reminders Companionship & emotional support You’re a Great Fit If You: Have a valid HHA/PCA certificate Are reliable, kind, and professional Can communicate clearly and follow care plans Want to be part of a team that values YOU Call (718) 224-3758 ext. 2 — leave a voicemail and we’ll call you back! About Us Universacare is proud to be an Equal Opportunity Employer, celebrating diversity and inclusion across all aspects of employment.

CNA

Full-time

1 week ago

Certified Nursing Assistant - Full Time Days

ScionHealth Baldwin Hills, CA

$23 - $25.36 / hour

Description Kindred Hospital Los Angeles helps patients return to the lives they love. At our hospital, our physician-led care teams provide critically ill patients with the specialized acute care and rehabilitation they need, for the time they need it - empowering them to take the next step in their recovery journey. Located in Ladera Heights near Fox Hills Park, Blanco Park and Ladera Park, we are a short drive from restaurants and shops, as well as close to public transit. Job Summary Assists professional nursing personnel in providing patient care in assigned area. Assists patients with activities of daily living, provides for personal care, emotional support and performs more complex clinical skills under the direction of professional nursing personnel. Essential Functions Consults with and keeps supervisor informed of unit activities, needs, and problems related to patient care. Provides general nursing care such as positioning the patient, lifting, turning, applying/utilizing special equipment, assisting in the use of bed pan, urinal or commode, ambulating the patient, pre operative and post operative care, and application of binder or anti embolic stockings, bed bath, oral/hair/back care, changing bed linens, cleaning over bed table, and bedside stand, straightening patient room and other general care necessary during the shift. Takes and records temperature, pulse, respiration, weight, height, blood pressure, and intake and output measurements accurately. Documents in a timely manner. Prepares patient room and bed for admission and transfers and ensures all necessary equipment is in room. Maintains an attractive and comfortable environment for patients with special consideration to cleanliness of room, ventilation, and lighting. Assists in patient admission, transfer, and discharge procedures. Assist with handling and care of patient belongings and other personal property. Answers patient call lights, telephone, and paging system and responds as appropriate. Under the direction of the Registered Nurse, performs routine treatment procedures such as enemas, application of appliances for heat and cold. Able to release, remove, and reapply restraints to patient under the direction of an RN. Ensures patient is in proper position and alignment. Assist Registered Nurse and/or LVN/LPN with complicated patient treatment procedures. Serves and removes patient meal tray in timely manner. Assists with feeding and/or preparing items such as opening milk container, cutting food for patient. Knowledge/Skills/Abilities/Expectations Must read, write and speak fluent English. Must have good and regular attendance. Excellent oral and written communication and interpersonal skills Basic computer knowledge. Able to organize tasks, develop action plans, set priorities and function under stressful situations. Ability to maintain a good working relationship both within the department and with other departments. Approximate percent of time required to travel: 0% Performs other related duties as assigned. Qualifications Education High School Diploma or Equivalent including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role. (Preferred) Licenses/Certification Current Nursing Assistant Certification BLS Certification Experience Minimum six months’ experience in acute or long-term care facility. Pay Range: $23.00 - $25.36/Hr $7,500 bonus ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

Certified Home Heath Aid- CHHA- Hospice

Swan Hospice Trenton, NJ

Swan Hospice is looking for CHHA ( Certified Home Heath Aid ) with Hospice experience to join our team. We provide quality hospice care to patients in skilled nursing facilities, assisted living facilities and in private homes. We treat residents, families and loved ones with kindness, respect, compassion and dignity. We have a comprehensive team that can provide support and stability to residents and staff. Job Responsibilities Assists with the prescribed exercise and ROM activities which the resident/patient and Hospice aide have been taught by the Hospice Nurse. Provides assistance in toileting; positioning and transfer activities, frequent turning and positioning of a bed bound resident/patient. Provides or assists in ADL activities; personal hygiene, grooming, mouth, skin care and nails. Assists or reminds the patient to take medication, in compliance with regulations of appropriate regulatory and accrediting bodies. Assists with light housekeeping of individual's personal unit or room, including changing of bed linen, if needed and patient laundry. Feeds and assists with meals. Obtains temperature, pulse and respiration as supervised by the Hospice Nurse. Reports any changes in resident's/patient's condition to the Hospice Nurse and, if in a facility, to the facility nurse and documents the information , including the date and time of the report and the person receiving the information. Ideal candidates will have: HHA License in the state of NJ Understands the hospice philosophy Minimum of one year experience working in hospice Dependable transportation

Home Care Aide

Right at Home Westside CA

Immediate openings for Caregivers! Want to join a company that truly makes a difference in the world? Are you ready to serve a population that needs you right now? #BeEssential as a Right at Home Caregiver! We stand prepared to equip you with the right personal protective equipment (PPE). We are ready to assist as you care for our vulnerable population of seniors and adults with disabilities. By joining the Right at Home-Westside team, you will have the unique opportunity to improve the quality of life for those you serve by working for one of the fastest-growing international home care companies with over 25 years of experience. Benefits Here’s Why Caregivers Like Working for Right at Home: Earn competitive pay Flexible scheduling Health Insurance Plans Employee Discount Programs Bonuses for employee referrals PAID training and development Caregiver Recognition & Rewards Programs Access to Leadership Paid travel time in between clients plus mileage reimbursement Bi-Weekly Pay Mobile clock in /out Make a difference and give back to those who need your most Responsibilities and Duties In this role, you will have the chance to perform personal care activities that assist the client with activities of daily living, which include (but are not limited to): Assisting with transferring/moving clients from place to place throughout their home Performing housekeeping activities which include (but are not limited to): vacuuming, dusting, sweeping or mopping floors, doing dishes, changing bed linens, doing laundry, and cleaning the bathroom Preparing meals and snacks according to instructions Accompanying clients on errands or medical appointments Bathing/Showering/Dressing/Shaving Medication reminders Assisting with prescribed range of motion exercises Dementia care Companionship activities such as reading, music, puzzles, etc. Qualifications and Skills: High school graduate or G.E.D. certificate preferred. Must be able to lift/move 50 lbs without assistance Ability to read, write, speak and understand English as needed for the job Possess a valid driver’s license and current automobile insurance Pass a background check Home Care Aide registration preferred Right at Home is an equal opportunity employer that celebrates, supports, and promotes diversity and inclusion. We will consider all qualified applicants regardless of race, color, religion, sex, national origin, disability, protected veteran status, sexual orientation or gender identity, or any other legally protected basis, in accordance with applicable law.

Caregiver / CNA — Flexible & Meaningful Caregiving Work That Fits Your Life (Lake St. Louis / Wentzville)

SYNERGY HomeCare of St. Charles Wentzville, MO

$18.50 - $23.50 / hour

Hi there! I wanted to start this job posting by personally introducing myself: My name is Carly, and I am the owner of SYNERGY HomeCare of St. Charles. I know you have a lot of caregiver jobs to choose from, and you may be applying to several job postings right now. However, I hope you will consider us above others because we are serious about building long-term relationships with dependable caregivers who want to be valued, and be proud of the care they provide. We are nothing without our caregivers, and not everyone understands that! You’ve probably seen most other home care agencies promise competitive pay, flexible scheduling, and a supportive team. We offer those things too — but we also know good caregivers need more than just the basics. What makes us different: We build schedules around your real life and truly work with you to achieve your financial goals with thoughtful & unique scheduling practices Our locally owned and operated office team actually wants to get to know the clients, the families of our clients, and our caregivers We value dependable caregivers and hold the team to a high standard so our team stays strong Overall – we are flexible, we care about our caregivers, and we are very serious about providing better client care every day What a job with us may require: Companionship and personal care Bathing, dressing, grooming, and toileting Hospital - to - Home Transition Care (higher-acuity cases) Hospice (higher-acuity cases) Dementia and memory care support (higher-acuity cases) Transfers, walking assistance, and fall prevention Light housekeeping, meals, and medication reminders Errands or transportation, depending on the client And more… This is a good fit if you are: Caring, dependable, and professional Serious about attendance and communication Comfortable working independently in client homes Looking for a steady caregiving role, not constant job-hopping Experienced in caregiving, CNA work, HHA, home care, senior care, dementia care, or personal care If you are the kind of caregiver families remember by name , we would LOVE to talk with you!

Full-time

6 days ago

RN Registered Nurse - Nursing Vascular Access Team

Penn State Health Hershey, PA

Invest in Your Future and Theirs: Full-time Milton S. Hershey Medical Center employees receive a 75% Penn State tuition discount for themselves and eligible dependents through the Grant-in-Aid program. $10,000 SIGN-ON BONUS - eligible to those that qualify* Penn State Health - Hershey Medical Center Location: US:PA: Hershey Work Type: Full Time FTE: 0.90 Shift: Varied Evening Shift Differential: $3.00/hour Night Shift Differential: $4.50/hour Hours: 12 hrs Recruiter Contact: Jose V. Ceballos at jceballos@pennstatehealth.psu.edu SUMMARY OF POSITION: The Vascular Access Staff Nurse, RN, will be responsible for the insertion and maintenance of vascular access devices, including PICC lines. The nurse is responsible for assessing patients for appropriate vascular access and providing education on care and maintenance to both adult and pediatric patients. Collaboration with the healthcare team to ensure optimal patient outcomes. The nurse will be responsible for maintaining accurate documentation of procedures and patient progress. The nurse will participate in ongoing education and training to stay current with best practices. The ideal candidate will have a strong background in vascular access and be proficient in the use of ultrasound technology. Responsible for providing clinical expertise and establishing standards of nursing practice for the insertion, care and management of both pediatric and adult vascular access care, device insertion and maintenance. Serves as a consultant, educator, clinician and change agent for the staff and patients with difficult IV access, vascular access devices and management problems in both the inpatient and outpatient settings. MINIMUM QUALIFICATION(S): Bachelor’s degree in nursing or enrollment in a BSN program within one (1) year of hire and completion of program in four (4) years. Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate RN license through the interstate Nurse Licensure Compact. Minimum of two (2) years of RN experience required. Demonstrated prior clinical experience in vascular access nursing, including PICC line insertion and ultrasound-guided vascular access. Ability to independently assess patients for appropriate vascular access device selection and insertion. Strong communication and interpersonal skills, with the ability to work independently and collaboratively as part of a specialty team. Required specialty certification in vascular access (CRNI or VA-BC) within two (2) years of full onboarding. PREFERRED QUALIFICATION(S): Three (3) or more years critical care or emergency department experience, proficient peripheral venous access skills. Knowledge of peripheral and central vessel anatomy. Previous experience in vascular access and PICC line insertions preferred. Experience and proficiency in ultrasound guidance for vascular access. CRNI Certification VA-BC Certification WHY PENN STATE HEALTH? Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave. Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection. Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program. Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling. WHY PENN STATE HEALTH CORPORATION? There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system. Within Penn State Health’s Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth. YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you. This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities. Penn State Health is an Equal Opportunity Employer and does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health’s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination. Union: SEIU Healthcare Pennsylvania IND567

CNA

Full-time

6 days ago

Visiting Angels Chelsea Chelsea, MA

$18 - $21 / hour

Home Health Aide Job Responsibilities: Enables patients to stay in their homes by monitoring and recording patient condition, providing support and personal services, and teaching families. Monitors patient condition by observing physical and mental condition, intake and output, and exercise. Supports patients by providing housekeeping and laundry services, shopping for food and other household requirements, preparing and serving meals and snacks, and running errands. Assists patients by providing personal services, such as, bathing, dressing, and grooming. Helps patients care for themselves by teaching use of cane or walker, special utensils to eat, special techniques and equipment for personal hygiene. Helps family members care for the patient by teaching appropriate ways to lift, turn, and re-position the patient. Advises on nutrition, cleanliness, and housekeeping. Records patient information by making entries in the patient journal and notifying nursing supervisor of changing or unusual conditions. Maintains a safe, secure, and healthy patient environment by following asepsis standards and procedures, maintaining security precautions, and following prescribed dietary requirements and nutrition standards. Protects the home care agency by adhering to professional standards, home care policies and procedures, federal, state, and local requirements. Enhances service reputation by accepting ownership for accomplishing new and different requests, and exploring opportunities to add value to job accomplishments.

Full-time

6 days ago

Quality Management Registered Nurse-PD

Northwell Health Manhasset, NY

$47 - $75 / hour

195313 Job Description Coordinates the health system's Cardiology data collection and submission to the American College of Cardiology (ACC) national registry for cardiac interventions. Benchmarks the health system's performance against other cardiology facilities across the country. Prepares and presents reports and statistical analysis to various hospital and system quality committees. Job Responsibility Collects and collates data from patient medical records and enters it into a registry form. Communicates and interacts with physicians and patients to ensure all information is obtained accurately and completely. Monitors the process of data collection to ensure time frames are met. Generates reports from the registry and analyzes data to compare organization to similar institutions regarding to key quality indicators. Measures patient, provider and facility characteristics, cardiac device type and adverse events. Identifies quality gaps in cardiac patient care. Collaborates with the leadership to recommend new processes to improve cardiac patient care. Presents comparative information to various hospital and organization quality committees; addresses any concerns or issues that may arise. Provides information to the committees regarding changes in mandates or definitions. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Peri operative experience preferred Quality Nurse experience preferred This position falls under the Anesthesia Service Line Additional Salary Detail The salary range and/or 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).

Patient Care Associate - Med/Surg-Pulmonary 7B

Baptist Health (AR) Little Rock, AR

Video Testimonial Job Details Department: Med/Surg-Pulmonary 7B Shift: Night Working Hours: 1830-0700 Summary: A Patient Care Associate serves as a technical assistant to nursing on the unit whose primary function is to assist with basic patient care, monitoring, hygiene, and to help ensure care is complete. The nursing assistant works as part of the nursing team on a unit and throughout the hospital to ensure that each and every patient and guest to the hospital has their needs met, whether that need is physical, spiritual or educational. Other Information: Requires High School diploma or equivalent Must complete 12 hours of college credit to promote to next level. May be required to float to another unit/department when necessary. Knowledge, Skills and Abilities Needed: Ability to read, write, understand and follow instructions. Basic addition and subtraction skills. The verbal skills to effectively relate to patients, visitors, staff, and physicians. Ability to utilize Epic to chart and monitor tasks to be completed. This job will be authorized 72.00 hours bi-weekly. "> Department: Med/Surg-Pulmonary 7B Shift: Night Working Hours: 1830-0700 Other Information: Requires High School diploma or equivalent Must complete 12 hours of college credit to promote to next level. May be required to float to another unit/department when necessary. Knowledge, Skills and Abilities Needed: Ability to read, write, understand and follow instructions. Basic addition and subtraction skills. The verbal skills to effectively relate to patients, visitors, staff, and physicians. Ability to utilize Epic to chart and monitor tasks to be completed. This job will be authorized 72.00 hours bi-weekly.

Manager/Supervisor

Full-time

6 days ago

NIGHT SHIFT SUPERVISOR RN 11PM-7AM

The Palms at Sebring Sebring, FL

OVERVIEW: Assist the director of nursing and assistant director of nursing in planning, developing, organizing, implementing, evaluating, and directing the day-to-day functions of the Nursing Department. Maintains quality clinical care for residents/patients in accordance with current rules, regulations, and guidelines that govern the Facility. SCHEDULE: 11PM-7AM MONDAY-FRIDAY (On call as needed) RESPONSIBILITIES: · Supervises the clinical care planning and delivery processes to ensure the coordination of quality patient care. Reviews and updates the care plan accordingly · Assesses residents/clients upon admission and periodically as conditions change · Performs rounds to evaluate patient condition · Provides or assists with the delivery of direct patient care when indicated, including activities of daily living, meal assistance, medication and treatment administration, and leisure activities when indicated · Obtains and implements Physician Orders, checking for accuracy and completeness · Communicates between shifts regarding changes in resident/patient conditions · Ensures a safe and secure environment for patients/residents, staff and visitors · Provides clinical assessment to MD/NPs on call for quality outcomes delivered to patients · Plans, implements and evaluates the clinical competencies and on-going educational/orientation needs of the staff. · Participate in Facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing Services · Participate in developing, implementing, and periodically updating the resident’s written discharge plan · Ensure that a sufficient number of nursing staff is available for each shift to ensure that quality care is maintained · Make daily rounds of the Nursing Services Department to ensure that all nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report findings to the Director of Nursing Services · Review complaints and grievances made or filed by department personnel. Make appropriate reports to the Director of Nursing Services, as required or as may be necessary · Maintain nursing supplies inventory and other responsibilities as required · Assist in the Quality Assurance and Performance Improvement (QAPI) process QUALIFICATIONS: EDUCATION / EXPERIENCE: · Current registration and license to practice as a Registered Nurse (RN) in the state of Florida · Peripheral IV certification preferred · Minimum 5+ years nursing experience in a hospital, nursing home or other healthcare setting and a minimum 1-year experience as a nurse supervisor · CPR/BLS certified · Strong knowledge of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care centers. · The ability to read, write, speak and understand the English language required, knowledge of other language helpful · Other Job Duties as assigned. SUPERVISORY RESPONSIBILITIES: · Supervises the nursing personnel and the day-to-day nursing activities of the facility during an assigned tour of duty WORK ENVIRONMENT: · This job operates in a health care setting. This role requires regular walking to various locations around the care center · Incumbent may be exposed to virus, disease and infection from patients and specimens in working environment · Incumbent may be required to work extended periods of time at a video display terminal Incumbent may experience traumatic situations, including psychiatric, and deceased patients · Works beyond normal working hours and on weekends and holidays when necessary · Must be able to stay or return to facility during emergency conditions

MDS

Full-time

6 days ago

MDS Resource Nurse

Rancho Seco Care Center Sacramento, CA

Position Description We are looking for an outstanding MDS nurse to work closely with our facilities in NorCal- Stockton and Sacramento. This consultant will be responsible for providing expertise, leadership, modeling, and support for organization-wide initiatives. He/she will also work on the implementation and or evaluation of the facility’s Quality Measurement and Performance Improvement program to ensure quality of resident care outcomes. Qualifications · Must possess a current, active license to practice as a registered nurse in this state. · 3 years’ experience as a registered nurse, one of which includes supervisory experience, preferred. · Experience with MDS completion and process. · Resident Assessment Coordinator (RAC) Certification is preferred. · Understanding of computer technology, including Electronic Health Record (EHR) systems Duties and Responsibilities · Overseeing assigned facilities’ comprehensive resident assessment process in accordance with state and federal regulations. · Auditing completion of MDS assessments and any supporting assessments or clinical documentation. · Reviewing medical records for the presence of supporting documentation for all items coded on the MDS. Provide education as necessary. · Interpreting rules, regulations and coverage guidelines and acting as primary resource for problem solving regarding care-based reimbursement systems and quality reporting program. · Provide consultative support and training to MDS Coordinators within the assigned facilities, to coordinate and guide resident-centered care. · Assist the Interdisciplinary Team with Care Planning. · Provide additional guidance related to clinical documentation and coding as it relates to the Resident Assessment Instrument (RAI). · Provide support and guidance to assist assigned facilities to achieve and maintain 5-Star Quality Measure Rating. · Auditing and monitoring of RAI timeliness and accuracy of information in furtherance of regulatory standards. · Support resident care by identifying trends and developing processes and action plans. Must be able to perform and present Root-Cause-Analysis. · Reviews and audits data to support assigned facilities’ obligation to accurately capture diagnosis codes in accordance with PDPM guidelines. · Provide on-going education, support, and make recommendations to optimize quality of care delivery. · Attend and support assigned facilities’ Quality Assurance Performance Improvement Programs (QAPI). · Work as an advocate for MDS Coordinators in relationship to the facility leadership, and the Interdisciplinary Team (IDT). · Maintain the most current knowledge of State and Federal guidelines and regulations related to the RAI and reimbursement. · The Regional MDS Nurse will assist the facility to prepare for the surveys and should be available to assist during the survey. Competitive Pay, Great Work Environment! Come apply today!

CNA and HHA Needed St Augustine Area

HomeWell Care Services St. Augustine, FL

$16 - $18 / hour

CNA and HHA needed for Full Time and Part Time Hours HomeWell Care Services MUST BE CARING AND ABLE TO ENGAGE WITH CLIENTS FULL TIME and PART TIME and PRN HOURS AVAILABLE LOOKING FOR CAREGIVERS IN VOLUSIA / FLAGLER AND ST JOHN COUNTIES WE OFFER SEVERAL PROGRAMS TO OUR CLIENTS THAT FIT THEIR NEEDS Experience with Dementia Experience with ADL's and IADL's Experience with limited non weight bearing patients. Experience working with patients that has wound management Experience working with Super pubic catheters Experience with lift to pivot stands and transfers are needed RELIABLE and DEPENDABILITY IS A MUST!!! 2 YEARS MIN EXP WITH AS A CAREGIVER (preferred) Responsibilities: Provide direct patient care under the supervision of a registered nurse or healthcare professional. Assist patients with activities of daily living, including bathing, dressing, grooming, and toileting. Monitor and record vital signs, such as blood pressure, temperature, and pulse. Assist with mobility and transfers, using proper lifting techniques. Prepare and serve meals according to dietary restrictions and individual preferences. Provide companionship and emotional support to patients Assist with light housekeeping tasks, such as laundry and tidying up. Requirements: Valid certification as a CNA or Home Health Aide or completion of a recognized training program. Experience in providing patient care preferred. Knowledge of medical terminology and basic understanding of healthcare practices. Ability to lift and transfer patients safely and comfortably. Excellent communication skills to effectively interact with patients, families, and healthcare professionals. Compassionate and caring attitude towards patients in need of assistance. Ability to work independently and follow instructions accurately. Reliable Transportation

Full-time

1 week ago

Registered Nurse

The Christ Hospital Health Network Cincinnati, OH

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 KNOWLEDGE AND SKILL: Please describe any specialized knowledge or skills, which are REQUIRED to perform the position duties. Do not list personal credentials of the current jobholder that would not be required if the job were being filled. List any special education required for this position. 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 & 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.