Nursing Jobs in Altoona, FL

RN Outpatient Full-time
DaVita Kidney Care

Registered Nurse

DaVita Kidney Care Leesburg, FL
Posting Date 06/18/2026 8425 US HWY 441Suite 104, Leesburg, Florida, 34788-4038, United States of America DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
NP Full-time
Avante at Mt. Dora

Nurse Practitioner

Avante at Mt. Dora Mount Dora, FL
KOPA, Inc. is looking for a Nurse Practitioner to diagnose and treat health conditions, as well as promote good health practices. This Nurse Practitioner will work at Avante at Mt. Dora. As an advanced practice registered nurse, you’ll be our go-to person for ensuring the best patient care possible. The job description of a nurse practitioner includes conducting physical examinations, interpreting lab tests and overseeing patients’ health. You’ll be both a health practitioner and an educator, supporting disease prevention practices and helping people lead healthy lives. As a Nurse Practitioner, you’ll have to work closely with other healthcare professionals, so you should have a team spirit and a positive attitude. Patience, problem-solving skills and communication ability are important. If you’re dedicated to advancing your knowledge and clinical expertise through research and professional discourse, we’d like to meet you. We will be providing essential care to a very compromised group of individuals who do not require acute care, however, due to specialized infection control needs of these residents, many other skilled nursing facilities are unable to provide this level of care and therefore these residents are in need of temporary placement. Responsibilities Examine patients and their medical records Order and study diagnostic tests (blood tests, X-rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family members on diseases, epidemics and prevention Oversee patients’ overall health Promote good health practices Advance professional knowledge and conduct research Skills Proven experience as Nurse Practitioner in a skilled nursing facility, minimum 1 year experience preferred Expertise in primary care, acute care and chronic care practices Knowledge of health and patient care regulations Excellent communication skills Strong ethics Team spirit with a positive attitude Patience and cool-headedness Willingness to continue gaining knowledge and clinical experience Valid nurse practitioner license KOPA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. KOPA expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of KOPA employees to perform their job duties may result in discipline, up to and including, discharge.
NP Part-time
Avante at Ocala, Inc.

PT Nurse Practitioner (NP)

Avante at Ocala, Inc. The Villages, FL
Part-Time Nurse Practitioner Needed!! KOPA, Inc . is looking for a Part-Time Nurse Practitioner to diagnose and treat health conditions, as well as promote good health practices. This position will be at the remodeled Avante at Ocala . As an advanced practice registered nurse, you’ll be our go-to person for ensuring the best patient care possible. The job description of a nurse practitioner includes conducting physical examinations, interpreting lab tests and overseeing patients’ health. You’ll be both a health practitioner and an educator, supporting disease prevention practices and helping people lead healthy lives. As a Nurse Practitioner, you’ll have to work closely with other healthcare professionals, so you should have a team spirit and a positive attitude. Patience, problem-solving skills and communication ability are important. If you’re dedicated to advancing your knowledge and clinical expertise through research and professional discourse, we’d like to meet you. We will be providing essential care to a very compromised group of individuals who do not require acute care, however, due to specialized infection control needs of these residents, many other skilled nursing facilities are unable to provide this level of care and therefore these residents are in need of temporary placement. Responsibilities: Examine patients and their medical records Order and study diagnostic tests (blood tests, X-rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family members on diseases, epidemics and prevention Oversee patients’ overall health Promote good health practices Advance professional knowledge and conduct research Supervise and mentor a team of nurse practitioners Review documentation and provide clinical feedback Lead team meetings Assist with onboarding and training of new NPs Help monitor performance and support ongoing development Act as a liaison between the NP team and facility leadership Assist in creating and refining workflows, protocols, and best practices Provide coverage at other Florida facilities when needed (e.g., vacation, sick leave, or coverage gaps), which may involve occasional in-state travel Skills: Proven experience as Nurse Practitioner in a skilled nursing facility, minimum 1 year of supervisory experience Expertise in primary care, acute care and chronic care practices Knowledge of health and patient care regulations Excellent communication skills Strong ethics Team spirit with a positive attitude Patience and cool-headedness Willingness to continue gaining knowledge and clinical experience Valid nurse practitioner license Benefits: Competitive Compensation Comprehensive Insurance Coverage (Medical, Dental, Vision, and more!) Health and Wellness Programs to Keep you Feeling Your Best Retirement plan with employer match. Paid Time Off & Holidays to Recharge Continuing education and professional development opportunities. Supportive and Collaborative work environment. Background Screening Requirement: This position requires background screening through the Agency for Health Care Administration (AHCA) Care Provider Background Screening Clearinghouse. Learn more : https://info.flclearinghouse.com If you are passionate about patient care and a rewarding work environment, Don’t Hesitate- Apply Today! KOPA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. KOPA expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of KOPA employees to perform their job duties may result in discipline, up to and including, discharge.
NP Per Diem
Avante at Ocala, Inc.

PRN Nurse Practitioner (NP)

Avante at Ocala, Inc. The Villages, FL
PRN Nurse Practitioner Needed!! KOPA, Inc . is looking for a PRN Nurse Practitioner to diagnose and treat health conditions, as well as promote good health practices. This position will be at the remodeled Avante at Ocala . As an advanced practice registered nurse, you’ll be our go-to person for ensuring the best patient care possible. The job description of a nurse practitioner includes conducting physical examinations, interpreting lab tests and overseeing patients’ health. You’ll be both a health practitioner and an educator, supporting disease prevention practices and helping people lead healthy lives. As a Nurse Practitioner, you’ll have to work closely with other healthcare professionals, so you should have a team spirit and a positive attitude. Patience, problem-solving skills and communication ability are important. If you’re dedicated to advancing your knowledge and clinical expertise through research and professional discourse, we’d like to meet you. We will be providing essential care to a very compromised group of individuals who do not require acute care, however, due to specialized infection control needs of these residents, many other skilled nursing facilities are unable to provide this level of care and therefore these residents are in need of temporary placement. Responsibilities: Examine patients and their medical records Order and study diagnostic tests (blood tests, X-rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family members on diseases, epidemics and prevention Oversee patients’ overall health Promote good health practices Advance professional knowledge and conduct research Supervise and mentor a team of nurse practitioners Review documentation and provide clinical feedback Lead team meetings Assist with onboarding and training of new NPs Help monitor performance and support ongoing development Act as a liaison between the NP team and facility leadership Assist in creating and refining workflows, protocols, and best practices Provide coverage at other Florida facilities when needed (e.g., vacation, sick leave, or coverage gaps), which may involve occasional in-state travel Skills: Proven experience as Nurse Practitioner in a skilled nursing facility, minimum 1 year of supervisory experience Expertise in primary care, acute care and chronic care practices Knowledge of health and patient care regulations Excellent communication skills Strong ethics Team spirit with a positive attitude Patience and cool-headedness Willingness to continue gaining knowledge and clinical experience Valid nurse practitioner license Benefits: Competitive Compensation Comprehensive Insurance Coverage (Medical, Dental, Vision, and more!) Health and Wellness Programs to Keep you Feeling Your Best Retirement plan with employer match. Paid Time Off & Holidays to Recharge Continuing education and professional development opportunities. Supportive and Collaborative work environment. Background Screening Requirement: This position requires background screening through the Agency for Health Care Administration (AHCA) Care Provider Background Screening Clearinghouse. Learn more : https://info.flclearinghouse.com If you are passionate about patient care and a rewarding work environment, Don’t Hesitate- Apply Today! KOPA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. KOPA expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of KOPA employees to perform their job duties may result in discipline, up to and including, discharge.
RN Full-time
UF Health

Nurse RN | Cardiac Medical Unit | FT Days

UF Health Leesburg, FL
Overview Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more Responsibilities Under the direction of the director, utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care. This is a full time, day shift position eligible for a sign on bonus. Three 12 hour shifts 7 am-7pm Qualifications Education Diploma/Associates Degree Licensure/Certification/Registration Florida Registered Nurse License BLS ACLS Special Skills/Qualifications/Additional Training/Experience Required Must be able to read, write, speak and understand English. Leadership skills Maintains/exceeds all specialty educational requirements
RN Manager/Supervisor Full-time
UF Health

RN Charge Nurse | Cardiac Medical Unit | FT Days

UF Health Leesburg, FL
Overview Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Under the direction of the director, utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care. This is a full time, day shift position eligible for a sign on bonus. Three 12 hour shifts 7 am-7pm Qualifications Education Diploma/Associates Degree Licensure/Certification/Registration Florida Registered Nurse License BLS ACLS Special Skills/Qualifications/Additional Training/Experience Required Must be able to read, write, speak and understand English. Leadership skills Maintains/exceeds all specialty educational requirements
RN CVICU Full-time
UF Health

Registered Nurse | CVICU | Day Shift | Full Time

UF Health Leesburg, FL
Overview Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Under the direction of the director/clinical coordinator/charge nurse, the RN utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care. This is a full time, day shift position eligible for a sign on bonus. 7am-7pm Qualifications Education: - Diploma/Associate's Degree Licensure/Certification/Registration: - Florida Registered Nurse License - BLS - ACLS
RN Full-time
UF Health

Ortho Nurse Navigator

UF Health Leesburg, FL
Overview The Ortho Nurse Navigator is responsible for upholding excellence in the provision of nursing clinical care through implementation of evidence-based standards of care. The Ortho Nurse Navigator possesses broad nursing knowledge and clinical expertise in a specialty area. The Ortho Nurse Navigator has oversight of the daily operations of the orthopedic program, acts as a clinical resource throughout the continuum of care, maintains weekly performance tracking and communication to the Orthopedic Program Supervisor and interdisciplinary team as appropriate. Identifies and implements best practices for operations and sharing of knowledge to enhance service and quality of the organization. Develops appropriate education and communication plans with the orthopedic interdisciplinary team to improve patient outcomes and meet program initiatives. Partners with our physicians directly involved in our orthopedic program to improve efficiency, meet program requirements and improve outcomes. Facilitates problem resolution, process improvement and communication flow. Reports to the Orthopedic Program Supervisor. Qualifications Education: - Associate�s Degree (required) - Bachelor�s Degree (preferred) - Master�s Degree (preferred) Licensure/Certification/Registration: - Florida Registered Nurse License (required) - BLS Special Skills/Qualifications/Additional Training/Experience Required: - Must be able to read, write, speak and understand English. - Special Skills/Qualifications: Effective Communication across multiple disciplines, Relationship Building, Self-Motivated, Strong Organizational Skills - Project Management, Clinical exposure/experience with program patients. Experience with Education, Quality, Disease Management Certification, or Management Experience preferred. - Experience: 2 years clinical service line experience in at least one area of specialty preferred.
RN Full-time
UF Health

Nurse RN | Cardiovascular Unit (CVU) | FT Days

UF Health Leesburg, FL
Overview Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Under the direction of the director, utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care. This is a full time, day shift position eligible for a sign on bonus. Three 12 hour shifts 7 am-7pm Qualifications Education Diploma/Associates Degree Licensure/Certification/Registration Florida Registered Nurse License BLS ACLS Special Skills/Qualifications/Additional Training/Experience Required Must be able to read, write, speak and understand English. Leadership skills Maintains/exceeds all specialty educational requirements
RN Full-time
UF Health

Nurse RN | Cardiac Medical Unit | FT Days

UF Health Leesburg, FL
Overview Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Under the direction of the director, utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care. This is a full time, day shift position eligible for a sign on bonus. Three 12 hour shifts 7 am-7pm Qualifications Education Diploma/Associates Degree Licensure/Certification/Registration Florida Registered Nurse License BLS ACLS Special Skills/Qualifications/Additional Training/Experience Required Must be able to read, write, speak and understand English. Leadership skills Maintains/exceeds all specialty educational requirements
LPN Outpatient Full-time
Conviva Senior Primary Care

LPN

Conviva Senior Primary Care DeLand, FL
$48,900 - $66,200 / year
Become a part of our caring community We are seeking a dedicated and compassionate Licensed Practical Nurse (LPN) to join our mission-driven healthcare team. In this role, you'll deliver high-quality nursing care, support treatment plans, and collaborate with physicians and other healthcare professionals to achieve the best outcomes for our patients— many of whom are from underserved communities. You are reporting to the Center Administrator Hours: Monday through Friday 8am - 5pm Location: Onsite in Deland, FL This role primarily focuses on telephone triage, which comprises approximately 75% of the position, while the remaining 25% involves providing direct, hands-on patient care. Use your skills to make an impact Key Responsibilities Provide direct patient care within your scope of practice, following established protocols. Collaborate with the care team to develop and carry out patient-centered care plans. Administer medications, injections, and treatments as prescribed. Monitor and document patient conditions, reporting changes promptly. Support providers during assessments and procedures; maintain accurate EMR documentation. Educate patients and families on medications, care plans, and healthy lifestyle choices. Maintain a safe, clean, and organized care environment in compliance with infection control standards. Offer guidance on health maintenance, disease prevention, and case management when needed. Required Qualifications Current LPN license. Minimum 2 years of direct clinical experience (e.g., triage, EKGs, phlebotomy, medication administration). Experience with Electronic Medical Records (EMR). Strong teamwork skills and a high level of engagement. Ability to work effectively in a fast-paced, high-volume environment. Passion for improving patient experiences and outcomes. Preferred Qualifications Bilingual English and Spanish. Knowledge of HEDIS measures. Familiarity with state-specific primary care requirements. Understanding of clinical operations. Value Based Care Alert: Humana values personal identify protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website. #LI-MD1 Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $48,900 - $66,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
NP Full-time
Avante at Ocala, Inc.

Nurse Practitioner (NP)

Avante at Ocala, Inc. The Villages, FL
KOPA, Inc . is looking for a Nurse Practitioner to diagnose and treat health conditions, as well as promote good health practices. As an advanced practice registered nurse, you’ll be our go-to person for ensuring the best patient care possible. The job description of a nurse practitioner includes conducting physical examinations, interpreting lab tests and overseeing patients’ health. You’ll be both a health practitioner and an educator, supporting disease prevention practices and helping people lead healthy lives. As a Nurse Practitioner, you’ll have to work closely with other healthcare professionals, so you should have a team spirit and a positive attitude. Patience, problem-solving skills and communication ability are important. If you’re dedicated to advancing your knowledge and clinical expertise through research and professional discourse, we’d like to meet you. We will be providing essential care to a very compromised group of individuals who do not require acute care, however, due to specialized infection control needs of these residents, many other skilled nursing facilities are unable to provide this level of care and therefore these residents are in need of temporary placement. Responsibilities Examine patients and their medical records Order and study diagnostic tests (blood tests, X-rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family members on diseases, epidemics and prevention Oversee patients’ overall health Promote good health practices Advance professional knowledge and conduct research Skills Proven experience as Nurse Practitioner in a skilled nursing facility, minimum 1 year experience preferred Expertise in primary care, acute care and chronic care practices Knowledge of health and patient care regulations Excellent communication skills Strong ethics Team spirit with a positive attitude Patience and cool-headedness Willingness to continue gaining knowledge and clinical experience Valid nurse practitioner license Benefits: Competitive salary and benefits package. Health, dental, and vision insurance. Retirement plan with employer match. Paid time off and holidays. Continuing education and professional development opportunities. Supportive and collaborative work environment. KOPA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. KOPA expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of KOPA employees to perform their job duties may result in discipline, up to and including, discharge.
CNA Home Health Per Diem
SYNERGY HomeCare

In Home Caregiver (HHA or CNA)

SYNERGY HomeCare Deltona, FL
Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate caregivers like YOU! When you join the SYNERGY HomeCare team, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring the full support for fuller lives and to elevate their confidence knowing they have a caregiver like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? We always have an opening for caregivers who can answer yes to these questions. At SYNERGY HomeCare we create a world of care at home for all, which means you will have the opportunity to care for a wide variety of people; spanning all ages and all abilities. We are seeking caregivers to join our independently owned and operated national agency. SYNERGY HomeCare offers: Competitive pay $18-$23/hr Direct deposit Time-and-a-half pay for overtime and holidays Flexible schedules and matching caregivers with nearby clients As a Caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!
NP Full-time
Avante at Mt. Dora

Pulmonology Nurse Practitioner

Avante at Mt. Dora Mount Dora, FL
Pulmonology Nurse Practitioner Needed!! KOPA, Inc . is looking for a Nurse Practitioner to diagnose and treat health conditions, as well as promote good health practices. This position will be at the newly remodeled Avante at Mt. Dora . As an advanced practice registered nurse, you’ll be our go-to person for ensuring the best patient care possible. The job description of a nurse practitioner includes conducting physical examinations, interpreting lab tests and overseeing patients’ health. You’ll be both a health practitioner and an educator, supporting disease prevention practices and helping people lead healthy lives. As a Nurse Practitioner, you’ll have to work closely with other healthcare professionals, so you should have a team spirit and a positive attitude. Patience, problem-solving skills and communication ability are important. If you’re dedicated to advancing your knowledge and clinical expertise through research and professional discourse, we’d like to meet you. We will be providing essential care to a very compromised group of individuals who do not require acute care, however, due to specialized infection control needs of these residents, many other skilled nursing facilities are unable to provide this level of care and therefore these residents are in need of temporary placement. Responsibilities: Examine patients and their medical records Order and study diagnostic tests (blood tests, X-rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family members on diseases, epidemics and prevention Oversee patients’ overall health Promote good health practices Advance professional knowledge and conduct research Supervise and mentor a team of nurse practitioners Review documentation and provide clinical feedback Lead team meetings Assist with onboarding and training of new NPs Help monitor performance and support ongoing development Act as a liaison between the NP team and facility leadership Assist in creating and refining workflows, protocols, and best practices Provide coverage at other Florida facilities when needed (e.g., vacation, sick leave, or coverage gaps), which may involve occasional in-state travel Skills: Proven experience as Nurse Practitioner in a skilled nursing facility, minimum 1 year of supervisory experience Expertise in primary care, acute care and chronic care practices Knowledge of health and patient care regulations Excellent communication skills Strong ethics Team spirit with a positive attitude Patience and cool-headedness Willingness to continue gaining knowledge and clinical experience Valid nurse practitioner license Benefits: Competitive Compensation Comprehensive Insurance Coverage (Medical, Dental, Vision, and more!) Health and Wellness Programs to Keep you Feeling Your Best Retirement plan with employer match. Paid Time Off & Holidays to Recharge Continuing education and professional development opportunities. Supportive and Collaborative work environment. If you are passionate about patient care and a rewarding work environment, Don’t Hesitate- Apply Today! KOPA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. KOPA expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of KOPA employees to perform their job duties may result in discipline, up to and including, discharge.
Home Health Aide Home Health Home Health Per Diem
SYNERGY HomeCare

In Home Caregiver (HHA)

SYNERGY HomeCare Orange City, FL
$18 - $23 / hour
Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate caregivers like YOU! When you join the SYNERGY HomeCare team, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring the full support for fuller lives and to elevate their confidence knowing they have a caregiver like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? We always have an opening for caregivers who can answer yes to these questions. At SYNERGY HomeCare we create a world of care at home for all, which means you will have the opportunity to care for a wide variety of people; spanning all ages and all abilities. We are seeking caregivers to join our independently owned and operated national agency. SYNERGY HomeCare offers: Competitive pay $18-$23/hr Direct deposit Time-and-a-half pay for overtime and holidays Flexible schedules and matching caregivers with nearby clients As a Caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!
NP Full-time
Avante at Leesburg, Inc.

Pulmonology Nurse Practitioner

Avante at Leesburg, Inc. Leesburg, FL
Pulmonology Nurse Practitioner Needed!! KOPA, Inc . is looking for a Nurse Practitioner to diagnose and treat health conditions, as well as promote good health practices. This position will be at Avante at Leesburg . As an advanced practice registered nurse, you’ll be our go-to person for ensuring the best patient care possible. The job description of a nurse practitioner includes conducting physical examinations, interpreting lab tests and overseeing patients’ health. You’ll be both a health practitioner and an educator, supporting disease prevention practices and helping people lead healthy lives. As a Nurse Practitioner, you’ll have to work closely with other healthcare professionals, so you should have a team spirit and a positive attitude. Patience, problem-solving skills and communication ability are important. If you’re dedicated to advancing your knowledge and clinical expertise through research and professional discourse, we’d like to meet you. We will be providing essential care to a very compromised group of individuals who do not require acute care, however, due to specialized infection control needs of these residents, many other skilled nursing facilities are unable to provide this level of care and therefore these residents are in need of temporary placement. Responsibilities: Examine patients and their medical records Order and study diagnostic tests (blood tests, X-rays etc.) Diagnose health conditions and illnesses Propose treatments for chronic and infectious diseases Prescribe medications Maintain accurate records and schedules Inform patients about their health conditions and prescribed medications Educate patients and their family members on diseases, epidemics and prevention Oversee patients’ overall health Promote good health practices Advance professional knowledge and conduct research Supervise and mentor a team of nurse practitioners Review documentation and provide clinical feedback Lead team meetings Assist with onboarding and training of new NPs Help monitor performance and support ongoing development Act as a liaison between the NP team and facility leadership Assist in creating and refining workflows, protocols, and best practices Provide coverage at other Florida facilities when needed (e.g., vacation, sick leave, or coverage gaps), which may involve occasional in-state travel Skills: Proven experience as Nurse Practitioner in a skilled nursing facility, minimum 1 year of supervisory experience Expertise in primary care, acute care and chronic care practices Knowledge of health and patient care regulations Excellent communication skills Strong ethics Team spirit with a positive attitude Patience and cool-headedness Willingness to continue gaining knowledge and clinical experience Valid nurse practitioner license Benefits: Competitive Compensation Comprehensive Insurance Coverage (Medical, Dental, Vision, and more!) Health and Wellness Programs to Keep you Feeling Your Best Retirement plan with employer match. Paid Time Off & Holidays to Recharge Continuing education and professional development opportunities. Supportive and Collaborative work environment. If you are passionate about patient care and a rewarding work environment, Don’t Hesitate- Apply Today! KOPA provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. KOPA expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of KOPA employees to perform their job duties may result in discipline, up to and including, discharge.
CNA Home Health Per Diem
SYNERGY HomeCare

Certified Nursing Assistant (In Home Care)

SYNERGY HomeCare DeBary, FL
Are you looking for a rewarding career where you can make a real difference in the lives of others? Independently owned and operated SYNERGY HomeCare is seeking a certified nursing assistant (CNA) to join our team of dedicated professionals. Join us in our mission to provide compassionate in-home care to people of all ages and abilities in our community. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? If so, we are looking for people like you! Apply today for the CNA opportunity, and work at a company that values your service and expertise. SYNERGY HomeCare offers certified nursing assistants (CNAs): Competitive pay between $18-$23/hr Direct deposit Time-and-a-half pay for overtime and holidays Flexible schedules and matching CNAs with nearby clients As a certified nursing assistant (CNA) with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Provide personal care to clients as needed Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!
RN Full-time
UF Health

Registered Nurse | Surgical Unit | Day Shift | Full Time

UF Health Leesburg, FL
Overview Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Under the direction of the unit director, the Registered Nurse is responsible for the care and safety of the patient. This is a Full Time, Day Shift position eligible for a sign on bonus. 0645am-715 pm Qualifications Education Associates Degree Licensure/Certification/Registration Valid Florida Nursing License BLS
RN Infusion Outpatient Full-time
Florida Cancer Specialists & Research Institute

RN Registered Nurse Infusion

Florida Cancer Specialists & Research Institute The Villages, FL
Date Posted: 2026-06-06 Country: United States of America Location: Ocala Cancer Center WHY JOIN FCS At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages. Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance. A LITTLE BIT ABOUT FCS Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care. We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval. Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients. Come join us today! RESPONSIBILITIES The RN assists physician in the care and teaching of patients. QUALIFICATIONS Registered Nurse, licensed in the State of Residence, experience in IV therapy. - Valid OCN Certification is required. - The ability to assess patient needs and condition. - Strong critical thinking skills, as well as the ability to react calmly and effectively in emergency situations. Current CPR certification. BLS required upon hire or must be obtained within 30 days of employment (FCS will provide BLS course within first 30 days). Fluency in the English language excellent oral and written communication skills. - Experience with hematology/oncology patients in a clinic or hospital is preferred. - Valid drivers license for travel to clinics. #LI-HJ1 SCREENINGS – Background, drug, and nicotine screens Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening. Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized. EEOC Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment ( Recruiter@FLCancer.com ) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response. FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status. Click HERE to access the Florida Agency for Healthcare Administration
RN Full-time
UF Health

Registered Nurse | Observation/Short Stay | Full Time Nights

UF Health The Villages, FL
Overview At UF Health Spanish Plaines Hospital, we are committed to providing the Central Florida community with leading-edge patient care, clinical training and research programs. Our teams of physicians and clinical staff work together to offer specialty services, advanced technology and clinical studies — bringing world-class, quality health care closer to you and your loved ones. UF Health Spanish Plaines Hospital provides many medical services and amenities for our patients and their families and visitors. As part of the UF Health network, patients now get more — more access, more services, more specialized care, improved experiences, faster treatment — and as a result, everyone rises and moves forward together. Responsibilities Under the direction of the director/ charge nurse, the RN utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care. Qualifications Education: - Associates Degree or higher in nursing Licensure/Certification/Registration: - Florida Registered Nurse License - BLS - NIH Stroke Special Skills/Qualifications/Additional Training/Experience Required: - Must be able to read, write, speak and understand English
RN Full-time
UF Health

Registered Nurse | Cath Lab Staging | Full Time | Days

UF Health Leesburg, FL
Overview Under the direction of the director/charge person, the RN utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care specific to Cardiac Catherization Lab patients. Responsible for environment of care according to Joint Commission Standards. Responsible for the nursing care of the pre and post Cardiac Catherization Lab patient. Qualifications Education Associate’s Degree Licensure/Certification/Registration Florida Registered Nurse License BLS ACLS Special Skills/Qualifications/Additional Training/Experience Required · Must be able to read, write, speak and understand English.
RN Infusion Oncology Temporary
UF Health

RN, Chemo Nurse | Oncology | PRN Nights

UF Health Leesburg, FL
Overview Since the doors opened more than 60 years ago, UF Health Leesburg Hospital has continued to build upon its reputation as a leading medical center and the most comprehensive provider of health care services in the region. The hospital offers advanced cardiovascular care, including one of the largest open-heart programs in Florida. The American College of Cardiology has recognized UF Health Leesburg Hospital for its demonstrated expertise and commitment in treating patients with chest pain by awarding a Chest Pain Center Accreditation with Primary PCI and Resuscitation – its highest and best level of accreditation. The hospital also offers world-class orthopaedics, minimally invasive robotic-assisted surgery, lifesaving emergency care, stroke treatment, labor & delivery, and so much more. Responsibilities Under the direction of the director/ charge nurse, the RN utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care, performs other duties as assigned. Qualifications Education: - Diploma/Associate's Degree required Licensure/Certification/Registration: - Florida Registered Nurse License - BLS - NIH Stroke Scale Certification - ONS Biotherapy Certification within 3 months of hire Special Skills/Qualifications/Additional Training/Experience Required: - Must be able to read, write, speak and understand English
LPN Outpatient Full-time
Women's Care

Clinical Lead- Licensed Practical Nurse (LPN) (72984)

Women's Care Lady Lake, FL
Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility. The Licensed Practical Nurse (LPN) provides professional nursing care for patients following established standards and practices. They prepare patients during office visits and assist patients and family members before, during and after a doctor’s visit. Performs general nursing care to patients (including phone and in-person triage) in accordance with nursing standards. Assists with the preparation of equipment and aids physician during treatment, examinations, and testing of patients. Records patients' medical history, vital statistics and additional information such as test results in electronic medical records (EMR). Collects blood, tissue or other laboratory specimens, logs the specimens, and prepares them for testing. Observes, records, and reports patient’s condition and reactions to drugs and treatments to the physician. Greets patients and prepares them for examination, screens patients for appropriate information and instructs patients in collection of samples and tests. Responds to and refers incoming telephone calls. Assists with referrals and medication refills. Maintains patient recall lists. Prepares examination rooms, including restocking of supplies in treatment areas. Attends required meetings and participates in team activities and professional development activities. Represents division in a professional manner. Treats all patients, customers, internal and external, in a courteous and cooperative manner. Demonstrates and embodies the Women’s Care mission and core values. Compliance with all HIPAA rules, regulations, and guidelines. Other duties as assigned. Qualifications: Graduate of practical nursing program Valid and current LPN license in the state of work and active BLS/CPR certification. Minimum of one year nursing experience in a clinic environment, OBGYN strongly preferred. Ability to work in a stressful environment in deadline-oriented environment. Familiarity with electronic medical records system, preferably eCW. Ability to communicate with coworkers, provider and patients in an effective manner. Ability to use a computer and enter data in electronic medical record system. Must be dependable, reliable, and punctual. WHY JOIN WOMEN'S CARE? We Offer: Competitive compensation package Health, dental, and vision benefits Paid time off and paid holidays 401k plan An opportunity to make a difference in patients' lives every day! At Women’s Care, we believe that our success is built on a foundation of strong, shared values. These values guide our actions, shape our culture, and define who we are as an organization. Communication & Collaboration Transparency Accountability & Integrity Patient Care & Innovation Excellence Respect With the commitment of our employees, we remain true to our mission of providing unparalleled healthcare services to women every day.
RN Outpatient Manager/Supervisor Outpatient Full-time
UF Health

RN Charge Nurse (4-10s) | Ambulatory Surgery Unit/Pre-Op Holding | Full Time | Days

UF Health Leesburg, FL
Overview The Charge Nurse, under the direction the Unit Director/Manager is responsible for scheduling employees and coordinating patient flow and room turnover, overseeing supply and equipment management, coordinating training and orientation of new personnel, assisting in staff development, monitoring the departmental environment to ensure safe patient care and to evaluate and discipline employees and/or make effective recommendations regarding the same. Qualifications Education BSN Preferred Licensure/Certification/Registration Florida Registered Nurse License BLS ACLS PALS Special Skills/Qualifications/Additional Training/Experience Required Leadership skills, Should attend hospital training programs including: Leadership Institute courses, Specialty certification preferred. 2-5 years prior experience in a perioperative hospital setting required. Must be able to read, write, speak and understand English.
RN Temporary
UF Health

Registered Nurse | Medical Unit | PRN Nights

UF Health Leesburg, FL
Overview Under the direction of the director/ charge nurse, the RN utilizes the nursing process, facilitates patient care making nursing assessments and diagnosis, formulates care plans based on the diagnosis and implements and evaluates the plan of care, performs other duties as assigned. Qualifications Education: - Diploma/Associate�s Degree Licensure/Certification/Registration: - Florida Registered Nurse License - BLS - NIH complete prior to completion of orientation Special Skills/Qualifications/Additional Training/Experience Required: - Must be able to read, write, speak and understand English