Nursing Jobs in Alvin, TX

Job Description We’re searching for a Triage Staff Nurse, someone who works well in a fast-paced setting. In this position, you’ll provide nursing care for patients over the telephone utilizing the nursing process in accordance with the current American Academy of Ambulatory Care Nursing (AAACN) Telehealth Nursing Practice Administration and Practice Standards. Think you’ve got what it takes? Job Duties & Responsibilities Manages clinical calls using the nursing process Listens actively, intently, and for a sufficient length of time Demonstrates initiative and a systematic approach to interviewing and history taking Documents significant data Gathers quantitative and qualitative data Tasks are measured by observation of the evaluator, feedback of the provider, and review of the electronic health record Demonstrates critical thinking skills in assessing the relevant needs of the caller Systematically assesses and addresses patients’ needs with decision support tools Elicits the reason for the call (such as the chief complaint) Quickly identifies emergent signs and symptoms Obtains history of symptoms, associated symptoms, and allergies Determines priorities Provides care consistent with the functional requirements of the person’s developmental age during customer interaction Provides care advice to the caller/patient specific to their needs Supports patients and families in self-management of their health through education Demonstrates the Creating SMILES and AIDET philosophies to patients, families, and coworkers As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Skills & Requirements Diploma in Nursing or Nursing or an associate degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license required Bachelor's Degree in Nursing preferred RN - Lic-Registered Nurses by the Texas Board of Nursing or Nursing Licensure Compact required BLS - Cert-Basic Life Support by the American Heart Association required 2 years pediatric experience required 2 years recent clinical experience in a physician office, home health, critical care and/or emergency room preferred About Us Texas Children’s Pediatrics is the nation’s largest primary pediatric care network with more than 200 physicians dedicated to the health care needs of infants to teenagers in over 50 locations throughout the greater Houston area. As part of our goal to build a community of healthy children, Texas Children's Pediatrics Community Cares Program provides trusted, high-quality pediatric medical services for children who otherwise would seek care from emergency centers or possibly go without care or treatment due to low family incomes and/or lack of health insurance. To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved. 
At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning and continuity of care and assures that admission and continued stay are medically necessary, communicating clinical information to payors to ensure reimbursement. FLSA STATUS Exempt QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section. Bachelor’s degree preferred EXPERIENCE Three years hospital nursing clinical experience Case management experience preferred LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Knowledge of Medicare, Medicaid and Managed Care requirements Progressive knowledge of community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement Understanding of pre-acute and post-acute venues of care and post-acute community resources Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word) Strong assessment, organizational and problem-solving skill ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Communicates in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others. Collaborates with staff from the interprofessional health care team concerning safety data to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families. Contributes towards improvement of department scores for employee engagement, i.e. peer-to-peer accountability. SERVICE ESSENTIAL FUNCTIONS Assesses all patients timely and thoroughly. Participates in daily Care Coordination Rounds (CCR), and identifies, communicates barriers to efficient patient throughput. Supports patients and families in preventing/resolving clinical or ethical issues. Facilitates discharge planning activities for assigned patients and collaborates with the social worker and other members of the interprofessional health care team, as well as patient and family, on complex discharges. Maintains ownership of the discharge planning process on assigned units. Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative levels of care, ensuring discharge disposition is to the appropriate level. Facilitates transfers. QUALITY/SAFETY ESSENTIAL FUNCTIONS Modifies care based on continuous evaluation of the patient’s condition, demonstrates clinical problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively. Plans for routine discharge and elevates emergent situations. Manages usual patient assignment and other unit demands and anticipates/plans for potential problems. Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures. FINANCE ESSENTIAL FUNCTIONS Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using nationally recognized screening guidelines. Manages assigned patients in Observation Status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital. Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Participates in denial mitigation activities to ensure appropriate reimbursement for services rendered. Contributes to meeting department and hospital financial target, with focus on length of stay. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Identifies areas for improvement based on understanding of evidence-based practice literature. Initiates evidence-based practice/performance improvement projects based on these observations and offers solutions by participating in unit projects and activities. Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: No Scrubs: No Business professional: Yes Other (department approved): No ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below. On Call* Yes TRAVEL** **Travel specifications may vary by department** May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section. Bachelor’s degree preferred EXPERIENCE Three years hospital nursing clinical experience Case management experience preferred LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) 
Position Summary Responsible for maintaining the standards of nursing care and practices within the facility to meet the physical, psychosocial, and rehabilitative needs of the residents Essential Duties and Responsibilities · Administers enteral feedings along with oral, injectable, and intravenous medications and treatments within the LVN scope of practice as prescribed by the physician and per facility policy · Ensures all aspects of delivery of care to residents by nursing assistants are completed within the established time frames according to Resident Care policies and procedures · Performs and is co-responsible for narcotic counts as per Resident Care policies and procedures · Ensures dispensing of medications and treatments by all routes as ordered by the physician within established time frames. Ensures no medications are left unattended · Documents medication and treatment administration in a timely and accurate manner · Completes/updates the Electronic documentation as required · Maintains and updates Nursing license in compliance with state regulations · Performs other related duties as required or requested Minimum Qualifications (Knowledge, Skills, and Abilities) · College degree or the equivalent in work related experience · Must be graduate of an accredited school of Licensed Vocational Nursing · Must have active state LVN license · Must be listed in good standing as confirmed on Nurse Registry · Strong knowledge of state, federal, and local regulations as they pertain to long term care is strongly preferred · Must be able to communicate verbally and in writing in English Physical Demands and Work Environment The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions . Physical Demands – Office While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or finger, handle, or feel objects, tools or controls. The employee is required to stand; walk; sit; reach with hands and arms and pull/push; climb or balance; and stoop, kneel, crouch, or crawl. The employee must lift and/or move up to 50 pounds without assistance and 51-100 pounds with assistance. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus Work Environment – Office This job operates in a professional office environment with minimal exposure to dust, chemicals or noise. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Note This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. 
Responsibilities Licensed Vocational Nurse Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency. We offer a broad range of behavioral health programs for children, adolescents and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient. We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria. Visit us online at: https://westoakshospital.com/ West Oaks Hospital is seeking a dynamic and talented Licensed Vocational Nurse (LVN) to join our team of compassionate, dedicated professionals. The LVN will provide direct patient care under the direction of a Registered Nurse for adults, adolescents, children and geriatric patients with psychiatric and substance abuse conditions or House Supervisor. The LVN will be responsible for using the Nursing process to effectively manage the Plan of Care for each patient based on appropriate standards, policies and procedures. Management of each patient also includes appropriately and effectively delegating patient care duties to other members of the nursing team in order to assure optimal patient outcomes. The Licensed Vocational Nurse is also responsible for continuing his/her own professional development to enhance practice and the profession of Nursing and actively participates as a member of the multi-disciplinary team of the unit and performs duties as assigned. Job Duties/Responsibilities: Admission and Assessment lntervention Milieu Management Performance Improvement Benefit Highlights: Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Career development opportunities within UHS and its 300+ Subsidiaries About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com . Qualifications Requirements: Education Required: Graduate of an accredited school of nursing. Licensure and certification Required: Current Texas State Licensed Vocational Nurse licensure. CPR and hospital de-escalation certifications. Experience Required: Two years of inpatient psychiatric nursing and/or medical/surgical experience. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. 
At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning and continuity of care and assures that admission and continued stay are medically necessary, communicating clinical information to payors to ensure reimbursement. FLSA STATUS Exempt QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section. Bachelor’s degree preferred EXPERIENCE Three years hospital nursing clinical experience Case management experience preferred LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Knowledge of Medicare, Medicaid and Managed Care requirements Progressive knowledge of community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement Understanding of pre-acute and post-acute venues of care and post-acute community resources Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word) Strong assessment, organizational and problem-solving skill ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Communicates in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others. Collaborates with staff from the interprofessional health care team concerning safety data to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families. Contributes towards improvement of department scores for employee engagement, i.e. peer-to-peer accountability. SERVICE ESSENTIAL FUNCTIONS Assesses all patients timely and thoroughly. Participates in daily Care Coordination Rounds (CCR), and identifies, communicates barriers to efficient patient throughput. Supports patients and families in preventing/resolving clinical or ethical issues. Facilitates discharge planning activities for assigned patients and collaborates with the social worker and other members of the interprofessional health care team, as well as patient and family, on complex discharges. Maintains ownership of the discharge planning process on assigned units. Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative levels of care, ensuring discharge disposition is to the appropriate level. Facilitates transfers. QUALITY/SAFETY ESSENTIAL FUNCTIONS Modifies care based on continuous evaluation of the patient’s condition, demonstrates clinical problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively. Plans for routine discharge and elevates emergent situations. Manages usual patient assignment and other unit demands and anticipates/plans for potential problems. Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures. FINANCE ESSENTIAL FUNCTIONS Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using nationally recognized screening guidelines. Manages assigned patients in Observation Status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital. Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay. Participates in denial mitigation activities to ensure appropriate reimbursement for services rendered. Contributes to meeting department and hospital financial target, with focus on length of stay. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Identifies areas for improvement based on understanding of evidence-based practice literature. Initiates evidence-based practice/performance improvement projects based on these observations and offers solutions by participating in unit projects and activities. Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: No Scrubs: No Business professional: Yes Other (department approved): No ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below. On Call* Yes TRAVEL** **Travel specifications may vary by department** May require travel within the Houston Metropolitan area Yes May require travel outside Houston Metropolitan area No QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section. Bachelor’s degree preferred EXPERIENCE Three years hospital nursing clinical experience Case management experience preferred LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency) 
Description As a Registered Nurse Neuro Ortho , your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. Youll help shape decisions that elevate both patient outcomes and the future of nursing. Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at HCA Houston Healthcare Southeast! Job Summary and Qualifications As a Registered Nurse, you will be responsible for delivering high-quality, patient-centered care in line with the requirements of the department and the standards of practice for the relevant state and specialty. Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models such as "Assess, Perform, Teach, and Manage." You will also act as an advocate for patients, families, and caregivers, embodying the organizations vision, mission, and values to ensure an outstanding patient experience and positive clinical outcomes. What you will do in this role: Assess the patients condition during admission and each scheduled shift, promptly identifying and reporting any changes in patient status. Perform procedures, monitoring, or other functions as ordered by the medical provider(s), and ensure thorough and timely documentation of care administration in the patients medical record. - Administer prescribed medications, monitor the patient for therapeutic response, and take appropriate action in the event of an unintended response to the medication. Provide exceptional care by responding promptly to patient requests, proactively anticipating patient needs, and resolving them. Educate patients, families, and caregivers about the patients medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology. What qualifications you will need: Basic Cardiac Life Support must be obtained within 30 days of employment start date (RN) Registered Nurse with an active license in the state of Texas or multistate license including Texas Bachelors Degree preferred, Associate Degree minimum requirement 1+ years working on a Neuro Ortho dedicate unit within an acute hospital setting required. Benefits HCA Houston Healthcare Southeast, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare HCA Houston Healthcare Southeast is a full-service 340+ bed acute care hospital in Pasadena, Texas . We have been a leader of medical care in Pasadena for more than 50 years. With board-certified physicians, registered nurses and expert technicians, the community has come to rely on us for top-quality, comprehensive and compassionate healthcare. HCA Houston Southeast is the only hospital in Pasadena with both Chest Pain Center Accreditation with Primary PCI and Resuscitation by the American College of Cardiology and full accreditation by The Joint Commission on the Accreditation of Healthcare Organizations. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse Neuro Ortho opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're hiring board-certified Nurse Practitioners who want to focus on what matters most: delivering exceptional care to women with complex hormonal and metabolic conditions. To learn more about our mission and clinical approach, visit allarahealth.com . Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary care team to deliver the highest standards of care Complete required trainings and uphold Allara's clinical policies, standards, and best practices Educate patients on preventive care and wellness using evidence-based strategies Maintain accurate, up-to-date patient records and complete charting in a timely manner Respond to patient questions and administrative messages with clarity and care Dedicate a minimum of 10 patient-facing hours per week , including consultations and medical guidance, with prescribing when clinically appropriate Required Qualifications Board Certification: Active national board certification as a WHNP, FNP, or similar Experience: Minimum of 2 years of consecutive clinical experience as a Nurse Practitioner, with a focus on chronic and complex women's health conditions including PCOS, Endometriosis, Hypothyroidism, Hashimoto's, Metabolic Syndrome, Menopause, Fertility, Postpartum, PMDD, and Obesity Clinical Independence: Proven ability to function as an autonomous provider with strong diagnostic judgment and critical thinking skills Communication: Exceptional written and verbal communication, with an emphasis on compassion and clarity Webside Manner: A natural ability to build trust and connection with patients in a virtual setting Evidence-Based Practice: A genuine commitment to delivering care rooted in current clinical research Technical Proficiency: Comfortable working across multiple platforms including EMR systems, text expanders, Gmail, Google Calendar, Zoom, and scheduling tools Telemedicine Experience: Prior telehealth experience is a plus State License Requirements and Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state is required A note on state licensing: All active and pending licenses held at the time of application are collected and reviewed during our process. Hiring decisions reflect current state-level needs, which evolve over time. Applicants may not move forward immediately if there is no active need in their licensed states. We regularly revisit candidates as needs expand and when experience, licensure, and role requirements align. What Allara Offers 1099 Contract: The flexibility and autonomy of an independent contractor arrangement Competitive Compensation: Per-visit rates plus additional pay for charting, administrative tasks, and other patient-related work Fully Remote: Work from anywhere in the U.S. Flexible Scheduling: Set hours that fit your life, not the other way around Malpractice Insurance: Comprehensive coverage provided at no cost to you Mission-Driven Work: Help transform the standard of care for women living with conditions that have historically been underdiagnosed and undertreated Collaborative Provider Network: Connect with and learn from a community of skilled, like-minded Allara clinicians Inclusive Culture: Join a supportive, diverse team that values innovation, equity, and belonging #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law. 
Overview LVN LPN Location: Sugar Land Office Position: LVN/LPN Position Type: Full-Time Remote/Virtual Position : No Coverage Area: 77085, 77459, 77477, 77478, 77479, 77489, 77498 Find Your Passion and Purpose as an LVN/LPN Salary: $65,000-$79,000 Schedule: Monday-Friday 8am-5pm On Call: Yes This position is paid on a per-visit basis. The compensation reflected on this posting, is an estimate of annual compensation. Offer Based on Years of Experience What You Need to Know Reimagine Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Home Health LVN/LPN You Can Be If you meet these qualifications, we want to meet you! One year of clinical experience and one year of home health experience Ability to provide nursing visits according to the treatment as prescribed by the physician and provide and maintain paperwork to maintain accurate and complete medical records Required Certifications and Licensures: Graduate of an accredited practical or vocational nursing program Currently Licensed Practical Nurse or Licensed Vocational Nurse in the state of agency operation Must possess and maintain valid CPR certification while employed in a clinical role Must be a licensed driver who can travel to all business locations Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance and access to Calm, a meditation, sleep and relaxation app Programs to celebrate achievements, milestones and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability. 
Ready for a role that supports your unique calling in patient care and fits your life? At HCA Houston Healthcare Southeast , you’ll find clear path ways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance , you wi ll have all the resources you need to build the career of a lifetime. Job Summary and Qualifications The Clinical Nurse Coordinator (CNC) ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. What you will do in this role: Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care. Participates in the ongoing assessment of the quality of patient care services provided in the unit, in collaboration with other members of the management team. Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service. Supports a patient-first philosophy and engages in service recovery when necessary. Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including employee rounding, hourly rounds, and other initiatives. Provides recommendations related to interviewing, selecting, and training new staff. Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization. Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines. Supports proper inventory control and assists with managing supplies and equipment. What qualifications you will need: Basic Cardiac Life Support must be obtained within 30 days of employment start date (RN) Registered Nurse with an active license in the state of Texas or compact license with Texas Bachelor Degree required, or enrolled or willing to complete BSN program within 2 years 2+ years of experience working in a rehab nursing setting required Benefits HCA Houston Healthcare Southeast, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. HCA Houston Healthcare Southeast is a full-service 340+ bed acute care hospital in Pasadena, Texas . We have been a leader of medical care in Pasadena for more than 50 years. With board-certified physicians, registered nurses and expert technicians, the community has come to rely on us for top-quality, comprehensive and compassionate healthcare. HCA Houston Southeast is the only hospital in Pasadena with both Chest Pain Center Accreditation with Primary PCI and Resuscitation by the American College of Cardiology and full accreditation by The Joint Commission on the Accreditation of Healthcare Organizations. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Rehab Clin Nurse Coord opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. $117,500 - $176,500 / year
a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } The UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. Within the General Oncology/Lyndon B. Johnson Oncology Program, the Advanced Practice Provider (APP) or Physician Assistant (PA) plays a vital role in delivering comprehensive, patient-centered care to individuals with gynecologic cancers across the care continuum. The APP or PA collaborates closely with physicians and interdisciplinary teams to support both acute care and ambulatory services. This APP or PA role is integral to ensuring continuity of care, clinical excellence, and patient safety within UT MD Anderson. The APP or PA contributes to diagnosis, treatment, symptom management, and survivorship support, while also participating in education and research initiatives. The APP or PA position supports high-quality outcomes by coordinating care, performing procedures, and enhancing communication across care teams. The ideal candidate will have a minimum of experience in both acute care and/or ambulatory settings. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } Why Us? Working as an Advanced Practice Provider at UT MD Anderson means contributing to a mission-driven organization dedicated to eliminating cancer. This role offers meaningful opportunities to impact patient outcomes while advancing clinical expertise in a highly specialized oncology setting. Team members benefit from a collaborative environment, access to leading-edge research, and ongoing professional development, supporting both career growth and work-life balance. Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance. Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options. Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups. Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } Responsibilities Patient Assessment Provide quality patient care aligned with diagnosis, treatment plan, age group, and developmental needs Perform medical histories, episodic physical exams, and psychosocial assessments Report findings and test results to physicians Monitor laboratory, radiographic, clinical, and procedural data Review assessment findings and treatment plans with physicians Intervention & Evaluation Prevent, minimize, and manage symptoms and treatment-related toxicities Evaluate patient response and modify care under physician supervision when required Coordinate care activities, write orders, and request consultations Provide emergency triage and initiate care until physician arrival Manage patient crises until physician support is available Write prescriptions as needed Document patient care including notes, discharge summaries, and correspondence Order diagnostic studies including labs, imaging, and scans Provide psychological support to patients and families Coordinate appointments, consultations, and follow-up care Diagnostic & Therapeutic Procedures Complete training and demonstrate competency in clinical procedures Perform procedures such as suture removal, wound care, drain removal, and catheter removal Conduct pelvic exams, pap smears, and gynecologic biopsies Administer medications via intravenous, intra-arterial, and intraperitoneal routes Obtain blood samples from venous and central lines Assist with or remove radium sources and intracavitary systems Education & Research Educate patients and families on disease, treatment, and symptom management Promote health behaviors and self-care through education and counseling Develop and contribute to educational materials for staff Participate in continuing education and professional development activities Support orientation, fellowship, and residency education programs Contribute to research initiatives and apply evidence-based practices Assist with research protocol implementation and development Consultation & Collaboration Provide consultation to healthcare professionals within and outside LBJ Hospital Collaborate across disciplines to coordinate care and evaluate treatment plans Recommend therapeutic measures for symptom relief Facilitate communication between patients, families, and care teams Assist with patient data retrieval and documentation APRN or Physician Assistant EDUCATION: Required: Advanced Practice Registered Nurse Master's Degree in Nursing or Doctor of Nursing Practice. May be waived for applicants who obtained recognition as an Advanced Practice Registered Nurse from the Texas State Board of Nursing prior to 1/1/2003. Graduate education and related Texas Board of Nursing authorization must be consistent with clinical practice area and patient population. Physician Assistant Master's degree from an accredited Physician Assistant (PA) program by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), except for Physician Assistants who graduated from a PA program prior to 2013. EXPERIENCE: Preferred: At least 1-2 years of Oncology experience as an Advanced Practice Provider. LICENSURE / CERTIFICATION: Required: Advanced Practice Registered Nurse All of the following: Written authorization from the Texas Board of Nursing to function as an Advanced Practice Registered Nurse (APRN or ACNP or ACNPC or ACAGNP or AGACNP or ACNPC-AG or AGACNP or AGNP or ACPNP or ANP or AGNP or AGPCNP or FNP or GNP or PNP or PMHNP or WHNP or APNP). Related authorization must be consistent with clinical practice area and patient population. Basic Life Support (BLS). Pediatric Advanced Life Support (PALS) If working in the following departments: Pediatric - Patient Care (113100). MAY BE REQUIRED: Authorization for limited prescriptive authority by the Texas Board of Nursing. Physician Assistant All of the following: PA certification by the National Commission of Certification of Physician Assistants. Licensed by the Texas State Board of Physician Assistant Examiners. MAY BE REQUIRED: Eligible to be granted limited prescriptive authority by the State of Texas. Must meet the American Heart Association Basic Life Support (BLS) , ACLS (Advanced Cardiac Life Support) or PALS (Pediatric Advanced Life Support) if working in one of following department: Pediatrics - Patient Care (113100). The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information Requisition ID: 181127 Employment Status: Full-Time Employee Status: Regular Work Week: Days Minimum Salary: US Dollar (USD) 117,500 Midpoint Salary: US Dollar (USD) 146,500 Maximum Salary : US Dollar (USD) 176,500 FLSA: exempt and not eligible for overtime pay Fund Type: Hard Work Location: Hybrid Onsite/Remote Pivotal Position: Yes Referral Bonus Available?: Yes Relocation Assistance Available?: Yes 
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Surgical Technologist CV today with HCA Houston Healthcare Clear Lake. Job Summary and Qualifications As a Cardiovascular Surgical Technologist at HCA Healthcare, you’ll be a vital part of a highly-skilled team that shares in your passion for cardiac surgery. You’ll have access to the latest surgical equipment – backed by HCA Healthcare’s ongoing investments in technology –allowing you to provide the safest, most advanced care possible. With predictable scheduling, support for on-call coverage, and clear pathways for professional growth, you’ll have the resources to provide your best care for patients while building the career of a lifetime for yourself. What you will do in this role: · The Cardiac Services Technician provides technical services, assists in the Hybrid Room and Operating Room while providing care for the adolescent, adult and geriatric patient populations. · The Cardiac Services Technician works collaboratively to complete all Cardiac Surgical Technologist assignments. · Works under the direct supervision of the assigned clinician for the case, and the Director, to facilitate safe invasive and non-invasive procedures. · Performs advanced tasks routinely in support of the surgical team. · Arranges sterile setup for surgical procedures, pass instruments, as well as, sponge and sutures to surgeons and surgical assistants. · Prepares sterile supplies, assist in cleanup of the operating room, checks placement and the operation of equipment, and checks and restocks the operating room after each procedure. What qualifications you will need: · 2-3 years of experience in a surgery/CV/cardiac hospital setting. · Lead CST experience is highly preferred. · Formal training from an accredited Certified Surgical Technician Program. · Current Certified Surgical Tech Certification required. · American Red Cross or American Heart Association (BLS OR BCLS) Course Completion and Certification required. Benefits HCA Houston Healthcare Clear Lake, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. HCA Houston Healthcare Clear Lake is a 530+ bed hospital where sophisticated, world-class medicine meets the comfort, care and convenience of a community hospital . For more than 40 years, we have proudly been providing high quality, cost-effective, comprehensive healthcare to the Houston Bay Area. We opened our doors in 1972 and now employ 2,000+ staff members and 900+ physicians in a wide range of specialties. Our specialists offer more talent and experience than any other hospital in the region. We are a Level II Trauma Center and the only exclusive heart hospital south of Houston . Our accredited center provides nationally-recognized care in the prevention, diagnosis, treatment and recovery of cardiovascular diseases. HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Surgical Technologist CV opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 
By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description Pay Range: $26–28/hr. Must Speak Spanish and English Fluently Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. About BioLife Plasma Services Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd. About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS). How you will contribute You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility. You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable. You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or certified in the state where responsibilities will be assigned: LPN or LVN Current Cardiopulmonary Resuscitation (CPR) and AED certification Fulfill state requirements (in state of licensure) for basic IV therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world. BioLife Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. W e are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: USA - TX - Houston - North U.S. Hourly Wage Range: $24.32 - $33.44 The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations USA - TX - Houston - North Worker Type Employee Worker Sub-Type Regular Time Type Full time Job Exempt No 
As a Registered Nurse Neuro Stroke, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. Youll help shape decisions that elevate both patient outcomes and the future of nursing. Do you want to work where you have a voice? Nurses are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare, there are many ways for nurses to have a voice through professional practice councils, advisory councils, vital voices surveys, and units of distinction. We learn from our multi-generational nursing family. We partner with our Nurses at HCA Houston Healthcare Clear Lake! Job Summary and Qualifications What you will do in this role: You will be responsible for assessing, planning and implementing the admission process. You will be responsible for coordinating care and collaborating with other departments to ensure positive patient outcomes and that all of the needs of the patients and significant others are met. You will be responsible for the administration of medications, knowledge of actions, indications, adverse reactions, dosage, and route. Also, must reassess patients for effectiveness of medication and document appropriately. You will coordinate discharge planning/case management services. You will maintain clear and respectful communication with patient, family, physician, and other healthcare providers. Practice excellent customer service at all times. What qualifications you will need: Graduated from an accredited school of nursing with an Associates or Bachelor of Science in Nursing (BSN) is preferred. Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 60 days of hire date). American Heart Association BLS Certification is required. 1-year of clinical Med Surg experience as a licensed RN in an acute care setting required - [Neuro, Neuroscience, Spine, Brain, Telemetry, Cardiac] Benefits HCA Houston Healthcare Clear Lake, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. "Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing." Sammie Mosier, DHA, MA, BSN, NE-BC Senior Vice President and Chief Nursing Executive, HCA Healthcare HCA Houston Healthcare Clear Lake is a 530+ bed hospital where sophisticated, world-class medicine meets the comfort, care and convenience of a community hospital . For more than 40 years, we have proudly been providing high quality, cost-effective, comprehensive healthcare to the Houston Bay Area. We opened our doors in 1972 and now employ 2,000+ staff members and 900+ physicians in a wide range of specialties. Our specialists offer more talent and experience than any other hospital in the region. We are a Level II Trauma Center and the only exclusive heart hospital south of Houston . Our accredited center provides nationally-recognized care in the prevention, diagnosis, treatment and recovery of cardiovascular diseases. HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. If this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse Neuro Stroke opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today! 
Benefits Paid Time Off & Paid Company Holidays Medical, Dental, Vision & Life Insurance Flexible Spending Account (FSA) 403(b) Retirement Plan with Company Match Short-Term & Long-Term Disability $0 Copay for Legacy Provider visits $0 Copay for prescriptions filled at Legacy Pharmacies Travel Insurance & Pet Insurance Subsidized Gym Membership And much more! Apply today in less than 3 minutes using your phone, tablet, or computer! Location: YES Prep Hobby Elementary - 7660 Hansen Rd, Houston, TX 77061 Medical Assistant Bilingual - YES PREP Hobby (Job Overview) Schedule: Monday-Thursday (7AM-4:15PM) | Friday (7AM-3PM) Are you ready to bring your skills and passion to a place where you can truly make a difference? At Legacy Community Health, we’re searching for a Bilingual School-Based Health Medical Assistant to join our team. Here, you’ll be part of a mission-driven team that’s dedicated to improving the health and well-being of students and their families. This role is more than just a job—it’s an opportunity to be part of something bigger. Whether you're just starting out or you're a seasoned professional, we offer a welcoming environment where you can grow, collaborate, and make meaningful connections. Impact Lives: Be a critical part of a school-based team that provides accessible healthcare, helping students thrive academically and personally. Team-Oriented Culture: Work alongside a compassionate group of healthcare professionals and administrative staff who value your contributions. Grow With Us: Take advantage of mentorship opportunities, hands-on training, and career development programs designed to help you succeed. Diversity and Inclusion: Join a team that celebrates different perspectives and fosters an environment of respect and collaboration. Key Responsibilities Maintain and create patient accounts and records within the medical software program, ensuring accuracy and confidentiality. Verify and update demographic and insurance information for patients, including photocopying identification and insurance cards. Review provider schedules and ensure patient records are current and accurate. Screen financial and demographic information for patients, referring them to eligibility coordinators as needed. Complete necessary paperwork and follow appointment procedures as outlined by management. Answer incoming calls, route them appropriately, and provide excellent customer service. Assist nurse practitioners with patient registration, triage, vitals, telephone management, and patient education. Perform phlebotomy and process lab specimens, including follow-ups for abnormal results. Participate in clinic development, implementation, and performance improvement initiatives. Engage in public health education and registration activities to support community outreach efforts. Document all client care and contact promptly and accurately. Ensure the clinic lobby is organized and complete opening and closing procedures as required. Perform other administrative and clinical tasks as assigned to contribute to the smooth operation of the clinic. Minimum Qualifications High School Diploma or GED. Some medical knowledge. Completion of Medical Assisting program at an accredited school preferred. Certification as a Medical Assistant is preferred. Must maintain BLS/CPR certification. Ability to work independently and multitask. Ability to communicate with parents, students, teachers, and team members from diverse backgrounds. Proficiency in using electronic medical record software. Ability to manage multiple deadlines and prioritize tasks. Bilingual capability is preferred. About Legacy Community Health As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years. With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. 
Benefits Paid Time Off & Paid Company Holidays Medical, Dental, Vision & Life Insurance Flexible Spending Account (FSA) 403(b) Retirement Plan with Company Match Short-Term & Long-Term Disability $0 Copay for Legacy Provider visits $0 Copay for prescriptions filled at Legacy Pharmacies Travel Insurance & Pet Insurance Subsidized Gym Membership And much more! Apply today in less than 3 minutes using your phone, tablet, or computer! Location: YES PREP Southwest - 4411 Anderson Rd. Houston, TX 77053 Medical Assistant Bilingual - YES PREP Southwest Oaks (Job Overview) Schedule: Monday-Thursday (7AM-4:15PM) | Friday (7AM-3PM) Are you ready to bring your skills and passion to a place where you can truly make a difference? At Legacy Community Health, we’re searching for a Bilingual School-Based Health Medical Assistant to join our team. Here, you’ll be part of a mission-driven team that’s dedicated to improving the health and well-being of students and their families. This role is more than just a job—it’s an opportunity to be part of something bigger. Whether you're just starting out or you're a seasoned professional, we offer a welcoming environment where you can grow, collaborate, and make meaningful connections. Impact Lives: Be a critical part of a school-based team that provides accessible healthcare, helping students thrive academically and personally. Team-Oriented Culture: Work alongside a compassionate group of healthcare professionals and administrative staff who value your contributions. Grow With Us: Take advantage of mentorship opportunities, hands-on training, and career development programs designed to help you succeed. Diversity and Inclusion: Join a team that celebrates different perspectives and fosters an environment of respect and collaboration. Key Responsibilities Maintain and create patient accounts and records within the medical software program, ensuring accuracy and confidentiality. Verify and update demographic and insurance information for patients, including photocopying identification and insurance cards. Review provider schedules and ensure patient records are current and accurate. Screen financial and demographic information for patients, referring them to eligibility coordinators as needed. Complete necessary paperwork and follow appointment procedures as outlined by management. Answer incoming calls, route them appropriately, and provide excellent customer service. Assist nurse practitioners with patient registration, triage, vitals, telephone management, and patient education. Perform phlebotomy and process lab specimens, including follow-ups for abnormal results. Participate in clinic development, implementation, and performance improvement initiatives. Engage in public health education and registration activities to support community outreach efforts. Document all client care and contact promptly and accurately. Ensure the clinic lobby is organized and complete opening and closing procedures as required. Perform other administrative and clinical tasks as assigned to contribute to the smooth operation of the clinic. Minimum Qualifications High School Diploma or GED. Some medical knowledge. Completion of Medical Assisting program at an accredited school preferred. Certification as a Medical Assistant is preferred. Must maintain BLS/CPR certification. Ability to work independently and multitask. Ability to communicate with parents, students, teachers, and team members from diverse backgrounds. Proficiency in using electronic medical record software. Ability to manage multiple deadlines and prioritize tasks. Bilingual capability is preferred. About Legacy Community Health As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years. With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. 
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Collaborates with the physician and healthcare team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients, including conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records. MHHS hires RNs based on years of experience groupings (i.e. newly licensed RN [working under the supervision of RN clinical preceptor], less than 1 year, 1-3 years, 3 to 10 and 10+). **Neurology/Stroke experience preferred **This position is working on a ambulance Job Description Minimum Qualifications Education: Graduate of an accredited School of Professional Nursing; Bachelors of Nursing preferred Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Certified in Basic Life Support Additional certifications may be required based on discipline and/or nursing unit requirements Experience / Knowledge / Skills: RN I 
Overview Aide / CNA, Hospice Location: Houston Position: Aide / CNA, Hospice Job ID: 2026-87617 Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Houston Find Your Passion and Purpose as a Hospice Aide / CNA Salary: $18.00 - $20.00 per hour Schedule: Full-Time Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Hospice Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best Hospice Aide You Can Be If you meet these qualifications, we would love to meet you: Certified by the state as a nurse’s aide, with completion of required training and a passing score of 85% or higher on the agency’s competency exam; additional requirements vary by state (e.g. CHHA in CA/NJ, CGNA in MD). CPR certification required for direct patient care in Georgia and Washington. Must be listed on the state aide registry with a clear record and eligible to provide care in homes, nursing facilities, or hospitals. Requires a reliable vehicle, valid driver’s license, and state-required auto insurance. Responsibilities: Provide compassionate, hands-on care to hospice patients, including assistance with personal hygiene, repositioning, and mobility support for individuals who may require lifting (up to 200 lbs with assistance). Support patients in their homes or care facilities through frequent movement and physical activity, such as walking, standing, reaching, and occasional driving, ensuring timely and dignified end-of-life care. Monitor comfort levels, respond to needs, and assist with daily living activities, always maintaining patient safety and dignity. Work comfortably in home and facility environments, adapting to varying conditions such as temperature changes, moderate noise, and standard healthcare exposures, while upholding infection control and safety protocols. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability. 
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Surgical Technologist CV today with HCA Houston Healthcare Clear Lake. Job Summary and Qualifications As a Cardiovascular Surgical Technologist at HCA Healthcare, you’ll be a vital part of a highly-skilled team that shares in your passion for cardiac surgery. You’ll have access to the latest surgical equipment – backed by HCA Healthcare’s ongoing investments in technology –allowing you to provide the safest, most advanced care possible. With predictable scheduling, support for on-call coverage, and clear pathways for professional growth, you’ll have the resources to provide your best care for patients while building the career of a lifetime for yourself. What you will do in this role: · The Cardiac Services Technician provides technical services, assists in the Hybrid Room and Operating Room while providing care for the adolescent, adult and geriatric patient populations. · The Cardiac Services Technician works collaboratively to complete all Cardiac Surgical Technologist assignments. · Works under the direct supervision of the assigned clinician for the case, and the Director, to facilitate safe invasive and non-invasive procedures. · Performs advanced tasks routinely in support of the surgical team. · Arranges sterile setup for surgical procedures, pass instruments, as well as, sponge and sutures to surgeons and surgical assistants. · Prepares sterile supplies, assist in cleanup of the operating room, checks placement and the operation of equipment, and checks and restocks the operating room after each procedure. What qualifications you will need: · 2-3 years of experience in a surgery/CV/cardiac hospital setting. · Lead CST experience is highly preferred. · Formal training from an accredited Certified Surgical Technician Program. · Current Certified Surgical Tech Certification required. · American Red Cross or American Heart Association (BLS OR BCLS) Course Completion and Certification required. Benefits HCA Houston Healthcare Clear Lake, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. HCA Houston Healthcare Clear Lake is a 530+ bed hospital where sophisticated, world-class medicine meets the comfort, care and convenience of a community hospital . For more than 40 years, we have proudly been providing high quality, cost-effective, comprehensive healthcare to the Houston Bay Area. We opened our doors in 1972 and now employ 2,000+ staff members and 900+ physicians in a wide range of specialties. Our specialists offer more talent and experience than any other hospital in the region. We are a Level II Trauma Center and the only exclusive heart hospital south of Houston . Our accredited center provides nationally-recognized care in the prevention, diagnosis, treatment and recovery of cardiovascular diseases. HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Surgical Technologist CV opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. 
Overview Hospice Registered Nurse (RN) Pay : $85,000 - $95,000 Benefits : Medical, dental, vision, PTO, paid holidays, 401(k), and more! Schedule : Full-Time Coverage Area : South Houston Find your purpose while bringing comfort and dignity to hospice patients and their loved ones during life’s most delicate moments. As a Hospice Registered Nurse (RN) , you’ll work at the center of an interdisciplinary care team, building trusted relationships with patients, families, physicians, and teammates. You’ll have the autonomy to practice at the top of your license—while being fully supported by a mission‑driven organization that truly cares for you. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial, and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays 401(k) Flexible spending and health savings accounts Wellness offers, including an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! What You Need to Know Hospice Registered Nurse (RN) Responsibilities Provide individualized nursing care that maximizes comfort and quality of life Partner with patients, families, physicians, and the interdisciplinary group to create and carry out care plans Perform comprehensive assessments—physical, emotional, social, and spiritual—to guide care decisions Educate and support patients and caregivers, meeting them where they are Coordinate care across disciplines to ensure continuity and dignity Document care clearly and accurately to reflect patient needs and progress Participate in on‑call or admission rotations as needed Engage in ongoing learning and professional development Hospice Registered Nurse (RN) Qualifications Registered Nurse (RN) license in the state of practice At least one year of nursing experience Reliable transportation, valid driver’s license, and appropriate auto insurance You can find success in this role if you’ve held the following positions: Hospice Registered Nurse, Home Health Registered Nurse, Palliative Care Nurse, Med‑Surg Registered Nurse, Oncology Nurse, Geriatric Nurse, Field Nurse, Visiting Nurse, Admissions Nurse, Patient Care Nurse, RN Care Coordinator, or Clinical Nurse in acute care, home health, or community‑based settings. Why AccentCare? Come as you are! At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age, or disability. 
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for supporting the Nurse Manager in providing leadership to the department – overseeing the daily operations – managing and developing departmental staff, collaborating with the interdisciplinary team in the delivery of patient care, utilizing the nursing process, ensuring the delivery of quality care to patients. Position responsible for 24/7 (as appropriate) support of the department/unit. Typically reports to a Manager, Nursing or Director, Nursing. Job Description MINIMUM QUALIFICATIONS Education: Bachelor’s degree is required, preferably in Nursing. If Bachelor’s is not in Nursing, a Master’s degree in Nursing is required. Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing required Certification in Basic Life Support required Professional certification in clinical area or management required within one year of exam eligibility Experience/Knowledge/Skills: Three (3) or more years of experience in clinical area of practice. Demonstrated leadership experience PRINCIPAL ACCOUNTABILITIES Assists with the deployment of departmental goals that support the mission, vision and values of the organization. Assist leadership with managerial responsibilities. Carries out the day to day operational components of the unit that are delegated by the manager/director, including input on hiring/firing/interviewing, etc. Plans, coordinates, and directs effective coordination of care between units, nurses and providers. Assists with the development of staff schedules. Performs effectively in emergency situations within the unit. Assists with patient care as needed. Serves as a resource to staff. Acts as a mentor/coach to staff, medical personnel, patients and family members. Assists in guiding staff in quality improvement efforts for all shifts. Assures all PI or quality standards are met on a daily basis. Participates in PI projects annually. Identifies and provides verbal disciplinary action. Provides counseling and remediation with staff as needed. May provide written disciplinary action in collaboration with leadership. Works with personnel to assure staff have access to and are appropriately utilizing supplies Provides input to Nurse Manager/Director on budget preparation. Promotes intra/interdepartmental communication. Strong orientation to service excellence. Ensure clinical care is aligned with evidence-based practice. Leadership rounds on patients. Responds to customer complaints in a timely manner. Identifies high risk social situations and addresses appropriately. Adheres to all regulatory and Texas Board of Nursing standards. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned. $68,000 - $142,500 / year
The Clinical Nurse on the G18 Stem Cell Transplantation & Cellular Therapy unit at MD Anderson Cancer Center manages patient outcomes by providing, coordinating and supporting clinical aspects of direct patient care across the continuum of care. They impact quality of patient care, patient outcomes and use of resources in a designated area in collaboration with a multidisciplinary team. Ideal candidate will have a Bachelor's Degree in Nursing, an RN license and at least twelve months of recent RN experience in medical/surgical or an acute care setting. Shifts will be 7pm-7am or 7am-7pm, with rotating weekends and holidays required. Hourly breakdown of salary range: Minimum $31.73 - Midpoint $46.15 - Maximum $61.54 MD Anderson offers our nurses: Three 12 hour shifts per week, 1872 hours per year (minimum) $8,320 annual inpatient differential, paid $346.67 per paycheck Paid employee medical benefits (zero premium) starting on first day Minimum 24.5 days paid leave in first year (PTO & holidays) Tuition Assistance Program Teacher's Retirement System defined-benefit pension plan Employer paid short-term disability, life & accidental death insurance Certification pay and State of Texas longevity pay No State income tax Relocation assistance The Inpatient G18 Stem Cell Transplant & Cellular Therapy unit is a 48 bed unit and is one of our designated immunotherapy floors, administering research protocols involving immunotherapy and CARTOX therapy to patients, including Phase 1 clinical trials. As such, our staff receive additional training to develop the skills needed to provide exceptional care to patients receiving this progressive therapy. MD Anderson is among 1% of hospitals nationwide who have earned five consecutive Magnet Recognition Program® designations from the American Nurses Credentialing Center. Our nursing community transforms nursing care through clinical practice, education and research. Each day, more than 4,400 registered nurses deliver compassionate, evidence-based cancer care to patients and their families. Nurses in all areas of MD Anderson are integral members of interdisciplinary teams that are leading the way in setting standards for innovative cancer care, including advances in immunotherapy and personalized medicine. With one of the largest clinical trial programs in the world, MD Anderson offers a collaborative environment that empowers nurses to lead in the administration of research therapies and the required ongoing monitoring. As treatments become more complex, our nurses continue to develop and implement new discoveries. ESSENTIAL JOB FUNCTIONS: Accountable for the management and provision of patient care in assigned area. Assesses patient's needs for nursing care and multidisciplinary team. Collaborates with physicians, other services, patient and patient's family to plan care and evaluate outcomes. Improves practice by integrating results and theories of research studies. Participates in data collection for current studies. Demonstrates clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies. Documents care according to established standards. Accesses, inputs and retrieves information from computer systems. Assures continuity of care through appropriate discharge planning, patient education and coordination of services. Acts as a patient and family advocate in order to uphold patient rights. Trains, coaches and assists team members to ensure optimum patient care and efficient use of resources. EDUCATION Required: Graduation from an accredited school of professional nursing. Preferred: Bachelor's Degree Nursing. WORK EXPERIENCE Required: None LICENSES AND CERTIFICATIONS Required: RN - Registered Nurse - State Licensure Current State of Texas Professional Nursing license. Upon Hire and Required: ACLS - Advanced Cardiac Life Support Upon Hire and Required: PALS - Pediatric Advanced Life Support If working in the following department: Nrsg Post Anesthesia Care Unit (600160). Upon Hire Preferred: OCN - Oncology Nurse Certification Upon Hire Preferred: Certification in specialty practice area. Upon Hire OTHER REQUIREMENTS: All clinical nurses with less than one year of registered nurse (RN) work experience will be required to participate in the Clinical Nurse Residency Program. The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition. This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment. It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html Additional Information Requisition ID: 180821 Employment Status: Full-Time Employee Status: Regular Work Week: Day/Evening, Evening/Night, Rotating, Weekends Minimum Salary: US Dollar (USD) 68,000 Midpoint Salary: US Dollar (USD) 105,200 Maximum Salary : US Dollar (USD) 142,500 FLSA: exempt and eligible for overtime, paid at a time and a half rate Fund Type: Hard Work Location: Onsite Pivotal Position: Yes Referral Bonus Available?: Yes Relocation Assistance Available?: Yes 
Job Details With a commitment to patient- and family-centered care, the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical, psychological, emotional, and social needs of the diversity of patients served by Jefferson Health. Assists in leading the daily operations of a specific unit. Acts as a resource, lead, and clinical role model for the patient care team. Advances and oversees patient care standards of the unit for the designated shift. Also facilitates and coordinates patient care delivery and flow through the continuum of care. Supports nursing professional development, Magnet, and Shared Governance through participation in, and mentoring of colleagues, on councils and the Clinical Ladder program Job Description Summary With a commitment to patient- and family-centered care, the professional nurse uses the nursing process in ways that values the uniqueness of each individual and addresses the physical, psychological, emotional, and social needs of the diversity of patients served by Jefferson Health. Assists in leading the daily operations of a specific unit. Acts as a resource, lead, and clinical role model for the patient care team. Advances and oversees patient care standards of the unit for the designated shift. Also facilitates and coordinates patient care delivery and flow through the continuum of care. Supports nursing professional development, Magnet, and Shared Governance through participation in, and mentoring of colleagues, on councils and the Clinical Ladder program Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Recognizes the patients, their family/designated care partner(s) in providing safe, compassionate and coordinated care based on respect for patient's personal preferences, priorities, needs, and cultural beliefs and values. Communicates with and supports the interprofessional teams and services, patient, family and designated care partners. Serves as a clinical resource regarding policies and procedures, patient standards, performance improvement, and risk management issues. Collaborates with the medical staff to facilitate consistency of interdisciplinary plans of care to ensure quality patient care. Assesses patient needs and makes care recommendations based on the patient’s physical, psychosocial and cultural needs, age and functional status. Facilitates timely patient throughput optimization for all phases of care including admissions, transfers, and discharge optimization of patients on the designated unit. May participate in plan of care rounds depending on service and unit protocols. Provides timely Smart Square schedules and on call schedules if applicable. Follows up appropriately and effectively resolves customer and physician issues and complaints. Monitors staff schedules to ensure adequate staffing to meet patient care needs and maintain quality patient care. May authorize overtime or scheduling changes to fill shifts as necessary. Completes payroll in collaboration with Nurse Manager. Provides volumes & adjustments to reflect variances in staffing needs within Smart Square. Collaborates with the Nurse Manager to evaluate, maintain and improve patient care team member performance. Assists in implementing changes in clinical practice and evaluates the quality and effectiveness of nursing practice to ensure compliance with organization, department and unit specific goals. Supports nursing professional development, Magnet, and Shared Governance through participation in, and mentoring of colleagues, on councils and the Clinical Ladder program. Provides patient care support when necessary. Minimum Qualifications Specialized Diploma Graduate of an accredited school of nursing required. 3 years as a Registered Nurse in an acute care setting. Effective Communication- Understanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors. Uses the language of partnership with patients and families, engaging them in their health and health care. Patient-and Family-Centered Practice- Knowledge of how to convey respect and collaborate with each patient, family and/or designated care partner in care. Cultural Awareness- Knowledge of people with diverse backgrounds and the ability to convey respect and connect effectively. Care Coordination Knowledge of the medical, social, economic, and other services provided by other departments or facilities, and the ability to integrate these multidisciplinary treatments for optimal patient care. Patient Safety Knowledge of the risks faced by patients in a healthcare environment, and the ability to take steps to reduce these risks. Medication Administration and Prescription Knowledge of various medications used to treat patients, ability to apply this knowledge to the administration of medications and to the prescription of drugs for continuing treatment outside of the hospital. Discharge Planning Knowledge of the patient's post-discharge needs and the ability to consider these needs in planning for discharge and arranging for follow-up care. Assessment and Diagnosis Knowledge of various tools and techniques for patient assessment and nursing diagnosis or clinical judgement, ability to explore and analyze reasons behind symptoms and generate resolutions according to available drugs, facilities and techniques. Health Information Documentation Knowledge of the relevance of health information and appropriate documentation methods, ability to record medical histories, symptoms, vital signs, medications, diagnoses, treatment plans, procedures, tests, and medical results in written or electronic form BLS - Basic Life Support - American Heart Association RN - Licensed Registered Nurse_PA - State of Pennsylvania RN - Licensed Registered Nurse_NJ - State of New Jersey Preferred Qualifications Bachelor’s Degree BSN or completion of BSN or appropriate advanced degree within 3 years of hire strongly preferred. Certification in specialty If Certification is required on a specific unit; certification must be obtained within six months of hire date. Physical Demands Lift and carry 40-50 lbs. Examples: Push/pull patients on bed, stretcher (requires 29 lbs. push force), lateral transfers up to 50 lbs. of the patient's weight. Frequent to continuous standing/walking. Patient transporters can walk 8-10 miles per shift. *Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR. Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require. Work Shift Workday Evening (United States of America) Worker Sub Type Regular Employee Entity Thomas Jefferson University Hospitals, Inc. Primary Location Address 2301 South Broad Street,, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health , nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps ), have access to medical (including prescription) insurance. For more benefits information, please click here 
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Collaborates with the physician and healthcare team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients, including conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records. MHHS hires RNs based on years of experience groupings (i.e. newly licensed RN [working under the supervision of RN clinical preceptor], less than 1 year, 1-3 years, 3 to 10 and 10+). Job Description Job Description Minimum Qualifications Education: Graduate of an accredited School of Professional Nursing; Bachelors of Nursing preferred Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Certified in Basic Life Support Additional certifications may be required based on discipline and/or nursing unit requirements Experience/ Knowledge/ Skills: RN I < 1 year RN II = 1-3 years RN III = 3-10 years RN IV = 10+ years Effective oral and written communication Principal Accountabilities Delivers safe and appropriate care to patients, according to the nursing skills inventory and the age and needs of the patient/population served. Coordinates the planning for the delivery of nursing care with an interdisciplinary team and administers appropriate clinical decisions in the delivery of patient care. Collaborates with, directs, and may delegate to the healthcare team in the attainment of positive outcomes based on data, research, evidence, and professional standards of care. Coordinates treatment plans; develops/implements discharge and/or transfer plans. Participates in a systemic, interdisciplinary, and ongoing evaluation of programs, process improvement and desired client-centered outcomes. Considers the diverse needs of each patient through the entire continuum of care, providing and ensuring the highest level of service according to established service standards, optimizing the patient experience. Adheres to all regulatory and Texas Board of Nursing standards. Performs other duties as assigned, within scope of practice and clinical competency. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned. 
Overview Find Your Passion and Purpose as an Palliative Care Nurse. Reimagine Your Career in Palliative Care As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care. Offer Based on Years of Experience What You Need to Know Works under the direction of Palliative Care Director and Program Medical Director, provides nursing care to maximize the comfort and health of patients and families in accordance with the interdisciplinary plan of care. May include care for community-based Palliative and Hospice appropriate patients in the continuum of care. Our Investment in Yo u We are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including: Medical, dental, and vision coverage Paid time off and paid holidays Professional development Company-matching 401(k) Flexible spending and health savings accounts Company store credit for your first AccentCare-branded scrubs for patient-facing employees Why AccentCare? Be the Best Palliative Care Nurse You Can Be If you meet these qualifications, we want to meet you! Previous experience in hospice, home health, general medical surgical or patient population specific (i.e.: geriatrics, pediatric, etc.) nursing. Required Certifications and Licensures: Associates degree, preferred Registered Nurse license required in state(s) practicing Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Come As You Are At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging. AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. 
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes . As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We’re seeking board-certified Family Nurse Practitioners with experience in women's health to provide comprehensive, empathetic, and collaborative care to women, including diagnosis, treatment, and management of chronic and acute conditions. Location: Fully remote within the U.S. Your Impact Conduct thorough patient assessments and develop personalized treatment plans via video visits Collaborate with a multidisciplinary team to deliver the highest standards of care Complete required training and adhere to company policies and best practices Promote preventative care and overall well-being through education and evidence-based strategies Maintain accurate and up-to-date patient records Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance Charting, addressing patient questions, and responding to administrative tasks and messages Primary Clinical focus PCOS, Hypothyroidism / Hashimoto's, Metabolic Syndrome, Menopause / Perimenopause / HRT, PMDD, Obesity / Weight Management, Diabetes, Hyperlipidemia, and Anxiety/Depression (mild to moderate) Required Qualifications Required Certification: Active national board certification as a Nurse Practitioner Required Experience: Minimum of 2 years of consecutive experience as a Nurse Practitioner specializing in women's health and treating chronic conditions such as PCOS, Hypothyroidism, Hashimoto's, Metabolic Syndrome, Menopause, PMDD, and Obesity Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion Webside Manner: Strong ability to connect with patients virtually and provide empathetic care Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms Telemedicine: Experience is a plus! State License Requirements & Hiring Considerations: An active, unrestricted, and unencumbered professional license in at least one U.S. state of need is required. Please note: All active and pending state licenses held at the time of application are collected and reviewed. Hiring decisions are based on current state hiring needs, which may change over time, and applicants may not move forward if there is no immediate need for their specific license(s). We often revisit opportunities in the future as hiring needs evolve and when licensure, experience, and other role requirements align. What Allara Offers 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks Fully Remote Role: Work from anywhere in the US Flexible Schedules: Set the hours that best fit your lifestyle and availability. Malpractice Insurance: Comprehensive coverage provided Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day Collaborative Community: Engage with and learn from a network of dedicated Allara providers Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion #LI-JB1 At Allara , we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.