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Nursing Jobs in Ayer, MA

Certified Nursing Assistant (CNA)

Cedarview Rehabilitation and Healthcare Center Methuen, MA

Join our team at Cedarview Rehabilitation and Healthcare Center as a CNA! Proudly supported by Marquis Health Consulting Services 3 to 11 shifts available Same Day Pay! $17-$26 an hour Responsibilities for CNAs: Provide basic resident care under direction of nursing staff Perform duties such as feeding, bathing, dressing, grooming, moving residents, and/or changing linens Provide health and supportive services to ensure all resident needs are met Qualifications for CNAs: A current, unencumbered active license to practice as a CNA in the state of Massachusetts Valid BLS Certification (CPR) Ability to work with multiple patients at once Benefits for CNAs: Tuition reimbursement Employee referral bonus Health, vision, and dental benefits 401(k) with match Employee engagement and culture committee Shift differentials Company sponsored life insurance Employee assistance program (EAP) resources Join our team at Cedarview Rehabilitation and Healthcare Center, a 106-bed Sub-Acute, and Long-Term Care facility where compassion and quality care are at the heart of everything we do. Our facility is thoughtfully designed with beautiful common spaces, creating a welcoming, home-like environment not only for our residents but also for our staff. We believe in fostering a positive and supportive workplace where employees feel valued, respected, and empowered to make a difference. Here, you'll be part of a collaborative and dedicated team that prioritizes professional growth, work-life balance, and a culture of appreciation. If you're passionate about providing exceptional care in a warm, inclusive setting, we would love for you to grow your career with us. The facility provides equal employment opportunities to all applicants and employees and prohibits discrimination and harassment of any kind. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other characteristic protected by federal, state, or local law. All qualified applicants are encouraged to apply.

CNA Needed for Personal Care Support for Local Senior

Seniors Helping Seniors Merrimack Valley Billerica, MA

Are you a Certified Nursing Assistant (CNA), Home Health Aide (HHA), or experienced caregiver looking for PRN/as-needed shifts? Seniors Helping Seniors® has an immediate need for a compassionate personal care provider to assist a local senior Monday through Friday from 8 AM to 10 AM, 10 hours per week. Responsibilities: Provide as-needed support with bathing, dressing, and hygiene Assist with mobility support, transfers, and repositioning when requested Monitor client well-being What We Offer: ✔ Competitive pay for personal care services ✔ A meaningful opportunity to help seniors maintain dignity ✔ A caring and supportive team ✔ Training and opportunity to earn certificates Apply now to provide compassionate care on your schedule!

Southern NH Health System - Registered Nurse (RN) - Cardiac Telemetry - Full Time, Nights

Southern New Hampshire Health Nashua, NH

Come work at the best place to give and receive care! Job Description: Up to $15,000 sign-on bonus Full time | 36 hours/week | 7P-7A | EOW Who We Are: 4 West is a 22-bed adult med surg telemetry unit serving a patient population of stroke, sepsis, diabetes, wound care, renal failure, continuous ambulatory peritoneal dialysis, and COPD. About the Job: As a member of the Patient Care Services team, the 4 West Registered Nurse provides comprehensive and compassionate nursing care to adolescent and adult patients with a variety of diseases and illnesses but focusing on stroke, respiratory, renal and telemetry care. The registered nurse successfully completes a competency based orientation program to become proficient in serving the 4 West patient population. What You’ll Do: Assess and implements priority-based nursing care and establish goals to meet the patient’s needs. Integrate patient values, best practice, and evidence into patient care. Engage patients and/or families in the care delivery. Function competently within own scope of practice. Utilize a communication style/practice to meet the needs of the team and/or the situation. Who You Are: Graduate from an accredited school of nursing (ASN or BSN) Registered Nurse, licensed in the state of NH Ability to achieve the following competencies: Within 30 days: Basic Life Support Within 90 days: Intravenous Therapy, Central Line Management Within 180 days: Peritoneal Dialysis, Basic Rhythm Interpretation/Telemetry Monitoring, Telestroke Procedure Why You’ll Love Us: Southern NH Medical Center is a 4-time Magnet designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So much more! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. Work Shift: Full time | 36 hours/week | 7P-7A | EOW SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Foundation Medical Partners - Medical Assistant - Nashua Dermatology Associates - Full Time

Southern New Hampshire Health Nashua, NH

Come work at the best place to give and receive care! Job Description: Who We Are: Affiliated with Southern New Hampshire Medical Center, Foundation Medical Partners is the second largest multi-specialty group in New Hampshire and serves the greater Nashua community. We encourage the professional growth and development of our employees and are proud of the workplace culture we have developed. Your skin is your portal to good health, and the team at Nashua Dermatology Associates works tirelessly to protect it. We offer medical and cosmetic services, helping to protect and/or enhance patients’ skin depending on their unique needs. We take a thoughtful approach to cosmetic dermatology, helping patients make educated choices to keep their skin vibrant for years to come. Developing strong connections with our patients is key so we can work together to create a personalized treatment plan! About the Job: Medical Assistant responsible for participating in the provision of professional nursing care to patients under the supervision of Registered Nurses, Providers, and Practice Manager. What You’ll Do: Participates in the care of patients in person, via telephone (phone screening) and telehealth modalities under the supervision of the Provider(s), in accordance with professional standards and scope of practice as defined by applicable State laws. Performs functions delegated by Provider(s) and Registered Nurses, including administering prescribed medications, treatments & immunizations, point-of-care testing, and collection /handling of specimens, within the appropriate scope of practice as defined by applicable State laws and regulations. Collects and screens history and health-related information from patients and communicates findings to the Provider(s). Communicates Provider advice/instructions and plan of care to patients. Documents care activities in the medical record including procedures, interventions, patient/family communication, and test results with accuracy and detail. Who You Are: High school diploma or GED required. Completion of Medical Assistant program or equivalent experience of 3 years as an MA. Certifications: Current BLS/CPR training. One year experience in a medical practice of healthcare setting preferred. Why You’ll Love Us: Flexible day shift hours, no weekends! Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & more! Work Shift: Monday - Friday 7am-5pm SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Licensed Practical Nurse (LPN)

Bear Mountain Staffing Services Shrewsbury, MA

Job Title: Licensed Practical Nurse (LPN) Location: Various Locations in Shrewsbury, Massachusetts Company: Phoenix Staffing Solutions About Us: Phoenix Staffing Solutions is dedicated to connecting compassionate and skilled healthcare professionals with facilities that prioritize patient care and well-being. We are currently seeking motivated and caring Licensed Practical Nurses (LPN) to join our team and make a positive impact in the lives of our patients. Job Description: As a Licensed Practical Nurse at Phoenix Staffing Solutions, you will provide essential nursing care and support to patients in various healthcare settings. You will collaborate with a team of healthcare professionals to deliver high-quality care. Key Responsibilities: - Provide direct patient care, including administering medications, monitoring vital signs, and assisting with daily living activities. - Collaborate with healthcare team members to develop and implement individualized care plans. - Educate patients and their families regarding health management and treatment plans. - Maintain accurate and timely records in accordance with facility policies and regulations. - Assist with the coordination of patient care and ensure a safe and comfortable environment. - Participate in ongoing professional development and training. Qualifications: - Valid LPN license in Massachusetts. - Previous experience in a healthcare setting preferred. - Strong communication and interpersonal skills. - Ability to work effectively in a team-oriented environment. - Compassionate approach to patient care with a focus on empathy and respect. - Basic life support (BLS) certification is a plus. Benefits: - Competitive salary and flexible scheduling options. - Opportunities for professional growth and development. - Supportive team environment with a focus on quality patient care. How to Apply: If you are a dedicated and compassionate Licensed Practical Nurse looking to make a difference, we want to hear from you! Please submit your resume and cover letter. Phoenix Staffing Solutions is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

In-Home Care Registered Nurse (RN) Needed

Right at Home Eastern Worcester County Westborough, MA

Company Description Right at Home is a private duty, non-medical in-home care agency that provides comprehensive care planning, supervision, and care management to those within our community. Our services include companionship, personal care, and specialty care for Alzheimer's, Parkinson's, ALS, MS, COPD, hospice, medication reminders, short-term transitional care, 24-hour care, and respite care. Our mission is to promote independence and wellness for our clients by offering hands-on care. We pride ourselves on improving and educating the lives of those we touch in our community. Role Description This is a part-time or PRN hybrid role for a Nurse Care Coordinator, located in Westborough, MA, with some work-from-home hours. The Nurse Care Coordinator will manage day-to-day care coordination as needed, new client intake meetings and creating detailed plans of care. Responsibilities include developing and updating care plans, communicating with healthcare professionals, clients, and family members, coordinating home care services, and providing exceptional customer service to ensure quality care is delivered. The role requires a focus on promoting health and well-being among older adults in various care settings. Qualifications Experience in Care Coordination and Case Management Strong Communication skills, both written and verbal Knowledge and experience in Home Care is a plus Exceptional Customer Service skills Registered Nurse (RN) licensure required Ability to work effectively in a hybrid work environment Ability to multitask and manage time effectively Compassionate and empathetic approach to care Pay and Benefits: Competitive pay ($36.00-$45.00 an hour) Pay may vary by level of experience and availability Flexible schedules (Visits can be arranged to fit your schedule) Medical benefits, including health and dental 401 (k) retirement plan with a match Weekly pay Mobile clock in/out Ongoing PAID training and development Your local office may offer you a variety of initial and ongoing career training opportunities to help you grow your skills. This could include but not limited to: A ""library"" of senior care reference materials and resources in the office and online On-the-job training for unique client situations Paid travel time in between clients and paid mileage at the federal rate Extremely positive work environment Employee discount programs Recognition, celebrations and great team interactions! In this role, we stand prepared to equip you with the right personal protective equipment (PPE) and are ready to assist as you care for our vulnerable population of seniors and adults with disabilities. Why Right at Home? We truly believe that where you work matters, and as a company that believes in improving the lives of those we serve, we think we know a thing or two about what makes our employees happy. Here is what our employees say about us: “It’s wonderful to work for a company that treats their employees with the same care and respect they want us to provide to clients.” - Linda “I know I’m never alone! If I have a question or an issue, there is always someone available to help me. This means the world to me!” - Dave

AdCare Hospital Licensed Practical Nurse (LPN) 7a-7:30p FT

American Addiction Centers Worcester, MA

Overview Company Summary If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, invest in education, and we foster trust and respect for all individuals. Our exceptional comp and strong benefits include company matching 401K, medical, dental, vision and life insurance. We are looking for our future leaders, who are not only going to fill the qualifications for this job description, but who are going to exceed expectations. Be a part of a team whose mission is to provide quality, compassionate, and innovative care to adults struggling with addiction and co-occurring mental health disorders. Our purpose and passion are to empower patients, their families, and our communities by helping individuals achieve recovery and optimal wellness of the mind, body, and spirit. Responsibilities Job Summary Duties to include but not limited to: the assessment/evaluation of patient withdrawal followed by the execution of appropriate medication detox protocols; administration of prescribed medications and patient education. Duties and Responsibilities: to include but not limited to the following : To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Provide patients with a safe medically managed detox by assessing signs and symptoms of withdrawal. Monitors the effects of medications administered and documents accurately and appropriately. Reports and documents medication errors, pharmacy errors, packaging errors, medication count concerns, etc. Ensures that ongoing assessments are conducted as determined by the patient’s condition using COWS & CIWAS and re-prioritizes care accordingly. Maintains neat and accurate narcotic control inventories and all documentation related to the administration of medications. Promotes patient's independence by establishing patient care goals, teaching patient to understand condition, medications, and self-care requirements, answers patient questions. Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following philosophies and standards of care set by State Board of Nursing, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies, including de-escalation techniques. Documents patient care services by charting in EMR. Maintains continuity among teams by documenting and communicating actions, irregularities, and continuing needs. Contributes to team effort by accomplishing related results as needed. Participates in the onboarding of new nurses for medication administration. At end of shift communicate to incoming LPN pertinent data regarding patient activity and conducts medication count. Treats patients, and colleagues with dignity and respect; honors each person’s right to privacy/maintains very strict patient and colleague confidentiality; respects all individual differences; supports cultural diversity. Knows role and responds appropriately to all codes related to emergency situations. Consistently arrives to work on time and adheres to attendance policies. Other duties, as needed. Qualifications Physical Requirements AAC is committed to principles of equal opportunities for all employees. The Company will provide reasonable accommodations that are necessary to comply with State and Federal disability discrimination laws Prolonged sitting at a desk Must be able to lift 15 pounds at a time Certifications and Licenses: Current LPN License, BLS, AED Compensation Transparency: In accordance with the Massachusetts Pay Transparency Act, the reasonable estimate of the pay range for this position $26.43 – $39.64 per hour. Actual compensation within this range will depend on the candidate’s skills, experience, education, and relevant qualifications. Generally, placement within the upper portion of the range is reserved for candidates with several years of directly related experience or exceptional expertise. American Addiction Centers is an equal opportunity employer. American Addiction Centers prohibits employment practices that discriminate against individuals or groups of employees on the basis of age, color disability, national origin, race, religion, sex, sexual orientation, pregnancy, veteran or military status, genetic information or any other category deemed protected by state and/or federal law.

RN / LPN Position

Alliance Health at Coleman Northborough, MA

RN and LPN Opportunities Shifts available: weekends, 7-3, 3-11 Alliance Health at Coleman House is a non-profit skilled nursing facility located in Northborough MA. As the backbone to our multidisciplinary care approach, you have an opportunity to make a real difference in an elder's life. Due to our continued growth, we are looking for team-oriented individuals to join our clinical team. Alliance health is a not-for-profit with (9) skilled nursing facilities throughout MA that offers competitive wages a comprehensive benefit package including health, dental, vision, tuition reimbursement, matching 401(k) and company paid life insurance! For immediate consideration apply today. Benefits: · 401(k) · 401(k) matching · Dental insurance · Disability insurance · Health insurance · Life insurance · Paid sick time · Paid time off · Paid training - Pick Up Bonus · Referral program · Tuition reimbursement · Vision insurance Medical specialties: · Geriatrics Physical setting: · Long term care · Nursing home Supplemental schedule: · Extended hours · Holidays · Overtime Open Shifts: - 24 hour Schedule -Part Time -Per Diem Shifts Ability to commute/relocate: ·Northborough, MA : Reliably commute or planning to relocate before starting work (Required) Experience: · Skilled Nursing Facility: 1 year (Preferred) · Long-Term Care: 1 year (Preferred) License/Certification: - LPN License - RN License #AHMSHP-12- 12 - 2025

Director of Nursing

Assistant Director of Nursing

American Medical Associates Watertown, MA

$90,000 - $115,000 / year

Assistant Director of Nursing - Long-Term Care Facility Located in Watertown, MA! Salary: $90K - $115K *Depending Upon Experience* Qualifications: Must have MA RN license Must have experience as an Assistant Director of Nursing Must have long term care experience Proven leadership & management skills Strong verbal & written communication skills Responsibilities and duties: Assist in supervision of nursing staff in the facility Ensuring there is adequate nursing staff, and that the staff's skills remain current Overseeing nursing employee conduct Being knowledgeable of incidents at the facility Assessing the health needs of each resident #4874

PRN Respite Caregivers Needed Flexible Shifts Available

Seniors Helping Seniors Merrimack Valley Methuen, MA

Are you available for occasional caregiving support to provide short-term relief for family caregivers? Seniors Helping Seniors® is looking for PRN respite caregivers to step in as-needed and support seniors while their families take a break. Responsibilities: Provide companionship and temporary care relief as-needed Assist with personal care, light housekeeping, and safety monitoring when scheduled Offer emotional support to both seniors and their families What We Offer: ✔ PRN (as-needed) scheduling – work only when you're available ✔ Competitive pay for short-term relief care ✔ A compassionate, team-oriented work environment ✔ Rewarding work helping seniors and their families Apply today to support families with flexible respite care services!

RN/LPN MDS Coordinator experienced

Bear Mountain at Sudbury Sudbury, MA

Bear Mountain Healthcare @ Sudbury is seeking an RN MDS Coordinator/Case Manager to join our winning team! Conducts patient assessments and determines the health status, level of care, as well as any subsequent changes. Ensures that the RAI completion is done accurately and timely. Coordinates interdisciplinary participation in completion of the RAI and resident care plan. Assists with development and implementing programs and procedures to maximize the reimbursement potential for the facility and improve quality of care. Analyzes all QI/QM data with the Director of Nursing to identify trends on a monthly basis and serves on, participates in, and attends various committees of the facility. Facilitates the Care Management Process by engaging the resident and all other appropriate staff members. Ensures timely submission of all Minimum Data Sets to the state data base and ensures that all necessary follow-up action is taken. Actively communicates with the Administrator to depict regulatory risk and clinical trends that can impact resident care as well any additional information that can have a potential effect on the clinical and operational outcomes of the facility Acts as a team player with the facility’s staff to choose the correct assessment of residents and further acts as an in-house Case Manager. Qualifications: Active RN license in the State of MA LTC Experience MDS Experience Knowledge of Medicare/Medicaid regulations and benefit guidelines Benefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Vacation Sick Personal

Hospice RN Case Manager On Call (Weekdays)

Ascend Hospice & Palliative Care MA Marlborough, MA

Great new Career Opportunity in Hospice! Now Hiring – RN On Call Nurse (Weekdays) The RN On Call Nurse (M-Th) is responsible for, but not limited to: Assumes responsibility for a patient visit or on call schedule which includes the assessing, planning, implementing and evaluating phases of the nursing process Provides hospice nursing care based on systematic assessment docusing on pain control and symptom management Initiates communication with attending physicians, other hospice staff members and other agencies as needed to coordinate care and use of resources for the patient/family Maintains regular communication with direct supervisor to review assignments Maintains up to date documentation at point of service so that problems, plans, actions and goals are accurately and clearly stated and charges are reflected as they occur in accordance with agency policy and Medicare regulation Administers medication in accordance with all federal and state laws and the policies of the Hospice along with LTC staff Maintains current patient records and documents in accordance with the policies of Ascend Hospice & Palliative Care MA to ensure that problems, intervention, goals and outcomes are accurately and clearly states and charges are reflected as they occur Assess and collaborates with Medical Director to determine initial and on going eligibility of the hospice patient Completes an initial assessment of patient and family to determine home care needs Can anticipate end stage disease process and related pain and symptom management Regularly re-evaluates patient's nursing needs Uses assessment data to determine care plan needs Initiates appropriate preventive and palliative nursing procedures Counsels the patient and family in meeting end of life needs Performs a comprehensive death note when appropriate Communicates with the physician regarding the patient's needs and reports any changes in the patient's condition Communicates with other members of the IDT to coordinate the care plan Participates in On-call duties as defined by the on-call policy Ensures that arrangements for equipment and other necessary items and services are needed Ascend Hospice & Palliative Care MA - is part of the Ascend family of Healthcare Companies. Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees. We are proud to Offer: Competitive Salaries • Comprehensive Healthcare Benefits • 401(k) Retirement Plan • Paid Time Off • Mileage Reimbursement • Opportunities to advance and grow your career • And More! If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide. Ascend Hospice & Palliative Care MA is an Equal Opportunity Employer EEO/AA/M/F/DV "," Education: Associate's Degree in Nursing Professional Experience: Must have a State Certified RN license Experience in either Hospice or home health care, REQUIRED Must have excellent documentation skills and the ability to work independently. Strong communication skills. Valid driver's license & reliable transportation. Must be available to travel locally within assigned territory. #APPLOINURSE

Help Seniors and Families As Needed Caregivers Wanted

Seniors Helping Seniors Merrimack Valley Methuen, MA

Are you available for occasional caregiving support to provide short-term relief for family caregivers? Seniors Helping Seniors® is looking for PRN respite caregivers to step in as-needed and support seniors while their families take a break. Responsibilities: Provide companionship and temporary care relief as-needed Assist with personal care, light housekeeping, and safety monitoring when scheduled Offer emotional support to both seniors and their families What We Offer: ✔ PRN (as-needed) scheduling – work only when you're available ✔ Competitive pay for short-term relief care ✔ A compassionate, team-oriented work environment ✔ Rewarding work helping seniors and their families Apply today to support families with flexible respite care services!

Caregivers and Companions Wanted Occasional Shifts Available

Seniors Helping Seniors Merrimack Valley Methuen, MA

Enjoy spending time with seniors but don’t want a full-time job? Seniors Helping Seniors® is looking for PRN companions to provide as-needed emotional support, social engagement, and light assistance to fellow seniors. Responsibilities: Step in as-needed for companionship, conversation, and social outings Help with hobbies, activities, and light household tasks on an occasional basis Provide safety monitoring and meal prep only when requested What We Offer: ✔ On-call, PRN flexibility – work when seniors need you ✔ A fulfilling role connecting with fellow seniors ✔ Competitive compensation for as-needed companionship ✔ A supportive and welcoming work environment Apply today for rewarding PRN shifts in companionship caregiving!

Registered Nurse (RN) - Family Medicine

Dartmouth Hitchcock Medical Center Nashua, NH

REGISTERED NURSE-CRITICAL CARE

Covenant Health (MA) Nashua, NH

$1 - $1,000,000 / year

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients with the department. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner Seeks feedback regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards) Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Recognizes and praises excellent performance in colleagues and co-workers, when identified Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties Displays professional, positive perspective at all times, including when faced with difficult circumstances Seeks opportunities to assist all team members Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer review of colleagues Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages ETO per policy Other duties as consistent with this role. For the Cath and Angio Lab Departments 3 years’ critical care experience preferred Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. For the Emergency Department Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Responds to emergency situations per department/role requirements such as code blue and rapid response team. TNCC within 18 months and NIHSS stroke scale certifications within about a year Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NHISS certification preferred or obtained prior to completion of orientation Call required for Cath Lab and Stress Lab. Education and Experience Current New Hampshire RN license required BLS required ACLS required (except for Pre-Admission Testing and Operating Room) PALS (for Emergency Department) Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Graduate of an approved Nursing program preferred An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $33.43 - $46.04 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Clinical Transfer & Access Coordinator Registered Nurse, 24 hours, Nights

UMass Memorial Health Worcester, MA

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $87,276.80 - $157,081.60 Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations . Schedule Details: Holidays - Every Third Holiday, Monday through Friday, Weekends (Saturday and Sunday), Weekends - Every Third Weekend Scheduled Hours: 1900-0700 Shift: 3 - Night Shift, 12 Hours (United States of America) Hours: 24 Cost Center: 10020 - 6226 Transfer Center This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. The mission of the UMMMC Transfer Center is to coordinate safe, timely, and appropriate care by connecting providers and linking resources to the patient within and outside of UMMMC. The primary role of the Clinical Transfer Coordinator is to communicate with referring providers and connect them with the most appropriate receiving UMMHC provider based on patient’s specific medical need. The Clinical Transfer Coordinator’s role is to triage accurately and advocate for safe and timely care. The Clinical Transfer Coordinator strives to facilitate the following services: • Centralized intake for all transfers, including bed placement recommendations • Expedited transfer and more timely care for critically ill or injured patients • Dependable triage services for the pediatric and adult patients in our community. • Timely provider to provider consultative services and hand-offs to discuss patient care needs. • Management of bedside emergency situations and prioritization of real-time care concerns I. Major Responsibilities: 1. Utilize the nursing process to triage patients and advocate for safe, timely and appropriate care in the most appropriate setting. 2. Uses critical thinking, strategic prioritizing, and critical thinking to coordinate the care of patients who have an acute change in their condition using telecommunication tools to bring clinical experts quickly to their bedside. 3. Facilitate communications and activities between the patient care units, providers and other hospital departments as required. Anticipates potential problem situations and intervenes as appropriate. 4. Collects data and provides virtual nursing care to achieve optimal outcomes and to influence practice patterns. 5. Utilizes resources and performs at a level conducive to support the delivery of safe, timely, effective, efficient, equitable, and patient-centered care by acute and critical care teams. 6. Identifies areas for improvement of patient satisfaction and seeks solutions for problems. 7. Identifies area for improvement of physician referral satisfaction and seeks solutions for problems. 8. Demonstrates the use of quality improvement in daily operations. 9. Ensures compliance with regulatory agencies such as Joint Commission, DPH, etc. Aware of EMTALA guidelines. Develops and maintains procedures necessary to meet regulatory requirements. 10. Communicate potential problems that may compromise patient care to patient flow leadership. 11. Maintains open and respectful lines of collaborative communication with Director, Manager, Physicians, Residents and other staff. 12. Develops departmental policies, procedures, and objectives for various service-lines and presents to Director for review. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, and contributes to maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Bachelor’s degree in Nursing. Applicants with an Associate’s degree in Nursing who are currently enrolled in a Bachelor’s degree program will be considered. 2. Current Massachusetts Nursing licensure and registration. Experience/Skills: Required: 1. Minimum of 3 years emergency and/or intensive care clinical experience. 2. Thorough knowledge of the discipline of nursing and understands limits of RN scope of practice. 3. Excellent verbal, written, and computer skills. 4. Possess high-level skills in communication, decision-making, systems thinking, and computer literacy due to the remote nature of the practice environment. 5. Demonstrate understanding of pathophysiology and rationale of special needs and common problems associated with physiological, psychosocial, safety, learning, rehabilitative, spiritual/cultural, and self-care issues for acutely and critically ill patients. Preferred: 1. Previous experience in virtual/telephonic nursing and triage. 2. Previous experience in Care Coordination/Case Management. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a patient care environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Registered Nurse Float Team RN - House Support - Nights

Southern New Hampshire Health Nashua, NH

Come work at the best place to give and receive care! Job Description: Up to $20,000 Sign on Bonus for Full Time Employees Eligible for Enhanced Float Pool Differential Who We Are: The Medical/Surgical/ICU Float Pool is a skilled, adaptable team of experienced nurses who provide high-quality, compassionate care across multiple units. Supporting adolescent and adult patients with diverse medical and surgical needs—including cardiac, complex, and post-operative cases—this role is ideal for seasoned nurses who thrive in dynamic environments and enjoy making a meaningful impact wherever they’re needed most. About the Job As a member of the Patient Care Services team, the Registered Nurse (Float Pool) provides comprehensive and compassionate nursing care to patients with a variety of diagnoses. The Registered Nurse in the float pool will be expected to regularly float and accept assignments on different units to cover staffing needs. The Registered Nurse successfully completes a competency-based orientation program to maintain competencies in serving multiple diverse patient populations. What You’ll Do: Delivers nursing care by utilizing a patient-centered approach incorporating the Professional Practice Model. Provides patient-centered care through teamwork and collaboration to achieve quality patient outcomes. Integrates best practices and current evidence-based practices for delivery of optimal health care. Utilizes data to improve quality and safety. Incorporates informatics and technology to communicate, manage information, mitigate errors, and support decision making. Who You Are: Graduate with an Associate’s degree in Nursing BSN Preferred Registered Nurse with a NH License or compact state Experienced in Acute Care Clinical areas with a minimum of 2 years Why You’ll Love Us: Southern NH Medical Center is a 4-time Magnet designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So much more! #COS Work Shift: 7p-7a; 36 hours weekly; Every other weekend SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Experienced Personal Caregivers Wanted for Flexible PRN Openings

Seniors Helping Seniors Merrimack Valley Methuen, MA

Are you a Certified Nursing Assistant (CNA), Home Health Aide (HHA), or experienced caregiver looking for PRN/as-needed shifts? Seniors Helping Seniors® is seeking compassionate personal care providers to assist fellow seniors on a flexible basis. Responsibilities: Provide as-needed support with bathing, dressing, and hygiene Assist with mobility support, transfers, and repositioning when requested Monitor client well-being Help with light housekeeping and meal preparation on an occasional basis What We Offer: ✔ Flexible PRN shifts – work only when you’re available ✔ Competitive pay for personal care services ✔ A meaningful opportunity to help seniors maintain dignity ✔ A caring and supportive team Apply now to provide compassionate care on your schedule!

PRN Dementia Caregivers Needed to Support Seniors as Needed

Seniors Helping Seniors Merrimack Valley Methuen, MA

Do you have experience supporting seniors with dementia or Alzheimer’s? Seniors Helping Seniors® is looking for PRN caregivers to provide as-needed care and companionship to seniors facing memory challenges. Responsibilities: Provide temporary, as-needed cognitive engagement and social support Assist with daily routines and structured activities when requested Offer reassurance and redirection for seniors experiencing confusion Support with occasional personal care, meal preparation, and medication reminders What We Offer: ✔ PRN shifts – work as needed, when available ✔ Competitive pay for dementia care specialists ✔ Ongoing training and memory care support ✔ A rewarding, compassionate team environment Apply today to help seniors with memory challenges on an as-needed basis!

Medical Assistant II

Mass General Brigham Worcester, MA

Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Recruiting a Medical Assistant in a Pediatric Cardiology clinic in Worcester, MA. Primary responsibilities include front desk tasks such as assisting with phone calls, appointment scheduling, inbasket messaging, check in, check out, copay collection, and others. Cross trained to cover both patient care coordinator and medical assistant duties. Job Summary Summary The role supports healthcare teams by assisting with both clinical and non-clinical patient services under the direction of healthcare providers. Key responsibilities include: reviewing provider schedules to plan patient care, greeting patients in waiting room, assisting patients through the check in and check out process, taking vital signs, documenting patient information, scheduling appointments, and managing patient flow. This role involves direct interaction with patients to ensure their comfort and address concerns, as well as collaboration with physicians, nurse practitioners, and nursing staff to facilitate efficient care. Does this position require Patient Care? Yes Essential Functions -Schedule and confirm appointments -Check in and check out patients -Review provider schedules -Show patients to examination rooms, prepare necessary equipment for healthcare providers, and interview patients to obtain medical information, measure their vital signs, weight, and height, and record information in the patient's medical record. -Explain treatment procedures, medications, diets, and physician instructions to patients, ordering and organizing educational materials to reinforce patient education -Perform general office duties, such as answering phones, maintaining office and patient care supplies, taking dictation, and completing insurance forms, while acting as a liaison with other departments and advocating for patients with a positive customer service approach. -Collect blood, tissue, or other laboratory specimens, log them, and prepare them for testing; perform phlebotomy if competence is demonstrated. -Responsible for improving appropriate departmental quality initiatives, such as two patient identifiers and hand hygiene. Qualifications Education High School Diploma or Equivalent required or Associate's Degree Medical Assisting preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Basic Life Support [BLS Certification] - Data Conversion - Various Issuers preferred Certified Medical Assistant [National Certification] - Data Conversion - Various Issuers preferred Experience Direct MA experience or medical field work 1-2 years required Knowledge, Skills and Abilities - Strong interpersonal and communication skills are essential for success in this position. - Ability to prioritize tasks in complex and busy environments. - Accuracy and attention to detail. - Comply with all local, state, and federal privacy and confidentiality rules and regulations. - Ability to take vital signs and manual blood pressure, as well as collect blood samples and other specimens. - Comprehensive knowledge of medical terminology, procedures, and protocols. - Proficiency in electronic health record (EHR) systems and medical office software. - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems. - Managing one's own time and the time of others. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Onsite Work Location 33 Oak Avenue Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1200 The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

CNAs Needed PRN Shifts for Personal Care Support for Seniors

Seniors Helping Seniors Merrimack Valley Methuen, MA

Are you a Certified Nursing Assistant (CNA), Home Health Aide (HHA), or experienced caregiver looking for PRN/as-needed shifts? Seniors Helping Seniors® is seeking compassionate personal care providers to assist fellow seniors on a flexible basis. Responsibilities: Provide as-needed support with bathing, dressing, and hygiene Assist with mobility support, transfers, and repositioning when requested Monitor client well-being Help with light housekeeping and meal preparation on an occasional basis What We Offer: ✔ Flexible PRN shifts – work only when you’re available ✔ Competitive pay for personal care services ✔ A meaningful opportunity to help seniors maintain dignity ✔ A caring and supportive team Apply now to provide compassionate care on your schedule!

LPN, MHU, 24-Hours, Days, 7:00am - 3:30pm, Every other weekend and holiday, Varied schedule, Monday - Sunday, $6,250 Sign On Bonus

Heywood Healthcare Gardner, MA

Overview You Matter Here! Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter! This job may be eligible for a $6,250 Sign-On Bonus! Hours: 24-Hours, Days, 7:00am - 3:30pm, Every other weekend and holiday, Varied schedule, Monday - Sunday $29.27 - $39.06 Responsibilities Essential Functions Assesses (and reassesses), plans, implements, and evaluates nursing interventions/plans of care/patient goals in collaboration with the Registered Nurse. Provides patient care based on standards of care, standards of practice, protocols, and established policies and procedures within scope of license. Respects each patient as an individual; provides care that fosters the patient’s sense of dignity and positive self-regard. Provides patient/family teaching based on identified learning needs, readiness to learn, and barriers to learning. Collaboratively plans and prepares patient/family for discharge with the RN, provider and interdisciplinary team. Appropriately delegates and supervises interventions performed by Certified Nurse’s Aides. Appropriately prioritizes patient care (e.g. seeks assistance as needed from appropriate resources, recognizes need for emergency intervention, etc.). Provides thorough, timely, and accurate documentation of all pertinent data, therapeutic interventions and patient responses according to established standards. Provides timely and thorough report on assigned patients to other health care team members to ensure integration of services and continuity of patient care. Promotes learning for colleagues and self, attends professional development programs, etc.). Proactively identifies risk to patient safety and identifies opportunities to reduce medical/health care errors (i.e. appropriate reporting of errors/incidents). Identifies ethical issues in care and develops plan in conjunction with RN and team to address Safely administers medications in accordance with physician’s orders, protocols, policies and procedures. Assesses patient pain level upon admission and as necessary, depending upon diagnosis utilizing the numerical pain scale. Reassesses effectiveness of pain control and notifies physicians as needed, as well as, documents assessment Responsible for obtaining supporting information and completing required documentation related to medication reconciliation for use by the Attending MD. Collects patient information from all available resources to assist in formulation of the comprehensive database, ongoing treatment plan, and ensures that all care delivered is appropriate to identified patient needs, standards of care and standards of practice Assures that all care is coordinated with the patient care provider (PCP), outpatient providers, and other services Responds to all case management within Heywood Hospital for the provision of differential diagnostics, treatment planning and disposition to appropriate level of care Identifies insurance and obtains approval and/or a referral for services provided Provides individual and group therapies according to Mental Health Unit standards to meet identified patient needs Takes instruction from and reports updates to registered nurse and or overseeing provider Assesses the unit milieu and makes decisions to maintain a safe environment for all patients, staff and visitors Understands the indication, therapeutic effect, dosage, and side effects of psychoactive medications on the geriatric patient De-escalates volatile situations and/or individuals using non-violent techniques Reports unusual or drastic changes in patient’s symptoms or behavior to Registered Nurse or overseeing provider Participates actively in multi-disciplinary treatment team in planning, coordinating, implementing and evaluating patient care Meets with families and significant others and residential providers in planning appropriate disposition and discharge Statement of Other Duties This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described. Organizational Expectations Demonstrates mature professional behaviors, (i.e. tact, empathy and diplomacy). Promotes a positive working environment. Funct ional Demands Physical RequirementsExerts 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands). Occasional stooping (bending the body downward and forward by bending the spine at the waist), crouching (bending the body downward and forward by bending legs and spine). Qualifications Job Requirements Minimum Education Completed state-approved LPN education program Minimum Work Experience Six months skilled nursing care with dementia and behavioral health experience preferred Minimum Licenses and Certifications Current LPN license to practice in MA American Heart Association CPR certified

Senior Caregiver

Seniors Helping Seniors Merrimack Valley Methuen, MA

We are seeking a compassionate and dedicated part time senior companion to provide meaningful companionship and support to seniors in their homes. This role focuses on engaging clients in social interactions to promote emotional well-being, facilitating appropriate mobility exercises, and offering companionship tailored to their individual needs. Flexible Schedule, As Needed Shifts The ideal candidate will be adaptable, patient, and committed to enhancing the quality of life for seniors through personalized, respectful, and engaging interactions.

CNA HHA

A Place At Home – Merrimack Valley Chelmsford, MA

A Place At Home – Merrimack Valley Caregiver Job Ad: Serving North Chelmsford, MA - DAY SHIFTS available immediately Are you a compassionate caregiver looking for an opportunity to make a positive impact on someone's life in the North Chelmsford, MA area? Join our team at A Place At Home – Merrimack Valley and provide exceptional care to a client in need. We serve Chelmsford, Lowell, Billerica, Tewksbury, Dracut, Andover. Responsibilities: Assist with daily living activities, including personal care, medication reminders, and mobility assistance. Provide companionship and emotional support to enhance the client's well-being. Maintain a safe and comfortable environment for the client. Communicate effectively with the client, their family, and the care team. Requirements: Dementia experience Excellent communication and interpersonal skills. Compassionate, patient, and dependable. Ability to adapt to the client's needs and provide individualized care. Benefits: Competitive wages and flexible scheduling. Ongoing training and professional development opportunities. Supportive administrative staff and leadership team. Rewarding work that makes a difference in someone's life. If you have the skills, experience, and compassion necessary to provide exceptional care to our client in the North Chelmsford, MA area, we would love to hear from you. Apply now to join our team and make a meaningful impact as a caregiver.

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