Nursing Jobs in Bay Village, OH

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Advanced Practice Provider (NP/PA) - Urogynecology and Reconstruction Pelvic Surgery I (West Region) Location Avon Facility Avon Hospital Department Urology-Integrated Surgical Institute Job Code T98100 Shift Days Schedule 8:00am-5:00pm Job Summary Job Details This Advanced Practice Provider (APP) outpatient role focuses exclusively on the care of female urology patients. The APP will manage a range of urologic conditions affecting the female population, including overactive bladder, recurrent urinary tract infections, and pelvic organ prolapse. The APP will collaborate closely with physicians and fellow APPs within the Female Urology section while maintaining a high level of autonomy, independently managing their own panel of patients in the clinic setting. Flexible scheduling options are available, including either four 10-hour shifts or five 8-hour shifts per week. Open to new graduates. Nationally certified Advanced Practice Provider who provides primary and/or specialty care in a variety of healthcare settings. Functions in collaboration with the health care team in accordance with certification and licensure. Practice emphasizes health promotion, disease prevention and the diagnosis and treatment of acute and chronic health problems. Responsible for dissemination of knowledge through instructing, leading and developing educational programs. Responsibilities: Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan. Works in collaboration with the health care team. Performs and interprets common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. Performs routine and specialized procedures as credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. May prescribe and monitor medications as allowed by license through applicable state board and Cleveland Clinic policies. Educates patients and answers questions regarding their disease, treatments, related drug and treatment side effects and hazards. Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care. Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment. Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary. Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care. Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management. Supports professional development of the health care team. Promotes translation of evidence-based practices, guidelines, and research. May conduct research studies. May assists in data collection and analysis. May serve as clinical preceptor for students. May onboard new caregivers. Other duties as assigned. Education: APRN Effective 05/01/2014: MSN required upon hire or within 3 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role. Graduate of an accredited APRN program. If in neonatal care service area Master’s Degree is required upon hire. PA Graduate of an A.R.C. approved Physician Assistant Program. Master’s degree in Physician Assistant Studies and/or higher degree obtained from a program recognized by their practicing states Licensing Board. Languages: Oral and written communication in English Certifications: NP Currently licensed as a Nurse Practitioner in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Nurse Practitioner by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. PA Certification as a Physician Assistant through the NCCPA or successor organization recognized by their practicing states Licensing Board. License to practice and prescribe issued by their practicing states Licensing Board. Current DEA License or DEA designee as required by NCQA. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP); or Advanced Trauma Life Support (ATLS) American Heart Association may be required based upon work setting. If a candidate has held a license to prescribe within another jurisdiction and needs to obtain a master's degree in order to apply for prescribing privileges the candidate will be subject for review for eligibility for hiring within our system. Must have a Physician Supervision Agreement and signed addendum to Physician Supervision Agreement. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals. CNS Currently licensed as a Clinical Nurse Specialist in applicable state(s). Must be licensed as an RN in applicable state(s). National certification as a Clinical Nurse Specialist by nationally accredited organization recognized by state Board of Nursing. Basic Life Support (BLS) through the American Heart Association (AHA) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting. Must have arrangements with at least one physician in accordance with requirements set forth by the State Board of Nursing in applicable states. Must be credentialed and privileged by the Medical Executive Committee and the Governing Body of the applicable hospitals Complexity of Work: Excellent analytical and decision-making skills are required. Strong written and verbal communication skills. Ability to work as a member of a multi-disciplinary team. Demonstrated competency and the ability to perform advanced assessment and diagnosis. Demonstrated ability to utilize the electronic medical record. Demonstrates a high standard of moral and ethical behavior. Demonstrates compassion and professionalism and a commitment to excellent patient care. Requires critical thinking skills, decisive judgement, and the ability to work independently. Must be able to work in a stressful environment and take appropriate action. Work Experience: Related clinical experience preferred. Physical Requirements: Typical physical demands include the ability to walk and stand for long periods of time. Manual and finger dexterity and eye/hand coordination to perform physical examinations. Requires corrected vision and hearing to a normal range. Occasionally lifts and carries items weighing up to 50 pounds. May require exposure to communicable diseases and/or body fluids. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer. 
Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 36 Work Shift: Nights (United States of America) BLS, NRP, STABLE, NCC EFM certification preferred THIS IS A COLLECTIVE BARGAINING UNIT POSITION General Summary Functioning as the leader of the Care Delivery Team, the Clinical Nurse II (CN II) assumes the responsibility of directing care for a team of patients. He/she demonstrates clinical competency, evidence of nursing leadership, and coordinates the nursing care of a specific group of patients. Nursing care reflects independent assessment, planning, implementation, and evaluation of the patient’s physical, psychological, and sociocultural needs. Precepts new employees as assigned. Demonstrates competencies in the use of equipment essential in the care of patient age groups as indicated. A CN II is the second step of the Mercy (MERCY) Clinical Ladder. This is the competent Staff Nurse level. Minimum Knowledge and Skills, Etc. 1. Graduation from a state-accredited school of nursing. 2. Current licensure from the state of Ohio as an RN. 3. Successful completion of general and unit-specific orientation and hospital probationary period. Completes Orientation Checklist. 4. Obtains/maintains a minimum of 12 contact hours of continuing education annually which includes Fire Safety and CPR Re-certification. ACLS is required. 5. Must have theoretical knowledge combined with clinical experience in providing nursing care for a variety of patients. Must be able to communicate well verbally and in writing with people of varying backgrounds. Working Conditions Moderate level of physical exertion required. Occasional exposure to adverse conditions. Reporting Relationships Responsible to Nurse Manager, or in his/her absence, the Administrative Supervisor. May receive direct instructions from Charge Nurse or Director. Workers supervised: Licensed Practical Nurses and Patient Care Assistants Full Time - 36 weekly scheduled hours Every 3rd weekend and every other holiday. On Call required Shift - 7p - 730a Mercy Health is an equal opportunity employer. As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: Obstetrics - Lorain It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com . 
MDS Coordinator - LTC Located in Medina, OH Salary: LPN candidates; $80K-$85K & RN candidates $90K-$95K On-Call NOT required Responsibilities Include: Conduct and coordinate the development and completion of the resident assessment (MDS) Maintain and periodically update written policies and procedures that implement MDS and care plan. Assist the resident in completing the care plan portion of the resident’s discharge plan. Develop and implement procedures with the Director of Nursing Services to inform all assessment team members of the arrival of newly admitted residents. Assist Facility directors and supervisors in scheduling the resident assessment and care plan meetings. Assist in determining appropriate treatment, selecting activities and exercises based on medical and social history of residents. Participate in the development and implementation of resident assessments (MDS) and care plans, including quarterly and annual reviews. Qualifications: • Must have Ohio RN or LPN license • Must have two years of experience as an MDS Coordinator • Must have long term care experience • Must know MDS 3.0 #6724 
Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 64.00 Shift: varying start times/shifts (0700-2030); 4-, 8-, 10-, 12-hr shifts The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary Plans for, delivers, documents and evaluates nursing care of patients in an assigned area in terms of their individuals needs, according to provider’s orders and in conformance with approved and recognized nursing standards of care, recognized nursing techniques, procedures and administrative policy. Directs activities of assigned nursing personnel in such care. Observes, assesses and reports on the condition of patients. Maintains accurate and timely documentation of care reflecting patient’s condition, treatment, and response to care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications Required: Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current registered nurse licensure in the State of Ohio. Current AHA Basic Life Support for the healthcare provider certification or obtains within 90 days of hire.Must have: - A thorough knowledge of nursing theory and practice, including basic knowledge relating to nursing such as biological, physical, psychosocial, and medical sciences and their applications. - A thorough knowledge of the use and care of instruments, equipment and supplies related to nursing service or ambulatory medical practice. - A thorough knowledge of the theory and principles of medical asepsis. - The ability to maintain positive working relations with other employees and medical staff. - A high degree of physical coordination and finger-hand dexterity.PRN and Float Staff must have a minimum of one year or number of years as determined by specific clinical unit, recent experience in area of clinical interest. All clinical nurses must possess or acquire within the defined period of time following placement into position, all unit-specific competencies as defined below:The American Heart Association (AHA) courses are the required certifications for (unit specific): - Advanced Cardiac Life Support (ACLS), - Pediatric Advanced Life Support (PALS), - Pediatric Advanced Emergency Assessment, Recognition and Stabilization (PEARS) The American Academy of Pediatrics (AAP) course is the required certification for Neonatal Resuscitation Program (NRP) Preferred: BSN and certification:Operating Room: One year of OR experience; Certified Nurse Operating Room (CNOR) certificationPost Procedure Care Unit:One year PACU or critical care experience.Pediatric Clinic: Two years of pediatric experiencePsychiatry: One year of prior psychiatric experienceRadiology: Five years of critical care experience. Pediatric Advanced Life Support (PALS) certification.Cardio-Pulm Rehab: Two years prior experience in Cardiac-Pulmonary Nursing (outpatient or inpatient). Previous experience with the following: smoking cessation, wellness, exercise in special populations (i.e., diabetes, obesity, arthritis)TB Clinic: Public Health or TB Experience, excellent organizational and communication skills, prior supervisory or project management experience. Physical Requirements: May sit, stand, stoop, bend, and walk intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products. Physical Demands: 
Location: MetroHealth Rehabilitation Institute- Old Brooklyn Bi-weekly Hours: 16.00 Shift: Variable Days and Shifts For nearly two centuries, MetroHealth’s mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, The MetroHealth Rehabilitation Institute is at the forefront of research to address the overall needs of our patients and eliminate healthcare disparities. Our Inpatient Rehabilitation facility is consistently ranked by U.S. News and World Report as one of the best in Ohio and the nation while delivering premier care for complicated orthopedics cases, stroke, spinal cord, and traumatic brain injuries. In addition, MetroHealth has been designated a Spinal Cord Injury Model System by the National Institutes of Health, one of only 18 such centers nationally. Join our Neuro Trauma Recovery Spinal Cord Injury Unit, 6N! Primary Patient Population Spinal Cord Injury (SCI) Primary Skills Utilized/learned Neurological assessments Adaptive ADLs; SCI retraining Transfer/Mobility training Vital signs, IVs, Foley Catheter insertion/removal, Wound care, etc. Personnel Nurse Intern Will Work With RNs, LPNs, Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, Social Workers/Case Management, Respiratory Therapy, PT/OT, Speech Therapy, Art & Music Therapy, Dieticians Number Of Beds On Unit 24 beds MetroHealth offers industry-leading benefits, including tuition reimbursement, student loan repayment, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications Enrolled in an accredited school of professional nursing (or a program seeking accreditation). Completed fundamentals of nursing Currently registered in clinical rotations Continuous enrollment in a nursing program Eligibility to continue in the position is a maximum of 6 months upon graduating from nursing school Current AHA Basic Life Support for the healthcare provider certification or obtains within 90 days of hire. 
**Caregiver** Join Right at Home Cleveland West, a leading provider of in-home care and assistance, as a Caregiver in Elyria, Ohio, United States. We are dedicated to delivering exceptional care to seniors and vulnerable adults in their homes, and we're seeking passionate and compassionate individuals to join our team. **About the Role:** As a Caregiver with Right at Home Cleveland West, you will have the opportunity to make a meaningful difference in the lives of our clients. You will provide various levels of care, including companion care, light housekeeping, meal preparation, and personal care services such as bathing and dressing. Our ideal candidate is a caring and reliable individual who is passionate about assisting adults in their home setting. **Responsibilities:** • Provide in-home care and assistance to seniors and vulnerable adults, including companion care, light housekeeping, meal preparation, and personal care services • Assisting clients with activities of daily living (ADLs) such as bathing, dressing, and grooming • Providing emotional support and companionship to clients • Maintaining a clean and safe environment for clients • Working collaboratively with our team to ensure high-quality care and services • Maintaining accurate records and reporting to management **Requirements:** • **CNA**, PCA, HHA, or companion experience preferred • Compassionate and caring attitude towards clients • Ability to work independently and as part of a team • Reliable transportation and a valid driver's license (if applicable) • Ability to lift up to 50 pounds and perform physical tasks as needed **Working with Right at Home Cleveland West:** We offer a dynamic and supportive work environment, committed to helping our caregivers grow professionally and personally. We empower our caregivers to provide exceptional care and support to our clients, and we're dedicated to building long-term relationships with our clients and their families. **How to Apply:** If you're passionate about making a difference in the lives of others, we encourage you to apply for this rewarding opportunity. Please note that salary and benefits will be discussed during the hiring process. Apply now to join our team of dedicated caregivers and start making a positive impact in the lives of our clients! 
Location: MetroHealth Main Campus- Glick Bi-weekly Hours: 72.00 Shift: 7p-7a; Rotating weekends, Rotating holidays For nearly two centuries, the MetroHealth System’s mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. Join our Level 1 Trauma Center Main Campus Emergency Department! Primary Patient Population Acutely ill pediatric to adult patients Level 1 Trauma Center Primary Skills Utilized/learned Patient Assessments Patient Triage Trauma care IV insertion, blood draws, Foley catheter insertion Time management, critical thinking, delegating Personnel RN Will Work With LPNs, Paramedics, Patient Care Nursing Assistants (PCNAs), Behavioral Observers (BO), Providers Number Of Beds On Unit 93 beds (Clinical Decision Unit (CDU) included) 10 Trauma Bays 80k+ patient visits annually Awards Or Recognitions The Unit Has Received Level 1 Trauma Center Lantern Award Stroke Certified MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA BLS, ACLS or obtained within 90 days of hire. Current PALS certification or obtained within 6 months of hire. Current TNCC certification or obtained within 1 year of hire. PRN must possess current certifications upon hire. Preferred Qualifications BSN Professional Certification recognized by the Magnet Association 
Medical Assistant – Hybrid Clinical & Care Management Are you a passionate Medical Assistant looking for a role that goes beyond the exam room? Join our growing team where your work truly makes a difference in patients' lives every single day! What You'll Do: Support a dynamic retinal practice with in-office patient care Connect with patients monthly through CCM and BHI outreach calls Help chronic and behavioral health patients stay on track between visits Coordinate care, monitor progress, and be a trusted voice patients look forward to hearing What We're Looking For: Certified Medical Assistant (CMA) preferred Strong communication skills and a warm, patient-centered approach Self-motivated and able to manage your own patient caseload Ophthalmology or specialty experience a plus CCM/BHI experience a plus but we will train the right person! What Makes This Role Special: Hybrid position — Flexiable! Be part of an innovative care model that is changing how patients experience healthcare Grow your skills in one of the fastest expanding areas of healthcare Small team environment where your contributions are seen and valued If you are someone who genuinely cares about patients and wants a role with purpose and growth — we want to hear from you! Apply today and let's make a difference together. 
BAYADA Home Health Care is currently seeking an experienced Registered Nurse, RN , for a Per Diem opportunity performing home health visits for our senior living office . This office services adult and geriatric clients on a per visit basis in Independent and Assisted Living communities throughout Eastern Cuyahoga County and Lake County . Flexible schedule, 1:1 care, and great work/life balance. Join us today. Registered Nurse (RN) Benefits: BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program To learn more about BAYADA Benefits, click here Enjoy being part of a team that cares and a company that believes in leading with our values. Develop your skills with training and scholarship opportunities. Advance your career with specially designed career tracks. Be recognized and rewarded for your compassion, excellence, and reliability. Benefits may include medical, dental, vision, and life insurance; mileage reimbursement; paid time off; weekly pay and direct deposit; scholarship opportunities; one-on-one training; recognition programs; referral bonuses; 401(k) with company match; and opportunities for career advancement. Registered Nurse (RN) Responsibilities: Follow a designated care plan in accordance with patient's needs Make home visits to clients in designated geographic territories Perform assigned duties, including administration of medication, wound care, treatments, and procedures Monitor clients' conditions; reporting changes to Clinical or Client Services Manager Follow up with, execute, and properly document doctors' orders Perform client assessments as necessary Case management and coordination Accurately document observations, interventions, and evaluations pertaining to client care management and services provided, utilizing a state-of-the-art touch pad tablet Qualifications for a Registered Nurse (RN): A current license as a Registered Nurse in OH. A minimum of one year of recent, verifiable clinical (medical/surgical) experience. Prior home care experience strongly preferred, but not required. Graduation from an accredited and approved nursing program, as indicated by school transcript or diploma. Ability to work independently and manage time effectively. Strong interpersonal skills. Solid computer skills; prior experience with electronic medical records (EMR) preferred. Ability to travel to cases as assigned. BAYADA recognizes and rewards our RNs who set and maintain the highest standards of excellence. Join our caring team today! As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here. BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. 
**Home Care Aide** **Join Right at Home Cleveland West and Make a Difference in the Lives of Seniors and Vulnerable Adults** As a Home Care Aide with Right at Home Cleveland West, you will have the opportunity to provide compassionate and high-quality care to seniors and vulnerable adults in their own homes. Our company slogan, **"In Home Care and Assistance"**, reflects our commitment to delivering personalized care and support to our clients. **About the Role:** We are seeking a dedicated and compassionate Home Care Aide to join our team. As a Home Care Aide, you will provide a range of services, including: • Companion care: engaging with clients through conversation, providing emotional support, and assisting with daily living activities • Light housekeeping: maintaining a clean and safe living environment for our clients • Meal prep: preparing nutritious meals and snacks for our clients • Personal care services: assisting with bathing, dressing, and grooming, as needed **Responsibilities:** • Provide care and support to clients in their homes, promoting independence and dignity • Develop and implement personalized care plans in collaboration with clients, families, and healthcare professionals • Maintain accurate records of client care and services provided • Communicate effectively with clients, families, and healthcare professionals to ensure seamless care coordination • Participate in ongoing training and education to enhance skills and knowledge **What We Offer:** • The opportunity to make a meaningful difference in the lives of seniors and vulnerable adults • A supportive team environment that values compassion, empathy, and integrity • Competitive pay rates and flexible scheduling to accommodate your needs and schedule **How to Apply:** If you are passionate about providing exceptional care and support to adults in their home setting, we encourage you to apply for this rewarding opportunity. Please submit your application to [insert call to apply]. **Job Title:** Home Care Aide **Job Location:** North Ridgeville, Ohio, United States **Company Name:** Right at Home Cleveland West **Company Slogan:** "In Home Care and Assistance" 
Location: MetroHealth Main Campus- Glick Bi-weekly Hours: 48hrs Shift: 7a-7p/7p-7a; Rotating weekends, Rotating holidays Up to $10,000 sign on bonus for RNs with qualifying experience*** For nearly two centuries, the MetroHealth System’s mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. All Acute Care Adult Specialty units offer enhanced technology to assist with nursing care, including patient lifts, hands-free communication, virtual whiteboards, and telemetry monitoring capability. Join our Acute Care Adult Trauma Step Down Unit, 5 East! Primary Patient Population Trauma Primary Skills Utilized/learned IV Insertion, cardiac monitoring, trauma care Various drains, complex wound care, psychosocial care Time management, critical thinking, delegating Personnel RN Will Work With LPNs, Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, PT/OT, WOCN, Social Work Number Of Beds On Unit 34 beds (14 private rooms, 10 semi-private rooms) Awards Or Recognitions The Unit Has Received Multi-time PRISM Award winner Team Daisy Award Winner MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA Basic Life Support for the healthcare provider certification or obtained within 90 days of hire. Preferred Qualifications BSN Professional Certification recognized by the Magnet Association 
Location: Cleveland Heights Health Center Biweekly Hours: 72.00 Shift: 0700-1930 The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary Under the direction of the Nurse Manager or an assigned Registered Nurse (RN), provides various patient care duties for infant through geriatric patients. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications Required: High School Diploma or passage of a high school equivalency exam. Good interpersonal skills. Basic computer skills to document observations electronically. Ability to work in a team environment while demonstrating good judgment, flexibility, initiative, and effectively problem-solving skills. Possess a current Basic Life Support (BLS) certification from the American Heart Association (AHA) OR obtains within 90 days of hire. For Cardiac Stepdown: Successful completion of the MetroHealth EKG training course and passes the Basic EKG Test with a score of 85% or better within the standard probationary period. Ability to read and write English. Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds. Preferred: Previous experience in the health care field. Meets one of the following: Registered in good standing as a State Tested Nursing Assistant (STNA) with the Ohio Department of Health (ODH) Nurse Aide Registry (NOTE: Maintaining ODH Registry status as a STNA is optional after employment in this position). A graduate of an accredited Medical Assistant program. A graduate of an accredited Nursing program. Completion of a Medical Assisting-comparable military educational program for medics/hospital corpsman with an honorable discharge (if applicable). Holds a certificate as an Emergency Medical Responder (EMR), Emergency Medical Technician (EMT) Advanced Emergency Medical Technician (AEMT), or Paramedic. 1 year of experience as a Patient Care Nurse Assistant in a hospital. Physical Requirements: May sit, stand, stoop, bend, and walk intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift, push, and pull 50 pounds independently. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products. 
Location: Middleburg Heights Bi-weekly Hours: 16 (minimum) Shift: D/E For nearly two centuries, the MetroHealth System’s mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our expansive ambulatory network, we go into the community to provide excellent primary and specialty care. We are dedicated to enhancing healthcare access across our service area to address the overall needs of our patients and reduce healthcare disparities. Primary Patient Population Outpatient Setting Different clinics will offer an opportunity to experience specific patient populations Primary Skills Utilized/learned Scheduling patients, obtaining pre-authorizations, registering patients, gathering/analyzing payor data Performing basic medical screenings Vital signs, specimen collection, bladder scan, EKGs, etc. Medication & Vaccination administration Wound care (suture/staple removal) Assist providers with sterile and non-sterile procedures Splinting and bandaging Personnel Medical Assistant Will Work With RNs, LPNs, Nurse Practitioners (NPs), Medical Doctors (MDs) MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications HS Diploma or passage of a high school equivalency exam. Meets one of the following: Completion of a Medical Assistant program and has work experience in a Medical Assisting or acute patient care capacity, which includes school-sponsored externships. Completion of a Medical Assisting-comparable military educational program for medics/hospital corpsman with an honorable discharge (if applicable). Current Basic Life Support (BLS) certification for the American Heart Association (AHA) or obtains within 90 days of hire. Knowledge of basic medical procedures and medical terminology. Possesses critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Ability to work in a stressful environment and exercise sound judgment, as well as organizational, multi-tasking, and problem-solving skills in a fast-paced environment with multiple providers. Basic computer and data entry skills. Able to work in assigned area(s) and any other clinic based on operational needs. Preferred Qualifications 6 months of clerical experience and experience related to patient care. Active certification as a Certified Clinical Medical Assistant (CCMA) through the National Healthcare Association (NHA), Certified Medical Assistant (CMA) through the American Association of Medical Assistants (AAMA), or Registered Medical Assistant (RMA) through the American Medical Technologists (AMT). Possesses one of the following: 1 year of work experience in medical billing, patient registration, and/or patient scheduling. Education related to medical billing, patient registration, and/or patient scheduling from an accredited institution. Possess a current certification as a Certified Healthcare Access Associate (CHAA) from the National Association of Healthcare Access Management (NAHAM). Experience calculating proper dosage and administering specific medications under the direction of the provider, particularly pediatric immunizations, and converting across measurement systems. Experience performing point of care testing, CLIA waived testing, wound care, dressing changes, specimen collection, and phlebotomy. Experience assisting with various procedures and tests, such as pulmonary function tests. Experience with Epic In-Basket management For ENT, Ortho, and Surgery Clinics: Experience assisting with external fixator removal, flex sigmoidoscopy, hemorrhoid banding, collars, cast removal, incision & drainage, cystoscopy set up and clean up, thyroid fine needle aspiration biopsy, reductions, and splint placement. Physical Requirements May sit, stand, stoop, bend, and walk intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products. $72,800 - $130,000 / year
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together . This opportunity is all about complexity and meaningful impact. You will play a key role in accurately and effectively pricing our provider network across East Region markets, including Kentucky, Indiana, and Ohio. Success in this role requires strong analytical thinking, creativity in interpreting contract structures, and the ability to leverage available resources to develop accurate and reliable pricing. As a Network Pricing Consultant, you will support and validate Provider Network (hospital, physician, ancillary facilities, etc.) contracting and unit cost management activities through financial modeling, analysis, and reporting. You will conduct unit cost and contract valuation analysis to support negotiations and unit cost management strategies, while managing unit cost budgets, targets, and performance reporting. Challenge can often be its own reward, but why settle for challenge alone when you can also be supported, mentored, and developed in a fast-paced and impactful career? With UnitedHealth Group, you can expect all of the above, every day. Here's your opportunity to combine analytical expertise and collaborative problem-solving as you strike the balance between health care costs and resources. In this role, you'll ensure that health care contracts are priced accurately and fairly for all involved, backed by the resources and stability of a Fortune 5 leader. While this role primarily supports East Region markets, you'll enjoy the flexibility to work remotely from anywhere in the U.S. Primary Responsibilities Support network pricing strategies and tactics in collaboration with local network field leaders and network managers Analyze financial impact of provider contracts Evaluate financial impact of corporate initiatives and external regulations Review payment appendices and develop options for various contracting approaches and methodologies Communicate financial impact findings and insights to stakeholder groups Conduct financial and network pricing modeling, analysis, and reporting Provide mentorship and engage in detailed peer review activities Perform unit cost and contract valuation analysis to support network contracting and unit cost management strategies Lead large and complex analytical projects to support key business objectives Influence pricing strategies and rate development by identifying opportunities or safeguarding favorable structures Collaborate with Network Management to strategize rates or contract methodologies Review competitive analysis to determine appropriate provider pricing You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Undergraduate degree in Math, Statistics, Finance, Economics, or related field 4+ years of analytical experience 3+ years of experience with provider payment methodologies and healthcare products Experience presenting to internal or external stakeholders Financial impact analysis and data manipulation skills Advanced proficiency in Microsoft Excel Ability to interpret financial modeling results and develop forecasts Ability to manage multiple projects simultaneously Ability to research and solve problems independently Preferred Qualifications Experience with advanced statistical functions for financial modeling Experience with various payment methodology types Knowledge of commercial, Medicare, and Medicaid PPO/HMO revenue and expense patterns Solid interpersonal, collaboration, negotiation, and communication abilities All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. 
**Compassionate Caregiver** **Job Summary:** As a compassionate caregiver at Right at Home Cleveland West, you will have the opportunity to make a meaningful difference in the lives of seniors and vulnerable adults in the comfort of their own homes. Our caregivers are the heart of our organization, and we are seeking like-minded individuals who share our commitment to providing exceptional care and compassion. If you are passionate about providing care and support to others, we encourage you to apply for this rewarding role. **Responsibilities:** • Provide companion care, light housekeeping, meal preparation, and personal care services (bathing, dressing, etc.) to seniors and vulnerable adults in their home setting • Assist clients with daily living activities, such as bathing, dressing, grooming, and medication reminders • Maintain a safe and healthy environment for clients, including cleaning and organizing living spaces • Develop strong relationships with clients and their families, providing emotional support and companionship • Maintain accurate records of client care and services provided • Communicate effectively with clients, families, and other caregivers to ensure seamless care transitions **About the Role:** As a Compassionate Caregiver at Right at Home Cleveland West, you will have the opportunity to work in a dynamic and supportive environment. Our caregivers are valued members of our team, and we offer competitive compensation and benefits packages to our employees. If you are looking for a role that will challenge you and fulfill your passion for caregiving, we encourage you to apply. **What We Offer:** * Competitive compensation and benefits packages * Opportunities for professional growth and development * A supportive and collaborative work environment * A sense of fulfillment and purpose from making a meaningful difference in the lives of others **How to Apply:** If you are a compassionate and caring individual who is passionate about providing exceptional care, we encourage you to apply for this rewarding role. Please submit your application to join our team of dedicated caregivers and make a difference in the lives of seniors and vulnerable adults in the Avon, Ohio area. 
Embassy Healthcare JOB DESCRIPTION POSITION TITLE: RN EFFECTIVE DATE: DEPARTMENT: Nursing REPORTS TO: Director of Nursing STATUS: Hourly DEPARTMENT HEAD APPROVAL_______________________________DATE_________ HUMAN RESOURCE APPROVAL________________________________DATE_________ PURPOSE OF YOUR JOB POSITION: The primary purpose of your job position is to provide direct nursing care to the residents, and to supervise the day-to-day nursing activities performed by nursing assistants. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be required by the Director of Nursing Services or to ensure that the highest degree of quality care is maintained at all times. DELEGATION OF AUTHORITY: As RN you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties with the RN scope of practice defined by the Ohio Nurse Practice Act/ ORC Chapter 4723. ESSENTIAL JOB FUNCTIONS SATEMENT: Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. SAFETY FACTORS: Risk Potential to Blood/Body Fluids: * Category I : Tasks in this category involve exposure to blood, body fluids, or tissues, and require the use of personal protective equipment. Category II : Tasks in this category involve no exposure to blood, body fluids, and/or tissues, but employment may require performing unplanned category I tasks. Category III : these tasks require no exposure to blood, body fluids, and/or tissues, and category I tasks are not a condition of employment. ESSENTIAL JOB FUNCTIONS & RESPONSIBILITIES Administrative Functions Direct the day-to day functions of the nurses and nursing assistants in accordance with current rules, regulations, and guidelines that govern the long-term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department’s and unit’s policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the day-to-day nursing procedures performed on the unit. Ensure that all nursing service personnel comply with the procedures set forth in the Nursing Service Procedures Manual. Make written and oral reports/recommendations concerning the activities of your unit as required to the Director of Nursing. Cooperate with other resident services when coordinating nursing services to ensure that the resident’s total regimen of care is maintained. Ensure that all nursing service personnel are in compliance with their respective job descriptions. Participate in the development, maintenance, and implementation of the facility’s quality assurance program of the nursing service department. Participate in facility surveys (inspections) made by authorized government agencies as may be requested. Prepare the unit for pending facility surveys (inspections) Periodically review the resident’s written discharge plans. Participate in the updating of the resident’s written discharge plans as required. Assist in planning the nursing services portion of the resident’s discharge plan as necessary. Participate in weekly care conferences conducted by the physiatrist. Interpret the department’s policies and procedures to personnel, residents, visitors, and government agencies as required. Admit, transfer, and discharge residents as required Ensure accuracy of the accident/incident reports as necessary. Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Charting and Documentation Complete and file required recordkeeping forms/charts upon the resident’s admission, transfer, and/or discharge maintaining compliance with the center’s Medical records system- Electronic or traditional paper medical record. Review all new admission charts for accuracy and completeness. Follow up on all identified areas and forward summary of findings and actions to Director of Nursing. Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies. Review physician order process to ensure accuracy. Transcribe physician’s orders to resident charts, cardex, medication cards, treatment/care plans based on findings of daily audits. Review nurse’s notes to ensure they are written according to facility charting guidelines. Chart all reports of accidents/incidents involving residents. Follow established procedures. Report all discrepancies noted concerning physician’s orders, diet change, charting error, etc., to the Director of Nursing. Fill out and complete transfer forms in accordance with established procedures. Ensure that appropriate documentation concerning unauthorized discharges is entered in the resident’s medical record in accordance with established procedures. Perform routine charting duties as required and in accordance with established charting and documentation policies and procedures. Sign and date all entries made in the resident’s medical record. Drug Administration Functions Ensure unit staff prepare and administer medications as ordered by the physician. Ensure that an adequate supply of floor stock medications, supplies, and equipment is on hand to meet the nursing needs of the residents. Report needs to the Director of Nursing. Order prescribed medications, supplies, and equipment as necessary, and in accordance with established policies. Ensure that narcotic records are accurate for the unit. Notify the Director of Nursing of all drug and narcotic discrepancies noted on the unit. Review medication records for completeness of information, accuracy in the transcription of the physician’s order, and adherence to stop order policies. Notify the attending physician of automatic stop orders prior to the last dosage being administered. Dispose of drugs and narcotics as required, and in accordance with established procedures. Personnel Functions Participate in employee performance evaluations, determining your units staffing requirements, and making recommendations to the Director of Nursing concerning employee dismissals, transfers, etc. Inform the Director of Nursing of staffing needs when assigned personnel fail to report to work. Report absentee call-ins to the Director of Nursing Review and evaluate your department’s work force and make recommendations to the Nurse Supervisor. Develop work assignments and/or assist in completing and performing such assignments. Provide leadership to nursing personnel assigned to your unit. Make daily rounds of your unit to ensure that nursing service personnel are performing their work assignments in accordance with acceptable nursing standards. Report problem areas and Plan of Action to the Director of Nursing. Ensure that all nurse aide trainees are under the direct supervision of a licensed nurse. Meet with your shift’s nursing personnel, on a regularly scheduled basis, to assist in identifying and correcting problem areas, and/or to improve services. Ensure that unit personnel, residents, and visitors follow the department’s established policies and procedures at all times. Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the unit. Review complaints and grievances made or filed by your assigned personnel. Make appropriate reports to the Director of Nursing as required or as may be necessary. Follow facility’s established procedures. Ensure that departmental disciplinary action is administered fairly and without regard to race, color, creed, national origin, age, sex, religion, handicap, or marital status. Receive/give the nursing report for the unit upon reporting in and ending duty hours. Report occupational exposures to blood, body fluids, infectious materials, and hazardous chemicals in accordance with the facility’s policies and procedures governing accidents and incidents. Nursing Care Functions Inform nursing personnel of new admissions, their expected time of arrival, room assignment, etc. Ensure that rooms are ready for new admissions. Participate in the orientation of new residents/family members to the facility. Make rounds with physicians as necessary. Request and arrange for diagnostic and therapeutic services, as ordered by the physician, and in accordance with our established procedures. Consult with the resident’s physician in providing the resident’s care, treatment, rehabilitation, etc., as necessary. Review the resident’s chart for specific treatments, medication orders, diets, etc., as necessary. Implement and maintain established nursing objectives and standards in accordance with the plan of care. Make periodic checks to ensure that prescribed treatments are being properly administered by the nurses and certified nursing assistants and to evaluate the resident’s physical and emotional status. Cooperate with and coordinate social and activity programs with nursing service schedules. Notify the resident’s attending physicians when the resident is involved in an accident or incident. Notify the resident’s attending physician and next-of-kin when there is a change in the resident’s condition. Carry out restorative and rehabilitative programs, to include self-help and care. Inspect the nursing service treatment areas daily to ensure that they are maintained in a clean and safe manner. Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, taking blood, giving massages and range of motion exercises, care for the dead/dying, etc., as required. Use restraints when necessary and in accordance with established policies and procedures in accordance with the plan of care. Ensure sputum, urine and other specimens for lab tests are obtained as ordered. Take and record TPRs, blood pressures, etc., as necessary. Monitor seriously ill residents as necessary. Check food brought into the facility by the resident’s family/visitors to ensure that it is within the resident’s dietary allowances. Report problem areas to the director of Nursing and Dietary Supervisor. Ensure that personnel providing direct care to residents are providing such care in accordance with the resident’s care plan and wishes. Ensure that residents who are unable to call for help are checked frequently. Meet with residents, and/or family members, as necessary. Report problem areas to the Director of Nursing. Admit, transfer and discharge residents as necessary. Assist in arranging transportation for discharged residents as necessary. Ensure that discharged residents are escorted to the pick-up area. Inform family members of the death of the resident. Call funeral homes when requested by the family. Ensure that established post-mortem procedures are followed. Staff Development Participate in developing, planning, conducting, and in-service training classes that provide instructions on “how to do the job,” and ensure a well-educated nursing service department. Implement and maintain an effective orientation program that orients the new employee to your shift, its policies and procedures, and to his/her job position and duties. Assist in standardizing the methods in which work will be accomplished. Assist in training department personnel in identifying tasks that involve potential exposure to blood/body fluids. Attend and participate in outside training programs. Attend and participate in annual OSHA and CDC in-service training programs for hazard communication, TB management, and blood borne pathogens standard. Attend and participate in advance directive in-service training programs for the staff and community. Attend and participate in continuing education programs designed to keep you abreast of changes in your profession, as well as to maintain your license on a current status. Safety and Sanitation Monitor the unit personnel to ensure that they are following established safety regulations in the use of equipment and supplies. Ensure that established departmental policies and procedures, including dress codes, are followed by all unit personnel. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded. Ensure that all personnel performing tasks that involve potential exposure of blood/body fluids participate in appropriate in-service training programs prior to performing such tasks. Ensure that an adequate supply of personal protective equipment are on hand and are readily available to personnel who perform procedures that involve exposure to blood/body fluids. Ensure that your assigned work areas (i.e., nurse’s stations, medicine preparation rooms, etc.) are maintained in a clean and sanitary manner. 
Location: MetroHealth Main Campus- Glick Bi-weekly Hours: 72.00 Shift: 7p-7a; Rotating weekends, Rotating holidays For nearly two centuries, the MetroHealth System’s mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. All Critical Care units offer enhanced technology to assist with nursing care, including patient lifts, hands-free communication, virtual whiteboards, and continuous telemetry monitoring. Join our Neuro Critical Care Unit, 6 West! Primary Patient Population Adult Ischemic/Hemorrhagic Strokes Status Epilepticus Encephalitis Traumatic Brain Injury (TBI) Intracranial Hemorrhage Primary Skills Utilized/learned Detailed Neurological assessments ICP Monitoring Medication titration Managing surgical drains, mechanical ventilators, body temperature, & CRRT Personnel RN Will Work With Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, Respiratory Therapy, Social Work, Speech Therapy, PT, OT, Dietary Number Of Beds On Unit 8 beds Awards Or Recognitions The Unit Has Received Multiple Daisy Award nominations MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA Basic Life Support for the healthcare provider certification or obtained within 90 days of hire. Current ACLS certification or obtained within 6 months of hire Preferred Qualifications BSN Professional Certification recognized by the Magnet Association 
Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 12.00 Shift: 7a-7p, 7p-7a rotating weekends and holidays The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary Assists with and provides infant through adult patient care under the direction of the Nurse Manager or assigned RN-Clinical Nurse. Performs only those skills listed in the Record of Activity of Orientation (RAO). Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications Required: Enrolled in an accredited nursing program (or a program seeking accreditation), completed fundamentals of nursing, and is currently registered in clinical. Continuous enrollment in a nursing program or a graduate of a nursing program and board eligible. BLS Certification from the AHA for the healthcare provider certification or obtained within 90 days of hire. Eligibility to continue in the position lasts for a maximum of 6 months after graduation from nursing school. Ability to interact effectively with various cultural, ethnic, racial, and socioeconomic backgrounds. Preferred: None Physical Requirements: May sit, stand, stoop, bend, and walk intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products. 
Here at Right at Home Cleveland East we are looking for Caregivers who have a genuine love for people. We strongly believe in serving our Caregivers, Clients, and our Community! In order to maintain a healthy work environment, we make every effort to communicate with our Caregivers and clients. Multiple caregiving opportunities available in the Eastern Suburbs of Cleveland for a caring and compassionate companion caregiver. Want to make a Difference? Are you CARING, COMPASSIONATE, and RELIABLE? Pay and Benefits : Starting rate of $15/hr We have flexible Hours (4hr - 12hr shifts), and we staff 24/7, even overnight! Potential start date a week within your interview! Paid Training Paid Time Off Ongoing Paid Caregiver Training Available Caregiver Incentives, Employee Appreciation Events, and Holiday parties Client matching Caregiver Responsibilities Include Provide companionship to clients Assist clients with Activities of Daily Living (ADLs) Prep/cook meals for clients Drive clients to doctor's appointments/ errands/ activities Assist clients with ambulation Prevent client falls through safety and supervision Light housekeeping Help client meet nutritional standards Qualifications: One year of experience as a caregiver in a facility or agency setting Valid Driver License Reliable and dependable transportation-must have own vehicle Excellent Communication Skills Bilingual is a Plus! Hoyer lift experience is a plus, we will train as well! *If you need assistance in the application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting the location nearest to you. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. 
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Experienced RN - Orthopedic Location Cleveland Facility Cleveland Clinic Main Campus Department H70 Orthopedics-Main Campus Hospital Job Code F00165 Shift Day/Night Rotation Schedule 7:00am-7:30pm/7:00pm-7:30am Job Summary Job Details Join Cleveland Clinic's Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Cleveland Clinic is recognized as one of the top hospitals in the nation . At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. The H70 Orthopedic Unit is dedicated to caring for adult post-operative orthopedic patients and overflow patients from the Neurological Institute and Department of General Surgery. Common surgeries performed on our patients include total hip, knee, and shoulder arthroplasty, revisions of hips, knees, and shoulders, and sarcoma resection. Osteoarthritis is the primary underlying disease for most of our patient population, along with infections of joints, osteomyelitis, fractures, sarcoma, and avascular necrosis. How You’ll Benefit Take advantage of industry leading benefits, including our RN Loan Repayment program, which helps pay off student debt, and our Tuition Reimbursement program to reinvest in your career. And if you’re relocating to join us, you could be eligible for relocation assistance . For a full list of benefits, click here . Our Center for Workplace Violence Prevention and Caregiver Well-Being sets caregiver safety as a priority, identifying , reporting and responding to incidents and providing safety resources. A caregiver in this position works rotating day/night shifts , from 7:00am – 7:30pm or 7:00pm – 7:30am. A caregiver who excels in this role will: Provide direct nursing care. Implement, monitor, evaluate, update and revise patient care plans. Monitor, record, document and communicate patients’ conditions. Administer prescribed medications and treatments. Note and carry out physician and nursing orders. Assess and coordinate patients’ discharge needs. Educate patients and their families . Minimum qualifications for the ideal future caregiver include: Graduate from an accredited school of professional nursing (ADN or BSN program) Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross External applicants must have two years recent related nursing experience Internal applicants with less than two years’ experience but post orientation / 90-day probationary period could be considered with Chief Nursing Officer level review and approval Will consider licensed military RN experience Preferred qualifications for the ideal future caregiver include: Bachelor of science in nursing (BSN) Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 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. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer. 
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Assistant Nurse Manager (ANM) - Transplant Specialty Care Unit Location Cleveland Facility Cleveland Clinic Main Campus Department DDSI General Surgery-Main Campus Hospital Job Code F28002 Shift Day/Evening/Night/Weekend Schedule 7:00pm-7:30am/7:00pm-7:30am Job Summary Job Details Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Cleveland Clinic is recognized as one of the top hospitals in the country. You will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Cleveland Clinic's G101 Transplant Specialty Care Unit is a 34- bed stepdown nursing unit with 10 private rooms and 12 semi-private rooms. The unit specializes in kidney, pancreas, liver, and intestine surgeries while also providing supportive services to transplant patients and their families. G101 values their positive, team- oriented and supportive culture, optimistic mindset and daily huddles to ensure communication and collaboration across day and night shifts. A caregiver in this position works Day/Evening/Night/Weekend, from 7:00pm—7:30am or 7:00am—7:30pm. Rotating shifts provide a comprehensive view of patient journey – night shift performs pre-OptCare, screenings and day shift performs post-op testing, procedures, physician rounding. A caregiver who excels in this role will: Supervise and coordinate unit clinical operations. Provide patient care. Facilitate communication and collaboration among unit caregivers and other departments/units. Review major operational patient care issues with Nurse Managers. Provide ongoing clinical evaluations of caregivers, counsel caregivers on performance issues, administer initial corrective actions and monitor attendance issues. Interview, select and orient new caregivers. Prepare work schedules to ensure adequate coverage on all shifts. Participate in and support quality improvement projects, outcomes, studies and research initiatives. Assume responsibilities of the Nurse Manager in their absence. Minimum qualifications for the ideal future caregiver include: Graduate from an accredited school of professional nursing Bachelor’s degree in nursing (BSN) Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross If in a Critical Care area an Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA) or American Red Cross ( must be presented upon hire or within first year of employment) Two years of recent clinical nursing experience Strong demonstrated clinical knowledge and skills Physical Requirements: Requires full range of motion, manual and finger dexterity and eye-hand coordination. Requires standing and walking for extensive periods of time. Requires corrected hearing and vision to normal range. Requires some exposure to communicable disease or bodily fluids. Medium Work - Exerting 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. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer. 
**Home Care Aide** **Join Right at Home Cleveland West and Make a Difference in the Lives of Seniors and Vulnerable Adults** Right at Home Cleveland West, a leading Home Care Franchise System, is seeking compassionate and reliable Home Care Aides to provide in-home care and assistance to seniors and vulnerable adults in the Lakewood, Ohio area. As a Home Care Aide, you will have the opportunity to make a meaningful impact on the lives of our clients, providing companion care, light housekeeping, meal prep, and personal care services such as bathing and dressing. **About the Role** As a Home Care Aide, your primary responsibilities will include: * Providing one-on-one companionship and support to clients in their homes * Assisting with daily living activities, including grooming, bathing, dressing, and feeding * Managing housekeeping and laundry tasks to maintain a clean and safe living environment * Preparing meals and snacks as needed * Providing emotional support and engaging in social activities with clients * Maintaining accurate records of client care and services provided **What We Offer** * The opportunity to make a positive impact on the lives of seniors and vulnerable adults * Competitive pay rates and flexible scheduling options * Ongoing training and support to help you excel in your role * A dynamic and supportive work environment with a team of caring professionals **How to Apply** If you are a compassionate and dedicated individual who is passionate about providing care and support to others, we encourage you to apply for this rewarding opportunity. To learn more about this role and to apply, please [apply now]. 
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title New Grad RN Resident - Gastroenterology/Hepatology Location Cleveland Facility Cleveland Clinic Main Campus Department DDSI/Gastroenterology-Digestive Disease Institute Job Code F99938 Shift Nights Schedule 7:00pm-7:30am Job Summary Participates in a residency core curriculum based on their individual learning needs. Provides direct nursing care, alongside a coach, in accordance with established policies, procedures and protocols of the healthcare organization. Job Details Responsibilities: Participates in a residency core curriculum based on their individual learning needs. Provides direct nursing care, alongside a coach, in accordance with established policies, procedures and protocols of the healthcare organization. Establishes and/or revises priorities for patient care activities based on the following: acuity of need, patient preference, and resource availability. Initiates and/or maintains interventions to assure continuity of safe/effective care for patients. Responds to data indicating risk to individual's health and initiates action to correct, reduce, or prevent the risk. Seeks supervision, consultation, assistance when unable to perform safely and independently. Complies with established hospital/department personnel policies. Uses communication strategies in order to achieve desirable outcomes. Documents in patient's medical record according to established guidelines. Other duties as assigned. Education: Graduate from an accredited school of professional nursing. BSN preferred Certifications: Current state licensure as Registered Nurse (RN). Proof of Basic Life Support (BLS) through American Heart Association (AHA) must be presented upon hire. If in a Critical Care area an Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA) Certification must be presented upon hire or within first year of employment. Within one year of hire RNs in Children's Hospital and Children's Hospital for Rehabilitation will achieve and maintain Pediatric Advanced Life Support (PALS) through American Heart Association (AHA) with the exception of the Neonatal Intensive Care Unit RNs who must achieve and maintain Neonatal Resuscitation Program (NRP) through American Heart Association (AHA) provider status and RNs in the Special Delivery Unit, who must achieve and maintain Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA). ONS Chemo/Bio course completed within two years of hire if employed on units where chemo is administered. If in an ED, ACLS (Advanced Cardiac Life Support) and PALS (Pediatric Advanced Life Support) through American Heart Association (AHA) upon hire or within one year of beginning work in the Emergency Department. In Dedicated Trauma Centers, Trauma Nursing Core Course (TNCC - adult) or Emergency Nurse Pediatric Course (ENPC - pediatric) upon hire or within 24 months of beginning work in the Emergency Department. Any registered nurse or advanced practice nurse must obtain a cancer specific certification or demonstrate ongoing qualifying education within the timeframe of the facilities accreditation cycle, if they work in medical oncology, radiation oncology, cancer center or cancer clinic and/or administer chemotherapy within an accredited Cleveland Clinic facility. Complexity of Work: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Work Experience: New grad or less than one year RN work experience or if experience RN moving from non-inpatient to acute direct care clinical inpatient setting with less than one year current acute direct patient care RN experience. Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 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. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer. 
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title New Grad RN - Orthopedic Surgery Location Cleveland Facility Cleveland Clinic Main Campus Department H71 DDI Surg Ortho-Main Campus Hospital Job Code F99938 Shift Day/Night Rotation Schedule 7:00pm-7:30am Job Summary Job Details Join Cleveland Clinic’s Main Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Cleveland Clinic is recognized as one of the top hospitals in the country. You will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. The H71 Digestive Disease General Surgery Unit at Cleveland Clinic Main Campus provides world-class care for patients needing many complex abdominal surgeries, including Total Abdominal Reconstruction, Whipple, HIPEC, MAL’s, Bowl Resection, Gastrectomy, Splenectomy, Liver Resection, Fistula Maintenance and Repair, and Pancreatectomy. Patients come to our unit from all over the world seeking our expertise in surgical intervention and care. A caregiver in this position works day/night rotation from 7:00pm to 7:30am including 6 weekend commitments per a 6-week schedule. Holiday requirements occur every other holiday on rotation (with major holidays rotating alternately yearly). A caregiver who excels in this role will: Participate in a residency core curriculum based on individual learning needs. Provide direct nursing care alongside a success coach. Establish and/or revise priorities for patient care (acuity of need, patient preference and resource availability). Respond to data indicating risk to patients’ health and initiate action to correct, reduce or prevent risk. Seek supervision, consultation and assistance when unable to perform safely and independently. Document in patients’ medical records. Minimum qualifications for the ideal future caregiver include: Graduate from an accredited school of professional nursing Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross New graduate RN OR less than one year of RN work experience Preferred qualifications for the ideal future caregiver include: Bachelor of science in nursing (BSN) Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 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. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer. 
It's more than a job---It's a calling! We are looking for dependable, caring State Tested Nursing Assistants. We are looking for caring and dependable individuals to join our team as State Tested Nursing Assistants (STNAs) . In this essential role, you will provide hands-on care and emotional support to residents, helping them with daily living activities and contributing to a safe, clean, and compassionate environment. If you’re passionate about making a difference in the lives of others, we’d love to hear from you. Qualifications: Must have successfully completed a State Tested Nursing Assistant (STNA) program, or be enrolled and complete the program within four months of hire Key Responsibilities: Provide hygiene assistance to residents Assist residents with feeding and daily living needs Perform basic treatments and procedures as directed by the charge nurse Observe and report residents’ psycho-social and emotional needs Notify the Charge Nurse of any changes in residents’ conditions Maintain a clean and neat personal appearance Demonstrate respectful and professional behavior toward co-workers and facility contacts Use nursing home equipment properly and safely Follow OSHA guidelines for handling and storing chemicals and equipment Attend required in-service training programs Assist in other areas as directed by the Director of Nursing Physical Requirements: Ability to stand for extended periods Lift up to 50 pounds Frequent bending, turning, pushing, and pulling Use of both hands and arms Exposure to odors, body secretions, and excrements Potential exposure to behavioral disorders Must be able to manage interpersonal conflicts effectively The Avenue at Strongsville is a post-hospital rehabilitation and skilled nursing care facility offering a distinctive experience not commonly found in traditional care settings. With a hotel-like atmosphere and all-private suites, our environment is designed to promote comfort, dignity, and healing. We are proud to provide some of the area’s highest levels of rehabilitation, nursing, and medical support for individuals transitioning from hospital to home. Our team is dedicated to delivering compassionate physical, medical, emotional, and spiritual care in a respectful and uplifting setting. We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.