Nursing Jobs in Bellevue, TN

Over Night Caregiver

$17 - $20 / hour

Now Hiring: Male Caregiver (Overnight) | Dementia/Alzheimer’s Experience Preferred Helping Hearts USA LLC | Brentwood • Green Hills • Nashville, TN Pay: $17–$20+ per hour Shift: 7:00 PM – 7:00 AM (overnights, consistent schedule available) Type: Non-medical in-home caregiving Client Preference: Musical background strongly preferred (instrument, singing, choir/band, or comfort using music to create a calm environment). Client Requires: CPR and First Aid certification and training are required. Helping Hearts USA LLC is seeking a professional, well-groomed, educated, and experienced male caregiver to support a client overnight. This role is ideal for someone with strong memory care instincts who can provide calm structure, safety supervision, personal care, and companionship while maintaining the client’s dignity and comfort. The right caregiver will be steady, patient, and confident supporting dementia/Alzheimer’s-related needs such as confusion, nighttime restlessness, anxiety, and sundowning. The client responds positively to music, so candidates who can incorporate music appropriately to promote calm and connection are strongly preferred. Position Summary As an overnight caregiver (7p–7a), you will help the client remain safe, comfortable, and supported through the night by providing attentive supervision, personal care support as needed, and dementia-friendly communication. You must remain alert throughout the shift, maintain professional boundaries, and communicate clearly with the office and family when updates are needed. This is a non-medical role. Caregivers provide support services, reminders, observation, and documentation based on the care plan. Key Outcomes for This Role A successful caregiver in this position will: Maintain a calm and secure environment overnight Prevent falls and reduce nighttime agitation through routine and reassurance Provide respectful personal care support while protecting dignity Use dementia-friendly communication and redirection techniques Communicate changes promptly and document clearly Demonstrate consistent attendance, punctuality, and professionalism Primary Responsibilities (Detailed) 1) Overnight Safety Supervision Remain alert and attentive throughout the shift Monitor for fall risks, wandering risk, or unsafe behaviors Maintain a safe environment (clear walkways, adequate lighting if needed, appropriate bed/chair safety per care plan) Provide reassurance during nighttime wake-ups and confusion Respond appropriately to client needs, calls, or restlessness 2) Dementia/Alzheimer’s Support Use calm, respectful communication and short, clear cues Provide gentle redirection when confusion, anxiety, or repetitive behaviors occur Support bedtime and overnight routines to reduce distress Assist with nighttime transitions (bathroom, hydration, repositioning) while minimizing disruption Recognize and respond to sundowning symptoms (agitation, fear, restlessness) using de-escalation strategies 3) Personal Care (As Needed Overnight) Assist with toileting and incontinence care per care plan Support hygiene routines (oral care, face/hands, grooming) Assist with dressing/undressing and comfort clothing changes Support safe transfers and mobility (bed to chair, chair to bathroom) Provide repositioning support to promote comfort and skin protection (as applicable) Always protect the client’s privacy, dignity, and independence 4) Companionship and Emotional Support Provide a steady, supportive presence Engage in calming conversation and reassurance when the client is awake Encourage comfort, confidence, and emotional safety Reduce isolation and anxiety through patient presence and respectful support 5) Music-Supported Care (Client Preference) Use music as a calming tool when appropriate (soft, familiar, instrumental or preferred genre) Support relaxation at bedtime or during anxious moments Engage the client with simple music-based interaction (listening, gentle singing, familiar songs) if welcomed Maintain appropriate volume and timing to support sleep and comfort 6) Meal/Snack and Hydration Support Prepare light snacks as appropriate (per dietary guidance/care plan) Encourage hydration and offer fluids at appropriate times Follow safe food handling and cleanliness standards Monitor for appetite changes or swallowing concerns and report appropriately 7) Light Housekeeping Related to Care Keep the client’s immediate area tidy and safe (remove clutter, wipe surfaces as needed) Laundry basics related to client care (as assigned) Clean up after snacks/meals Maintain a safe, calm, organized environment overnight 8) Observation, Documentation, and Communication Document relevant overnight updates per company process/care plan Observe and report changes in behavior, confusion level, sleep patterns, appetite, mobility, mood, or safety risks Communicate concerns promptly to the office/family per protocol Maintain confidentiality and professional boundaries at all times 9) Transportation (Only If Assigned/Approved) Provide transportation to approved errands/appointments if included in care plan Assist with safe entry/exit from the vehicle as needed Maintain valid driver’s license, auto insurance, and reliable vehicle Required Qualifications Proven caregiving experience (home care, assisted living, memory care, or similar) Ability to provide personal care confidently and respectfully Excellent attendance and punctuality (overnight coverage is essential) Calm demeanor, patience, and strong judgment Professional appearance and excellent hygiene (must be well-groomed every shift) Reliable transportation Ability to follow a care plan and communicate clearly Must complete onboarding requirements Strongly Preferred Dementia/Alzheimer’s experience (strongly desired) Experience with sundowning, nighttime agitation, anxiety reduction, and de-escalation Musical background (instrument, singing, choir/band, or similar) Experience supporting blood sugar awareness per care plan (if applicable) Onboarding Documentation Required Applicants must be able to provide: Copy of high school diploma (or equivalent) Valid driver’s license Copy of birth certificate Social Security card Proof of auto insurance (if transporting clients) Applicants must be able to pass a comprehensive background check and drug screening. Background screening will review a minimum of the past 15 years, and candidates must provide verifiable professional references that can confirm prior caregiving experience, reliability, and work performance. What We Offer $17–$20/hour+ (based on experience) Consistent overnight scheduling options (7 PM–7 AM) Supportive office team and clear expectations Meaningful client match with the opportunity to make a real difference Professional, respectful work environment focused on dignity and quality care How to Apply Text or call 615-645-3999 and include: Your full name “Male Overnight Caregiver (7p–7a)” Your availability A brief summary of your caregiving experience (include dementia/Alzheimer’s if applicable) Your musical background (if applicable) You may also submit your resume and a brief cover letter detailing your experience and why you are interested in this position.

Home Health Aide

Home Health

3 weeks ago

Home Care Aide

Brookdale Senior Living Nashville, TN

$17 / hour

Home Care Aide with Brookdale at Home Nashville Paid Training starting at $17.00/hourly in Brookdale communities and in-home care. Interview and On-Board this week!!! Uniforms Provided and Referral Bonus Program- Get Paid for referring other home care aides! ~PRN availability for 4, 8, and 12 hour shifts ~Currently Hiring for Weekends, Overnights, Part Time Day and Evening Shifts ~Mileage Reimbursement Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Are you looking for a career helping seniors with a one on one assignment? Are you searching for a second job and/or flexible scheduling? Your search is over- A Certified Nursing Assistant/CNA career with Brookdale at Home is the Job for you! Most of Brookdale’s Private Duty Agency offices are located within a Brookdale Senior Living Community. Full-time; Part-time and PRN positions available. Same day interviews available! One on One companionship Non-Medical Hands on Care; including dressing, bathing, grooming, personal care and assistance with transfers Housekeeping and Laundry Pet Care Transportation to Doctor’s appointments and other errands Medication Reminders Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Role is also eligible for team based bonus opportunities. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Provides direct care to external Brookdale at Home clients, living outside the walls of a Brookdale Senior Housing Community, which reflects Brookdale’s philosophy and standards of non-skilled home care. Assists in meeting the client’s individual needs while treating the clients with respect and dignity. Works independently without on-site supervision and support in the client’s personal home. Assists clients with the activities of daily living, including bathing, dressing, grooming, toileting, transferring, and getting to and from activities and meals according to the client plan of care. Assists clients with homemaker companion tasks such as laundry, shopping, light housekeeping, meals, according to the plan of care. Follows assignment tasks. Contacts supervisor if client desires deviation from assigned tasks. Allows and encourages client to do as much of their own care as possible, to remain active. Documents the delivery of quality care in the client’s clinical record. Follows infection control and safety policies and guidelines. Implements client care that is accurate, timely and appropriately documented; maintains confidentiality at all times. Maintains a clean, safe, and orderly environment for the patient. Responds promptly and positively to client requests for assistance. Maintains consistent and concise lines of authority and responsibility with effective communication that promotes a positive working relationship with client, families, and co-workers. Identifies changes in client status or needs and proactively communicates to the Agency Manager in a timely manner. Participates in educational programs and maintains compliance with required training. Maintains means to travel to client’s home to arrive on time for assignment. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his her supervisor. Education and Experience High school diploma or General Education Degree (GED) is required. Proof of completing an approved Home Health Aide program is required. Six months experience in working independently with home care clients in the general public in their own personal homes providing healthcare/homecare services is preferred. Certifications, Licenses, and other Special Requirements In accordance with state law, must possess current state certification or state specific required training and provide proof of required training. Will follow regulations to maintain current certification and/or training requirements. Must have a reliable form of transportation. Must have a valid state identification card and a valid driver’s license is preferred. Physical Demands and Working Conditions Standing Walking Use hands and fingers to handle or feel Reach with hands and arms Climb or balance Stoop, kneel, crouch, or crawl Talk or hear Ability to lift: Up to 50 pounds Vision Requires interaction with co-workers, residents or vendors Occasional weekend, evening or night work if needed to ensure shift coverage Possible exposure to communicable diseases and infections Potential injury from transferring, repositioning, or lifting residents Exposure to latex Possible exposure to blood-borne pathogens Possible exposure to various drugs, chemical, infections, or biological hazards Subject to injury from falls, burns, odors, or cuts from equipment Requires Travel: Frequently Management/Decision Making Makes standard and routine decisions based on detailed guidelines with independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor. Knowledge and Skills Has a basic level of a skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to communicate effectively in English with patients, family members and other associates of the company. Ability to apply common sense understanding to carry out instructions furnished in written and/or oral form. Uses good judgment in emergency situations, and seeks assistance when needed. Brookdale is an equal opportunity employer and a drug-free workplace.

Nurse Practitioner/Physician Assistant - Stem Cell Transplant (Outpatient)

Vanderbilt University Medical Center Nashville, TN

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization: Cancer NP Bill Job Summary: The Advanced Practice Provider (APP) plays a vital role in delivering specialized care and managing the health needs of patients in either inpatient, ambulatory, or a combination of both settings. With advanced training and expertise, the APP focuses on subspecialized care, including chronic illness and disease management, ensuring continuity of care throughout the patient’s healthcare journey, which may span multiple years. This role involves specialization in a specific organ system, where the APP provides expert consultation within their area of expertise as appropriate. The APP is integral to supporting patients across the continuum of care in both inpatient and outpatient specialty settings, collaborating with multidisciplinary teams to achieve optimal patient outcomes. . Outpatient Position Position Hours: Monday through Friday Days (8 Hour Shifts) No Holidays or Weekends Department Summary: Vanderbilt-Ingram Cancer Center leads the Southeast in using immunotherapy and cellular therapy for treating cancer. We perform more stem cell transplants than almost anyplace else in the nation. Family Nurse Practitioner (FNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) / Acute Care Nurse Practitioner (ACNP) or Physician Assistant (PA) Required Prior APP Experience Strongly Preferred KEY RESPONSIBILITIES Obtains and documents a health history; performs and documents complete, system-focused, or symptom-specific physical examination, assessment and plan of care. In collaboration, provides healthcare services for primary, acute and complex care of patients and manages patients’ overall care, identifying expected outcomes for diagnoses. Orders, performs, interprets and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Forms differential diagnoses and treats acute and chronic conditions. Prescribes therapeutic interventions for both pharmacologic, non-pharmacologic and surgical, needed to achieve expected outcomes. Utilizes evidence-based, approved practice protocols in planning and implementing care. Initiates appropriate referrals and consultations Provides specialty specific consultation services upon request and within a specialty scope of practice. Facilitates the patient’s transition between and within health care settings. The responsibilities listed are a general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES Health Systems and Policy Management (Advanced): Demonstrates sufficient fundamental proficiency in behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and a responsible attitude toward their patients, their profession and society. Participates in professional organizations and activities that influence advanced practice. Patient and Family Centered Care (Advanced): Demonstrates care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and care at the end of life. Within scope of licensure and certification, manages previously diagnosed and undiagnosed patients. Uses health assessment skills to differentiate between normal, variations of normal, and abnormal findings. Employes screening and diagnostic strategies in the development of diagnoses. Prescribes medications within scope of practice. Manages health/illness status of patients and families over time and across the continuum. Provides patient/centered care recognizing the patient or designee as a full partner in decision making. Creates a climate of patient/centered care to include confidentiality privacy, comfort emotional support, mutual trust, and respect. Incorporates cultural and spiritual preferences, values and beliefs into health care. Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Integrates ethical principles into decision making. Uses electronic health record to capture data on variables for the evaluation and management of patient care. Clearly documents findings, assessment and plan of care. Clinical Knowledge and Practice (Advanced): Demonstrates established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others. Demonstrates knowledge of population focus but also other sciences that support his/her field of practice. Demonstrates knowledge of common and important health issues affecting society and other societies around the globe. Demonstrates commitment in maintaining current evidence-based knowledge through continuous learning. Educates patients, families, students and other members of the healthcare team in clinical topics and application of clinical knowledge. Practice-Based Scholarly Inquiry and Integration (Advanced): Demonstrates the use of scientific evidence and methods to investigate, evaluate and improve patient care practices. Anticipates variations in practice and is proactive in implementing interventions to improve quality. Uses best available evidence to continuously improve quality of clinical practice. Generates knowledge from clinical practice to improve practice and patient outcomes. Reviews data and evidence to improve advanced practice. Integrates knowledge from the humanities and sciences within the context of nursing science. Interpersonal and Communication Skills (Advanced): Demonstrates interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families, and other members of health care teams. Communicates practice knowledge effectively both orally and in writing. Professionalism (Advanced): Demonstrates behaviors that reflect a commitment to continuous professional development, ethical practice, and a responsible attitude toward their patients, their profession and society. Participates in medical center committees, professional organizations and activities that influence advanced practice. Our Nursing Philosophy: We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being. As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered: Affordable High Quality Health Plan Options Dental and /or vision plan 403 (b) retirement plan Paid Time off (flex PTO) Tuition Reimbursement and adoption assistance (maximums applied) Short-Long term disability Subsidized backup childcare And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve the Remarkable: Learn more about VUMC Nursing here . Core Accountabilities: Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members. Core Capabilities : Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements. Position Qualifications: Responsibilities: Certifications: LIC-Licensed Nurse Practitioner - Tennessee, LIC-Physician's Assistant Certified - Tennessee, LIC-Registered Nurse - Tennessee Work Experience: Relevant Work Experience Experience Level: Less than 1 year Education: Master's This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth. Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Direct Care Professional

Helping Hearts USA LLC Brentwood, TN

Bring Your Compassion to Helping Hearts and Make a Difference! Experienced In-Home Caregivers Needed Company: Helping Hearts USA LLC Employment Opportunities: Full-time, part-time and PRN Available Shifts: Days, evenings, nights and overnights Shift Lengths: Generally range from 4 to 12 hours Weekend Availability: May be required depending on client needs At Helping Hearts USA LLC, we believe compassionate caregivers are the heart of everything we do. Every kind word, helping hand and dependable visit can bring comfort, dignity and peace of mind to a client and their family. We are growing and excited to welcome compassionate, experienced and dependable caregivers to our team. Whether you are assisting with personal care, providing companionship, preparing meals or helping a client remain safe and comfortable at home, your presence can make a meaningful difference. We are looking for caregivers who understand that exceptional care requires more than completing a list of tasks. It requires patience, professionalism, careful observation, consistent communication and genuine respect for every client. If caregiving is more than a job to you and you take pride in helping others feel safe, respected and valued, we would love to hear from you. Available Schedules Helping Hearts offers a variety of client assignments. Available shifts may include: Morning shifts Day shifts Evening shifts Night shifts Overnight shifts Weekday assignments Weekend assignments PRN and as-needed assignments Temporary assignments Recurring assignments Shifts ranging from 4 to 12 hours Shift lengths, start times, end times and available days depend on current client needs, care plans, locations and personal preferences. Applicants must provide their complete availability so they can be considered for appropriate assignments. Once a caregiver accepts a permanent, temporary or PRN assignment, dependable attendance and completion of the entire scheduled shift are required. Client Care Levels Helping Hearts supports clients with different levels of need. Assignments are matched according to the caregiver’s experience, skills, availability, location and ability to safely complete the approved care plan. Caregiver assignments may range from companionship and light housekeeping to complete personal care, dementia support, incontinence care, bedbound care and transfer assistance. Applicants must honestly disclose their experience and any limitations that could prevent them from safely completing an assignment. Companionship and Household Support Some clients may primarily need: Meaningful conversation and companionship Emotional support and reassurance Social engagement Recreational activities Assistance maintaining daily routines Safety observation and general supervision Meal preparation and cleanup Hydration reminders Grocery organization Approved errands Light housekeeping Laundry and linen changes Organization of the client’s immediate living space Medication reminders Transportation to approved appointments or activities Accurate documentation of completed responsibilities Caregivers should encourage appropriate independence while remaining attentive to the client’s safety and preferences. Personal Care and Activities of Daily Living Other clients may require hands-on assistance with: Bathing or showering Sponge baths and bed baths Personal hygiene Dressing and undressing Grooming and hair care Oral care Toileting assistance Incontinence care Changing protective undergarments Perineal care Meal assistance Feeding assistance Hydration reminders Walking and mobility assistance Wheelchair support Entering and exiting vehicles Repositioning in a bed or chair Changing bed linens Comfort and safety measures Maintaining dignity, privacy and independence Caregivers must explain personal-care tasks before beginning and provide assistance in a respectful, patient and professional manner. Dementia and Memory Care Support Some assignments may involve clients living with dementia, Alzheimer’s disease or other cognitive conditions. Responsibilities may include: Providing calm and consistent supervision Offering appropriate redirection and reassurance Supporting established routines Monitoring for confusion, agitation or wandering Observing changes in behavior Encouraging safe and appropriate activities Maintaining a quiet and supportive environment Following client-specific communication strategies Remaining aware of the client’s location and safety Immediately reporting significant behavioral or cognitive changes Documenting all concerns and completed care responsibilities Caregivers assigned to dementia or memory-care clients must remain patient, attentive and aware of the client’s safety throughout the entire shift. Mobility, Transfers and Higher-Assistance Care Some clients may have limited mobility, be at high risk for falls or require significant physical assistance. Depending on the care plan, caregiver experience and completed training, responsibilities may include: Assisting with walking and balance Supporting clients using walkers or other approved mobility devices Supporting wheelchair mobility Assisting with bed mobility Repositioning clients in a bed or chair Helping clients move between a bed, wheelchair, chair, commode or toilet Using an approved gait belt when directed Assisting with sit-to-stand and stand-to-sit transfers Completing approved one-person transfers Following all two-person transfer requirements Using a mechanical or Hoyer lift when required Checking equipment before use Following fall-prevention procedures Requesting assistance when care cannot be completed safely Caregivers must never attempt an unsafe transfer or use equipment they have not been trained and authorized to operate. Bedbound-Client Support Some clients may be bedbound or require extensive hands-on assistance. Responsibilities may include: Providing bed baths Completing personal hygiene Providing toileting and incontinence care Changing protective undergarments Assisting with perineal care Repositioning according to the care plan Using pillows or approved positioning supports Keeping bedding clean, dry and free from wrinkles Changing linens while the client remains in bed Monitoring common pressure areas Observing for redness, bruising or skin concerns Providing feeding and hydration assistance Maintaining the client’s dignity, comfort and privacy Reporting all changes in condition immediately Caregivers must use proper body mechanics and request assistance whenever a task cannot be completed safely. Meal Preparation and Hydration Depending on the assignment, caregivers may be responsible for: Planning meals according to client preferences Following approved dietary instructions Preparing meals and snacks Assisting with feeding Encouraging regular fluid intake Observing and documenting food and fluid intake Assisting with grocery organization Following safe food-handling practices Washing dishes Cleaning meal-preparation areas Reporting concerns related to appetite, swallowing or hydration Difficulty swallowing, coughing during meals, choking, vomiting or significant refusal to eat or drink must be reported immediately. Light Housekeeping Caregivers may be responsible for maintaining a clean, safe and organized client environment. Responsibilities may include: Tidying the client’s immediate living space Dusting Sweeping Vacuuming Mopping approved areas Washing dishes Cleaning frequently touched surfaces Laundry and linen changes Cleaning the client’s bathroom Organizing care supplies Removing trash Keeping walkways and emergency-access areas clear Reporting unsafe conditions or needed repairs Housekeeping responsibilities are limited to the client’s approved service area and assigned care-plan tasks. Non-Medical Health Support Helping Hearts provides non-medical personal support. Caregivers must remain within their authorized role and follow the client’s approved care plan. Depending on the assignment, responsibilities may include: Providing medication reminders Assisting with approved blood glucose monitoring Documenting readings when required Observing food and fluid intake Monitoring the client’s physical, emotional and behavioral condition Reporting pain, swelling, bruising, redness or skin concerns Reporting falls, injuries or changes in mobility Reporting confusion or unusual behavior Following established emergency procedures Contacting the Helping Hearts office immediately when concerns arise Completing accurate electronic documentation Caregivers must report concerns rather than independently diagnose or treat them. Caregivers must not assume that someone else has already reported a change in condition. Medication Reminders Medication support is limited to the responsibilities authorized in the client’s approved non-medical care plan. Caregivers may: Provide scheduled reminders. Assist with an approved prefilled medication planner. Place approved medications in a cup when directed. Remind the client to self-administer their medication. Document reminders and client responses. Report refusals, missed doses or other concerns. Caregivers must not independently administer medication, change medication instructions or provide medical advice outside their authorized scope. Transportation When required and authorized, caregivers may: Transport clients to appointments. Assist with approved errands. Transport clients to social activities. Help clients enter and exit the vehicle. Secure mobility equipment appropriately. Follow all client-specific transportation instructions. Maintain a clean, safe and insured vehicle. Report any transportation concern immediately. Caregivers may only transport clients when the assignment has been approved and all transportation requirements have been satisfied. Night and Overnight Shift Expectations Caregivers working night or overnight assignments must remain fully awake, alert and attentive throughout the entire shift. Nighttime responsibilities may include: Completing scheduled safety checks Monitoring the client’s condition Assisting with toileting and incontinence care Repositioning the client Providing medication reminders when authorized Responding immediately when the client needs assistance Completing approved nighttime housekeeping responsibilities Maintaining a clean and safe environment Preparing the client’s environment for the morning routine Documenting care and observations in real time Sleeping, napping, dozing, lying down to rest or closing your eyes for extended periods is strictly prohibited, even when the client is sleeping. Failure to remain awake and attentive may result in immediate removal from the assignment and additional corrective action. Physical Requirements Caregiving can be physically demanding. Applicants must be able to safely perform the essential responsibilities of an accepted assignment, with or without a reasonable accommodation. Physical responsibilities may include: Standing, walking or sitting for extended periods Frequently bending, reaching, turning and twisting Kneeling or squatting when necessary Using stairs in certain client environments Assisting clients with walking and balance Pushing or maneuvering a wheelchair Assisting with repositioning Supporting transfers according to the care plan Using approved transfer equipment Handling laundry, groceries, household supplies and care equipment Completing light housekeeping Wearing required personal protective equipment Responding promptly during falls, emergencies or changes in condition Remaining awake throughout night or overnight shifts Applicants must review assignment requirements before accepting a shift and disclose any limitation that could prevent them from safely providing the required care. Reasonable accommodations will be considered in accordance with applicable law. Client Environments Care may be provided in: Private homes Independent-living communities Assisted-living communities Memory-care communities Senior-living facilities Other company-approved settings Applicants should understand that: Some homes may have dogs, cats or other household pets. Some clients require non-smoking caregivers. Some client environments may not be completely smoke-free. Applicants must disclose allergies, pet restrictions and smoke sensitivities. Family members or other approved individuals may be present. Facility employees may be present. Approved safety cameras or monitoring equipment may be present. Caregivers must not move, unplug, cover or interfere with safety equipment. Caregivers must follow all household, facility, confidentiality and safety requirements. Transportation and parking conditions will vary. Caregivers must respect the client’s home, property, privacy and personal preferences. Unauthorized visitors, children and pets are not permitted during shifts. Hours and Assignment Disclaimer Specific hours and assignments depend on: Current client needs Requested service hours Client-care level Client location Caregiver experience Caregiver qualifications Caregiver availability Transportation and travel distance Client and family preferences Assignment compatibility Changes in the client’s condition or service needs Full-time, part-time or PRN status does not guarantee a specific client, assignment, schedule or number of weekly hours. Client schedules may increase, decrease, change or end based on the client’s needs and preferences. Clients and families may request a different caregiver when they believe another caregiver would be a better fit. Caregivers may also be considered for additional assignments when their experience, availability and location match current needs. Once a caregiver accepts an assignment, dependable attendance and completion of the entire scheduled shift are required. Employment Qualifications Applicants must: Be at least 18 years old. Possess a high school diploma, GED or equivalent. Have at least one year of professional caregiving, personal-care, home-care or related experience. Demonstrate compassion, patience and professionalism. Be dependable and punctual. Follow written care plans and verbal office instructions. Communicate professionally with clients, office staff and approved facility personnel. Complete accurate electronic documentation during every shift. Have reliable access to a smartphone. Maintain client confidentiality. Maintain professional boundaries. Remain attentive and awake throughout every assigned shift. Follow attendance and call-off procedures. Follow clock-in and clock-out requirements. Safely perform the essential responsibilities of accepted assignments. Complete required orientation and training. Complete assignment-specific instruction. Immediately report changes in condition, incidents, injuries and safety concerns. Follow all Helping Hearts policies and procedures. Transportation Requirements Applicants must have: A valid driver’s license Current automobile insurance Reliable personal transportation An acceptable driving record The ability to travel to assigned client locations The ability to transport clients when required and authorized Public transportation, rideshare services or transportation provided by another person may not satisfy the requirements of assignments requiring immediate or independent travel. Caregivers must immediately report any change affecting their driver’s license, insurance, vehicle availability or ability to transport clients safely. Attendance and Communication Expectations Dependability is essential in home care. Caregivers must: Arrive on time for every accepted assignment. Confirm assignments according to company procedures. Maintain reliable telephone communication. Respond promptly to scheduling messages. Notify the office immediately if an emergency affects attendance. Follow all call-off procedures. Clock in and out from the approved client location. Remain with the client until the scheduled end of the shift. Remain until properly relieved when continuous care is required. Never leave a client unattended when supervision is required. Never leave early without office authorization. Notify the office if a client or family asks them to arrive late, leave early or change the scheduled hours. Complete all required documentation before the end of the shift. Failure to report for an accepted shift, leaving a client without authorization or failing to follow safety procedures may result in removal from the assignment or additional corrective action. Documentation Requirements Caregivers must document services accurately and in real time. Required documentation may include: Completed care-plan tasks Personal care provided Meals and hydration Medication reminders Toileting and incontinence care Repositioning Blood glucose-related support Client behavior and mood Changes in condition Skin observations Incidents Office notifications Transportation Incomplete tasks and the reason they were not completed Caregivers must never mark a task complete when it was not performed. Background and Screening Requirements Applicants must: Complete a comprehensive background check covering up to 15 years, where legally permitted. Complete required abuse, neglect and sex-offender registry checks. Complete a pre-employment drug screening when applicable. Participate in random drug screening when required by company policy. Provide complete and accurate application information. Report criminal charges or legal changes that may affect their ability to provide safe care. Have no disqualifying history that would prevent safe employment, subject to applicable laws and individual review. Employment offers are contingent upon satisfactory completion of required screenings, employment verification, reference checks and onboarding requirements. Required Employment Information Applicants must provide: A complete five-year employment history Five professional references Current contact information for all references No friends or family members as professional references Proof of high school completion, GED or equivalent Complete and accurate application information Required payroll and tax information Any additional state, client or assignment-specific information Professional references should include former supervisors, managers, employers or other individuals who can verify the applicant’s reliability, work performance and caregiving experience. Important Physical Document Requirement Applicants must possess physical copies of all required employment documents before advancing through the interview and hiring process. Applicants must be prepared to present: A valid government-issued photo identification A valid and current driver’s license Current automobile-insurance documentation Proof of high school completion, GED or equivalent Social Security documentation when required for payroll and tax purposes A birth certificate or other acceptable proof of identity or age when legally permitted and applicable Any professional licenses or certifications applicable to the position Any additional state, client or assignment-specific documentation Applicants should not text or email photographs of Social Security cards, birth certificates or other sensitive identity documents. Helping Hearts will provide instructions for secure document verification. For federal Form I-9 verification, applicants may present any acceptable document or combination of documents authorized under federal law. Helping Hearts will not require a specific Form I-9 document when another legally acceptable option is provided. Professional Appearance and Uniform Caregivers must arrive clean, prepared and professionally dressed. The required uniform includes: Solid navy-blue scrubs Closed-toe and closed-heel shoes Clean and professional appearance Hair secured when necessary for safety Appropriate personal hygiene No strong fragrances Required personal protective equipment when applicable Caregivers must maintain the required professional appearance throughout every shift. Why Join Helping Hearts? At Helping Hearts USA LLC, caregiving is more than a job. It is an opportunity to bring comfort, dignity and meaningful support to individuals and families. We offer: Full-time, part-time and PRN opportunities Day, evening, night and overnight assignments Shifts generally ranging from 4 to 12 hours A variety of client-care levels Assignment matching based on experience and availability Orientation and ongoing training A supportive and team-focused work environment Opportunities for professional development The chance to build meaningful client relationships The opportunity to make a genuine difference How to Apply Submit your resume along with a complete description of your caregiving experience, qualifications and availability. Please include your experience with: Companionship Personal care Bathing and toileting Incontinence care Dementia or memory care Mobility and transfers Gait belts Hoyer or mechanical lifts Bedbound clients Blood sugar support Day shifts Night shifts Weekend availability To apply or learn more, call or text our main hiring number at 615-645-3999 anytime. Helping Hearts USA LLC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive workplace for all employees. Ready to Make a Difference? Apply today and bring your compassion, dependability and experience to the Helping Hearts team!

RN

Full-time

3 weeks ago

Respiratory Registered Nurse

Creekside Center for Rehabilitation and Healing Nashville, TN

Schedule · 5 days a week 37.5 - 40 hours per week Respiratory Nurse (RN) We are searching for a highly motivated, flexible, organized, skilled respiratory therapist who has experience in a rehab center and possesses great communication skills to put the “therapy” into respiratory therapy. If you are looking for a challenging and rewarding opportunity, this opportunity can be for you. The position is within a Skilled Nursing facility. As a Post Acute and Long Term Care respiratory therapist, your role would involve providing specialized care and treatment to patients with cardio-pulmonary, respiratory conditions neurological disorders and physical conditions that manifest into respiratory disorders over an extended period. Your primary responsibility would be to assess, provide diagnostic testing, develop treatment plans, and provide treatment to our Skilled Nursing Facility population. Job Description ESSENTIAL JOB FUNCTIONS: 1. Provides patient treatments which meet patient needs and uses current treatment knowledge in accordance with facilities clinical procedures. This includes but is not limited to: · Performing accurate, comprehensive patient evaluations. · Developing an effective plan of treatment and obtaining appropriate approvals from a referring physician. · Communicating with supervisor and interdisciplinary team members regarding patient progress, problems, and treatment plans. · Instructing patient’s families and/or nursing staff in specified follow through programs. · Interviewing patients and families regarding previous level of functioning, lifestyle and current and future expectations for recovery. · Demonstrating knowledge of appropriate resources for problem-solving and clinical best practice. · Evaluating patients within the required timeframe as per facility policies. · Provides patient care as appropriate and necessary, following the position description for the applicable clinical discipline in which licensure or certification is held. 2. Writes accurate, complete, and clear documentation in accordance with the facility’s regulatory, licensing, payor, and accrediting requirements. This includes but is not limited to: · Recording Screens/Resident Needs Reviews, evaluations, daily treatment notes, discharge summaries and walking rounds in accordance with facility Policies and Procedures. · Recording treatment charges accurately and ensuring that documentation is consistent with billing data. · Writing specific, objective documentation that is outcome oriented and details the patient’s needs, potential to benefit from treatment, and progress achieved to date. Includes specific, objective measurable goals. 3 . Consistently demonstrates facility interdisciplinary approach to patient care. This includes but is not limited to: Integrating findings of other members of the interdisciplinary team in treatment assessment and recommendations. Integrating input from patient and family in treatment assessment and recommendations. Preparing for and providing meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training sessions. Collaborating with and informing facility staff in areas of patient progress. Educating members of the team in areas of expertise. Working with a facility to teach documentation practices which assist the respiratory therapy team. Communicating effectively with discharge planners. 4. Contributes to professional development of self. · Maintaining current professional status and licensure. · Adhering to professional standards of conduct and clinical code of ethics and practice. · Implementing in-services and training. · Maintaining a current body of knowledge in areas of clinical expertise through seminars, professional journals, and peers. · Meeting continuing education requirements of regulatory agencies. 5. Aids in building and maintaining the facility’s reputation as the unparalleled respiratory therapy provider by contribution as a professional member of the staff. · This includes but is not limited to oversight of the following departmental operations: · Consistently demonstrating the facility’s core values by interacting with co-workers, patients and families, with all other persons involved with the patient’s care. · Consistently demonstrating professional standards as outlined in the facility’s Employee Handbook and as communicated by the facility’s management. · Contributing to a positive work team by sharing information, using problem solving methods and accepting new ideas, constructive criticism, or advice from others. · Maintaining close communications within the facility with the director of nursing, nurse managers, and admissions coordinator to assist in development of the respiratory therapy program. · Establishing and maintaining an effective rapport with the facility administrator, MDS, Rehab Director, DON, and medical director. o Demonstrating superior customer service through courtesy, consistent follow-up and positive communication. 6. Demonstrates safe working practices . This includes but is not limited to: Identifying and correcting safety hazards or notifying the facility or the admin so that safety hazards will be immediately remedied. Maintaining work areas in safe and orderly fashion. Maintaining equipment in safe working order by facilitation annual calibration. Using proper body mechanics during treatments of patients and during support activities. Using universal safety precautions. Wearing appropriate protective equipment. QUALIFICATIONS: Skills, Knowledge and Abilities: · Excellent written and verbal communication skills. · Knowledge of the respiratory community. · Skills applicable to clinical discipline. o Knowledge of medical terminology. o Knowledge of respiratory disease and diseases that affect the respiratory system. o Ability to use respiratory therapy equipment. o Ability to exercise judgment and discretion in devising, installing and interpreting rules, regulations, policies, or procedures . o Ability to express ideas and information, clearly, concisely, verbally and writing. o Ability to establish and maintain effective working relationships with superiors, and officials of other departments. · Program development and implementation · Management and administration of therapies as prescribed by a physician and according to the standard procedure. · Preferred experience with the following skilled interventions: o Oxygen weaning therapy o Omni flow – Biofeedback o Group respiratory therapy o Standardized respiratory testing o Aerosol therapy o Incentive Spirometry o Chest physiotherapy o Deep breathing and coughing o Bronchial hygiene therapy o PEP therapy o OPEP therapy o Postal Drainage o Positioning o Oro/Naso-pharyngeal suctioning o Airway clearance/management techniques o Trachea-bronchial suctioning o Tracheostomy care o Spirometry Bedside Testing o CPAP/BIPAP o High-Flow Oxygen o Cardiac Program o Pulmonary Program o 6-minute walk test o 2-minute walk test o Spirometry testing o Cardio-pulmonary resuscitation 10. Education and Experience: · Graduation from an accredited program for Respiratory Therapy preferred · Must possess and maintain a current license in the state of practice as required · Other education and experience may be considered.