Nursing Jobs in Colma, CA

UCSF Health

Registered Nurse - Pediatric Interventional Cardiology Lab

Job Description Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. Functions as a member of the interdisciplinary and nursing teams; carries out established nursing procedures and performs related duties as required; performs nursing care for patients with more complex needs with assistance and supervision. Assists with the management of patient care administered by other members of the nursing team. The Pediatric Interventional Cardiology Lab at UCSF Benioff Children’s Hospital consists of the Cath Lab where patients undergo cardiac catheterization procedures. This is done with diagnostic imaging equipment to visualize the arteries and chambers of the heart to treat any abnormality found. The Pediatric Interventional Cardiology lab also consists of the EP Lab where cardiac electrophysiology studies are performed. An EP study is an invasive procedure that tests the electrical conduction system of the heart to assess the electrical activity and conduction pathways of the heart. This position is to support our patients pre and post procedure and to prepare them for transfer to our in-patient area/s or home. Responsibilities Responsible for maintaining the knowledge and abilities essential to the performance of stated behaviors. Carries out legal responsibilities within the scope of the Nurse Practice Act. Accountable to the NURSE SVC SUPV 2 for overall work performance. Qualifications Required Qualifications: 5 years of recent RN experience in a pediatric inpatient/outpatient setting Recent RN experience working in a Pediatric and/or Adult Pre-Op and Recovery area Knowledge of Pediatric Congenital Heart Disease Point of Care testing (POCT) experience Preferred Qualifications Recent experience working in a Pediatric/Congenital Cath/EP Lab Heart rhythm interpretation ACLS certification Knowledge of Radiation Safety (RHB) and working with the use of Fluoroscopy Experience with an Electronic Medical Record (EMR) system, EPIC / APeX strongly preferred Microsoft Outlook experience Required Licenses/Certifications Current CA RN license Current AHA BLS Certification Current AHA PALS Certification About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Right at Home Marin

Daytime In-Home Caregiver

Available immediately, daytime companion and personal caregiver shifts: short 4-6 hour shifts and long 8 -12+ hour shifts. HCA applicants preferred but not required. Caregiver positions located in Marin County, California. Benefits: Premium pay. Holiday pay, accrued sick time and direct deposit offered! Overtime paid on shifts greater than 9 hrs Option to have an individual retirement plan Mileage reimbursement Paid training program Tremendous work/life balance with Full and Part time flexible scheduling Caregiver recognition and appreciation incentives Client & Caregiver referral bonuses We work with Caregivers to match them based on availability and location preference Excellent orientation and support from management Responsibilities: Performs personal care activities that assist the client with activities of daily living Performs housekeeping activities (light laundry, dishes, basic upkeep of home) Performs client-specific activities (medication reminders, range of motion exercises) Accompanies or drives clients to appointments or runs errands with clients Qualifications: At least 1 year of personal care caregiving experience preferred Have access to adequate transportation to get to and from the job Possess a valid driver's license if transporting clients or running errands for clients Ability to read, write, speak and understand English as needed for the job Join Our Team: We offer competitive pay and a personally rewarding work environment where you can truly feel good about what you are doing while making a difference in the lives of your clients. Office staff who puts you first. We ensure it is a good fit for both client and caregiver and pride ourselves on our communication with caregivers. Come join the Right at Home family of caregivers today!
Anchor Health

RN Case Manager Marin County

**THIS POSITION IS ELIGIBLE FOR A SIGN ON BONUS** Description Are you looking for a work place where you can make a genuine difference? Company Culture that feels supportive, genuine and appreciative of all? Anchor Health is committed to the communities of which we serve, the patients and families we have the honor of caring for and the EMPLOYEES who have chosen us as their work family. Anchor Health offers competitive salaries, great benefits and a compassionate work environment. Qualifications RN License (Required) Hospice care: 1 year (Preferred) Full Job Description Hospice RN Case Manager ANCHOR HEALTH, a new premier hospice organization which provides expertise, compassion, and care for our patients and their families as they face terminal illness. Our team of professionals helps improve quality of life by addressing the physical, emotional, and spiritual needs of our patients. Through this interdisciplinary approach, we seek to comfort the heart, mind, and body. The Hospice Registered Nurse is an experienced registered professional nurse who initiates and coordinates the hospice care plan plans, organizes, and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individual and families within their homes and communities. Essential Job Responsibilities: The RN provides care to patients who have been diagnosed with a terminal illness. The Hospice RN regularly reviews and updates the plan of care. Performs prescribed medical treatments, including pain management and symptom control, conducts assessments and evaluations, provides education and supportive care to patient and family. Completes an initial, comprehensive, and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). Provides professional nursing care by utilizing all elements of nursing process. Assesses and evaluates patient’s status by: Writing and initiating plan of care, regularly re-evaluating patient and family/caregiver needs, participating in revising the plan of care as necessary. Uses health assessment data to determine nursing diagnosis. Develops a care plan that establishes goals, based on nursing diagnosis, and incorporates palliative nursing actions. Includes the patient and the family in the planning process. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. Counsels the patient and family in meeting nursing and related needs. Provides health care instructions to the patient as appropriate per assessment and plan. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. Acts as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Completes, maintains, and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. Communicates with community health related persons to coordinate the care plan. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. Provides and maintains a safe environment for the patient. Assists the patient and family/caregiver and other team members in providing continuity of care. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver. Attends interdisciplinary group meetings. Position Qualifications Registered Nurse with valid CA state license. Hospice experience preferred. At least one year of recent hospice experience along with a strong foundation of acute care experience. Maintains a current CPR certification. Valid driver’s license, auto insurance, reliable transportation, and willingness to drive to patient locations. Ideal candidates must have excellent interpersonal skills, motivated and a passion for Hospice. We are committed to protecting our team members and patients from COVID-19. All new team members must provide proof of COVID-19 vaccination or valid exemption due to Qualifying Medical Reasons or Religious Beliefs subject to legal requirements. Benefits: Mileage reimbursement Medical specialties: Hospice & Palliative Medicine Schedule: Monday to Friday Experience: Hospice care: 1 year (Preferred) License/Certification: RN License (Required) Work Location: On the road Pay Range - based on experience.
MarinHealth

Clinical RN II, Post Anesthesia Care Unit, Part-Time, (36 Hour Week), Days

$86.13 - $110.25 / hour
ABOUT MARINHEALTH Are you looking for a place where you are empowered to bring innovation to reality? Join MarinHealth, an integrated, independent healthcare system with deep roots throughout the North Bay. With a world-class physician and clinical team, an affiliation with UCSF Health, an ever-expanding network of clinics, and a new state-of-the-art hospital, MarinHealth is growing quickly. MarinHealth comprises MarinHealth Medical Center, a 327-bed hospital in Greenbrae, and 55 primary care and specialty clinics in Marin, Sonoma, and Napa Counties. We attract healthcare’s most talented trailblazers who appreciate having the best of both worlds: the pioneering medicine of an academic medical center combined with an independent hospital's personalized, caring touch. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others. Company: Marin General Hospital dba MarinHealth Medical Center Compensation Range: $86.13 - $110.25 Work Shift: 12 Hour (days) (United States of America) Scheduled Weekly Hours: 36 Job Description Summary: The purpose of the Clinical RN role is to assess, plan, implement, evaluate, direct, and appropriately delegate to ensure the delivery of safe, quality patient care. This registered professional nurse will function within the full scope of RN licensure, according to the California Nursing Practice Act. The Clinical RN will provide assessment, development, and implementation of the care plan, evaluating the effectiveness of that care, directing emergency interventions, and collaborating with physicians, team members, and others to optimally manage patient care in the interest of the patient, acting as a patient advocate when necessary. Job Requirements, Prerequisites and Essential Functions: Job Specifications: Education: Sufficient education to obtain a valid California RN license Experience: Clinical RN II, either: 6 months to 1-year experience as a Clinical RN I at MarinHealth Medical Center; or Possession of the clinical experience as identified in the appropriate unit -specific job description addendum. License and Certifications: California RN license (RN) required at hire. Basic Life Support (BLS) required at hire. Integrative Agitation Management (IAMTAC) required within 30 days of hire. Prerequisite Skills: Ability to demonstrate proficiency in all items of the Staff Nurse Skills Criteria at the conclusion of the probationary period Demonstrated leadership and delegation skills Demonstrated oral and written communication skills Demonstrated ability to organize and prioritize work; time management skills Ability to work collaboratively with team members, other teams, physicians, and departments Ability to read, speak, write, understand and follow English verbal and written instructions. Primary Customer Served (Age Specific Criteria): Varies by department assigned. Refer to Unit Specific Addendum Employees in this position must be able to demonstrate the knowledge and skills necessary to provide care and/or service based on the physical, psycho/social, educational, safety, and related criteria appropriate to the age of the patients served in his/her assigned service area. Patient Privacy (HIPAA Compliance): Employees in this position have access to protected health information. The protected health information a person in this position can access includes demographics, date of service, insurance/billing, medical record summary information, and all other information that may be contained in patient records. This position requires patient health information to perform the functions outlined as part of this position description. Duties And Responsibilities: Essential (Not Modifiable) Consistently demonstrates the ability to transfer scientific knowledge from social, biological and physical sciences in applying the nursing process as follows: Formulates a nursing diagnosis through observation of the patient's physical condition and behavior, and through interpretation of information obtained from the client and others, including the health team Formulates age specific care planning, in collaboration with the patient, which ensures that direct and indirect nursing care services provide for the patient's safety, comfort, hygiene, and protection, and for disease prevention an restorative measures Perform skills essential to the kind of nursing action to be taken, explains the health treatment to the patient and family, and teaches the client and family how to care for the health needs Evaluates the effectiveness of care planning through observation of the patient's physical condition and behavior, signs and symptoms of illness, reactions to treatment, and through communication with the patient and team members, and modifies the plan as needed Acts as the patient's advocate, as circumstances require, by initiating action to improve health care or to change decisions or activities which are against the interests or wishes of the patient and by giving the patient the opportunity to make informed decisions about health care before it is provided. Demonstrates leadership by supervising, directing and delegating appropriately to care team members. Delegates tasks to subordinates based on the legal scopes of practice of the subordinates and on the preparation and capability needed in the tasks to be delegated, and effectively supervises nursing care being given by subordinates Demonstrates clinical expertise by serving as a clinical expert, role model, and clinical and educational resource to the team, patients, and families. May act as a mentor and assist in the training and development of less experienced staff members Demonstrates professional accountability for nursing practice. Accommodation: Qualified applicants with disabilities may request reasonable accommodation during the application process by contacting Human Resources at 415-925-7040 or TalentAcquisition@mymarinhealth.org . C.A.R.E.S. Standards: MarinHealth seeks candidates ready to model our C.A.R.E.S. standards—Communication, Accountability, Respect, Excellence, Safety—which foster a healing, trust-based environment for patients and colleagues. Health & Immunizations: To protect employees, patients, and our community, MarinHealth requires measles, mumps, varicella, and annual influenza immunizations as a condition of employment (and annually thereafter). COVID-19 vaccination/booster remains strongly recommended. Medical or religious exemptions will be considered consistent with applicable law. Compensation: The posted pay range complies with applicable law and reflects what we reasonably expect to pay for this role. Individual pay is set by skills, experience, qualifications, and internal/market equity, consistent with MarinHealth’s compensation philosophy. Positions covered by collective bargaining agreements are governed by those agreements. Equal Employment: All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sexual orientation, gender identity, protected veteran status or disability status, and any other classifications protected by federal, state, and local laws.
UCSF Health

Registered Nurse - Pediatric Day Treatment Center

Job Description Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. Functions as a member of the interdisciplinary and nursing teams; carries out established nursing procedures and performs related duties as required; performs nursing care for patients with more complex needs with assistance and supervision. Assists with the management of patient care administered by other members of the nursing team. Responsibilities This role requires proficiency in clinical procedures, patient advocacy, interdisciplinary collaboration, and comprehensive nursing documentation. The RN will coordinate and prioritize patient care activities, respond effectively to changing patient conditions, administer medications and treatments safely, and support continuity of care throughout the patient experience. Successful candidates will demonstrate excellent communication and teaching skills, fostering supportive relationships with patients, families, and healthcare team members while providing education tailored to individual learning needs. A commitment to professionalism, compassionate care, cultural sensitivity, and adherence to departmental policies and standards is essential. Qualifications Required Qualifications: Three (3) or more years of recent pediatric nursing experience with at least 1 year in oncology Four (4) years of recent outpatient Infusion experience administering chemotherapy/biotherapy Three (3) years of Pediatric Apheresis experience Must demonstrate observational skills and the ability to set priorities. Ability to function independently and effectively with shifting priorities and considerable pressure. Must be able to function under stress and with strong interpersonal and communication skills. Must demonstrate effective skills in applying hospital standards in area of service, team work, communication, respect for others, and time/priority management. See also Living Pride Standards. Ability to delegate tasks in a style that is consistent with promoting leadership and teamwork, seeking assistance as needed; ability to demonstrate leadership experience that support teamwork, professionalism, high quality patient experience, evidence based clinical practice, or other relevant topics. Demonstrates ability to develop and maintain constructive and cooperative working relationships with physicians, nurses, and other medical staff. Contributes to team building through participation in unit programs and meetings; contributes to positive morale, using constructive and effective conflict resolution skills. Demonstrates ability to remain current in professional and technical knowledge and apply this to the job; looks for opportunities for continual improvement in patient care, the work environment, and a commitment to lifelong learning in the field of nursing. Preferred Qualifications Three (3) or more years of Pediatric Oncology Nursing experience. CPHON Certification or other relevant specialty certification Membership in professional organizations is recommended PALS Licenses/Certifications Current licensure as a Registered Nurse in the State of California Current American Heart Association CPR Card APHON Provider Card within 6 months of hire About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
UCSF Health

Registered Nurse PD - Pediatric Acute Care Float Pool

Job Description Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. Functions as a member of the interdisciplinary and nursing teams; carries out established nursing procedures and performs related duties as required; performs nursing care for patients with more complex needs with assistance and supervision. Assists with the management of patient care administered by other members of the nursing team. Responsibilities Customer Service Utilizes innovative approaches to improve service delivery. Maintains a culture that improves teamwork and values diversity. Accepts personal responsibility and accountability for customer service excellence. Creates an environment in which customers feel respected and diversity is valued. Communicates and listens effectively. Exhibits a flexible and proactive approach to changes in the workplace. Demonstrates an understanding of the organization’s values and mission statement. Acknowledges the presence of customers and responds appropriately to their needs. Properly applies technical knowledge and skills. Takes initiative to ‘go the extra mile’ to meet customers’ needs. Demonstrates reliability and professionalism. Promptly solves problems and resolves complaints. Clinical Care Performs assessment and data collection in an ongoing and systematic manner, focusing on physiologic, psychologic and cognitive needs of the patient/family. Utilizes assessment data in formulating nursing diagnoses. Formulates a goal-directed plan of care which is prioritized and based on determined nursing diagnoses and expected patient outcomes. Implements care in a knowledgeable, skillful, safe, consistent and continuous manner by utilization of and adherence to predetermined standards which define the structure, process and desired patient outcomes of nursing process. Evaluates patient/family response to care given by all health care team members, and the effects of systems, environment and instrumentation on progress of patient toward expected outcomes. Reformulates plan of care based on changing patient needs and evaluation of effectiveness of care provided. Utilizes the primary nursing model in all aspects of the nursing process. Demonstrates competency in psychomotor skills. Performs all documentation functions in a timely, accurate and concise manner. Demonstrates current knowledge of nursing research developments and utilizes findings in patient care as appropriate. Participates in nursing and related health care research activities as requested. Patient Education Identifies patient/family learning needs, implements appropriate measures to meet these needs and evaluates patient/family response to education related to hospitalization and discharge. Knowledge Base Demonstrates knowledge of pediatric pathophysiology, injuries, growth and development. Applies this knowledge to patient care. Demonstrates knowledge in specific areas of: structure standards, standards of care, protocols, procedures, guidelines and patient care resources/references. Functions with an awareness and application of safety issues and adheres to patient/staff safety policies as identified within the institution. Performs efficiently in emergency patient situations following established protocols, remains calm, informs appropriate persons, and documents events. Professionalism Demonstrates responsibility and accountability for own professional practice. Participates in peer review. Demonstrates appropriate delegation of tasks and duties in the direction and coordination of the health care team members, patient care and unit activities, using appropriate organizational/priority setting skills. Demonstrates effective communication methods and skills, using lines of authority appropriately. Formulates and uses effective working relationships with all health care team members, patients and families. Demonstrates cooperation and flexibility in staffing patterns and resolution of staffing conflicts; participates in temporary assignment measures of Department of Nursing. Meets hospital standards for attendance and punctuality. Practices sound decision-making that demonstrates anticipation and prevention of problems. Demonstrates effective problem solving through active problem identification and implementation of resolution strategies. Participates actively in staff development activities for unit, division and hospital personnel. Demonstrates awareness and sensitivity to patient/family rights with respect for dignity and confidentiality. Demonstrates an awareness of legal issues in all aspects of patient care and unit function and utilizes appropriate resources to manage situations and minimize risks to patients, self, colleagues and institution Standards/Quality Improvement (QI) Participates in standards development/implementation and QI activities. Strives for continuous improvement in delivery of patient care. Self Development Demonstrates self-directed learning and participation in continuing education to meet own professional development. Seeks validation of knowledge base, skill level and decision-making necessary, identifies /recognizes limitations and assertively seeks guidance in areas of uncertainty. Participates in development and attainment of unit, division and hospital goals. % of time Essential Function (Yes/No) Key Responsibilities (To be completed by Supervisor) 100 YES Responsible for maintaining the knowledge and abilities essential to the performance of stated behaviors. Carries out legal responsibilities within the scope of the Nurse Practice Act. Accountable to the NURSE SVC SUPV 2 for overall work performance. 100% (To update total %, enter the amount of time in whole numbers (without the % symbol - e.g., 15, 20) then highlight the total sum (e.g., 1%) at the bottom of the column and press F9. The total sum should add up to 100%.) Qualifications Required qualifications: 1 year of pediatric inpatient acute care experience as a registered nurse Effective communication skills Ability to use basic computer systems and to be trained in current electronic medical records in use Strong organizational skills Maintains emotional stability Requires flexibility to orient and work at all UCSF BCH Oakland units other than ED and PACU, after 6 months of employment and completion of probationary period. The flexibility to orient and work at all UCSF Health locations Preferred Qualifications Bachelor of Science in Nursing (BSN) Licensure/Certification Current Registered Nurse (RN) licensure in the State of California Current Healthcare Provider CPR certification Current Healthcare Provider PALS (Pediatric Advanced Life Support) About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Nurse Next Door San Mateo

Caregiver | Home Care Aide

Are you a compassionate caregiver who always wants to provide the best care possible? Do you love working with seniors for the purpose of Making Lives Better through Happier Aging? Do you want to make lives better and have the ability to drive your career? Nurse Next Door has the perfect opportunity for you!!! Nurse Next Door is dedicated to delivering flexible, premium care options to help seniors stay at home because we know home is the safest place to be. Caregiver Pay & Benefits: Flexible Schedule Part and Full time Shifts Available Competitive Pay Paid Orientation and Ongoing Tr aining Caregiver and Client Referral Bonus Mileage Reimbursement (in-visit travel and between same-day visits) Cell phone reimbursement Job Description Summary A Home care aide is an individual authorized to provide nonmedical services and assistance to an elderly or disabled client. Care Is usually provided at the person’s home, or facility. Nurse Next Door affiliated home care aides shall be selected on the basis of such factors as a sympathetic attitude towards the care of the sick, ability to carry out directions, maturity and ability to deal effectively with the demands of the job. All affiliated Home care aides employed by Nurse Next Door to provide in-home care services will be 18 years old (or if under 18 years of age be a high school graduate or enrolled in a vocational education program) and have sufficient communication and language skills to enable them to perform their duties and interact effectively with clients and other agency staff. Home care aides must meet all registration, criminal background checks and training requirements as specified by the State of California Department of Social Services Home Care Services Bureau and Nurse Next Door policies. Essential Job Functions/Responsibilities Responsibilities of the home care aide include, but are not limited to, the following- · Execute the client’s care plan as outlined by the Care Designer. · Help clients with their ADLs (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide. · Assisting clients with personal hygiene such as skin, mouth, hair care, bathing and dressing. · Assisting clients in and out of bed, transfers, positioning and assisting with ambulation. · Assisting with prescribed exercises which clients and aides have been taught by appropriate health personnel. · Meal planning and preparation, including therapeutic diets, and assisting clients with eating. · Assisting clients to the bathroom or in using commodes, bedpans or urinals and incontinence care. · Performing household services including housekeeping, laundry, transportation, correspondence, making telephone calls, shopping for personal care items or groceries, and companionship. · Reporting changes in the client's condition and needs to the administrator or care designer. · Completing records regarding services performed. · Driving to appointments or to run errands. · Accurately records all hours worked. · Remains alert throughout the shift in case client requires assistance, responds immediately to any such needs by providing the assistance required, or calling the Company for guidance. · Participating in all required entry-level and annual training requirements. · Maintaining an active home care aide registration with the State of Ca. Dept. of Social Services Home Care Services Bureau. · Other duties as assigned by the administrator or designee. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. Position Qualifications · At least 18 years of age. · Current registration with the State of California Home Care Aide Registry. We Provide paid training and help you with the registration process. · Completion of a criminal background check and disclosure of any criminal history or evidence of exemption. · Evidence of entry-level training or plan to complete paid training prior to client care and in accordance with CA regulations. · Evidence of tuberculosis testing and verification that the home care aide does not have active tuberculosis. · Ability to read and follow written instructions and document care given. · Self-directing with the ability to work with little direct supervision. · Empathy for the needs of the ill, injured, frail and the impaired. · Demonstrates tact, patience, and good personal hygiene. · Valid driver’s license and auto insurance and/or reliable transportation required. Physical Demands · Regularly required to sit, use hands or fingers, handle, or feel and talk or hear. · Required to reach with hands and arms. · Required to stand, walk, climb or balance, stoop, kneel, crouch, or crawl, and taste or smell. · Must be able to lift and or move up to 10 pounds, frequently lift and or move from 25 up to 50 pounds. · Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Schedule: Part time/ Full time/ Weekend/ flexible shift available COVID-19 considerations: Masked can be worn if the caregiver feels safer doing so and will not be sent to any client's home that has COVID-19 until they are better.
Lucile Packard Children's Hospital Stanford

Surgical Technologist II

$53.28 - $60.39 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P139011-1339 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Surgical Technologist II acts as a member of the surgical team providing patient care to the patients undergoing surgical procedures in all areas, including a variety of complex procedures, by assisting the surgeon with instrumentation. Under some supervision, prepares the appropriate instrumentation and materials for use during and on the surgical field, passing instruments, assisting with room turnover, and performs other scrub duties as directed. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Under minimal supervision, provides surgical support to physicians and patients undergoing a surgical procedure in all surgical areas including some complex cases. Anticipates the needs of the surgeon by passing instruments, supplies and equipment in a timely manner. Adheres to all policies and practices for safe identification and handling of specimens and medications. Has knowledge of medications and its intended use on the field. Is aware of patients' weight and maximum doses of medication when appropriate, Is aware and knows patient allergies. Handles specimens and medications using correct technique and according to departmental policy and procedure. Provides information related to care/preparation of surgical instruments/equipment for sterilization/disinfection procedures. Performs the necessary surgical counts on sharps, small items, instruments and sponges with the circulating nurse prior to opening, during, and after closing the incision. Prepares the surgical field by opening correct supplies and preparing instruments and equipment needed for the scheduled case. Assures all materials are available and in working order and verifies own skill in using equipment correctly. Provides indirect patient care activities such as patient transportation. Assist with standard work and cleaning at completion of procedure. Maintains aseptic technique; actively monitors situations that could lead to a breach in aseptic technique. Communicates and immediately corrects breaks in aseptic technique. Ensures that equipment is functioning properly and immediately notifies appropriate personnel of any problems. Tests equipment prior to use on field. Adheres to the LPCHS unit policies regarding equipment maintenance. Assists with restraining uncooperative/combative patient in a safe manner. Serves as a role model for Surgical Tech I. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Completion of an accredited program recognized by the National Board of Surgical Technology and Surgical Assisting or formal structure surgical program (e.g., military services). Experience: Two (2) or more years of progressively responsible and directly related work experience License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. Ability to apply judgment and make informed decisions. Ability to work independently. Ability to foster effective working relationships and build consensus. Ability to solve problems and identify solutions. Ability to speak/write effectively at a level appropriate for the job. Knowledge and theoretical understanding of normal/abnormal anatomy/physiology. Knowledge and understanding of surgical procedures to anticipate needs/request from surgeons. Requests instruments and supplies based on procedures and case progress. Knowledge of computer systems and software used in functional area. Knowledge of general safety procedures. Ability to use judgment to determine own work flow. Ability to provide appropriate care based on the needs of the individual taking into consideration age, culture, and developmental issues. Knowledge of normal anatomy and physiology, anticipates and responds to needs of surgeons by requesting instruments/supplies based on procedure and case progress. Ability to provide leadership and influence others. Skill in critical thinking. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $53.28 to $60.39 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Burlingame Skilled Nursing

Certified Nursing Assistant CNA

SIgn-on bonuses for newly hired Full-time staff. Certified Nursing Assistant CNA is a nursing assistant is responsible for providing routine nursing care in accordance with established policies and procedures and as may be directed by the Charge Nurse, RN Supervisor, Director of Nurses or Administrator, to assure that the highest degree of quality resident care can be maintained at all times. Certified Nursing Assistant CNA QUALIFICATIONS • Currently enrolled in a school for nursing assistants or have a license as a certified nursing assistant. • A minimum of 6 months experience as a certified nursing assistant or clinical experience while enrolled in a nursing assistant certification class. • Must possess a sincere desire to serve the ill, aged and infirm. • Ability to read, write and speak the English language. • Possess the ability to deal tactfully with personnel, residents, family members, visitors, and the general public. • Willingness to work harmoniously with other personnel. • Must have patience, tact, cheerful disposition and enthusiasm, as well as be willing to handle residents based on whatever maturity level they are currently functioning. • Must be in good general health and demonstrate emotional stability. • Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Certified Nursing Assistant CNA GENERAL DUTIES AND RESPONSIBILITIES: GENERAL • Perform all duties as assigned and in accordance with facility’s established policies and procedures, nursing care procedures and safety rules and regulations. • Make resident rounds at the beginning of each shift and every two hours thereafter to administer quality nursing care. • Verify the identification of a resident before administering nursing care or serving food, to assure that appropriate care is being provided to the correct resident. Report missing ID bands to admission coordinator immediately. • Make beds, clean bedside and overbed tables. • Serve drinking water as required. Assure that water pitchers are cleaned, filled with fresh drinking water and within the resident’s reach. Pass water pitcher as per established policy and procedure. • Dress residents neatly and in their own clothing. Assist residents in dressing as necessary. • Assist in preparing residents for meals (taking to/from dining room, serving trays, placing bibs, assisting in feeding or cutting food, removal of trays, supervision in dining room, etc.). • Serve nourishment in accordance with established facility procedures. • Feed residents who cannot feed themselves. • Assure that resident’s food is accessible and self-help devices are available as needed. • Prepare residents for therapy, activities, physician visits, religious services, etc., to include transporting residents to/from such activities. • Keep incontinent residents clean and dry as possible at all times. Change bed linens, diapers and clothing as often as necessary. • Do not permit residents to smoke in bed. • Assure that the nurse’s call system is attached to the bed and within easy reach at all times when residents are bedfast. • Answer residents’ call lights promptly. • Check for food in residents’ room. Ensure that food is kept in a sealed container. • Report all complaints to the Charge Nurse. • Report any resident abuse immediately (ie., harsh/abusive language, unnecessary roughness, etc.) • Report any medication found in the resident’s room. Take to the Charge Nurse immediately. • Report all hazardous conditions and faulty equipment to the Charge Nurse immediately. • Report any bruise, skin tears, incidents or accidents to the Charge Nurse immediately. • Attend in-service educational programs, on the job training programs and meetings as directed. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. CLINICAL • Wash hands before and after caring for each resident. • Place residents in correct and comfortable position. Head of bed elevated at 30° for all residents on enteral feeding. • Assist residents with dental and mouth care. Clean dentures after each meal. Keep dentures clean and soaked with Efferdent after dinner. • Record resident’s food and nourishment intake as directed. • Perform after meal care as required – cleaning resident’s hands, face, clothing, dentures, etc. • Assist residents to/from bathroom. Offer bedfast residents bedpans and urinals. Clean and store such equipment after each use (document Intake and Output as directed). • Check and document bowel movements and character of stools every shift. • Bathe residents as assigned and in accordance with established facility procedures (encourage showers and other self-help measures/activities). • Comb and brush resident’s hair daily. Shampoo hair on shower days. • Clip and trim fingernails. • Shave male residents daily or as needed. • Keep hair under arms and face on female residents clean-shaven as necessary or instructed. Trim hair in nose and ears as needed. • Observe and report the presence of reddened areas on bony prominences. • Keep drainage bag off the floor when resident is in bed or in wheelchair. • Apply Vaseline or A & D ointment to dry skin in accordance with established policies. • Move and turn bedfast residents at least every two hours and record such information on CNA notes. • Observe disoriented and comatose residents and notify Charge Nurse immediately. • Apply postural support properly. Check with Charge Nurse for type of restraint to be used. • Apply hand roll or splint to residents with contractures as outlined within the facility’s established policies and procedures. • Follow infection control procedures in accordance with established facility policy when isolation techniques are necessary. • Chart required information every shift. • Complete Intake and Output documentation on all residents with orders before the end of each shift. • Other related duties as may become necessary or as directed by the Charge Nurse, RN Supervisor, Director of Nurses, or Administrator. CONSUMER SERVICE • Presents professional image to consumers through dress, behavior and speech. • Adheres to Company Standards for resolving consumer concerns. • Ensures that all consumer/resident rights are protected.
Chinese Hospital San Francisco

Registered Nurse - OMTC Chemotherapy

$60.07 - $89.18 / hour
Chinese Hospital | San Francisco Bay Area About This Role Department Infusion Services Reports to Director of Surgical Services Type Full Time/Day Shift Requisition # 12720 Position Summary Oncology RN supervise and provide nursing care to cancer patients, working closely with oncologists and pharmacists. They monitor patient’s condition, order medication as ordered by physicians develop care plans, develop symptom management protocols, and administer medication, evaluating effectiveness of treatment, and educating patients on treatment and follow-up care. Essential Duties And Responsibilities Demonstrates competency and selected knowledge skills: Chemotherapy/ Hazzard Spills Hydration / IV Fluids Immunizations Infusion Blood Products Medication Infusions/Injections Pre Procedure / Post Procedure Protocol Patient and Family Education OMTC equipment/ setup, operation, maintenance and clean-up Chart Review Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc. Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials. Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed. Communication ¬– Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others. Accepts and performs other duties as assigned. Values/Core Competencies Integrity –We adhere to a code of values and make commitments that contribute to the welfare of our community. Respect – We seek to create a community within our organization that enhances self-worth of individuals working with us and for our patients. The dignity and respect shown to employees by management and by their fellow staff will be the model for caring for our patients. Management is committed to treating employees fairly, honestly and with respect. In return, management expects a commitment from employees to the values of the organization and its work on behalf of the community. Empowerment – we are committed to action and expect all employees to be proactive in decision making and problem solving. We delegate authority to match responsibility, expecting decision making to occur as close to the customer as possible. Team Work – We believe that quality, cost effective, compassionate care can only be provided through team work. The nature of our work and mission require sensitivity to the feelings and points of view of many. We work for the good of the team, are accountable for the results of the team and together share our successes or failures. We maintain an atmosphere of openness, honesty and trust. Accountability – We accept personal responsibility for our actions and take ownership of our results. We as individuals recognize achievement and are challenged to improve our performance by providing and accepting coaching and feedback. Quality Improvement – We will improve value through the process of continuous quality improvement with focus on the relationship between quality and cost. We have a sense of urgency in our search to find better ways of doing everything. We encourage others to try new ideas and measure and recognize results. We are willing to change the status quo to improve. Community collaboration and Benefit – We will collaborate within the limits or our resources with other agencies and providers to address the health care wellness needs of our community, recognizing that access to services must be made available regardless of an individual’s ability to pay. Prudent use of resources – We will use and maintain our assets and resources prudently in order to meet community expectations. Our organization requires an overall positive return on investment to carry out its mission and to invest in new programs, equipment and facilities. We believe that integration simplifies and improves the process of health care and is a means of achieving economies of scale which will ultimately reduce costs. We seek simplification in the process of patient care and the efficient use of our resources in a changing environment. Qualifications Required: California Licensed Registered Nurse Medical /Surgical, ICU or Emergency Department Experience 2 years BLS, ACLS Certification – issued by AHA-American Heart Association. Chemo Certification preferred Cantonese language Computer proficiency (EMR knowledge a plus) Strong communication skills. Ability to effectively present information, both verbal and written. Ability to take initiative, adapt to changing priorities, and work independently Strong time management and prioritization skills Ability to multi-task with a high level of efficiency and attention to detail Physical Requirements While performing the duties of this job, staff is regularly required to sit, stand, walk, talk and/or listen. He/she uses his/her hands to do computer work, write reports, do equipment set-up/cleaning/storage, clerical support, etc. He/she will be using the phone frequently. Good vision is needed to be able to read schedules, enter accurate data, etc. He/she must have good general health and demonstrate emotional stability so as to carry out the above-enumerated duties. Able to lift up to 30 pounds Use proper body mechanics when handling equipment Standing, walking and moving 50% of the day Compliance Requirements Complies with Chinese Hospital Compliance Handbook including Code of Ethics and all statutes, regulations, guidelines applicable to federal and state programs. Responsibilities include, following the guidelines and reporting suspected violations of any statute, regulations, agreements or guidelines applicable to all healthcare programs. Base Pay Scale Starting at $60.07-$89.18 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
DaVita Kidney Care

Licensed Vocational Nurse

$29 - $42 / hour
Posting Date 05/27/2026 1000 Marshall Street, Redwood City, California, 94063-2065, United States of America DaVita is seeking a Licensed Vocational Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita – which is Italian for "giving life" – is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: No Dialysis experience is required. Training may take place in a facility or a training clinic other than your assigned home clinic Float to various clinics during and after your training You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays What you can expect: Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. Be a part of a team that supports and relies on each other in a positive environment. Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and more Paid training Requirements: Current LPN-LVN license in the state of practice required Current CPR certification required IV certification required if required by state regulations High school diploma or equivalent required Completed training program approved by the medical director and the governing body as required by CMS guidelines prior to operating the water treatment system BONENT or CHT certification preferred or as required by state regulation Minimum of one year's experience in a hospital or clinical setting preferred Basic computer skills and proficiency in MS Word and Outlook required; functional proficiency in computer systems of DaVita within 90 days of hire required) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-SM3 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $29.00 - $42.00 per hour. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
Lucile Packard Children's Hospital Stanford

Surgical Technologist II

$53.28 - $60.39 / hour
Company Description At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P138416-2214 Job Description JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. The Surgical Technologist II acts as a member of the surgical team providing patient care to the patients undergoing surgical procedures in all areas, including a variety of complex procedures, by assisting the surgeon with instrumentation. Under some supervision, prepares the appropriate instrumentation and materials for use during and on the surgical field, passing instruments, assisting with room turnover, and performs other scrub duties as directed. Essential Functions The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. Under minimal supervision, provides surgical support to physicians and patients undergoing a surgical procedure in all surgical areas including some complex cases. Anticipates the needs of the surgeon by passing instruments, supplies and equipment in a timely manner. Adheres to all policies and practices for safe identification and handling of specimens and medications. Has knowledge of medications and its intended use on the field. Is aware of patients' weight and maximum doses of medication when appropriate, Is aware and knows patient allergies. Handles specimens and medications using correct technique and according to departmental policy and procedure. Provides information related to care/preparation of surgical instruments/equipment for sterilization/disinfection procedures. Performs the necessary surgical counts on sharps, small items, instruments and sponges with the circulating nurse prior to opening, during, and after closing the incision. Prepares the surgical field by opening correct supplies and preparing instruments and equipment needed for the scheduled case. Assures all materials are available and in working order and verifies own skill in using equipment correctly. Provides indirect patient care activities such as patient transportation. Assist with standard work and cleaning at completion of procedure. Maintains aseptic technique; actively monitors situations that could lead to a breach in aseptic technique. Communicates and immediately corrects breaks in aseptic technique. Ensures that equipment is functioning properly and immediately notifies appropriate personnel of any problems. Tests equipment prior to use on field. Adheres to the LPCHS unit policies regarding equipment maintenance. Assists with restraining uncooperative/combative patient in a safe manner. Serves as a role model for Surgical Tech I. Qualifications MINIMUM QUALIFICATIONS Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying. Education: Completion of an accredited program recognized by the National Board of Surgical Technology and Surgical Assisting or formal structure surgical program (e.g., military services). Experience: Two (2) or more years of progressively responsible and directly related work experience License/Certification RQI Healthcare Provider Basic Life Support or Basic Life Support by American Heart Association (AHA) KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. Ability to apply judgment and make informed decisions. Ability to work independently. Ability to foster effective working relationships and build consensus. Ability to solve problems and identify solutions. Ability to speak/write effectively at a level appropriate for the job. Knowledge and theoretical understanding of normal/abnormal anatomy/physiology. Knowledge and understanding of surgical procedures to anticipate needs/request from surgeons. Requests instruments and supplies based on procedures and case progress. Knowledge of computer systems and software used in functional area. Knowledge of general safety procedures. Ability to use judgment to determine own work flow. Ability to provide appropriate care based on the needs of the individual taking into consideration age, culture, and developmental issues. Knowledge of normal anatomy and physiology, anticipates and responds to needs of surgeons by requesting instruments/supplies based on procedure and case progress. Ability to provide leadership and influence others. Skill in critical thinking. Physical Requirements The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $53.28 to $60.39 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
Lucile Packard Children's Hospital Stanford

Nurse Practitioner / Physician Assistant / Certified Nurse Midwife, Obstetrics

$87.55 - $109.44 / hour
Company Description We are proud to inform you that this position is eligible for our Student Loan Assistance Program. You may receive up to $9,600 which will be applied directly to your student loan account*. This benefit is for eligible positions as outlined in our program guidelines. At Lucile Packard Children’s Hospital Stanford, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time. Job ID: P143537-2799 Job Description DEPARTMENT DESCRIPTION The Obstetrics Clinic at LPCH Stanford is a fast-paced clinic that provides services for both low and high-risk expectant mothers through the continuum of their gestation. The OB APP will provide comprehensive care to both low- and high-risk obstetric patients across the continuum of inpatient and outpatient services. Clinical responsibilities may include postpartum rounding, obstetric triage evaluation and management, and care delivery within low- and high-risk obstetric clinics. The APP will support patient-centered care through both traditional one-on-one visits and Centering group prenatal care models, while collaborating closely with multidisciplinary teams to optimize patient outcomes, continuity of care, and clinical workflow efficiency. JOB SUMMARY This paragraph summarizes the general nature, level and purpose of the job. Nurse Practitioner (NP): The Nurse Practitioner functions under the general Nurse Practitioner Standardized Process Protocol approved by the Interdisciplinary Practice Committee (IDPC). The Nurse Practitioner provides routine care and management of the patient with acute and chronic complaints, in collaboration with the supervising physician and through implementation of standardized procedures. Specific functions pertaining to the Service, Clinic or Department are established by the Nurse Practitioner and the supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Executive Board and Board of Directors. Physician Assistant (PA): The Physician Assistant functions under the general Physician Assistant Role Description approved by the Interdisciplinary Practice Committee (IDPC). Specific functions pertaining to the Service, Clinic or Department are established by the Physician Assistant and his or her supervising physician(s), and approved by the appropriate medical and nursing administrators, the IDPC, and the Stanford Hospital and Clinics (SHC) Medical Board and Board of Directors. Certified Nurse Midwife (CNM): The Certified Nurse Midwife (CNM) provides routine prenatal and postpartum care to patients with normal prenatal histories and postpartum courses as well as the management of those patients with acute and chronic conditions related to (and during the course of) pregnancy, in collaboration with the physician(s) and through implementation of standardized procedures. ESSENTIAL FUNCTIONS The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned. Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings. Must perform all duties and responsibilities in accordance with the hospital's policies and procedures, including its Service Standards and its Code of Conduct. An NP/PA may provide only those medical services which he/she is competent to perform, which are consistent with the NP/PA's education, training and experience, and which are performed in collaboration with a physician. An NP/PA shall consult with a physician regarding any task, procedure or diagnostic problem which the NP/PA determines exceeds his/her level of competence or shall refer such cases to a collaborating physician. Scope of Practice of the NP/PA: Evaluates and treats patients with acute, chronic complaints and health maintenance concerns related to specialty, according to written standardized procedures. Obtains complete histories and performs pertinent physical exams with assessment of normal and abnormal findings on new and return patients. Performs or requests and evaluates diagnostic studies as indicated upon evaluation of the patient. Administers, orders, furnishes and prescribes medications. Orders and collects specimens for routine laboratory tests, screening procedures and therapeutic procedures, including blood and blood products. Orders physical therapy, occupational therapy, respiratory therapy, radiology examinations and nursing services. Performs designated procedures after demonstrated competency, according to written standardized procedures where applicable. Obtains informed consent, as indicated. Initiates arrangements for hospital admissions and discharges and completes appropriate paperwork. As directed by the supervising physician, enrolls patients in investigational studies approved by the Investigational Review Board (IRB), and orders the necessary tests and medications. After appropriate training, assists the supervising physician in the operating room. The RN First Assistant directly assists the surgeon and practices under the supervision of the surgeon during the intraoperative phase. The RN First Assistant must adhere to standardized procedures and not concurrently function as a scrub nurse. Recognizes and considers age-specific needs of patients. Effectively communicates and interacts with patients, families, staff and members of the community from diverse backgrounds. Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary. Facilitates the coordination of inpatient and outpatient care and services as needed. Facilitates collaboration between providers and coordination of community resources. Ensures compliance with legal, regulatory and clinical policies and procedures. Participates in quality improvement initiatives. Provides and coordinates patient teaching and counseling. Other duties as assigned. Supervision: Supervision is provided by the supervising/sponsoring physician with clinical privileges at LPCH, or designated attending physicians in the Clinic, Service or Department. Standardized procedures, approved by the supervising physician(s) and the IDPC, are a mandatory mechanism of supervision. Other mechanisms of supervision used may be: Direct on-site, electronic or phone supervision by a supervising physician. A physician cannot supervise more than four (4) NP/PAs at one time. Chart screens on random charts by the supervising physician or designee. Chart audits on random charts as an integral part of selected quality improvement programs. Ongoing Professional Practice Evaluation (OPPE) through tracking of performance indicators. The NP/PA will receive a formal annual performance evaluation by the Lead Advanced Practice Provider (Lead APP), Director of Advanced Practice or supervising manager/director with input from the Lead APP, supervising physician(s) and/or physician delegates, APP peers and the supervising manager/director. Ongoing Professional Practice Evaluation (OPPE) also occurs through tracking of performance indicators. Qualifications MINIMUM QUALIFICATIONS Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. Certified Nurse Midwife (CNM): Licensure as a Registered Nurse (RN) in the State of California CNM - Certified Nurse Midwife. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $87.55 to $109.44 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.
SYNERGY HomeCare of Walnut Creek

Caregiver

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

Caregiver/ Home Care Aide

Must have HCA with the state of CA. Apply here https://jobs.apploi.com/view/1313247 Location- South San Francisco , San Mateo, Pacifica, Half Moon Bay ,Daly City , Pacifica Days - 7 Days a Week, Multiple Shifts available, hiring for all the cities in San Mateo County Time - 8:00 AM to 11:00 PM ( Flexible shifts available ) Starts- Immediately Essential Job Functions/Responsibilities Responsibilities of the home care aide include, but are not limited to, the following- Execute the client’s care plan as outlined by the Care Designer. Help clients with their ADLs (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide. Assisting clients with personal hygiene such as skin, mouth, hair care, bathing, and dressing. Meal planning and preparation Performing household services including housekeeping, laundry, Assisting clients with medications reminders which are ordinarily self-administered. Reporting changes in the client's condition and needs to the administrator or care designer. Completing records regarding services performed. Driving to appointments or to run errands. Accurately records all hours worked. Remains alert throughout the shift in case client requires assistance, responds immediately to any such needs by providing the assistance required, or calling theCompany for guidance. Participating in all required entry-level and annual training requirements. Maintaining an active home care aide registration with the State of Ca. Dept. of SocialServices Home Care Services Bureau. Other duties as assigned by the administrator or designee. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. For interested applicants, please send your resume to rachana.pandya@nursenextdoor.com or text @650-472-9743 Job Types: Full-time, Part-time Pay: $21.00 - $24.00 per hour Expected hours: 30 – 40 per week Benefits: Employee assistance program Flexible schedule Mileage reimbursement Paid orientation Paid time off Paid training Professional development assistance Referral program Safety equipment provided Schedule: 12 hour shift 4 hour shift 8 hour shift Day shift Evening shift Monday to Friday Morning shift Night shift No nights No weekends Overtime Weekends only Shift availability: Day Shift (Required) Ability to Relocate: San Mateo, CA: Relocate before starting work (Required) Work Location: In person
GoHealth Urgent Care

Certified Medical Assistant

You’re more valuable than ever – And that’s just how we’ll make you feel. Set up email alerts as new job postings become available that meet your interest! All qualified persons are granted an equal opportunity for employment without regard to race, color, religion, sex, sexual orientation and gender identity or expression, age, national origin, citizenship status, disability, genetic information, medical condition, family care leave status, pregnancy or pregnancy-related condition, otherwise qualified disabled or veteran status. The company will comply with all fair employment laws in each of the jurisdictions where we conduct business. For applicants in California, please review our California Consumer Privacy Statement here. https://www.gohealthuc.com/privacy-policy
Nurse Next Door San Mateo

Caregiver / Home Care Aide

Pay- $22.00 to $24.00 Per Hour Are you a compassionate caregiver who always wants to provide the best care possible? Do you love working with seniors for the purpose of Making Lives Better through Happier Aging? Do you want to make lives better and have the ability to drive your career? Nurse Next Door has the perfect opportunity for you!!! Nurse Next Door is dedicated to delivering flexible, premium care options to help seniors stay at home because we know home is the safest place to be. Do you want a flexible work schedule that fits with the other priorities in your life? Nurse Next Door is looking for Caregivers who can work 10 to 40 hours per week (no experience required)! We have flexible hours in the morning, afternoon, evening, and overnights. Job Description Summary A Home care aide is an individual authorized to provide nonmedical services and assistance to an elderly or disabled client. Care Is usually provided at the person’s home, or facility. Nurse Next Door affiliated home care aides shall be selected on the basis of such factors as a sympathetic attitude towards the care of the sick, ability to carry out directions, maturity and ability to deal effectively with the demands of the job. All affiliated Home care aides employed by Nurse Next Door to provide in-home care services will be 18 years old (or if under 18 years of age be a high school graduate or enrolled in a vocational education program) and have sufficient communication and language skills to enable them to perform their duties and interact effectively with clients and other agency staff. Home care aides must meet all registration, criminal background checks and training requirements as specified by the State of California Department of Social Services Home Care Services Bureau and Nurse Next Door policies. Essential Job Functions/Responsibilities Responsibilities of the home care aide include, but are not limited to, the following- · Execute the client’s care plan as outlined by the Care Designer. · Help clients with their ADLs (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide. · Assisting clients with personal hygiene such as skin, mouth, hair care, bathing and dressing. · Assisting clients in and out of bed, transfers, positioning and assisting with ambulation. · Assisting with prescribed exercises which clients and aides have been taught by appropriate health personnel. · Meal planning and preparation, including therapeutic diets, and assisting clients with eating. · Assisting clients to the bathroom or in using commodes, bedpans or urinals and incontinence care. · Performing household services including housekeeping, laundry, transportation, correspondence, making telephone calls, shopping for personal care items or groceries, and companionship. · Assisting clients with medications reminders which are ordinarily self-administered. · Reporting changes in the client's condition and needs to the administrator or care designer. · Completing records regarding services performed. · Driving to appointments or to run errands. · Accurately records all hours worked. · Remains alert throughout the shift in case client requires assistance, responds immediately to any such needs by providing the assistance required, or calling the Company for guidance. · Participating in all required entry-level and annual training requirements. · Maintaining an active home care aide registration with the State of Ca. Dept. of Social Services Home Care Services Bureau. · Other duties as assigned by the administrator or designee. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. Position Qualifications · At least 18 years of age. · Current registration with the State of California Home Care Aide Registry. We Provide paid training and help you with the registration process. · Completion of a criminal background check and disclosure of any criminal history or evidence of exemption. · Evidence of entry-level training or plan to complete paid training prior to client care and in accordance with CA regulations. · Evidence of tuberculosis testing and verification that the home care aide does not have active tuberculosis. · Ability to read and follow written instructions and document care given. · Self-directing with the ability to work with little direct supervision. · Empathy for the needs of the ill, injured, frail and the impaired. · Demonstrates tact, patience, and good personal hygiene. · Valid driver’s license and auto insurance and/or reliable transportation required. Physical Demands · Regularly required to sit, use hands or fingers, handle, or feel and talk or hear. · Required to reach with hands and arms. · Required to stand, walk, climb or balance, stoop, kneel, crouch, or crawl, and taste or smell. · Must be able to lift and or move up to 10 pounds, frequently lift and or move from 25 up to 50 pounds. · Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Schedule: Part time/ Full time/ Weekend/ flexible shift available COVID-19 considerations: Masked can be worn if the caregiver feels safer doing so and will not be sent to any client's home that has COVID-19 until they are better.
UCSF Health

Registered Nurse - Pediatric Critical Care Float Pool

Job Description The Float Pool Nursing Department is a dynamic and versatile team of highly skilled registered nurses who provide essential staffing support across multiple units within the healthcare system. These nurses are expertly cross trained in various specialties and are deployed to areas experiencing increased patient volume, staffing shortages, or other emergent needs. They bring exceptional flexibility, adaptability, and clinical expertise to every assignment, ensuring continuity of care and upholding the highest standard or patient safety and satisfaction. Their broad skill set enables them to seamlessly integrate into diverse clinical environments, including medical-surgical, PICU, NICU, emergency, and specialty units - while consistently delivering high-quality, compassionate care. Responsibilities Responsible for maintaining the knowledge and abilities essential to the performance of stated behaviors. Carries out legal responsibilities within the scope of the Nurse Practice Act. Accountable to the NURSE SVC SUPV 2 for overall work performance. Qualifications Required qualifications: At least 5 years of pediatric critical care (PICU) neonatal critical care will be considered (NICU) RN experience required The flexibility to orient and work at all UCSF Health locations Preferred Qualifications Bachelor of Science in Nursing (BSN) Licensure/Certifications Active Registered Nurse licensure in the State of California Active American Heart Association CPR Certification PALS (Pediatric Advanced Life Support) NRP (Neonatal Resuscitation Program) About UCSF ABOUT US The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells. Pride Values UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values . In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here . Join us to find a rewarding career contributing to improving healthcare worldwide. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html
Right at Home Peninsula

Full time weekday caregiver opportunities

Right at Home Peninsula is voted 2025 Best of Home Care: Employer of Choice, Provider of Choice Compensation : $210.00-$241.50 per shift Hours : Ten hour Caregiver day shifts. (9am to 7pm or 8:30am to 6:30pm) in Foster City Rewarding & AMAZING Benefits: Medical, dental, vision benefits 401k with industry-leading employer match DAILY pay option with TapCheck (we normally pay biweekly) PAID training Overtime and holiday pay Paid sick leave We reimburse for TB Test, LiveScan Background Check, Registration with Department of Social Services after 80 hours worked $500 Caregiver Referral Reward Program - recommend your friends to Right at Home and earn rewards Mileage reimbursement Direct deposit Right at Home uniform and gear Flexible schedules - you tell us what hours you can work Clients near your home Access to Right at Home University - our online training portal Free continuing education units Continuing service awards Telephony - clock in/out or ClearCare application on your smart phone Caregiver Job Description: Assist with basic care needs Provide companionship Help with housekeeping M onitor medications Assess your care plan regularly Prepare meals Assist with transfer and mobility Provide transportation RAH Home Care Aid requirements: Caregivers to provide in-home non-medical support for seniors and older adults.
Telecare Corporation

Registered Nurse (on call) - Mental Health 616

$48.72 - $60.18 / hour
“They made it easier for me to live, breathe, eat, and stay clean. Without them, I’d be waiting somewhere, waiting for someone to give me a chance to live...” - Client from Telecare What You Will Do to Change Lives The Registered Nurse (RN) provides recovery-focused services related to the safe and appropriate administration of medical treatment (including medications) as prescribed by the physician. Shifts Available: On-Call | Shifts and days vary as needed *Primary need is for weekend AM and PM coverage* Expected starting wage range is $48.72 - $60.18. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements. Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift) What You Bring to the Table (Must Have) Licensure as a Registered Nurse in the state of program operations What’s In It For You* Paid Time Off: Eligible employees (20+ hours/week) earn PTO each pay period for vacation and personal needs, with pro-rated accrual for part-time schedules and annual carryover up to set caps. Nine Paid Holidays & Shift differentials for hourly staff (6% for PM Shift, 10% for Overnight Shift). Weekend Shift differentials for hourly staff (5% for Weekend AM Shift, 11% for Weekend PM Shift, 15% for Weekend Overnight Shift) Free CEUs, coaching and mentorship Online University Tuition Discount and Company Scholarships Medical, Vision, Dental Insurance, 401K, Employee Stock Ownership Plan For more information visit: https://www.telecarecorp.com/benefits Join Our Compassionate Team Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems. Alameda County Youth CSU is a Crisis Stabilization Unit serving youth populations within Alameda County. These programs provide screening/triage, medication support and brief treatment in a safe, protective setting. These programs are sometimes co-located with acute inpatient programs, allowing for a 'warm hand-off' transfer when needed. The typical length of stay is up to 24 hours. EOE AA M/F/V/Disability *May vary by location and position type Full Job Description will be provided if selected for an interview. Registered Nurse, RN, Psych Nurse, Psychiatry, Nursing, Nurses If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
UCSF Health

Registered Nurse - OBGYN/Fertility

Job Description Under general supervision, guided by the policies and procedures of the Center for Reproductive Health (CRH) and UCSF Ambulatory Services, and in collaboration with the physician staff, the Registered Nurse (RN) role crosses care settings to promote health and healing for a specific patient population. The primary focus of the role is to improve access, timeliness to treatment and care coordination within the healthcare organization. The nurse performs established nursing procedures using clinical knowledge to care for patients. The RN collaborates with physicians and other members of the multidisciplinary team in providing excellent clinical care to all patients attending CRH for medical services and treatment. The nurse consistently projects a professional and courteous demeanor. The RN is a licensed registered professional nurse who is a clinical expert and actively promotes the delivery of evidence-based nursing interventions, demonstrates competence in the management of patient flow and daily clinic operations, and possesses expertise in the specialty nursing area and specific patient population of REI (Reproductive Endocrinology and Infertility). The RN provides expert nursing care to all patients who are receiving assisted and routine reproductive techniques and services. These duties include in-person consultations with patients and/or their partners throughout the care continuum; patient treatment and medication instruction; EMR charting and documentation, preparing treatment schedules; assessment, management, and monitoring of patient medication needs; assisting with various clinical procedures; efficiently communicating all patient treatment and scheduling needs with the patient and the multidisciplinary team involved in their care; triaging patient phone calls and coordinating patient care between the various practice teams. The nurse will assess patient needs and, in collaboration with physicians, plan appropriate treatment interventions and evaluate patient response to treatments. The RN will work collaboratively with the multidisciplinary team comprised but not limited to: physicians, fellows, medical assistants, Practice Coordinators, front desk staff, billing staff, Patient Financial Navigators, anesthesiologists, embryologists, embryology and lab team members, procedure nurse team members and administration. The nurse shall comply with the medical center house and telephone standards and EMR standards. The RN will assess health needs and perform functions specific to routine and assisted reproductive techniques, including but not limited to andrology, gynecological treatments, in vitro fertilization (IVF) procedures, fertility preservation for patients (oncology and gender transition), PCOS (polycystic ovarian syndrome), endometriosis, and male urology patients (microsurgical sperm extraction). The RN will assess patient needs, develop appropriate plans of care according to nursing practice standards, and evaluate and participate in care for patients/couples during their reproductive health treatments, office visits, and IVF cycles. The nurse will utilize specialized knowledge and skills for evaluation and teaching within this patient population and may act as a resource person within the organization and/or community. Responsibilities The Registered Nurse will work within the CRH practice performing daily clinical procedures related to assisted reproductive technologies and other fertility related treatments as well as general health status evaluations as follows: % of time Essential Function (Yes/No ) Key Responsibilities (To be completed by Supervisor) 40% In person/virtual consultations with fertility patients and their partners care including communication and instruction regarding treatment steps, medication instruction, and required and recommended diagnostic testing 10% Answers patient care questions via portal messaging, phone calls, video calls; may respond to questions or route appropriately to Care Teams 5% Witness consent signing 5% Coordinates prescriptions, appointments, and ancillary testing including verification of screening requirements and ensuring results coordination 5% Participates in training and onboarding new Nursing staff within the CRH practice 5% Cross trains/orients to other nursing roles within the CRH practice 5% Administrative duties including chart review and documentation of patient care activities and copying and providing education materials for patients, sending faxes using HIPPA standards for all patient communications 5% Efficiently communicating all patient treatment and scheduling needs with the patient and the multidisciplinary team involved in their care 20% Serves as a liaison and resource for patients, physicians, and other healthcare professionals involved in the provision of care to the patient from the intake process through completion of treatment by providing nursing assessment and triage as appropriate Provides telephone and in-person instruction and clinical expertise to the patient throughout the continuum of care (from intake to completion of treatment) including the review of detailed treatment plan appointment calendars, medication and injection instructions, prescription management strategies, need for follow-up visits and other related clinical care information as needed Ensures new patients are scheduled with the appropriate provider at the appropriate timeframe Collaborates with the multidisciplinary team to ensure necessary medical information is complete and available for all patient appointments including blood work and imaging Participates as a member of the multidisciplinary care team to assist with and coordinate all diagnostic and laboratory studies required to expedite the treatment planning process Provides educational and emotional support throughout the intake and treatment planning process and refers patients to appropriate supportive services based on assessments from members of the multidisciplinary team Coordinates patient contacts, patient education, and prepares patients for procedures/tests in collaboration with the multidisciplinary team Assists with patient cycle monitoring during treatment, collaborating with physicians and multidisciplinary team members in the coordination and execution of the patients plan of care throughout the treatment continuum for reproductive and other fertility related treatments Assesses learning needs of specific patient populations and develops appropriate curriculum to meet the patient’s specific needs Collaborates with physicians and other multidisciplinary members of the patient’s care team (inside and outside of UCSF) to ensure follow up and treatment plans are communicated Assists in the development of clinical goals and objectives for the Center for Reproductive Health Actively participates in quality improvement initiatives, utilizing information from relevant sources, such as databases and benchmarks for the efficient, economical, and competent performance as a part of UCSF Medical Centers Mission, Goals, and Values Maintains accurate and current knowledge base of principles, practice standards, emerging technologies, and research findings, as well as local, state and national health-related resources and services relevant to the patient population under the care of the Center for Reproductive Health Demonstrates leadership through participating in department and hospital committees, councils and task forces Ability to integrate patient care with other members of the interdisciplinary health care team and provide direction or guidance to non-licensed personnel in the assigned area of responsibility to ensure quality care Participates in formal and informal evaluation of staff competency Demonstrates the ability to provide care/service safely and efficiently for each patient Demonstrates nursing competency thorough documentation of patient assessment and interventions completed in electronic medical record 100% LIVING PRIDE STANDARDS Service Excellence Demonstrates service excellence by following the Everyday PRIDE Guide with the UCSF Medical Center standards and expectations for communication and behavior. These standards and expectations convey specific behavior associated with the Medical Center’s values: Professionalism, Respect, Integrity, Diversity and Excellence, and provide guidance on how we communicate with patients, visitors, faculty, staff, and students, virtually everyone, every day and with every encounter. These standards include, but are not limited to: personal appearance, acknowledging and greeting all patients and families, introductions using AIDET, managing up, service recovery, managing delays and expectations, phone standards, electronic communication, team work, cultural sensitivity and competency. Uses effective communication skills with patients and staff; demonstrates proper telephone techniques and etiquette; acts as an escort to any patient or family member needing directions; shows sensitivity to differences of culture; demonstrates a positive and supportive manner in which patients / families/ colleagues perceive interactions as positive and supportive. Exhibits team work skills to positively acknowledge and recognize other colleagues, and uses personal experiences to model and teach Living PRIDE standards. Exhibits tact and professionalism in difficult situations according to PRIDE Values and Practices Demonstrates an understanding of and adheres to privacy, confidentiality, and security policies and procedures related to Protected Health Information (PHI) or other sensitive and personal information. Demonstrates an understanding of and adheres to safety and infection control policies and procedures. Assumes accountability for improving quality metrics associated with department/unit and meeting organizational/departmental targets. Work Environment Keeps working areas neat, orderly and clutter-free, including the hallways.Adheres to cleaning processes and puts things back where they belong. Removes and reports broken equipment and furniture. Picks up and disposes of any litter found throughout entire facility. Posts flyers and posters in designated areas only; does not post on walls, doors or windows. Knows where the Environment of Care Manual is kept in department; corrects or reports unsafe conditions to the appropriate departments. Protects the physical environment and equipment from damage and theft. Other Functions And Responsibilities Participates in training and onboarding new Nursing staff within the CRH practice. Participates in various clinical meetings (e.g., nurse meetings, various nursing practice committees, MD/RN meetings, multidisciplinary workgroups and committees, etc.) May work with process improvement teams or workgroups to provide clinical insight into opportunities for workflow improvements, care improvements, etc.). Performs other duties as assigned. Will work at other womens' Health sites, as assigned Qualifications Required Qualifications: Five years clinical nursing experience in Women’s Health Active Registered Nurse licensure in the State of California Active American Heart Association CPR certification Strong leadership skills Ability to work independently in a fast-paced, detail-oriented environment and flexibility with rapidly changing patient care priorities Excellent communication skills Computer skills including EMR application(s) and Microsoft Word and Excel The flexibility to orient and work at all UCSF Medical Center locations Preferred Qualifications One year of recent Reproductive Endocrine and Infertility nursing experience with patient case management and education ACLS Certification Phlebotomy and IV skills Experience with telephone triage License/Certifications Active Registered Nurse licensure in the State of California Active American Heart Association CPR certification
Silverado

Full Time Caregiver (PM)

$25 - $29 / hour
Join Silverado Belmont, a memory care innovator ranked in the top 10 nationwide by Fortune Magazine Best Workplaces in Aging Services. Since 1997, Silverado has delivered exceptional care to individuals with neurodegenerative conditions. We’re a certified Great Place to Work® and proud to offer competitive pay, benefits, and growth opportunities. We’re hiring Caregivers - compassionate team members who provide hands-on support to residents living with Alzheimer’s, dementia, and other memory-impairing conditions. This role blends empathy, reliability, and relationship-building to create meaningful moments every day. Be a difference-maker with a memory care leader! You lead with heart, patience, and integrity. You’re dependable, eager to learn, and thrive in a team-focused environment. You’re passionate about helping others live with dignity and joy. What You’ll Be Doing: Provide compassionate care and assistance with daily living activities (bathing, dressing, grooming, dining, etc.) Build meaningful relationships with residents, families, and fellow team members Support residents with memory impairments in a safe, respectful, and engaging environment Maintain accurate care records and report changes to the nursing team Qualifications: High school diploma, GED, or educational equivalent preferred Experience caring for individuals with Alzheimer’s, dementia, or other debilitating conditions (preferred but not required) Reliable transportation to meet attendance and punctuality standards Effective communicator in verbal and written English Active role: walking, bending, lifting (up to 50 lbs.) Comfortable working around animals and pets Why Choose Silverado? Fortune Magazine Best Workplace in Aging Services™ Certified Great Place to Work® Paid training and strong internal mobility Schedule: Full Time, PM shift, 4 days on/ 2 days off Anticipated pay range: $25 USD - $29 USD Silverado offers the following benefits to eligible employees: 401(k) matching Health, Dental and Vision Insurance Flexible Spending Account (FSA) Paid time off Tuition reimbursement and professional development assistance Referral program Other amazing benefits such as Pet Insurance, Auto and Home Insurance and Discount Programs! * Silverado does not accept candidates from outside recruiters or agencies for this role. * California Employees: For roles requiring driving, the driving requirement has been deemed essential to the performance of this role due to specific business necessity. Supporting documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law. To view California Consumer Privacy Act (CCPA) information, please visit this page: https://www.silverado.com/legal-disclaimers/#Consumer-Privacy-Act-Disclosure Employment offers are contingent on background check, drug screening, physical, and TB testing (if applicable). Silverado uses E-Verify to confirm work authorization with both the Social Security Administration and the Department of Homeland Security EOE/M/F/D/V
Sutter Health

Clinical Nurse Specialist, NICU

$183,830.40 - $266,552 / year
We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Ashby Campus Position Overview: Designs, implements, and evaluates patient specific and population based programs of care. Advances the practice of nursing to achieve quality and cost effective patient outcomes. Leads multidisciplinary groups in designing and implementing innovative evidenced based practice that address system problems or patient care issues. Adheres to hospital polices, industry standards, best practices, and applicable laws/regulations and codes to promote a quality, highly reliable patient experience. Engages in continuous growth and development in professional advanced nursing practice. Job Description : EDUCATION: MSN Required CERTIFICATION & LICENSURE: Registered Nurse - CA State Licensure - RN Required RNC-NIC Preferred Basic Life Support Certification - BLS Required Clinical Nurse Specialist - CNS Required TYPICAL EXPERIENCE: NICU environment with 5 years of experience Required. Educator experience Preferred. SKILLS AND KNOWLEDGE: Broad knowledge of clinical nursing, including current trends, safety precaution policies, equipment, electronic healthcare records (EHR) management software, accrediting agency standards, and local/state/federal regulations. Working understanding of adult teaching/learning theories and program assessment, program design, promotion and marketing implementation and evaluation processes. General knowledge of the scope of practice, evidence-based practices, the American Nurses Association (ANA) Code of Ethics for Nurses, and the Patients’ Bill of Rights. Attention to detail with time management and organization skills with the ability to work with a high degree of initiative and independence. Possesses solid written and public speaking skills, including the ability to clearly and professionally explain medical, technical, or sensitive information to diverse audiences. Intermediate knowledge of word processing, presentation, and email software, such as Microsoft Word, PowerPoint, Publisher, and Outlook, in addition to a working understanding of Microsoft SharePoint, Adobe Captivate, HealthStream and Epic, and an aptitude for learning new programs. Work independently, as well as be part of a team, while demonstrating exceptional attention to detail and organizational skills. Prioritize and delegate assignments under varied and urgent conditions while working within standardized procedures and practices to achieve objectives and meet deadlines. Identify and solve complex problems based on the analysis of multiple sources of information while providing new perspectives on existing solutions. Ensure the privacy of each patient’s Protected Health Information (PHI). Develop collaborative relationships with various groups internally and externally, including clinical and support staff, other departments, management, Sutter Health clinical nurse educators, college staff, regional CPR training program coordinators, and regulatory agencies to coordinate educational needs and ensure compliance. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $183,830.40 to $266,552.00 / annual salary The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
LaserAway

Registered Nurse - Aesthetic Training Provided

$60 / hour
Aesthetic Registered Nurse $60/hr base + $5/hr weekend differential Fixed schedule No overnights You'll be the clinical expert patients trust to achieve results they didn't think were possible without surgery — owning every treatment relationship from first consult through long-term results. About LaserAway LaserAway is the nation's leader in aesthetic dermatology. We specialize in advanced, non-surgical treatments that combine medical expertise and cutting-edge technology. Our clinics run at high volume with a team-first culture — RNs here build loyal patient books and have a real voice in how care is delivered. What You'll Own Your patient's full clinical journey — from initial skin assessment and treatment planning through follow-up care and long-term results. You'll build relationships with patients who come back because of you, not just the brand. Day-to-day: performing laser, injectable, and skin rejuvenation treatments; conducting consultations; designing individualized treatment plans; documenting accurately; and partnering with Patient Care Coordinators and Location Directors to run a seamless clinic floor. You'll work with a custom EMR built for LaserAway — fully digital and designed to simplify charting so you stay focused on patients, not paperwork. And as we continuously add the latest FDA-cleared technologies to our treatment menu, you'll always be practicing at the forefront of aesthetic medicine. Who Thrives Here TRACK A - CLINICAL BACKGROUND Current RN license (state-issued) 1+ year acute care (ER, ICU, or Med-Surg) Eager to build aesthetics skills — full training provided TRACK B - AESTHETICS BACKGROUND Current RN license (state-issued) 2+ years in aesthetics practice Looking for structure, volume, and a growth path Professional, dependable, and genuinely patient-centered Weekend availability required (full weekends; this is a fixed schedule role) Comfortable in a high-volume clinic environment treating 15-25 patients per day. Schedule & Coverage Fixed schedule — same days each week, no overnights Full weekends are part of this role; evenings may apply depending on clinic hours Work at up to 3 assigned locations within a 30 mile radius. Compensation & Benefits $60/hr base + $5/hr weekend differential Full-time hours (approx. 36–40 hrs/week) — estimated $124K–$134K annually at full-time Medical, dental, and vision insurance 401(k) with company match Paid time off Free scrubs Employee discounts on treatments and products Growth Path Comprehensive hands-on training across all aesthetic modalities from day one Clear advancement into Lead Nurse and Regional Clinical Trainer roles NPs who excel here become the clinical voice that shapes how we train the next wave of practitioners LaserAway is an Equal Opportunity Employer. We’re committed to creating an inclusive workplace and will provide reasonable accommodations as required by law. Benefits Summary LaserAway provides competitive compensation packages and a comprehensive range of benefits, including Medical, Dental, Vision, Disability and Life Insurance, a 401(k) plan with a company match, and additional ancillary benefits. We also offer Paid Time Off (PTO) in compliance with state and federal requirements, ensuring our employees are supported both professionally and personally. LaserAway also provides incentive compensation, including potential bonuses and commissions, depending on role and performance.
Nurse Next Door San Mateo

Caregiver / Home Care Aide

Are you a compassionate caregiver who always wants to provide the best care possible? Do you love working with seniors for the purpose of Making Lives Better through Happier Aging? Do you want to make lives better and have the ability to drive your career? Nurse Next Door has the perfect opportunity for you!!! Nurse Next Door is dedicated to delivering flexible, premium care options to help seniors stay at home because we know home is the safest place to be. Do you want a flexible work schedule that fits with the other priorities in your life? Nurse Next Door is looking for Caregivers who can work 10 to 40 hours per week (no experience required)! We have flexible hours in the morning, afternoon, evening, and overnights. Job Description Summary A Home care aide is an individual authorized to provide nonmedical services and assistance to an elderly or disabled client. Care Is usually provided at the person’s home, or facility. Nurse Next Door affiliated home care aides shall be selected on the basis of such factors as a sympathetic attitude towards the care of the sick, ability to carry out directions, maturity and ability to deal effectively with the demands of the job. All affiliated Home care aides employed by Nurse Next Door to provide in-home care services will be 18 years old (or if under 18 years of age be a high school graduate or enrolled in a vocational education program) and have sufficient communication and language skills to enable them to perform their duties and interact effectively with clients and other agency staff. Home care aides must meet all registration, criminal background checks and training requirements as specified by the State of California Department of Social Services Home Care Services Bureau and Nurse Next Door policies. Essential Job Functions/Responsibilities Responsibilities of the home care aide include, but are not limited to, the following- · Execute the client’s care plan as outlined by the Care Designer. · Help clients with their ADLs (Activities of Daily Living) that are within the scope of practice for a Registered Health Care Aide. · Assisting clients with personal hygiene such as skin, mouth, hair care, bathing and dressing. · Assisting clients in and out of bed, transfers, positioning and assisting with ambulation. · Assisting with prescribed exercises which clients and aides have been taught by appropriate health personnel. · Meal planning and preparation, including therapeutic diets, and assisting clients with eating. · Assisting clients to the bathroom or in using commodes, bedpans or urinals and incontinence care. · Performing household services including housekeeping, laundry, transportation, correspondence, making telephone calls, shopping for personal care items or groceries, and companionship. · Assisting clients with medications reminders which are ordinarily self-administered. · Reporting changes in the client's condition and needs to the administrator or care designer. · Completing records regarding services performed. · Driving to appointments or to run errands. · Accurately records all hours worked. · Remains alert throughout the shift in case client requires assistance, responds immediately to any such needs by providing the assistance required, or calling the Company for guidance. · Participating in all required entry-level and annual training requirements. · Maintaining an active home care aide registration with the State of Ca. Dept. of Social Services Home Care Services Bureau. · Other duties as assigned by the administrator or designee. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. Position Qualifications · At least 18 years of age. · Current registration with the State of California Home Care Aide Registry. We Provide paid training and help you with the registration process. · Completion of a criminal background check and disclosure of any criminal history or evidence of exemption. · Evidence of entry-level training or plan to complete paid training prior to client care and in accordance with CA regulations. · Evidence of tuberculosis testing and verification that the home care aide does not have active tuberculosis. · Ability to read and follow written instructions and document care given. · Self-directing with the ability to work with little direct supervision. · Empathy for the needs of the ill, injured, frail and the impaired. · Demonstrates tact, patience, and good personal hygiene. · Valid driver’s license and auto insurance and/or reliable transportation required. Physical Demands · Regularly required to sit, use hands or fingers, handle, or feel and talk or hear. · Required to reach with hands and arms. · Required to stand, walk, climb or balance, stoop, kneel, crouch, or crawl, and taste or smell. · Must be able to lift and or move up to 10 pounds, frequently lift and or move from 25 up to 50 pounds. · Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Schedule: Part time/ Full time/ Weekend/ flexible shift available COVID-19 considerations: Masked can be worn if the caregiver feels safer doing so and will not be sent to any client's home that has COVID-19 until they are better.