Nursing Jobs in East Cleveland, OH

RN New Grad Med-Surg Full-time
Cleveland Clinic

New Grad RN Resident – Complex Med/Surg

Cleveland Clinic Mayfield Heights, OH
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title New Grad RN Resident – Complex Med/Surg Location Mayfield Hts Facility Hillcrest Hospital Department Med/Surg 5Th Floor-Hillcrest Hospital Job Code F99938 Shift Days Schedule 7:00am-7:30pm Job Summary Job Details Join Cleveland Clinic and experience world-class healthcare at its best. Cleveland Clinic Hillcrest Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. Here, you will work alongside a dedicated team of caregivers, receive endless support and appreciation, and build a rewarding career. The 5th Floor General Medicine/Geriatric Medicine Unit is a 59-bed unit that supports adults and geriatric patients receiving medical, neurological and telemetry attention. As an RN in this unit, you will help ensure patients have the care they need quickly. All the while, your fellow caregivers will assist you, offering a cohesive, encouraging and constructive front to enhance the patient's experience and your skills as a nurse. How You’ll Benefit Professional growth through our one-year, accredited Nurse Residency program , with nine tailored tracks, including online modules, simulation lab and hands-on training Take advantage of industry leading benefits, including our RN Loan Repayment program, which helps pay off student debt, and our Tuition Reimbursement program to reinvest in your career. And if you’re relocating to join us, you could be eligible for relocation assistance. Our Center for Workplace Violence Prevention and Caregiver Well-Being sets caregiver safety as a priority, identifying, reporting and responding to incidents and providing safety resources. A caregiver in this position works days from 7:00 a.m. – 7:30 p.m. with every other weekend and holiday rotation requirements. A caregiver who excels in this role will: Participate in a residency core curriculum based on individual learning needs. Provide direct nursing care alongside a success coach. Establish and/or revise priorities for patient care (acuity of need, patient preference and resource availability). Respond to data indicating risk to patients’ health and initiate action to correct, reduce or prevent risk. Seek supervision, consultation and assistance when unable to perform safely and independently. Document in patients’ medical records Minimum qualifications for the ideal future caregiver include: Graduate from an accredited School of Professional Nursing Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross New grad or less than one year RN work experience or if experience RN moving from non-inpatient to acute direct care clinical inpatient setting with less than one year current acute direct patient care RN experience. Preferred qualifications for the ideal future caregiver include: Bachelor of science in nursing (BSN) Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.
RN New Grad Full-time
Cleveland Clinic

New Grad RN Resident – Ortho/Neuro/Trauma

Cleveland Clinic Mayfield Heights, OH
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title New Grad RN Resident – Ortho/Neuro/Trauma Location Mayfield Hts Facility Hillcrest Hospital Department Med/Surg 4Th Floor West-Hillcrest Hospital Job Code F99938 Shift Nights Schedule 7:00pm-7:30am Job Summary Job Details Join Cleveland Clinic and experience world-class healthcare at its best. Cleveland Clinic Hillcrest Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. Here, you will work alongside a dedicated team of caregivers, receive endless support and appreciation, and build a rewarding career. The 4 West Tower Med/Surg Unit at Hillcrest Hospital sees a diverse patient population requiring medical, surgical and telemetry attention. As an RN in this unit, you will help ensure patients have the care they need quickly. All the while, your fellow caregivers will assist you, offering a cohesive, encouraging and constructive front to enhance the patient's experience and your skills as a nurse. How You’ll Benefit Professional growth through our one-year, accredited Nurse Residency program , with nine tailored tracks, including online modules, simulation lab and hands-on training Take advantage of industry leading benefits, including our RN Loan Repayment program, which helps pay off student debt, and our Tuition Reimbursement program to reinvest in your career. And if you’re relocating to join us, you could be eligible for relocation assistance. Our Center for Workplace Violence Prevention and Caregiver Well-Being sets caregiver safety as a priority, identifying, reporting and responding to incidents and providing safety resources. A caregiver in this position works from nights from 7:00 p.m. – 7:30 a.m. with every other weekend and holiday rotation requirements. A caregiver who excels in this role will: Participate in a residency core curriculum based on individual learning needs. Provide direct nursing care alongside a success coach. Establish and/or revise priorities for patient care (acuity of need, patient preference and resource availability). Respond to data indicating risk to patients’ health and initiate action to correct, reduce or prevent risk. Seek supervision, consultation and assistance when unable to perform safely and independently. Document in patients’ medical records Minimum qualifications for the ideal future caregiver include: Graduate from an accredited School of Professional Nursing (ASN or BSN program) Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross New grad or less than one year RN work experience or if experience RN moving from non-inpatient to acute direct care clinical inpatient setting with less than one year current acute direct patient care RN experience. Preferred qualifications for the ideal future caregiver include: Bachelor of science in nursing (BSN) Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.
RN Full-time
The MetroHealth System

Registered Nurse-Parma IP

The MetroHealth System Parma, OH
Location: MetroHealth Parma Health Center Bi-weekly Hours: 72.00 Shift: 7a-7p/7p-7a; Rotating weekends, Rotating holidays ***Up to $10,000 sign on bonus for RNs with qualifying experience*** For nearly two centuries, the MetroHealth System’s mission has been focused on delivering high-quality patient-centered care to all communities in Northeast Ohio. Today, through our state-of-the-art Level One Trauma Center, cutting-edge specialty care units, and dedicated caregivers, the system is working at the forefront of medicine to address the overall needs of our patients and eliminate healthcare disparities. All Acute Care Adult Specialty units offer enhanced technology to assist with nursing care, including patient lifts, hands-free communication, virtual whiteboards, and telemetry monitoring capability. Join our Acute Care Adult Medical/Post-Surgical Unit (Parma Inpatient)! Primary Patient Population Medical Post-Surgical Trauma- Level 3 Trauma Center Primary Skills Utilized/learned IV insertions, blood draws, post-surgical care Telemetry monitoring Time management, critical thinking, delegating Personnel RN Will Work With LPNs, Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, PT/OT, Speech Therapy Number Of Beds On Unit 15 beds plus 1 Trauma bed as needed Awards Or Recognitions The Unit Has Received Staff Quote: “Everybody loves Parma; it’s a little slice of Heaven in the MetroHealth world.” MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA Basic Life Support for the healthcare provider certification or obtained within 90 days of hire. PRN requires 1 year of relevant RN experience PRN must possess all required certifications upon hire Preferred Qualifications BSN Professional Certification recognized by the Magnet Association
RN Manager/Supervisor Per Diem
University Hospitals

Nursing Supervisor PRN - Geauga

University Hospitals Chardon, OH
$1 - $1,000,000 / year
A Brief Overview Facilitates movement of patients to appropriate and alternate levels of care as needed and has the authority to facilitate the opening of transitional beds/unit in order to maximize patient throughput and ease excess capacity. This also includes patient access, transfer center and system wide coordination. Takes physician orders and completes admission assessments and other admission activities in times of unusually high activity. Maximizes patient throughput and access by working with Nursing divisions, Surgical areas and ED to adequately plan for admissions and discharges. Assures adequate staffing in all areas of the hospital and ensures that staffing changes are implemented quickly. Manages fluctuations in patient census utilizing productivity targets, staffing grids and appropriate resources. Promotes Relationship Based Care and models the UH essential behaviors during all interactions with patients, physicians and employees. What You Will Do Manages patient flow and manages routine clinical operations through procurement of resources necessary to provide patient care. Works collaboratively with the charge nurse to ensure each area is staffed appropriately. Assumes the role of leadership in the absence of Administration during after hours, weekends, and holidays. Also, provides leadership for nursing staff in the absence of the Clinical Managers, Directors, and VP. Responsible to lead the daily safety huddle call and partner with the Emergency Department (ED) in the intervals defined in the overcrowding guidelines. Specifically, when in stage yellow, orange and red. May also require rounding in the ED more than once a shift. Nursing Supervisor must make critical decisions to staff appropriately, including movement of RN’s, Sitters, CTA’s, etc as necessary. With Emergency room surges, the Nursing Supervisor will assess from the ED where the need is and work in the department to assist with flow, etc. Responsible for ensuring adequate staffing and manages sitter and restraint utilization. Insuring provision of care, restraint utilization, safety and regulatory standards. Responsible for administering a rapid response and ensuring all protocols are followed to assist where the need is urgent. Nursing supervisor will also be responsible for responding to BAT, Traumas in the ED, and all codes (blue, , violent and assist where necessary). Provides administrative, operational and clinical support to patient care areas and administration. Improves systems that support patient care. Responsible for maintaining the environment of care and attending to the needs of the clinical staff through visibility / presence in the clinical areas, coaching, and assisting in the completion of patient care activities. Responsible for addressing staff concerns, leading through change and helping to create a conducive and positive work environment. Serves as the lead for disaster management in the absence of leadership management. Ability to deliver service recovery to patients and family members to ensure a positive experience. Additional Responsibilities Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
RN Full-time
The MetroHealth System

Registered Nurse - Neuroscience Center

The MetroHealth System Cleveland, OH
Location: MetroHealth Main Campus- Glick Bi-weekly Hours: 72.00 Shift: 7a-7p/7p-7a; Rotating weekends, Rotating holidays All Critical Care units offer enhanced technology to assist with nursing care, including patient lifts, hands-free communication, virtual whiteboards, and continuous telemetry monitoring. Join our Neuro Critical Care Unit, 6 West! Primary Patient Population: Adult Ischemic/Hemorrhagic Strokes Status Epilepticus Encephalitis Traumatic Brain Injury (TBI) Intracranial Hemorrhage Primary skills utilized/learned: Detailed Neurological assessments ICP Monitoring Medication titration Managing surgical drains, mechanical ventilators, body temperature, & CRRT Personnel RN will work with: Patient Care Nursing Assistants (PCNAs), Nurse Interns, Providers, Respiratory Therapy, Social Work, Speech Therapy, PT, OT, Dietary Number of beds on unit: 8 beds Awards or Recognitions the unit has received: Multiple Daisy Award nominations MetroHealth offers industry-leading benefits, including tuition reimbursement, professional certification incentives, and medical/dental insurance. As a public employer, employees participate in the Ohio Public Employee Retirement System (OPERS). Required Qualifications: Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current Registered Nurse licensure in the State of Ohio Current AHA Basic Life Support for the healthcare provider certification or obtained within 90 days of hire. Current ACLS certification or obtained within 6 months of hire PRN requires 1 year of relevant RN experience PRN must possess all required certifications upon hire Preferred Qualifications: BSN Professional Certification recognized by the Magnet Association
STNA Full-time
Avenue at Lyndhurst

State Tested Nursing Assistant

Avenue at Lyndhurst Lyndhurst, OH
Keep Care Running Smoothly-- Join Our Team as an STNA! ***COMING SOON---DAILY PAY! ***** Why Join Our Team? Beautiful hotel-like facility! Conveniently located in a beautiful neighborhood between Mayfield Road and Wilson Mills Roads! We are a growing, family-owned company! As a State Tested Nursing Assistant (STNA) at The Avenue at Lyndhurst, you will be responsible for providing direct patient care under the supervision of licensed nurses. Your duties will include: Assisting residents with activities of daily living (ADLs) such as bathing, dressing, and grooming Providing basic nursing care, including vital sign checks and reporting changes to licensed nurses Assisting with feeding, toileting, and transferring residents as needed Maintaining a clean and safe environment for our residents, including restocking supplies and cleaning equipment Collaborating with our interdisciplinary team to develop and implement individualized care plans What We Offer: Competitive Salary 12 hour shifts and Weekend Warrior programs A dynamic and supportive work environment that values teamwork and collaboration Opportunities for professional growth and development in a cutting-edge rehabilitation and skilled nursing care facility A hotel-like atmosphere and all-private suites, promoting comfort, dignity, and healing for our residents Requirements: High School Diploma or Equivalent Current STNA certification Ability to lift and transfer residents as needed Strong communication and interpersonal skills Ability to work flexible shifts, including days, evenings, and weekends Join our dedicated team at The Avenue at Lyndhurst, a post-hospital rehabilitation and skilled nursing care facility that offers a unique and exceptional experience for our residents. We are proud to provide some of the area's highest levels of rehabilitation, nursing, and medical support for individuals transitioning from hospital to home. As a State Tested Nursing Assistant (STNA), you will play a vital role in delivering compassionate physical, medical, emotional, and spiritual care to our residents. We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.
RN Manager/Supervisor Other
Select Medical

Nursing Supervisor (RN)

Select Medical Beachwood, OH
Overview Hospital Name: Cleveland Clinic Inpatient Rehabilitation Joint venture/Partnership/Affiliation with Select Medical Position: Nursing Supervisor – Registered Nurse (RN) Location: Beachwood, OH Schedule: Full Time, Nights Our inpatient rehabilitation hospital is committed to providing exceptional and compassionate care to best address the medical, physical, emotional, and vocational challenges for individuals with brain injuries, spinal cord injuries, neurological disorders, orthopedic issues, amputation, and multiple traumas. We support your career growth and personal well-being: Start Strong: Extensive orientation program to ensure a smooth transition into our setting. Opportunity for Advancement: Demonstrate your skills and dedication which could lead to potential full-time opportunities Foster Well-being: We offer benefits which support the financial, work/life and emotional well-being of you and your family members. Part time/Per Diem positions are eligible for 401k based on reaching 1,000 hours within their first anniversary or subsequent calendar year. Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care Responsibilities You will direct assigned nursing personnel, serving as a resource person and consultant. Provide and oversee nursing care, implement hospital and departmental philosophy and objectives. Maintain approved standards of patient care, collaborate with appropriate persons for continuity of care under the guidance of the Chief Nursing Officer. Together we will help our patients achieve outlined goals and milestones on their individual patient care plan. Timely and accurate documentation using EPIC Interpreting assessment/diagnostic data including labs and telemetry. Ensuring medical orders are transcribed and processed accurately. Promoting continuous quality improvement. Instructing and counseling patients/families. Qualifications Minimum qualifications: Valid State RN License is required. BLS is required at hire. Certified ACLS required within first 6 months of hire/promotion into Nursing Supervisor position. Preferred qualifications: Two or more years of experience as a Registered Nurse One or more years of experience in a managerial or supervisory capacity CRRN preferred Additional Data Equal Opportunity Employer, including Disabled/Veterans
RN PCU
University Hospitals

Registered Nurse (RN) Weekender Step Down

University Hospitals Chardon, OH
$1 - $1,000,000 / year
Weekender Program – Salary and Schedule Overview Individuals hired for a Weekender position are required to work two (2) 12-hour shifts between 7:00 PM Friday and 7:00 AM Monday. In return for this commitment, Weekenders will be compensated at 1.5 times their regular hourly rate for these shifts. Individuals in Weekender roles qualify for full-time medical and dental benefits, whereas eligibility for all other benefits is at part-time levels. A Brief Overview Provides safe efficient age specific nursing care to patients/families using the nursing process in order to assist them to attain, maintain, regain, and sustain optimal health status. What You Will Do Implements the nursing process by delivering effective relationship based nursing care. Demonstrates technical skills in care delivery that result in safe practice and positive care outcomes. Demonstrates clear communication and effective collaboration to optimize patient care and clinical operations. Develops self and contributes to the professional practice of nursing. Displays leadership that influences optimal clinical and operational outcomes. Additional Responsibilities Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
RN New Grad Telemetry Full-time
Cleveland Clinic

New Grad RN Resident – Telemetry Unit

Cleveland Clinic Euclid, OH
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title New Grad RN Resident – Telemetry Unit Location Euclid Facility Euclid Hospital Department Clinic Nursing-Nursing Institute Job Code F99938 Shift Days Schedule 7:00am-7:30pm Job Summary Job Details Join Cleveland Clinic Euclid Hospital and experience world-class healthcare at its best. Cleveland Clinic Euclid Hospital offers a complete continuum of care, including emergency services, sub-acute care, rehabilitation and outpatient care. Here, you will work alongside a team of dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Euclid Hospital’s 8th floor Med/Surg and Telemetry Unit is a 31-bed unit that specializes in advanced telemetry. This unit has an average daily census of 25 and is comprised of 7 private rooms, 10 semi-private rooms and a 4-bed observation room for patients who may be confused, at risk for falls or in need of visual monitoring. Known for their exceptional assessment skills and team mentality, caregivers in this unit provide the best patient-centered and relationship-based care to their adult to geriatric patients with ranging medical-surgical diagnoses. As an RN on this team, you will assist fellow caregivers in delivering exceptional care by interacting directly with patients, families, and visitors, offering the opportunity to enhance their experience and supply healthcare information as needed. This position requires a caregiver who is empathetic, understanding and nurturing to ensure quality patient care and effective life-saving treatment. How You’ll Benefit Professional growth through our one-year, accredited Nurse Residency program , with nine tailored tracks, including online modules, simulation lab and hands-on training Take advantage of industry leading benefits, including our RN Loan Repayment program, which helps pay off student debt, and our Tuition Reimbursement program to reinvest in your career. And if you’re relocating to join us, you could be eligible for relocation assistance. Our Center for Workplace Violence Prevention and Caregiver Well-Being sets caregiver safety as a priority, identifying, reporting and responding to incidents and providing safety resources. A caregiver in this position works days from 7:00 a.m. – 7:00 p.m. with every other weekend and holiday requirements. A caregiver who excels in this role will: Participate in a residency core curriculum based on individual learning needs. Provide direct nursing care alongside a success coach. Establish and/or revise priorities for patient care (acuity of need, patient preference and resource availability). Respond to data indicating risk to patients’ health and initiate action to correct, reduce or prevent risk. Seek supervision, consultation and assistance when unable to perform safely and independently. Document in patients’ medical records Minimum qualifications for the ideal future caregiver include: Graduate from an accredited School of Professional Nursing Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross New grad or less than one year RN work experience or if experience RN moving from non-inpatient to acute direct care clinical inpatient setting with less than one-year current acute direct patient care RN experience Preferred qualifications for the ideal future caregiver include: Bachelor of science in nursing (BSN) Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.
RN Med-Surg PCU
University Hospitals

Registered Nurse (RN) Step Down and Med Surg Flex

University Hospitals Chardon, OH
$1 - $1,000,000 / year
A Brief Overview Provides safe efficient age specific nursing care to patients/families using the nursing process in order to assist them to attain, maintain, regain, and sustain optimal health status. What You Will Do Implements the nursing process by delivering effective relationship based nursing care. Demonstrates technical skills in care delivery that result in safe practice and positive care outcomes. Demonstrates clear communication and effective collaboration to optimize patient care and clinical operations. Develops self and contributes to the professional practice of nursing. Displays leadership that influences optimal clinical and operational outcomes. Additional Responsibilities Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
NP Full-time
The MetroHealth System

Advanced Practice RN Provider-Life Flight

The MetroHealth System Cleveland, OH
Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 8:00 AM TO 5:00 PM The Department of Emergency Medicine of the MetroHealth System, a principal teaching hospital of the Case Western Reserve University (CWRU) School of Medicine, is seeking Advance Practice Registered Nurse to join our growing team at our Life Flight team. Delivers direct patient care consistent with the advanced practice registered nurse’s education, experience and certification, in collaboration with a physician, which includes diagnosis, management and/or referral of health care issues. Promotes consumer, family, and community health through preventative health care actions and through patient advocacy. The advanced practice registered nurse may also manage complex illnesses and/or deliver specialty care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Metro Life Flight: Responsible for advanced emergency and critical care patient management during air and ground transport of the critically ill or injured patient from the scene or outlying sites to participating secondary and tertiary care institutions. Provides intensive care monitoring, critical care intervention and advanced surgical skill procedures to critically ill and injured patients. This includes the management of high-risk obstetrical, medical, surgical, respiratory and cardiovascular patients. The specialized training of the Flight Nurse Practitioner allows for the provision of care to critically ill and injured patients through the use of ventilatory support, continuous cardiac and hemodynamic monitoring, including intra-aortic balloon pump. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Responsibilities: Contributes to patient safety by: a. Providing a safe environment for patients. b. Reporting safety concerns, errors and near misses. c. Participating in system improvement initiatives to prevent errors. d. Providing evidence-based care as applicable to the role. Clinical Practice Performs patient assessment, documents and analyzes data relative to specialty based on patient needs, existing signs and symptoms and current patient data. Utilizes critical thinking in formulating differential diagnosis and establishing priorities in care. Institutes measures to promote and maintain health, prevent illness, maintain comfort and meet achievable patient and family care preferences. Develops individual, evidence-based plan of care for patient with ongoing management and evaluation of patient outcomes based upon advanced practitioner’s scope of practice and certification in collaboration with patient, family, and/or other pertinent health care provider(s) including collaborating and specialty physician(s) as needed. Provides care in a manner which enhances patient satisfaction; maintains and promotes good public relations. Selects appropriate communication approach to achieve desired outcomes; identifies barriers to communication; initiates appropriate interaction and evaluates results. Accepts accountability for clinical practice including making decisions proactively, responding to changing needs of patients/families and representing patient needs to others as appropriate. Ensures that compliance is maintained with all applicable regulatory agencies and laws, national standards, The MetroHealth System Code of Ethical Conduct and American Nurses Association (ANA) Code of Ethics. Prescribes drugs and therapeutic devices in accordance with laws and within scope of practice, if holds Certificate to Prescribe. For Clinical Practice of the Metro Life Flight Nurse Practitioner: Understands flight physiology and takes appropriate action regarding patient care. Works collaboratively with the Nurse Manager, Metro Life Flight Professional Practice Committee (Shared Governance) and assistant medical directors in the evaluation and improvement of clinical practice. Assures availability via provided hospital pager for programmatic needs including but not limited to: patient care, specialty transports, and other administrative direction. Performs a prehospital scene survey to ensure safety of patient and crewmembers and coordinates patient triage in the pre-hospital environment as needed. Evaluates the care of patients within the scope of flight nurse practitioner utilizing Metro Life Flight protocols/guidelines and physician collaboration and consultation. Maintains current knowledge of transport medicine standards and responsibilities. Attends a minimum of 60% of scheduled staff meetings and documents meeting minutes have been read if not in attendance. Attends a minimum of 50% case review conferences. Attends minimum of two surgical skills lab a year. Attends Operating Room or clinical experience if privilege requirements have not been met. Perform techniques and medical procedures, via human patient simulators, as required to maintain skill levels. Meets all clinical practice, safety, customer service and flight operations needs set forth by the administration of Metro Life Flight and The MetroHealth System. Coordination of Care a. Consults with other professionals for joint problem solving and setting of mutual goals related to patient care issues when necessary. b. Functions as a resource for other nurses and healthcare providers for clinical practice issues and provides education as needed. c. Plans for continuity of care, identifies community health resources, guides patients and families in their use, and facilitates continuity of care on transfers as needed acting as liaison between patient/family/physician/community resources as needed. Leadership/Organizational Skills a. Participates in achieving division/department goals; communicates division/department-based issues and concerns in an appropriate forum. b. Participates or supports advance practice registered nursing initiatives in The MetroHealth System. c. Participates as assigned in the orientation of new staff and serves as a resource and/or preceptor for students from various disciplines, and new personnel as well as other disciplines as appropriate. d. Serves on committees and/or participates in professional activities within the department, institution and/or community. e. Presents formal educational programs. For Life Flight Nurse Practitioner: required to present or teach a minimum of two (2) medical educational programs per year to a hospital or EMS/Community organization. Professional Development a. Remains current with evidence based practice, adhering to national standards and ANA Code of Ethics. b. Identifies own learning needs. Sets learning goals, and actively pursues required knowledge and skills. c. Evaluates own professional practice utilizing self, collaborative physician, and peer evaluations according to state law. Includes patient and /or family feedback. d. Participates in performance improvement activities focusing on improving patient care outcomes. e. Participates in the identification of research projects; evaluates and analyzes research that is available in the literature for possible integration into daily practice in support of evidence-based practice. Qualifications: Required: MSN or grandfathered under Ohio Revised Code Graduate of an accredited advanced practice registered nurse program with acute care licensure (AGACNP or ACNP). Current registered nurse licensure in the state of Ohio Certificate of Authority as an Advanced Practice Nurse from the Ohio Board of Nursing Certification as Advanced Practice Registered Nurse in specialty. Current Basic Life Support (BLS) from the American Heart Association or obtains within 90 days of hire. Obtains other advanced life support certifications applicable to practice area within 180 days of hire Meets the requirements/qualifications for clinical privileges in the specialty/department with The MetroHealth System and must report to Medical Staff Office at time of hire to apply for clinical privileges Maintains a standard care arrangement and renews/signs it as required by the Ohio Board of Nursing If You Would Like To Be a Part Of Our Team, Please Send Cover Letter And CV To The Attention Of c/o Eloy Vazquez, Sr., Provider Recruiter: evazquez@metrohealth.org The MetroHealth System and Case Western Reserve University does not discriminate in recruitment, employment, or policy administration on the basis of race, religion, age, sex, color, disability, sexual orientation or gender identity or expression, national or ethnic origin, political affiliation, or status as a disabled veteran or other protected veteran under U.S. federal law.
LPN Full-time
Avenue at Lyndhurst

Licensed Practical Nurse

Avenue at Lyndhurst Lyndhurst, OH
Help Us Build Something Better-One Resident, One Shift, One Team at a Time! COMING SOON- DAILY PAY! Why Join Our Team? Work in a gorgeous facility where every resident has a private room with their own private bathroom, including private shower! Work in a beautiful, safe neighborhood with easy access to Wilson Mills Road & Mayfield Road! Join a growing, family-owned company that has been dedicated to caring for seniors for over 30+ years! We offer 12 hours shifts and a Weekend Warrior Program! We are seeking a dedicated and compassionate Licensed Practical Nurse to join our team at The Avenue at Lyndhurst, a post-hospital rehabilitation and skilled nursing care facility in Lyndhurst, Ohio. As a key member of our healthcare team, you will play a vital role in providing high-quality care to our residents and patients. With a focus on comfort, dignity, and healing, our state-of-the-art facility offers a unique and supportive environment for individuals transitioning from hospital to home. Responsibilities: Provide skilled nursing care and support to residents and patients under the supervision of licensed nurses and physicians Administer medications, treatments, and therapies as prescribed by physicians and according to established protocols Monitor and maintain accurate records of patient progress, medication administration, and treatment plans Develop and implement individualized care plans to meet the unique needs of each resident or patient Participate in interdisciplinary team meetings to discuss patient care and develop effective treatment strategies Qualifications: Must be a Licensed Practical Nurse (LPN) currently licensed in the State of employment Genuine interest in geriatric nursing and long-term care Ability to make sound judgments and decisions Physically fit, mentally and emotionally stable Familiarity with facility policies and procedures Strong communication and interpersonal skills We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.
RN Manager/Supervisor Full-time
Concord Village Rehabilitation and Wellness

Unit Manager RN

Concord Village Rehabilitation and Wellness Concord, OH
Concord Village is a beautiful skilled nursing & rehabilitation facility that opened in 2016 with a primary focus to provide short-stays for patients who were recently in the hospital for surgery or illness, before heading home. We are located about 20 min northeast of Cleveland, Ohio in Lake County behind Tripoint Hospital. We are currently recruiting for a RN or experienced LPN to serve as a Unit Manager. Previous skilled nursing facility charge nurse experience required; previous experience as a nurse manager or advanced practice certifications a plus, like Infection Preventionist. We welcome you to come for a tour and to meet our staff to learn more about the opportunity. You can also call or text for more information or questions or to schedule a visit: 440-862-1529 Alicia LNHA/Recruitment Responsibilities: - Oversee clinical outcomes of assigned unit. - Conducts chart reviews and audits. - Reviews nursing assessments for accuracy. - Assist and guide charge nurses with clinical tasks. - Assist physicians with rounds, as needed. - Serve as a champion of a facility quality program. - Assist charge nurses with proper dressing changes and treatments. - Willingness to help clinical staff where needed. - Assist the Director of Nursing. Qualifications: - Current Ohio RN license preferred (experienced LPN will be considered) - Infection Preventionist Certification a plus. - Experience with Point Click Care electronic medical record required. - Experience working as a charge nurse in a skilled nursing facility required. - Other advanced practice certifications or experience a plus. Feel free to also call or text for more info or with questions or to schedule a facility tour: 440-862-1529 Alicia LNHA/Recruitment
RN Hospice Hospice Full-time
BrightSpring Health Services

RN / Registered Nurse Case Manager - Hospice

BrightSpring Health Services Cleveland, OH
Our Company Adoration Health Overview Office Location: Independence, OH Coverage area: Independence, OH Schedule: M-F 8a-5p Are you a Registered Nurse looking for a new opportunity? Adoration Health is seeking a passionate, dedicated Hospice RN to join our team in Independence, OH. Our hospice RNs provide expert, patient-centered care at a critical time in people’s lives. If you’re ready to work in a supportive, fulling environment where your skills and empathy truly shine, apply today! How YOU will benefit Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company As a RN Case Manager You will: Assess/monitor physical, emotional, and psychological needs of patients Create hospice care plans that align with the patient's wishes and goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by local branch Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Generous PTO Mileage reimbursement Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Qualifications Graduate of an accredited nursing school with current licensure to practice in state of operation One year nursing experience required, 3+ years preferred Experience in hospice or a similar setting preferred Knowledge of the hospice philosophy of care Commitment to clinical and documentation excellence Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order About our Line of Business Adoration Health, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn.
RN
University Hospitals

Registered Nurse (RN) Float

University Hospitals Chardon, OH
$1 - $1,000,000 / year
A Brief Overview Provides safe efficient age specific nursing care to patients/families using the nursing process in order to assist them to attain, maintain, regain, and sustain optimal health status. What You Will Do Implements the nursing process by delivering effective relationship based nursing care. Demonstrates technical skills in care delivery that result in safe practice and positive care outcomes. Demonstrates clear communication and effective collaboration to optimize patient care and clinical operations. Develops self and contributes to the professional practice of nursing. Displays leadership that influences optimal clinical and operational outcomes. Additional Responsibilities Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
RN Director of Nursing Full-time
Avenue at Lyndhurst

Assistant Director of Nursing

Avenue at Lyndhurst Lyndhurst, OH
Help Shape Exceptional Care as Our Assistant Director of Nursing! Why Join Our Team? Work in a gorgeous, hotel-like facility with privates residents rooms, with private rooms with private showers! Work for a family-owned company, that is growing which means professional growth opportunities for proven leaders! Conveniently located in a beautiful neighborhood in Lyndhurst, between Mayfield Road and Wilson Mills Road! Help Shaper Exceptional Care as Our Assistant Director of Nursing! The Avenue of Lyndhurst is seeking a dedicated Assistant Director of Nursing to help lead our nursing team and ensure exceptional resident care. If you’re a licensed RN with leadership experience and a passion for quality, we’d love to hear from you! Job Duties: Supervise nursing staff and support the Director of Nursing Assess resident care needs and oversee care programs Ensure compliance with nursing policies and regulations Conduct rounds, address concerns, and lead quality assurance efforts Manage staffing, training, and performance evaluations Participate in budgeting and resource planning Represent the nursing department in the DON’s absence Qualifications: Graduate of an accredited nursing program Current RN license Management experience in a nursing home preferred Strong leadership, communication, and problem-solving skills Knowledge of nursing regulations and best practices Ability to handle emergencies and sensitive situations professionally The Avenue at Lyndhurst is a post-hospital rehabilitation and skilled nursing care facility offering a distinctive experience not commonly found in traditional care settings. With a hotel-like atmosphere and all-private suites, our environment is designed to promote comfort, dignity, and healing. We are proud to provide some of the area’s highest levels of rehabilitation, nursing, and medical support for individuals transitioning from hospital to home. Our team is dedicated to delivering compassionate physical, medical, emotional, and spiritual care in a respectful and uplifting setting. We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances.
RN New Grad Full-time
Cleveland Clinic

New Grad RN Resident – General Medicine/Geriatric Medicine

Cleveland Clinic Mayfield Heights, OH
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title New Grad RN Resident – General Medicine/Geriatric Medicine Location Mayfield Hts Facility Hillcrest Hospital Department Med/Surg 5Th Floor-Hillcrest Hospital Job Code F99938 Shift Nights Schedule 7:00pm-7:30am Job Summary Job Details Join Cleveland Clinic and experience world-class healthcare at its best. Cleveland Clinic Hillcrest Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. Here, you will work alongside a dedicated team of caregivers, receive endless support and appreciation, and build a rewarding career. The 5th Floor General Medicine/Geriatric Medicine Unit is a 59-bed unit that supports adults and geriatric patients receiving medical, neurological and telemetry attention. As an RN in this unit, you will help ensure patients have the care they need quickly. All the while, your fellow caregivers will assist you, offering a cohesive, encouraging and constructive front to enhance the patient's experience and your skills as a nurse. How You’ll Benefit Professional growth through our one-year, accredited Nurse Residency program , with nine tailored tracks, including online modules, simulation lab and hands-on training Take advantage of industry leading benefits, including our RN Loan Repayment program, which helps pay off student debt, and our Tuition Reimbursement program to reinvest in your career. And if you’re relocating to join us, you could be eligible for relocation assistance. Our Center for Workplace Violence Prevention and Caregiver Well-Being sets caregiver safety as a priority, identifying, reporting and responding to incidents and providing safety resources. A caregiver in this position works nights from 7:00 p.m. – 7:30 a.m. with every other weekend and holiday rotation requirements. A caregiver who excels in this role will: Participate in a residency core curriculum based on individual learning needs. Provide direct nursing care alongside a success coach. Establish and/or revise priorities for patient care (acuity of need, patient preference and resource availability). Respond to data indicating risk to patients’ health and initiate action to correct, reduce or prevent risk. Seek supervision, consultation and assistance when unable to perform safely and independently. Document in patients’ medical records Minimum qualifications for the ideal future caregiver include: Graduate from an accredited School of Professional Nursing Current state licensure as a Registered Nurse (RN) Basic Life Support (BLS) certification through the American Heart Association (AHA) or American Red Cross New grad or less than one year RN work experience or if experience RN moving from non-inpatient to acute direct care clinical inpatient setting with less than one year current acute direct patient care RN experience. Preferred qualifications for the ideal future caregiver include: Bachelor of science in nursing (BSN) Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.
RN New Grad Med-Surg Full-time
Cleveland Clinic

New Grad RN Resident - Med Surg/Chest Pain

Cleveland Clinic Mayfield Heights, OH
At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title New Grad RN Resident - Med Surg/Chest Pain Location Mayfield Hts Facility Hillcrest Hospital Department Med Surg 4 Main South East-Hillcrest Hospital Job Code F99938 Shift Nights Schedule 7:00pm-7:30am Job Summary Job Details Join Cleveland Clinic’s Hillcrest Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Hillcrest Hospital has been recognized as one of the top hospitals in Cleveland and Ohio. Here, you will work with and learn from some of our best caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world. Hillcrest Hospital’s 4 Southeast Unit, is a 38-bed medical/surgical unit that is chest pain accredited and provides diagnostics procedures like cardiac Cath, angioplasty, stenting, and valve repair. As an RN on this team, you will assist fellow caregivers with providing exceptional care to patients from initial introduction to discharge. In this role, you will interact directly with patients, families and visitors, offering the opportunity to enhance their experience and supply healthcare education as needed. Additionally, the Cleveland Clinic system provides nurses with many professional development resources, including furthering education and online/in-person courses to enhance your skills. A caregiver in this position works a day/night rotation of 7:00 a.m. -- 7:30 p.m. OR 7:00 p.m. -- 7:30 a.m. A caregiver who excels in this role will: Participate in a residency core curriculum based on individual learning needs. Provide direct nursing care alongside a success coach. Establish and/or revise priorities for patient care (acuity of need, patient preference and resource availability). Respond to data indicating risk to patients’ health and initiate action to correct, reduce or prevent risk. Seek supervision, consultation and assistance when unable to perform safely and independently. Document in patients’ medical records. Minimum qualifications for the ideal future caregiver include: Graduate from an accredited school of professional nursing. Current state licensure as a Registered Nurse (RN). Basic Life Support (BLS) certification through the American Heart Association (AHA). New graduate RN OR less than one year of RN work experience. Preferred qualifications for the ideal future caregiver include: Bachelor of science in nursing (BSN). Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ Physical Requirements: Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extended periods of time. Requires corrected vision and hearing to normal range. Requires working under stressful conditions and irregular hours. Exposure to communicable diseases and/or body fluids. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Personal Protective Equipment: Follows Standard Precautions using personal protective equipment as required for procedures. The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster . Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
NP Psych Full-time
Psychosocial Therapies

Psychiatric Mental Health Nurse Practitioner or Physician Assistant

Psychosocial Therapies Cleveland, OH
About Us: Psycho Social Therapies is a leading mental health agency dedicated to providing exceptional psychiatric services to residents in long-term care facilities. Our mission is to address the growing mental health needs within these communities through compassionate and comprehensive care. Job Description: We are actively seeking a full-time Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant (PA) to join our team in the Cleveland, Ohio area. As a valued member of our team, you will collaborate with interdisciplinary treatment teams to design, implement, and evaluate individualized treatment plans. Your primary responsibilities will include conducting psychiatric evaluations, performing assessments, and managing medications for residents. You will make regular visits to long-term care facilities, ensuring consistent and quality care. Key Responsibilities: Conduct psychiatric evaluations and assessments for residents. Manage and prescribe medications as part of comprehensive treatment plans. Collaborate with interdisciplinary teams to design, implement, and assess treatment plans. Make regular visits to assigned long-term care facilities to provide ongoing support and care. Qualifications: Licensed Nurse Practitioner or Physician Assistant in the state of Ohio. Degree as a Psychiatric Mental Health Nurse Practitioner or Physician Assistant, with the ability to assess and prescribe medications in collaboration with a psychiatrist as per State Board of Nursing regulations. Board Certification required. Experience in psychiatric care is essential. Geriatric experience is preferred. Active DEA license required. What We Offer: Competitive compensation package. Opportunities for professional growth and development. A supportive and collaborative work environment. The chance to make a meaningful impact on the well-being of our community. Join Us: If you are a dedicated and compassionate professional looking to make a positive difference in the lives of long-term care residents, we invite you to join our team. Apply today and help us continue our mission of excellence in mental health care.
RN Manager/Supervisor Full-time
The MetroHealth System

Assistant Nurse Manager - Adult Dual Diagnosis 1B Cleve Hts

The MetroHealth System Cleveland, OH
Location: Cleveland Heights Health Center Biweekly Hours: 80.00 Shift: 8 hours between the hours of 7p and 7a The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary In cooperation and conjunction with the nurse manager, plans, coordinates, and evaluates all unit activities impacting patient care delivery; holds self and staff accountable for identification, evaluation, documentation, and appropriate intervention of patients’ needs to ensure quality, cost-effective, and evidence-based patient care. Ensures the quality and effectiveness of nursing practice through the implementation of the American Nursing Association (ANA) Standards of Practice and Code of Ethics. Works with the nurse manager to support unit operations, including practice and financial management. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications Required: Graduate of an accredited school of professional nursing. Bachelor of Science in Nursing (BSN). Current registered nurse licensure in the State of Ohio. Current AHA certification(s) relevant to clinical practice area (as outlined in the RN Clinical Nurse job description). 2 years of experience as a registered nurse. Demonstrates strong interpersonal, verbal/written communication, delegation, and problem-solving skills. Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds. Preferred Specialty certification in the field. Physical Demands: May need to move around intermittently during the day, including sitting, standing, stooping, bending, and ambulating. May need to remain still for extended periods, including sitting and standing. Ability to communicate in face-to-face, phone, email, and other communications. Ability to read job-related documents. Ability to use a computer.
RN Full-time
The MetroHealth System

Advance Practice Registered Nurse - Life Flight

The MetroHealth System Cleveland, OH
Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 8:00 AM TO 5:00 PM The Department of Emergency Medicine of the MetroHealth System, a principal teaching hospital of the Case Western Reserve University (CWRU) School of Medicine, is seeking Advance Practice Registered Nurse to join our growing team at our Life Flight team. Delivers direct patient care consistent with the advanced practice registered nurse’s education, experience and certification, in collaboration with a physician, which includes diagnosis, management and/or referral of health care issues. Promotes consumer, family, and community health through preventative health care actions and through patient advocacy. The advanced practice registered nurse may also manage complex illnesses and/or deliver specialty care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Metro Life Flight: Responsible for advanced emergency and critical care patient management during air and ground transport of the critically ill or injured patient from the scene or outlying sites to participating secondary and tertiary care institutions. Provides intensive care monitoring, critical care intervention and advanced surgical skill procedures to critically ill and injured patients. This includes the management of high-risk obstetrical, medical, surgical, respiratory and cardiovascular patients. The specialized training of the Flight Nurse Practitioner allows for the provision of care to critically ill and injured patients through the use of ventilatory support, continuous cardiac and hemodynamic monitoring, including intra-aortic balloon pump. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Responsibilities: Contributes to patient safety by: a. Providing a safe environment for patients. b. Reporting safety concerns, errors and near misses. c. Participating in system improvement initiatives to prevent errors. d. Providing evidence-based care as applicable to the role. Clinical Practice Performs patient assessment, documents and analyzes data relative to specialty based on patient needs, existing signs and symptoms and current patient data. Utilizes critical thinking in formulating differential diagnosis and establishing priorities in care. Institutes measures to promote and maintain health, prevent illness, maintain comfort and meet achievable patient and family care preferences. Develops individual, evidence-based plan of care for patient with ongoing management and evaluation of patient outcomes based upon advanced practitioner’s scope of practice and certification in collaboration with patient, family, and/or other pertinent health care provider(s) including collaborating and specialty physician(s) as needed. Provides care in a manner which enhances patient satisfaction; maintains and promotes good public relations. Selects appropriate communication approach to achieve desired outcomes; identifies barriers to communication; initiates appropriate interaction and evaluates results. Accepts accountability for clinical practice including making decisions proactively, responding to changing needs of patients/families and representing patient needs to others as appropriate. Ensures that compliance is maintained with all applicable regulatory agencies and laws, national standards, The MetroHealth System Code of Ethical Conduct and American Nurses Association (ANA) Code of Ethics. Prescribes drugs and therapeutic devices in accordance with laws and within scope of practice, if holds Certificate to Prescribe. For Clinical Practice of the Metro Life Flight Nurse Practitioner: Understands flight physiology and takes appropriate action regarding patient care. Works collaboratively with the Nurse Manager, Metro Life Flight Professional Practice Committee (Shared Governance) and assistant medical directors in the evaluation and improvement of clinical practice. Assures availability via provided hospital pager for programmatic needs including but not limited to: patient care, specialty transports, and other administrative direction. Performs a prehospital scene survey to ensure safety of patient and crewmembers and coordinates patient triage in the pre-hospital environment as needed. Evaluates the care of patients within the scope of flight nurse practitioner utilizing Metro Life Flight protocols/guidelines and physician collaboration and consultation. Maintains current knowledge of transport medicine standards and responsibilities. Attends a minimum of 60% of scheduled staff meetings and documents meeting minutes have been read if not in attendance. Attends a minimum of 50% case review conferences. Attends minimum of two surgical skills lab a year. Attends Operating Room or clinical experience if privilege requirements have not been met. Perform techniques and medical procedures, via human patient simulators, as required to maintain skill levels. Meets all clinical practice, safety, customer service and flight operations needs set forth by the administration of Metro Life Flight and The MetroHealth System. Coordination of Care a. Consults with other professionals for joint problem solving and setting of mutual goals related to patient care issues when necessary. b. Functions as a resource for other nurses and healthcare providers for clinical practice issues and provides education as needed. c. Plans for continuity of care, identifies community health resources, guides patients and families in their use, and facilitates continuity of care on transfers as needed acting as liaison between patient/family/physician/community resources as needed. Leadership/Organizational Skills a. Participates in achieving division/department goals; communicates division/department-based issues and concerns in an appropriate forum. b. Participates or supports advance practice registered nursing initiatives in The MetroHealth System. c. Participates as assigned in the orientation of new staff and serves as a resource and/or preceptor for students from various disciplines, and new personnel as well as other disciplines as appropriate. d. Serves on committees and/or participates in professional activities within the department, institution and/or community. e. Presents formal educational programs. For Life Flight Nurse Practitioner: required to present or teach a minimum of two (2) medical educational programs per year to a hospital or EMS/Community organization. Professional Development a. Remains current with evidence based practice, adhering to national standards and ANA Code of Ethics. b. Identifies own learning needs. Sets learning goals, and actively pursues required knowledge and skills. c. Evaluates own professional practice utilizing self, collaborative physician, and peer evaluations according to state law. Includes patient and /or family feedback. d. Participates in performance improvement activities focusing on improving patient care outcomes. e. Participates in the identification of research projects; evaluates and analyzes research that is available in the literature for possible integration into daily practice in support of evidence-based practice. Qualifications: Required: MSN or grandfathered under Ohio Revised Code Graduate of an accredited advanced practice registered nurse program with acute care licensure (AGACNP or ACNP). Current registered nurse licensure in the state of Ohio Certificate of Authority as an Advanced Practice Nurse from the Ohio Board of Nursing Certification as Advanced Practice Registered Nurse in specialty. Current Basic Life Support (BLS) from the American Heart Association or obtains within 90 days of hire. Obtains other advanced life support certifications applicable to practice area within 180 days of hire Meets the requirements/qualifications for clinical privileges in the specialty/department with The MetroHealth System and must report to Medical Staff Office at time of hire to apply for clinical privileges Maintains a standard care arrangement and renews/signs it as required by the Ohio Board of Nursing If You Would Like To Be a Part Of Our Team, Please Send Cover Letter And CV To The Attention Of c/o Eloy Vazquez, Sr., Provider Recruiter evazquez@metrohealth.org The MetroHealth System and Case Western Reserve University does not discriminate in recruitment, employment, or policy administration on the basis of race, religion, age, sex, color, disability, sexual orientation or gender identity or expression, national or ethnic origin, political affiliation, or status as a disabled veteran or other protected veteran under U.S. federal law.
Caregiver Home Health Home Health Full-time
Right at Home Cleveland Northeast

In Home Caregiver

Right at Home Cleveland Northeast Pepper Pike, OH
$15 / hour
Join a caring, supportive team! Opportunity: Multiple caregiving opportunities available in the Eastern Suburbs of Cleveland for a caring and compassionate companion caregiver. Here at Right at Home Cleveland East we are looking for Caregivers who have a genuine love for people. We strongly believe in serving our Caregivers, Clients, and our Community! In order to maintain a healthy work environment, we make every effort to communicate with our Caregivers and clients Pay and Benefits : Starting rate of $15/hr Same Day Pay We have flexible Hours (4hr - 12hr shifts with overnights available, we staff 24/7!) Potential start date a week within your interview! Paid Training Paid Time Off Ongoing Paid Caregiver Training Available Client matching We value our team! Enjoy caregiver incentives, employee appreciation events, and festive holiday parties as part of our supportive and rewarding work environment! Caregiver Responsibilities Include Drive clients to doctor's appointments/ errands/ activities Assist clients with ambulation Prevent client falls through safety and supervision Assist clients with Activities of Daily Living (ADLs) Prep/cook meals for clients Light housekeeping Help client meet nutritional standards Provide companionship to clients Qualifications: 1-2 years of verifiable experience as a caregiver in a facility or agency setting Valid Driver License Excellent Communication Skills Reliable and dependable transportation- must have own vehicle Hoyer lift experience is a plus, we will train as well! *If you need assistance in the application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting the location nearest to you. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. #inhomecaregivers #rightathome #caregivers
RN Outpatient Full-time
The MetroHealth System

Registered Nurse- NMSK Clinics OPHC

The MetroHealth System Cleveland, OH
Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: Days, variable start times M-F The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers. Summary Plans for, delivers, documents and evaluates nursing care of patients in an assigned area in terms of their individuals needs, according to provider’s orders and in conformance with approved and recognized nursing standards of care, recognized nursing techniques, procedures and administrative policy. Directs activities of assigned nursing personnel in such care. Observes, assesses and reports on the condition of patients. Maintains accurate and timely documentation of care reflecting patient’s condition, treatment, and response to care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Qualifications Required: Graduate of an accredited school of professional nursing (or a program seeking accreditation). Current registered nurse licensure in the State of Ohio. Current AHA Basic Life Support for the healthcare provider certification or obtains within 90 days of hire. Must have: a. A thorough knowledge of nursing theory and practice, including basic knowledge relating to nursing such as biological, physical, psychosocial, and medical sciences and their applications. b. A thorough knowledge of the use and care of instruments, equipment and supplies related to nursing service or ambulatory medical practice. c. A thorough knowledge of the theory and principles of medical asepsis. d. The ability to maintain positive working relations with other employees and medical staff. e. A high degree of physical coordination and finger-hand dexterity. PRN and Float Staff must have a minimum of one year or number of years as determined by specific clinical unit, recent experience in area of clinical interest. All clinical nurses must possess or acquire within the defined period of time following placement into position, all unit-specific competencies as defined below: The American Heart Association (AHA) courses are the required certifications for: Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Pediatric Advanced Emergency Assessment, Recognition and Stabilization (PEARS) The American Academy of Pediatrics (AAP) course is the required certification for Neonatal Resuscitation Program (NRP) Preferred: BSN and certification BMT: Step down experience Operating Room: One year of OR experience; Certified Nurse Operating Room (CNOR) certification Post Procedure Care Unit: One year PACU or critical care experience. Psychiatry: One year of prior psychiatric experience Radiology: Five years of critical care experience. Pediatric Advanced Life Support (PALS) certification. Cardio-Pulm Rehab: Two years prior experience in Cardiac-Pulmonary Nursing (outpatient or inpatient). Previous experience with the following: smoking cessation, wellness, exercise in special populations (i.e., diabetes, obesity, arthritis). TB Clinic Public Health or TB Experience. Excellent organizational and communication skills. Prior supervisory or project management experience. Physical Requirements: May sit, stand, stoop, bend, and walk intermittently during the day. May need to sit or stand for extended periods. See in the normal visual range with or without correction. Hear in the normal audio range with or without correction. Ability to lift 250-300 pounds with assistance. Ability to push/pull up to 500 pounds with assistance. Requires some exposure to communicable diseases or body fluids. Requires some exposure to chemicals and cleaning products.
RN Hospice Hospice Full-time
Affinity Care of Ohio

Hospice Registered Nurse Case Manager

Affinity Care of Ohio Solon, OH
JOB DESCRIPTION SUMMARY The registered nurse 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 FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. 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. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. 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. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)
RN Hospice Hospice Full-time
Affinity Care of Ohio

Hospice Registered Nurse Case Manager

Affinity Care of Ohio Wickliffe, OH
JOB DESCRIPTION SUMMARY The registered nurse 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 FUNCTIONS/RESPONSIBILITIES Patient Care 1. Completes an initial, comprehensive and ongoing comprehensive assessment of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Initiates the plan of care and makes necessary revisions as patient status and needs change. 5. Uses health assessment data to determine nursing diagnosis. 6. 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. 7. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 8. Counsels the patient and family in meeting nursing and related needs. 9. Provides health care instructions to the patient as appropriate per assessment and plan. 10. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 11. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. As a mandatory reporter, reports failure to comply with the requirements of the Dept. of Health as required within 14 calendar days, using Dept. of Health forms. 5. Reports suspected abandonment, abuse, financial exploitation, or neglect of a person in violation of the department of social and health services and the proper law enforcement agency. Reports must be submitted immediately when the reporting person has reasonable cause to believe that abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred. 6. 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. 7. Provides and maintains a safe environment for the patient. 8. Assists the patient and family/caregiver and other team members in providing continuity of care. 9. Works in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver. 10. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. POSITION QUALIFICATIONS 1. Graduate of an accredited school of nursing 2. Registered Nurse, with a License in good standing to practice. 3. Registered nurses shall have a minimum of (a) one (1) year of experience as a professional nurse within the last three (3) years; OR have a baccalaureate degree in nursing and minimum of two (2) years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 4. Management experience not required. Responsible for supervising hospice aides. 5. Once an offer of employment is made, it is contingent upon satisfactory references, as requested, and criminal background checks by regulation. 6. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. 7. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. 8. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order. 9. Possesses and maintains CPR certification (may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer)