Nursing Jobs in Fern Prairie, WA

Job Summary: The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanentes mission, vision and values. The RN provides a variety of nursing services both in person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor. Essential Responsibilities: Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines. Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies. Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize and utilize data to provide optimal nursing care. Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families and groups. Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs and unlicensed personnel in the health care team. Demonstrates commitment to customer service. Participates in population-based care activities: Participates in out reach and in reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention and ongoing health education for panel population, individual patient and family. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention. Demonstrates technological literacy in using computerized information systems. Accesses, evaluates and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members use of health care technologies. Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as resource, mentor and role model for other members of the health care team. Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards. Applies effective oral and written communication skills in interacting with patients, families and members of the health care team. This includes effective negotiation and conflict management skills. Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patients health care needs. Acts as an advocate for individuals and groups with unmet health needs. Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care. 
Job Summary: Provides assistance to the surgical team during the intra-operative phase of surgical care for the Northwest Region Ambulatory Surgery Centers. Works in collaboration with the surgeon and health care team in the performance of surgical procedures, including assessment, planning, directing, providing and evaluating advanced nursing care. Essential Responsibilities: Practice standards of performance: Pre-operative: Performs pre-operative assessment and evaluation if required. Collaborates with the surgical team on plan of care. Coordinate and communicate with circulator regarding equipment and implant needs for case, assist in obtaining. Practice standards of performance: Intra-operative: Provides knowledge based technical assistance to the surgeon and operating room team during the operative procedure according to AORN standards, licensure, state regulation and facility/practice protocols, including: Use of instruments and medical devices. Providing surgical exposure. Handling and/or cutting tissue. Providing hemostatis, clamp, cut, and ligate tissue as directed by the surgeon. Suturing as directed by the surgeon. Practice standards of performance: Post-Operative: Apply post-op splints and/or braces. During Anesthesia emergence, bring stretcher into room. Help transfer patient to stretcher. Remain in room for turnover unless specific instructions for Post-op care required in PACU. Assessment Standard of Performance & Planning: Communicates information so that continuity of care is maintained. Communicates with patient, family and other staff in a professional and courteous manner. Obtains and demonstrates the skills and knowledge needed to provide appropriate population based and culturally sensitive care to patients and families through education, training and experience. Provides continuous reassessment through the intra operative period. Utilizes knowledge of type of procedure to plan for appropriate set up. Practice standards of performance: Function as an assistant in all surgical specialties at the direction of the attending surgeon. Performs RNFA responsibilities in accordance with the Nurse Practice Act of the State of Oregon, institutional policies and procedures of Kaiser Permanente and the AORN Position Statement on RN First Assistants. Practice within limitations of preparation and experience. Demonstrate RNFA specific clinical skills. Review and update skills checklist on an ongoing basis as specified by policies of Kaiser Permanente. Assists with room preparation and opening of supplies in collaboration with the circulating nurse and scrub person. Have available patient X-rays/MRIs. Check image capture machine and films NOTE: Notify Team Lead or designee if films/MRIs etc. are not available. Assists in patient transport to the operating room and transfer to the operating room table. Assists in patient positioning. Assists in patient preparation, i.e., prepping, catheterization, clipping, as necessary. Participates in briefing/time out and debriefing. Assists in patient draping. Sets up ESU, lights, suction for the sterile field. Monitors free counted items on the sterile field. Observes for breaks in sterile technique and takes appropriate action as necessary. Assists with instrumentation and equipment as requested. Applies dressings and secures drainage tubes. Assists with patient transfer and positioning post operatively. Assists with room tear down and turn over in collaboration with the circulating nurse and scrub person. Assist in maintaining a safe environment and promoting efficiency in surgical procedures. Available for breaks and lunch relief, local monitor, scrub and circulate as needed. 
We are a local Home Care Agency looking to add some more quality caregivers to our rapidly growing, supportive team. We welcome those looking for flexible part time or full time opportunities! Here at Home Helpers Home Care, we continue to build a team of caregivers who feel valued, supported and heard. A current CNA License is HIGHLY PREFERED. However, we also welcome HCA certified (with a potential to become a CNA) with 2 years experience. MUST HAVE CURRENT DRIVER'S LICENSE, RELIABLE TRANSPORTATION AND CURRENT INSURANCE- NO EXCEPTIONS. We provide care to clients in their own homes and they trust us with and in their personal private homes and spaces. It is extremely important here at Home Helpers that we provide honest, quality, reliable, compassionate care by caring, qualified and supportive caregivers. If you can see yourself providing the highest level of care, have a passion and desire to help others with their quality of life and look forward to varying challenges, we would love to hear from you! We pride ourselves on offering a rewarding work environment with various benefits including: Competitive compensation One on one client care Performance incentives Flexible shifts (full time and part time) Ongoing training and continuing education hours provided Travel reimbursement Career growth and learning opportunities Responsibilities (will vary by client): Light housekeeping Meal preparation Transportation Companionship Personal care (bathing, toileting) Follow a plan of care Communicate professionally with families and your team Other duties as assigned Qualifications: Applicants must be willing to complete all necessary requirements for employment Valid Driver's License and Auto Insurance Valid CNA or HCA certification Prior home care experience a plus Access to email and a mobile smart device Must understand and respect client ethics and confidentiality of care We participate in E Verify. 
Come join our award-winning caregiving team! If you are passionate about improving lives, you belong here. Our caregivers are our most important asset. See why our caregivers chose to come and stay to thrive. Our Portland-East branch services the following cities/towns: North Portland Northeast Portland Southeast Portland Happy Valley Clackamas Canby Molalla Oregon City/Gresham Other surrounding areas as needed **At this time, we have limited hours, but we anticipate picking up within the next few weeks to be able to fulfil 30+ hours a week.** Pay Range: $20 – $21/hr Current needs : Current hours can range between 22 hours – 32 hours a week Monday through Friday (between the hours of 8 AM – 6 PM ) Weekends – Saturday and Sunday Caregivers with experience in Hoyer’s, Dementia, and mental health. Caregivers with ALS experience Caregivers willing and able to drive clients in their vehicle! (Required) Caregivers comfortable with pets in home! Why Family Resource Home Care? Flexible Scheduling . We work with your availability. Weekly Pay! Receive a paycheck weekly. Consistent Hours & Pay . You will enter your preferred weekly hours each week and we will work to get you the hours and paycheck you expect! 24/7 Caregiver Support . You will never work without having someone available to answer the phone should you need something. Our caregivers are never alone – we are a team! Hands-on Training . No experience? No problem. We train new caregivers to provide the level of care our clients expect. Client Matching . We consider your experience, availability, and preferences to match you with the perfect clients. Paid Travel Time. We pay you for your travel time and mileage in-between clients. Paid Orientation & Training . You will be paid for the time you spend at orientation and any additional online training that is required. Generous Referral Program . Continuing Education . Access to online training and continuing education courses. We value YOU ! We proudly recognize our caregivers through weekly emails and monthly newsletters. Caregiver Job Duties Our caregivers support their clients in activities of daily living such as (but not limited to): Household chores (cleaning, laundry, dishes, etc.) Cooking and/or serving meals Helping clients bathe, dress, and groom Providing companionship through daily activities and hobbies Driving clients (as needed) to the store or appointments (driving required) Monitoring and reporting on their condition Additional Information Our hiring process is fast and simple! Apply and the recruiter in your region will connect with you to schedule a phone interview. If hired, you will be scheduled for orientation at your branch. Once you have completed onboarding, orientation, and training, you can start working with clients! Oregon only – If you have not previously completed the state-required 8-hour Home Care Pulse caregiver training, you will be required to complete the training along with the nurse-led medication training before you can work with clients. You will be paid to complete both trainings! Requirements 18 years+ Ability to lift a minimum of 10lbs and up to 50lb rarely. Must own a smart phone with capabilities to download and use a mobile app. Ability to pass a state and national background check Valid driver’s license, auto insurance and clean driving record Ability to complete state-required caregiver/HCA training as needed Family Resource Home Care is an equal opportunity employer. 
JOB DESCRIPTION SUMMARY The hospice aide works under the supervision of a registered nurse and performs various tasks as assigned in accordance with the patient’s plan of care to meet the patient's personal needs and to promote comfort. The hospice aide is responsible for reporting and documenting observations and care performed. The hospice aide will be assigned in a manner that promotes quality, continuity and safety of a patient's care. ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES Responsibilities of the hospice aide include, but are not limited to, the following: 1. Performing personal care needs after given a patient's assignment and attending to his/her requests promptly. If unable to perform a certain task, report to the Case Manager immediately. 2. Providing patient and family with positive communication techniques, within realm of ethical and respectful care, including confidentiality. 3. Meeting safety needs of patient and using equipment safely and properly (foot stools, side rails, O2 etc.) 4. Giving personal care including baths, back rubs, oral hygiene, shampoos and changing bed linen as often as assigned. 5. Assisting in dressing and undressing patients as assigned. 6. Assisting in feeding the patient as assigned. Hospice Aides may not provide patients with homemade food items or baked goods that they themselves prepared 7. Providing proper care and observation of patient's skin to prevent breakdown of tissue over bony prominence. 8. Reporting any complaint of pain or other symptoms or changes in the patient's condition to the RN Case Manager. Also aware of the caregiver or other individuals living with the patient and interpersonal issues. 9. Assisting in ambulation and exercise as instructed by the hospice nurse or therapist. 10. Provide normal range of motion and transfers/positioning as directed. 11. Assistance with self-administered medications as allowed by state regulations, such as “reminders.” 12. Offering and assisting with bedpans and urinals. Providing assistance as assigned with light laundry needs, emptying waste baskets and other light homemaker tasks. 13. Performing range of motion and other simple procedures as ordered with appropriate completed/demonstrated skills competency. 14. Providing respite for patient's/family/caregiver when on-site, as appropriate. 15. Keeping patient's living area clean and orderly, as assigned. 16. Adhering to the organization's documentation and care procedures and standards of personal and professional conduct. 17. Participates in quality assessment performance improvement teams and activities. 18. Respectful of patient and family/caregiver environment and patient's personal needs. 19. 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. 20. 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. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description. JOB LIMITATIONS The hospice aide will not function in any manner viewed as the practice of nursing according to the Nurse Practice Act. Specifically, the hospice aide will not administer medications, take physician's orders or perform procedures requiring the training, knowledge and skill of a licensed nurse, such as sterile techniques. POSITION QUALIFICATIONS 1. Completion of a state approved certified nursing assistant course or equivalent training 2. Nursing Assistant Certified (NAC) 3. Current Healthcare Provider CPR (Cardiopulmonary Resuscitation) certification ((may not be internet based unless the demonstration of skills was hands on and observed by a certified trainer) 4. Current Food Handlers Permit 5. High school diploma or General Equivalency Degree (GED) 6. Ability to read and follow written instructions and document care given. 7. Understands hospice philosophy, comfortable providing specialized care to the terminally ill. 8. Prior experience in hospice, orderly, acute , rehabilitative, or long term care facility. 1 year previous home health/hospice experience preferred 9. Basic computer skills to document in electronic medical records (EMR) 10. At least 18 years of age. 11. Licensed driver with automobile that is insured in accordance with organization requirements and is in good working order. 
Department Overview The CHO Adult Ambulatory Oncology Infusion Clinic at OHSU primarily serves patients within Hematology Oncology, Medical Oncology and Classical Hematology. We collaborate with KCI Ambulatory Oncology Clinics, Dietitians, Pharmacy, Social Work, Case Management and other members of the multidisciplinary health care team to provide exceptional oncology care for our patients and community. Our teams support programs that include, but are not limited to, the Hepatic Arterial Infusion Pump program, Phase I Clinical Trials, and the OHSU Cellular therapy programs. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Function/Duties of Position Five ambulatory oncology infusion rooms located in the Portland metro area. Chair/bed number ranges from 10-15 depending on site. Provide care to both Oncology and non-Oncology patients. Open 7 days a week including holidays and weekends. Department Specific Working Conditions: Shared and collaborative infusion space. Ability to alternate between various work sites, depending on the practices, space allocation, division of daily work activities, etc. Rotate into other assignments (conditional based on appropriate training) such as infusion referrals, triage and charge nurse Department. Patient Populations Hematologic Malignancies: Leukemia, Lymphoma, Myeloma, Allogeneic/ Autologous Transplant, CAR-T, TIL, DLI, etc. Medical Oncology: Sarcoma, Head and Neck, Breast, Lung, GI/GU, Prostate, etc. Classical Hematology: Bleeding disorders, clotting disorders, anemias, white blood cell disorders, platelet disorders. Other: Our infusion unit serves a variety of populations requiring interventional treatments only available at the CHO Ambulatory Oncology Outpatient Infusion Unit. Required Qualifications Must have 2-years of nursing experience. BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS from AHA required. New hires will be enrolled and required to complete during orientation. Must be able to perform the essential functions of the position with or without accommodation The RN must meet one oncology provider qualification: ONS Chemotherapy/ Biotherapy provider card upon hire. Oregon Health and Science University NCI Collaborative Systemic Cancer Therapies for the Oncology Nurse course. Oregon Health and Science University NCI Collaborative 2-year renewal course. The RN must hold one Professional certification or meet Commission on Cancer education requirements: Current cancer-specific certification in the nurse’s specialty (OCN, BMTCN, etc.) by an accredited certification program. Completion of 36 cancer-related continuing education nursing contact hours each accreditation cycle, per Commission on Cancer requirements. Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu LinkedIn Job Code 
Department Overview Family Medicine at Scappoose is a primary care Family Medicine clinic and Rural Health Center (RHC). The patient population includes pregnant people, babies, children, adolescents, adults, and geriatrics. The patients are generally moderately stable to moderately unstable, with complex medical conditions and SDOH barriers that require medical and nursing interventions. These include, but are not limited to, oral and injectable medications, foot care, telephone and in-clinic triage, care coordination, health education, complex wound care, pain management, and behavioral and/or crisis management. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Function/Duties of Position Visit types offered at Family Medicine at Scappoose for all providers are: In-person, virtual, and telephone. Provider Services Offered Primary Care Behavioral health and counseling services Reproductive health services Transgender health care Podiatry and foot care clinics Prenatal care (including deliveries) Pediatric care Medication-assisted treatment (MAT) Sports medicine Minor procedures Health maintenance with preventive care Most nursing work occurs outside of scheduled visits and services include Nurse telephone triage, with some in-clinic Nurse triage OB intake and support visits Wound Care IV visits Patient education Required Qualifications BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS from AHA required. New hires will be enrolled and required to complete during orientation. Must be able to perform the essential functions of the position with or without accommodation Preferred Qualifications Current clinical nurse experience in an ambulatory care setting including telephone triage. Experience working in Primary Care, a Rural Health Center (RHC) or a Federally Qualified Health Center (FQHC) setting within the last three years. Nursing professional certification in Ambulatory Nursing or other relevant specialty-population. Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu LinkedIn Job Code 
Department Overview The CHO Adult Ambulatory Oncology Infusion Clinic at OHSU primarily serves patients within Hematology Oncology, Medical Oncology and Classical Hematology. We collaborate with KCI Ambulatory Oncology Clinics, Dietitians, Pharmacy, Social Work, Case Management and other members of the multidisciplinary health care team to provide exceptional oncology care for our patients and community. Our teams support programs that include, but are not limited to, the Hepatic Arterial Infusion Pump program, Phase I Clinical Trials, and the OHSU Cellular therapy programs. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Function/Duties of Position Five ambulatory oncology infusion rooms located in the Portland metro area. Chair/bed number ranges from 10-15 depending on site. Provide care to both Oncology and non-Oncology patients. Open 7 days a week including holidays and weekends. Department Specific Working Conditions: Shared and collaborative infusion space. Ability to alternate between various work sites, depending on the practices, space allocation, division of daily work activities, etc. Rotate into other assignments (conditional based on appropriate training) such as infusion referrals, triage and charge nurse Department. Patient Populations Hematologic Malignancies: Leukemia, Lymphoma, Myeloma, Allogeneic/ Autologous Transplant, CAR-T, TIL, DLI, etc. Medical Oncology: Sarcoma, Head and Neck, Breast, Lung, GI/GU, Prostate, etc. Classical Hematology: Bleeding disorders, clotting disorders, anemias, white blood cell disorders, platelet disorders. Other: Our infusion unit serves a variety of populations requiring interventional treatments only available at the CHO Ambulatory Oncology Outpatient Infusion Unit. Required Qualifications Must have 2-years of nursing experience. BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS from AHA required. New hires will be enrolled and required to complete during orientation. Must be able to perform the essential functions of the position with or without accommodation The RN must meet one oncology provider qualification: ONS Chemotherapy/ Biotherapy provider card upon hire. Oregon Health and Science University NCI Collaborative Systemic Cancer Therapies for the Oncology Nurse course. Oregon Health and Science University NCI Collaborative 2-year renewal course. The RN must hold one Professional certification or meet Commission on Cancer education requirements: Current cancer-specific certification in the nurse’s specialty (OCN, BMTCN, etc.) by an accredited certification program. Completion of 36 cancer-related continuing education nursing contact hours each accreditation cycle, per Commission on Cancer requirements. Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu LinkedIn Job Code 
Job Summary: Participates with the Health Care Team in delivering quality and customer focused care to patients in a manner which reflects Kaiser Permanentes organizational and nursing mission, vision and values. Provides nursing and administrative support to clinicians and other health care team members to offer a variety of health care services to patients. Clinical duties involve both direct (in person) and indirect (via phone or on-line) patient care activities requiring both simple to complex nursing knowledge and skills. As appropriate to the LPNs scope of practice, the LPN is expected to have competent focused/limited nursing assessment and triage skills on routine or self-limiting health conditions, critical thinking, communication, problem-solving and decision-making skills in order to meet patient needs and contribute to a positive care experience and work environment. Performs clinical tasks and procedures under the direction of a clinician, within the scope of the LPNs professional training and individual competency. Works under the clinical supervision of the clinician or registered nurse and under the general direction of the designated supervisor. Essential Responsibilities: Clinical Tasks: These job tasks provide patient care and are to be performed competently, consistently, accurately and according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Prepares and organizes patients office visit for known reason/procedure by ensuring that all appropriate tests, clinical information (e.g. diagnostic test results, consultation reports, outside reports, etc.) and order entries are ready for clinician review prior to appointment time. Performs focused/limited nursing assessment and triage on routine or self-limiting medical conditions as directed by RN/clinician. . Recognizes when to defer to and/or assist with comprehensive assessment for complex medical conditions by RN/clinician. Utilizes standardized tools (e.g. PST, health maintenance alerts) to identify and address health maintenance/care gaps with patient and alerts clinician on those that require his/her attention. Recognizes signs and symptoms of common and routine medical conditions/illnesses, abnormal versus new/existing and implements planned nursing and medical interventions as delegated by RN/clinician. Contributes to the development, implementation or modification of the individualized patients plan of care under the direction of the RN/clinician. Prepares patient for actual visit/procedure prior to clinicians exam during rooming-in process. Assures exam/procedure room contains appropriate supplies, equipment, forms and educational materials are available and ready for use during visit/procedure. Checks equipment are in safe working order and cleans room after use. Provides health teaching/education or advice on routine or self-limiting medical conditions, procedures, tests, surgeries, self-injections, etc. Utilizes standardized tools to determine patients level of engagement in self-care as directed by RN. Uses KP HealthConnect and other information systems to document all pertinent data and outcomes of nursing care according to standardized procedures and policies such as and not limited to the use of SBAR, SOAP or APIE, KP HealthConnect smarttools, etc. Updates demographic/historical clinical data gathered in electronic medical record. Clinical Procedures: Performs diagnostic tests, therapies and procedures within scope of practice competently and with maintenance of proficiency according to: a) specific department standards on core clinical tasks (see departments list of core skills); b) application of knowledge and skills appropriate to developmental age of patient; and c) established policies such as and not limited to patient safety, aseptic and sterile techniques and infection control. Examples of categories of clinical tasks are: Screening tests - e.g. vital signs, vision, hearing, developmental, LOPS, pain, etc. Diagnostic tests - e.g. urine dips and drug, spirometry/PFT, bladder scan, O2 saturation rate, allergy skin testing, treadmill assist, etc. Medication administration via oral, topical, otic, rectal, vaginal, IM, SubQ, intradermal, IV (includes insertion & d/c of peripheral line, use of pump), ophthalmic, bladder, inhalation and nasal routes. Wound care - e.g. routine and complex dressing changes, staple/suture removal, ostomy, drains management, etc. Therapies - e.g. photo, laser, foot care, etc. Application and/or removal of orthopedic appliances and other devices - e.g. splints, slings, orthotics, cast, crutch management, anti-embolic stockings measurement, procedural safety restraints, etc. Tube insertions/care - e.g. urinary catheterization, NG tube, suctioning, tracheotomy, etc. Minor surgical procedures assist - e.g. biopsies, excisions, insertion of devices, D&C, etc. Medical procedures assist - e.g. PAP, colonoscopies, sigmoidoscopies, colposcopies, joint aspirations, lumbar puncture, etc. Lab specimens collection and labeling - e.g. nasopharyngeal, wound, throat, etc. Irrigations - e.g. eye, ear, bladder, wound. Instrument/equipment set-up, cleaning and processing (sterile and non-sterile) - e.g. scopes, cryogun, O2 tank, procedural trays, etc. Ambulate/transfer of patient using lift equipment. Other procedures outlined in the core skills checklist as attached. Practice Management Activities: These job tasks are primarily indirect patient care (i.e. non face-to-face) to be performed competently, accurately and consistently according to established regional/departmental clinical protocols, policies and procedures and standards. They are: Maintains and adjusts clinicians patient schedule for efficient patient that facilitate appointed visits and overbooks. Answers and responds to in-coming messages/requests via telephone, mail or kp.org from patient or other department(s) by collecting and communicating pertinent data requiring clinicians review and input. Responds to messages on routine medical concerns that can be addressed by giving advice or health instructions. Facilitates and completes follow-up duties on patients plan of care as directed by clinician to include but not limited to: processing of prescriptions and forms; reminder of screening/diagnostic tests that are due; scheduling/staging of procedures, tests, referrals, and/or return appointments; and obtaining and inputting patient data to monitor progress into the electronic medical record. Assists in coordinating patient care to support patient with complex health needs in navigating easily through the health care system as directed by clinician/RN. Sorts and prioritizes mail containing patient and/or clinical information requiring clinicians review and attention. Provides population-based care outreach activities to include health maintenance screening as directed by clinician. Teamwork, Leadership and Professional Development Activities: Performs appropriate daily activities to start workflow in work area per team agreements and procedures. Demonstrates flexibility and ability to reprioritize workflow to handle urgent/emergent demands of the team effectively. Responds and assists with medical emergencies as directed by clinician/RN. Serve as a clinic resource for other team members and assists with mentoring, coaching or training peers. Reports errors, near misses or other hazards in a timely manner per established procedures. Obtains instruction, supervision and consultation as necessary before implementing new or unfamiliar procedures or techniques which are within his/her scope of practice. Completes annual competency assessments and trainings by meeting organizational standards and expectations. Demonstrates and maintains clinical knowledge and skills related to departments clinical area and contributes new ideas to assist team in achieving departmental/regional quality and service goals/initiatives. Other duties as assigned consistent with job description. 
Are you looking for a meaningful caregiving job? If so, UCP Oregon might have the perfect position for you! UCP Oregon is currently seeking a full-time caregiver “Personal Assistant” who will support a charming, older woman who lives in her own apartment in outer SE Portland and experiences developmental disabilities. She is eager to work with a personal assistant who can help her build confidence traveling out in the community and help her discover and participate in new interests. She values both time spent at home as well as time out in the community, but she needs lots of encouragement to venture out. She also enjoys listening to music, watching TV and movies, online shopping, Starbucks, The Wizard of Oz, and flamingos. Each day, you’ll assist with personal care and hygiene tasks, administering medications, cooking meals, and tidying up her apartment. She needs full assistance with activities of daily living such as showering/bathing, dressing, eating, and using her adaptive equipment. You’ll also assist in keeping her engaged in her interests and provide companionship and emotional support as she often needs support processing and regulating her emotions. Several nights per week she has difficulty sleeping through the night so you will likely need to check on her throughout the night during your shift to facilitate calming activities. Drivers are strongly preferred for this position, but you do not need to use your own vehicle to transport this customer. She will be transported in the the UCP accessible van for medical appointments and outings. She also utilizes TriMet Lift for outings. Training on safe use of the UCP van will be provided. You’ll work one shift per week totaling 38 hours: 8am on Thursday through 10pm on Friday. *You’ll also work your regular hours on Agency holidays. To Apply: It’s easy to apply! Click the "Apply for this job" button below. UCP Oregon is an Equal Opportunity Employer, and actively seeks applicants from diverse backgrounds. UCP considers qualified applicants for employment without regard to age, sex, ethnicity, religion, disability, marital status, sexual orientation or gender identity, military/veteran status, or any other basis prohibited by applicable law. We encourage BIPOC, LGBTQ+ individuals, and people who experience disabilities to apply. Find out more about UCP Oregon at: http://www.ucpaorwa.org/ High school diploma or GED. Be able to pass our pre-hiring screenings, including a reference check, a physical with a lifting test of 50lbs, and a criminal history background check. Drivers strongly preferred—if choosing to drive for UCP, you must be at least 18 years old, have a current driver’s license, at least two years of driving experience, and a clean driving record. To meet the client's personal privacy needs, female applicants will be given preference. Experience in the mental health or developmental disability field preferred, but not required. $18.36 per hour. Eligible for overtime pay for hours worked over 40 hours per week. Holiday pay (double pay for the first 12 hours of any agency holiday shift that you work). Great medical, vision, prescription, and alternative care coverage (including massage therapy and naturopathy) for employee, spouse/domestic partner, and children. 3 weeks of paid time off, rising to 4 weeks after 5 years of service at UCP. 401k retirement plan with up to 4% employer match. Fun, casual work environment, with lots of opportunities for advancement and growth, at one of the top-ranked non-profits in Oregon. Reposted 9/25/2026 
DAY SHIFTS NEEDED for WEEKENDS! Looking for caregivers, part time and full time and for weekend shifts. We are building a team of caregivers who feel valued and supported - our caregivers love working for us! CNA license preferred. HCA certificate also preferred. 2 years experience. Must have drivers license . Join us as we build a team focused on building a great culture of caregiving for clients in their private homes At Home Helpers Home Care, our compassionate caregivers strive to ensure our clients receive the highest quality of care. We only hire reliable individuals who love working with the elderly and others in need of support. We do what we do because we want to make a positive impact on the lives of those we care for. We expect this same kind of passion from every team member. If you can meet our high standard of care, have a desire to serve others and want to be challenged on a daily basis, we would love to have you join us! We pride ourselves on offering a rewarding work environment with various benefits including: Competitive compensation One on one client care Performance incentives Flexible shifts (full time and part time) Ongoing training and continuing education hours provided Travel reimbursement Career growth and learning opportunities Responsibilities (will vary by client): Light housekeeping Meal preparation Transportation Companionship Personal care (bathing, toileting) Follow a plan of care Communicate professionally with families and your team Other duties as assigned Qualifications: Applicants must be willing to complete all necessary requirements for employment Valid Driver's License and Auto Insurance Valid CNA or HCA certification Clean driving record Prior home care experience a plus Access to email and a mobile smart device Must understand and respect client ethics and confidentiality of care 
Department Overview The CHO Adult Ambulatory Oncology Infusion Clinic at OHSU primarily serves patients within Hematology Oncology, Medical Oncology and Classical Hematology. We collaborate with KCI Ambulatory Oncology Clinics, Dietitians, Pharmacy, Social Work, Case Management and other members of the multidisciplinary health care team to provide exceptional oncology care for our patients and community. Our teams support programs that include, but are not limited to, the Hepatic Arterial Infusion Pump program, Phase I Clinical Trials, and the OHSU Cellular therapy programs. This position also comes with great benefits! Some highlights include: Comprehensive health care plans. Covered at 100% of the cost for full-time employees and 88% for dependents. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation - 192 to 288 hours per year depending on length of service, prorated for part-time Holidays - up to 64 holiday hours per calendar year (employees accrue .0308 holiday hours for each hour paid – included in vacation accruals) Sick Leave - 96 hours per year, prorated for part-time Substantial public transportation discounts (Tri-met and C-Tran) Tuition Reimbursement Innovative Employee Assistance Program (EAP) including extensive wellness resources Function/Duties of Position Five ambulatory oncology infusion rooms located in the Portland metro area. Chair/bed number ranges from 10-15 depending on site. Provide care to both Oncology and non-Oncology patients. Open 7 days a week including holidays and weekends. Department Specific Working Conditions: Shared and collaborative infusion space. Ability to alternate between various work sites, depending on the practices, space allocation, division of daily work activities, etc. Rotate into other assignments (conditional based on appropriate training) such as infusion referrals, triage and charge nurse Department. Patient Populations Hematologic Malignancies: Leukemia, Lymphoma, Myeloma, Allogeneic/ Autologous Transplant, CAR-T, TIL, DLI, etc. Medical Oncology: Sarcoma, Head and Neck, Breast, Lung, GI/GU, Prostate, etc. Classical Hematology: Bleeding disorders, clotting disorders, anemias, white blood cell disorders, platelet disorders. Other: Our infusion unit serves a variety of populations requiring interventional treatments only available at the CHO Ambulatory Oncology Outpatient Infusion Unit. Required Qualifications Must have 2-years of nursing experience. BSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. ADN Graduates: Associate Degree in Nursing from an accredited program 30 days before the start date. Associate degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire Current, unencumbered Oregon State Registered Nurse License BLS from AHA required. New hires will be enrolled and required to complete during orientation. Must be able to perform the essential functions of the position with or without accommodation The RN must meet one oncology provider qualification: ONS Chemotherapy/ Biotherapy provider card upon hire. Oregon Health and Science University NCI Collaborative Systemic Cancer Therapies for the Oncology Nurse course. Oregon Health and Science University NCI Collaborative 2-year renewal course. The RN must hold one Professional certification or meet Commission on Cancer education requirements: Current cancer-specific certification in the nurse’s specialty (OCN, BMTCN, etc.) by an accredited certification program. Completion of 36 cancer-related continuing education nursing contact hours each accreditation cycle, per Commission on Cancer requirements. Additional Details Length of Orientation – Experienced Nurse External candidates: OHSU & Nursing New Employee Orientation (NEO) for about a week. Either Transition to Practice (TTP) Program Specialty Fellowship/Fellowship Learning Pathway or Orientation experience for 3 days-26 weeks depending on the care area. An employment service agreement may apply. Why apply to OHSU? We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.edu LinkedIn Job Code 
Providence Women’s Clinics is seeking a Certified Nurse Midwife at part-time, 0.8 FTE to join us on the campus of Providence St. Vincent Medical Center. The Certified Nurse Midwife in this role will join an established and extraordinarily successful. hospital-based practice serving Portland’s westside. Providence Women’s Clinic Certified Nurse Midwives provide full-scope midwifery including reproductive and wellness care for women and non-binary individuals, as well as pregnancy, birth, and postpartum care. Births are attended at Providence St. Vincent Medical Center which includes a Level III NICU and OB Hospitalist support. Perinatologists, neonatologists, lactation consultants, and social workers further support patients and deliveries. Join us in providing exceptional, coordinated care to patients and families on Portland’s vibrant westside! Position Details: Part-time, 0.8 FTE (considered full-time for benefit purposes) Encompasses both clinic-based and inpatient/surgical settings Group takes call in-house. Assigned call room for use when there is down time in the hospital Ideal Candidate Qualifications: Minimum of 2-years of post-graduate clinical experience as Certified Nurse Midwife preferred; or new graduate Certified Nurse Midwife with 2-years recent clinical RN experience in antepartum, intrapartum, postpartum setting required First Assist/C-Section surgical experience preferred Compensation & Benefits: Compensation base: $77.21 to $90.65 per hour depending on experience Guaranteed salary, quality incentive, CME funds and hours, starting bonus, and relocation assistance available Comprehensive Employed Provider Benefits Package, including Paid Time Off, Health, Life, Dental, Vision, Disability and Malpractice Insurance This position is covered by the collective bargaining agreement (CBA) between Providence Women’s Clinics and Oregon Nurses Association Our Commitment Providence is deeply committed to Diversity, Equity, and Inclusion and to providing culturally competent, patient-centered care for all communities we serve. Where You’ll Work Providence Women and Children's Services provides integrated care to women and children across the state, offering a wide range of programs that serve patients through all phases of life. As a leader in children's health, more babies are born at Providence hospitals than any other health system in Oregon. Providence Women and Children's Services works in collaboration with the Providence Cancer Institute, Providence Heart Institute and other Providence specialty programs to provide complete, coordinated care to patients. Where You’ll Live In Portland, Oregon, you’ll find a perfect blend of urban excitement and natural beauty. Home to the Portland Trail Blazers, "Rip City" offers residents endless entertainment, with eclectic art and culinary scenes, sports culture and distinct neighborhood identities. Nestled between the Willamette and Columbia rivers, and just a drive away from Mt. Hood, the Columbia Gorge and the Oregon Coast, Portland offers unparalleled, year-round access to outdoor adventures. Who You’ll Work For Providence is a nationally recognized, comprehensive healthcare organization spanning seven states with a universal mission — to provide compassionate care to all who need its services, especially the poor and vulnerable. Its 122,000-plus caregivers/employees (including 34,000 physicians) serve in 51 hospitals, more than 1,000 clinics and a comprehensive range of health and social services. Providence: One name, one family, one extraordinary health system. Equal Opportunity Employer including disability/veteran Job ID Number: 31690 Facility Name: Providence Women and Children's Services Location Name: Portland Brand Name: Providence Provider Profession: Certified Nurse Midwife Medical Specialty: Obstetrics and Gynecology Job Setting: Hospital Type of Role: Clinical Email: robyn.pryor@psdrecruit.org Phone Number: (503) 203-0815 Schedule: Part Time Compensation: $77.21 - $90.65 Biweekly CP: Yes CB: Yes HC: Yes IS: No YM: Yes J1: No H1B: No Let’s get in touch If you have questions about this specific job or others, I'm all ears. Send me a note and we'll be one step closer to the right opportunity. Robyn Pryor Provider Recruiter (503) 203-0815 robyn.pryor@psdrecruit.org Contact Me 
Job Summary: Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients with routine and complex transition planning needs by independently assessing needs, developing, and implementing plans of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians and other health care team members for discharge and transitional care, coordination of internal and community resources, and support the evaluation and improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs. Essential Responsibilities: Coordinates post-discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting. Independently and proactively completes and documents patient assessments which are thorough, timely, age appropriate, and reflect psychosocial support systems, care needs, health plan benefits, level of care determinations for hospitalized patients. Coordinates and communicates with patients, families, and the health care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients. Facilitates resolution of issues which present barriers to safe transfers through the use of patient/team care conferences to assure the efficient transition to a lower level of care and to assure the patient/family receives the right care at the right time so that quality and utilization of resources are simultaneously enhanced. Ensures systematic and ongoing contact with interdisciplinary staff and continuing care services to assure the safe transition of patients across care settings. In collaboration with the interdisciplinary health care team, ensures regulatory and compliance standards are met. Perform duties as requested. 
SEEKING NIGHT SHIFT CAREGIVERS! We provide in-home care to the following areas: Vancouver, Camas, Washougal, Ridgefield, Battleground and surrounding communities. Benefits: · Early Access to paycheck daily via Tapcheck - You can access every day you work a shift. · $150 Referral Bonus offered to hourly caregivers · Paid Training - Initially and Ongoing · Paid Sick Leave Home Helpers is looking for Exceptional Caregivers with starting pay of $19/hr to $24/hr! Work for an award-winning company that has a culture built around kindness. We are respectful of your time and offer flexible schedules. Find deep purpose in a job that often doesn't feel so much like a job. We are looking for people just like you to join our amazing team of in-home caregivers. Many seniors need help during this time and we have the hours you are looking for! Our caregivers love working for us! Read our Google reviews. Join our friendly and professional team today! Full Time or Part Time| Flexible Schedules - from 4 to 12 hour shifts Job Description: CNA / Home Care Aide - Provide personal care services to clients as identified per agency policies and procedures and assist with activities of daily living · Assistance with personal care and hygiene · Support with mobility · Light Housekeeping · Doing errands and transportation · Meal Preparation Companionship, and other responsibilities Minimum Requirements: CNA License required (if in progress, reach out to us!) Valid Driver's License and a Car Minimum 18 years of age and authorized to work in the US Available to work in Clark County $130,000 - $165,000 / year
Pay: $130,000.00 - $165,000.00 per year Job description: Are you a dedicated licensed and board-certified Nurse Practitioner or Physician Assistant looking for a meaningful career with unbeatable flexibility and support? Join Altea Healthcare , where we put providers first—and back it up with competitive pay, full benefits, and a schedule that fits your life. What You Get with Altea: Top-Tier Pay + Monthly RVU Bonus Full Benefits : Medical, Dental, Vision 401(k) with Company Match 3 Weeks PTO , 6 Paid Holidays , 1 Floating Holiday Flexible Scheduling – FT & PRN options Real Work-Life Balance Whether you're looking for a full-time role or a flexible PRN opportunity, we’ve got options to fit your lifestyle. Who We’re Looking For: Licensed and board certified NP or PA in Oregon DEA licensed preferred or willing to obtain Post-acute/SNF/LTC experience is a plus Self-motivated, compassionate, and committed to quality care Why Altea? At Altea Healthcare , we know that taking care of our patients starts with taking care of our providers. You'll work in a supportive, collaborative environment where your voice matters and your work truly makes an impact. Apply Today and Join a Team That Values You—Professionally and Personally. 
Company DescriptionDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. In this role you will be responsible for the safe administration of all prescribed medications and treatments as listed on the Medication Administration Record (MAR) and Treatment Administration Record (TAR), provides personal are and general nursing care to residents as needed or assigned, ensures delivery of care and services to all residents in the community to include Activities of Daily Living (ADLs), room cleanliness, scheduled activities and dining services and individual service plan need of each assigned resident.Job DescriptionResponsible for supervision of self-administered medication for the Assisted Living Department in compliance with Federal & State regulations and Senior Lifestyle Corporation guidelines as directed by the LPN/LVN/RN and/or the Assisted Living Director/Health and Wellness Director.Count and sign on approved form, all narcotics with approved personnel before accepting medication keys. Contact a supervisor immediately with discrepancies.Order all necessary medication and treatments from appropriate pharmacy or notify responsible party when supply is no less than 7 days.Notify supervisor when supply is less than 2 days and medicine hasn’t been received.Responsible for receiving and verifying all medicine received is accurate according to pharmacy label and MAR. Notifies pharmacy and DH&W of any discrepancies.Responsible for proper storage of all medications and ensuring all lotions, ointments and liquids stored separately from oral medications.Responsible for dating all appropriate vials or bottles at time of initial opening and following pharmacy protocol on length of time they can be used.Responsible for weekly inspections of all medications to ensure all expired medications are removed.Responsible for verifying all current MARs are compared to new MARs at change over time and notifying the supervisor of any discrepancies.Responsible for removing all discontinued medication from med cart and giving it to the supervisor.Provide personal care to residents to include, but not limited to, bathing, skin care, oral hygiene, grooming, dressing, incontinence care, and eating, etc.Provide general nursing care to include, but not limited to, vital signs, temperatures, blood pressure, and weights.Document appropriate information in the daily log as required and notify supervisor of all concerns.Answer calls and assist residents with needs as assigned.Responsible for daily cleaning of all medicine carts at end of shift and restocking as needed. Responsible for weekly deep cleaning of all med carts.Attend and participate in staff training and in-services.Must maintain accurate records to include preparation of all medical charts for new admissions and readmissions and ensures medical record is complete within forty-eight (48) hours as Policy and Procedure (P&P) and regulatory guidelines.QualificationsLevel of Formal Education: A High School Diploma or General Education Degree; or one to three months related experience and/or training; or equivalent combination of education and experience Years of Experience: 1+ months of experience Type of Experience: Senior Living preferred Special Certifications: Current Medication Technician certification depending on state regulations Language Skills: Acceptable proficiency in English to perform job duties, communicate with supervisor and other employees, and respond and communicate to emergency situations. Technical Competencies: Basic computer proficiency to include Microsoft Word, Excel, and Outlook Skills and Ability: Excellent interpersonal and communications skills.Superior time management skills. Personal Attributes: Strong team player and a passion for helping seniors Additional InformationSenior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. Senior Lifestyle requires that all employees provide proof of COVID-19 vaccination unless exempt due to medical, religious, or personal beliefs. Government requirements or exclusions may apply. 
HIRING CNA's AND HCA's FULL TIME AND PART TIME! WE NEED ALL 7 DAYS! NOW! DAY and SWING SHIFTS AVAILABLE AT THIS TIME. We provide in-home care to the following areas: Vancouver, Camas, Washougal, Ridgefield, Battleground and surrounding communities. Come enjoy one on one caregiving as a private duty caregiver! Benefits: Early Access to paycheck daily via Tapcheck - You can access every day you work a shift. $150 Referral Bonus offered to hourly caregivers Paid Training - Initially and Ongoing Flexible Schedule, part time and full time available, from 4-12 hour shifts Paid Sick Leave Portable IRA (Individual Retirement Account) Home Helpers is looking for Exceptional Caregivers with starting pay of $19/hr to $24/hr! Work for an award-winning company that has a culture built around kindness. We are respectful of your time and offer flexible schedules. Find deep purpose in a job that often doesn't feel so much like a job. We are looking for people just like you to join our amazing team of in-home caregivers. Many seniors need help during this time and we have the hours you are looking for! Our caregivers love working for us! Read our Google reviews. Join our friendly and professional team today! Job Description: CNA / Home Care Aide - Provide personal care services to clients as identified per agency policies and procedures and assist with activities of daily living Assistance with personal care and hygiene Support with mobility Light Housekeeping Doing errands and transportation Meal Preparation Companionship, and other responsibilities Minimum Requirements: CNA License or Home Care Aide Certification required (if in progress, reach out to us!) Valid Driver's License and a Car Minimum 18 years of age and authorized to work in the US Available to work in Clark County Job Types: Full-time, Part-time Salary: $19.00 - $24.00 per hour Schedule: 4 hour shift 8 hour shift Choose your own hours Day shift Evening shift Monday to Friday Weekends as needed Weekends only Supplemental pay types: Signing bonus Overtime and holiday pay Experience: Caregiving: 1 year (Preferred) License/Certification: Valid Driver's License (Required) Work Location: In person 
Job Summary: The self-directed Hospice and Palliative Care Public Health Nurse (HPCPHN) provides skilled nursing assessment, planning and coordination/care management across settings to patients in a private home, adult foster home, residential/assisted living care, intermediate care, skilled nursing facility, inpatient hospice facilities and hospital settings in order to maximize the comfort and health of patients and families consistent with hospice philosophy and CCS policies and procedures. Essential Responsibilities: Assume initial responsibility for assessing patient/family needs and consulting with attending physician, Hospice and Palliative Care Physician (HPCP) , other IDT staff members or other appropriate community or facility contacts as indicated by patient location and needs at the time of the assessment and care provision. Obtain data on physical, psycho/social, emotional and spiritual factors that may influence patient/family health status and incorporate that data into the plan of care. Facilitate advanced illness and/or end of life discussion with patient and family members to assist with choice of hospice or palliative care. Determine patient appropriateness for palliative care or hospice services (including hospice level of care and care site) in consultation with the HPCP. Case Management: assume primary responsibility for a patient/family caseload that includes the assessing, planning, implementing and evaluating phases of the nursing process; including scheduling visits to reflect patient care needs in order to maintain continuity of the plan of care; and advocate for patient and family. Participate as an active member of the IDT to coordinate information and services to update the plan of care. Maintain up to date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur in accordance with CCS policies and procedures. Instruct primary caregivers, family members, employed caregivers and facility staff to provide hospice specific care as indicated. Attend weekly case conferences and actively participate in discussion of patient needs and care planning. Coordinate hospice care across settings to achieve smooth transitions of care and assure compliance with the hospice plan of care through communication and documentation for family members, caregivers, facility staff as appropriate. Supervise and document Hospice Aide care delivery every two weeks. Provide adequate emotional and clinical support at the time of death. Provide input into the bereavement assessment and plan of care. Provide phone triage and support to patients/families as needed and requested. Partner with agency management in the development and review of programs within Continuing Care Services Department. Facilitate the initiation of cost effective and safe hospice and palliative care and provide consultation to clinicians regarding appropriate care setting alternatives. Assure professional competency through maintaining state-of-the-art skills and knowledge consistent with state and Medicare regulations, Joint Commission accreditation standards, applicable nurse practice acts and agency policies. Participate in CCS and KP orientation and in service training for professional staff as well as agency and community programs as requested to promote professional growth and understanding of hospice and palliative care. Demonstrate familiarity with policies of the agency and rules and regulations of state and federal bodies which aid in determining policies. Participates in department quality management/improvement activities; including but not limited to clinical record review, occurrence reporting, focused studies, process and outcome measurement, peer review, continuous quality improvement projects. Partner in defining and achieving agency productivity standards. Participates in hospice and palliative care 24 hour call duty consistent with agency policy. Performs other duties as requested. 
Company DescriptionDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. In this role you will be responsible for the safe administration of all prescribed medications and treatments as listed on the Medication Administration Record (MAR) and Treatment Administration Record (TAR), provides personal are and general nursing care to residents as needed or assigned, ensures delivery of care and services to all residents in the community to include Activities of Daily Living (ADLs), room cleanliness, scheduled activities and dining services and individual service plan need of each assigned resident.Job DescriptionResponsible for supervision of self-administered medication for the Assisted Living Department in compliance with Federal & State regulations and Senior Lifestyle Corporation guidelines as directed by the LPN/LVN/RN and/or the Assisted Living Director/Health and Wellness Director.Count and sign on approved form, all narcotics with approved personnel before accepting medication keys. Contact a supervisor immediately with discrepancies.Order all necessary medication and treatments from appropriate pharmacy or notify responsible party when supply is no less than 7 days.Notify supervisor when supply is less than 2 days and medicine hasn’t been received.Responsible for receiving and verifying all medicine received is accurate according to pharmacy label and MAR. Notifies pharmacy and DH&W of any discrepancies.Responsible for proper storage of all medications and ensuring all lotions, ointments and liquids stored separately from oral medications.Responsible for dating all appropriate vials or bottles at time of initial opening and following pharmacy protocol on length of time they can be used.Responsible for weekly inspections of all medications to ensure all expired medications are removed.Responsible for verifying all current MARs are compared to new MARs at change over time and notifying the supervisor of any discrepancies.Responsible for removing all discontinued medication from med cart and giving it to the supervisor.Provide personal care to residents to include, but not limited to, bathing, skin care, oral hygiene, grooming, dressing, incontinence care, and eating, etc.Provide general nursing care to include, but not limited to, vital signs, temperatures, blood pressure, and weights.Document appropriate information in the daily log as required and notify supervisor of all concerns.Answer calls and assist residents with needs as assigned.Responsible for daily cleaning of all medicine carts at end of shift and restocking as needed. Responsible for weekly deep cleaning of all med carts.Attend and participate in staff training and in-services.Must maintain accurate records to include preparation of all medical charts for new admissions and readmissions and ensures medical record is complete within forty-eight (48) hours as Policy and Procedure (P&P) and regulatory guidelines.QualificationsLevel of Formal Education: A High School Diploma or General Education Degree; or one to three months related experience and/or training; or equivalent combination of education and experience Years of Experience: 1+ months of experience Type of Experience: Senior Living preferred Special Certifications: Current Medication Technician certification depending on state regulations Language Skills: Acceptable proficiency in English to perform job duties, communicate with supervisor and other employees, and respond and communicate to emergency situations. Technical Competencies: Basic computer proficiency to include Microsoft Word, Excel, and Outlook Skills and Ability: Excellent interpersonal and communications skills.Superior time management skills. Personal Attributes: Strong team player and a passion for helping seniors Additional InformationSenior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. Senior Lifestyle requires that all employees provide proof of COVID-19 vaccination unless exempt due to medical, religious, or personal beliefs. Government requirements or exclusions may apply. 
Job Summary: Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients with routine and complex transition planning needs by independently assessing needs, developing, and implementing plans of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians and other health care team members for discharge and transitional care, coordination of internal and community resources, and support the evaluation and improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs. Essential Responsibilities: Coordinates post-discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting. Independently and proactively completes and documents patient assessments which are thorough, timely, age appropriate, and reflect psychosocial support systems, care needs, health plan benefits, level of care determinations for hospitalized patients. Coordinates and communicates with patients, families, and the health care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients. Facilitates resolution of issues which present barriers to safe transfers through the use of patient/team care conferences to assure the efficient transition to a lower level of care and to assure the patient/family receives the right care at the right time so that quality and utilization of resources are simultaneously enhanced. Ensures systematic and ongoing contact with interdisciplinary staff and continuing care services to assure the safe transition of patients across care settings. In collaboration with the interdisciplinary health care team, ensures regulatory and compliance standards are met. Perform duties as requested. 
Company DescriptionDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. In this role you will be responsible for the safe administration of all prescribed medications and treatments as listed on the Medication Administration Record (MAR) and Treatment Administration Record (TAR), provides personal are and general nursing care to residents as needed or assigned, ensures delivery of care and services to all residents in the community to include Activities of Daily Living (ADLs), room cleanliness, scheduled activities and dining services and individual service plan need of each assigned resident.Job DescriptionResponsible for supervision of self-administered medication for the Assisted Living Department in compliance with Federal & State regulations and Senior Lifestyle Corporation guidelines as directed by the LPN/LVN/RN and/or the Assisted Living Director/Health and Wellness Director.Count and sign on approved form, all narcotics with approved personnel before accepting medication keys. Contact a supervisor immediately with discrepancies.Order all necessary medication and treatments from appropriate pharmacy or notify responsible party when supply is no less than 7 days.Notify supervisor when supply is less than 2 days and medicine hasn’t been received.Responsible for receiving and verifying all medicine received is accurate according to pharmacy label and MAR. Notifies pharmacy and DH&W of any discrepancies.Responsible for proper storage of all medications and ensuring all lotions, ointments and liquids stored separately from oral medications.Responsible for dating all appropriate vials or bottles at time of initial opening and following pharmacy protocol on length of time they can be used.Responsible for weekly inspections of all medications to ensure all expired medications are removed.Responsible for verifying all current MARs are compared to new MARs at change over time and notifying the supervisor of any discrepancies.Responsible for removing all discontinued medication from med cart and giving it to the supervisor.Provide personal care to residents to include, but not limited to, bathing, skin care, oral hygiene, grooming, dressing, incontinence care, and eating, etc.Provide general nursing care to include, but not limited to, vital signs, temperatures, blood pressure, and weights.Document appropriate information in the daily log as required and notify supervisor of all concerns.Answer calls and assist residents with needs as assigned.Responsible for daily cleaning of all medicine carts at end of shift and restocking as needed. Responsible for weekly deep cleaning of all med carts.Attend and participate in staff training and in-services.Must maintain accurate records to include preparation of all medical charts for new admissions and readmissions and ensures medical record is complete within forty-eight (48) hours as Policy and Procedure (P&P) and regulatory guidelines.QualificationsLevel of Formal Education: A High School Diploma or General Education Degree; or one to three months related experience and/or training; or equivalent combination of education and experience Years of Experience: 1+ months of experience Type of Experience: Senior Living preferred Special Certifications: Current Medication Technician certification depending on state regulations Language Skills: Acceptable proficiency in English to perform job duties, communicate with supervisor and other employees, and respond and communicate to emergency situations. Technical Competencies: Basic computer proficiency to include Microsoft Word, Excel, and Outlook Skills and Ability: Excellent interpersonal and communications skills.Superior time management skills. Personal Attributes: Strong team player and a passion for helping seniors Additional InformationSenior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. Senior Lifestyle requires that all employees provide proof of COVID-19 vaccination unless exempt due to medical, religious, or personal beliefs. Government requirements or exclusions may apply. 
Care Professionals Needed (Vancouver area) Washington State Certified CNA and HCA SYNERGY HomeCare of Vancouver is seeking compassionate, reliable care professionals who hold a valid Washington State CNA or HCA license . We are hiring for a full-time position for a weekday 12-hour shift. Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. At SYNERGY HomeCare, our mission is to provide life‑enhancing, non‑medical care that allows clients to live safely and independently in their own homes. We value care professionals who are committed, professional, and care deeply about the people they serve. Our clients are able to live fuller lives knowing they have a certified nursing assistant like you by their side. Responsibilities include: Providing companionship and social engagement Assisting with personal care as needed Light housekeeping, meal preparation, medication reminders and transportation to appointments/errands Maintaining professional communication with clients, families, and team members Provide reliable care by being punctual and consistently covering shifts We offer: Competitive pay: $21.00–$23.00 per hour (based on level of care) Mileage reimbursement ($.70 per mile) Paid orientation and ongoing training Paid sick time and PTO (after 90 days) Time-and-a-half pay for overtime and holidays Flexible scheduling with nearby client matching Direct deposit PPE provided Employee recognition and referral programs Continuing education provided at no cost ($150 value) 24/7 office support Qualifications: Minimum of 1 year caregiving experience Valid Washington State CNA or HCA license CPR/First Aid and Food Handler Card (obtainable within 30 days of hire) Driver’s license and auto insurance We would love to hear from you and welcome you to join our exceptional TEAM of Care Professionals. Please email your resume and your availability to: wendyfodor@synergyhomecare.com 
Licensed Practical Nurse (LPN) Cedar Sinai Park | Robison Jewish Health Center | Portland, OR Make a difference in the lives of our residents—one meaningful connection at a time. Are you a compassionate Licensed Practical Nurse (LPN) who believes exceptional nursing care goes beyond medications and clinical tasks? Do you enjoy building relationships with residents, supporting your team, and making a positive impact every day? At Cedar Sinai Park, we're looking for dedicated LPNs to join our nursing team at Robison Jewish Health Center. Here, you'll have the opportunity to provide quality nursing care in an environment that values dignity, independence, and respect. If you're passionate about senior care and want to be part of a team that treats residents like family, we'd love to meet you! What You'll Do As an LPN, you'll play an essential role in ensuring our residents receive safe, compassionate, and individualized care. Working under the direction of a Registered Nurse, you will: Provide hands-on nursing care while promoting resident comfort, independence, and dignity. Administer medications and treatments as prescribed, including intravenous services within your authorized scope of practice. Monitor residents for changes in condition, document findings, and communicate concerns promptly to the appropriate clinical team. Coordinate daily resident care by assigning tasks to Certified Nursing Assistants (CNAs), monitoring completion, and providing guidance and support. Develop and update individualized care plans that reflect residents' needs, preferences, and personal goals. Collaborate with nurses, physicians, caregivers, residents, and families to support positive care outcomes. Maintain accurate clinical documentation and follow established nursing procedures and infection prevention practices. Advocate for residents' rights, choices, and quality of life. What We're Looking For We're looking for an LPN who brings clinical knowledge, compassion, and a team-oriented approach to resident care. Required Qualifications Graduate of an accredited School of Practical Nursing. Current, active, and unencumbered Oregon LPN license. Strong nursing assessment, clinical judgment, and documentation skills. Ability to recognize and respond appropriately to changes in resident condition. Excellent communication, organizational, and interpersonal skills. Commitment to resident-centered care, professionalism, and ethical nursing practices. Ability to work collaboratively in a fast-paced healthcare environment. Preferred Qualifications Previous experience in skilled nursing, long-term care, rehabilitation, or geriatric nursing. Experience using Electronic Medical Records (EMR). Experience coordinating care and providing guidance to CNAs. Why Cedar Sinai Park? At Cedar Sinai Park, our mission is rooted in Jewish values of love, honor, and respect. We believe every resident deserves to feel valued, supported, and empowered. As part of our nursing team, you'll have the opportunity to: Build lasting relationships with residents and their families. Work alongside dedicated healthcare professionals who share your commitment to compassionate care. Use your clinical skills while taking an active role in coordinating resident care. Contribute to a workplace focused on dignity, teamwork, and meaningful service. Your work matters here, and so do the people you care for. Work Environment This is an on-site position at our Portland campus. The role involves regular walking and standing, resident care activities, lifting and moving supplies, and other physical requirements associated with nursing in a skilled nursing environment. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Ready to Join Our Team? If you're an LPN who wants to make a meaningful difference while providing exceptional nursing care, we encourage you to apply! Apply today and become part of the Cedar Sinai Park family. Cedar Sinai Park is committed to providing equal employment opportunities to qualified applicants. Reasonable accommodations are available throughout the application and employment process. 
Job Summary: The RN participates as a member of the health care team in delivering quality health care to patients, which supports Kaiser Permanentes mission, vision and values. The RN provides a variety of nursing services both in person and by phone utilizing the nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program. He/she works under the general direction of the designated supervisor. Essential Responsibilities: Professional Competencies: Demonstrates personal commitment to service and to socially relevant practice. Demonstrates behaviors that illustrate commitment to KP Promise (quality you can trust, caring with a personal touch, convenient and easy and affordable). Adheres to Quality of Service Standards and Behavioral Guidelines. Demonstrates ethical and legal behavior in all professional activities. Acts as an advocate for individuals, groups and communities. Demonstrates accountability for own ethical behavior and for delegated actions. Demonstrates responsible and accountable behavior concerning own work schedule. Understands and supports Kaiser Permanente policies, legal considerations and professional ethics. Adheres to Health Insurance Portability and Accountability Act (HIPAA) and confidentiality policies. Utilizes a critical thinking approach to problem solve and make decisions. Applies analytical reasoning, reflection and rational problem-solving skills, using verifiable information, and clinical judgment, in order to choose among alternative solutions to clinical problems. Fosters and uses innovative thinking to create alternative solutions. Demonstrates the ability to analyze, synthesize and utilize data to provide optimal nursing care. Understands and provides competent care to a diverse population. Uses knowledge of cultural differences to provide nursing care that is sensitive to and consistent with cultural values, beliefs, and customs. Provides culturally sensitive teaching materials to individuals, families and groups. Practices health care team building and leadership skills. Applies leadership skills to facilitate effective team functioning and operations of the module or department. Role models and facilitates change within the health care team to respond to health care and organizational needs. Directs, delegates and monitors quality of care delivered by the health care team and brings deviations to the attention of staff involved and Team Leader. Mentors new staff and assists with orientation and staff development needs. Collaborates with Team Leader and Manager in setting quality standards for nursing care and in the development of policies and procedures. Provides input to Team Leader and Manager about the job performance of other RNs, LPNs and unlicensed personnel in the health care team. Demonstrates commitment to customer service. Participates in population-based care activities: Participates in out reach and in reach activities to meet clinical targets. Effectively identifies needs and provides prevention, early intervention and ongoing health education for panel population, individual patient and family. Assists individuals and groups to learn self-management skills that promote and protect health. Develops teaching plans for individuals and groups related to health promotion and disease prevention. Demonstrates technological literacy in using computerized information systems. Accesses, evaluates and uses data and information from a wide range of resources. Demonstrates effective use of computer-based information and practice management systems for decision support, provision of care, continuous quality improvement and professional development. Provides input to the development of information systems that impact the provision of patient care. Facilitates the members use of health care technologies. Participates in ongoing continuing education activities and shares knowledge with other health care team members. Demonstrates commitment to continuous learning that advances professional nursing practice. Demonstrates ability to identify own learning needs. Actively works to address personal and professional growth needs. Serves as resource, mentor and role model for other members of the health care team. Clinical Competencies: Provides evidence-based, clinically competent nursing care in a culturally sensitive manner. Plans, implements, manages, coordinates and evaluates a plan of care across the care continuum. Facilitates member wellness and function and identifies needs for health care interventions. Utilizes appropriate assessment tools, processes, clinical pathways and guidelines to manage patient care. Integrates theory and research-based knowledge in the provision of direct and indirect nursing care. Performs and modifies therapeutic and preventive nursing measures and administers treatments and medications as authorized by law and determined by the State Board of Nursing. Performs skilled nursing tasks competently and demonstrates operational knowledge of procedures and equipment. Performs triage and telephone advice independently and within scope of the Oregon and/or Washington Nurse Practice Acts. Maintains a safe and therapeutic environment for staff, patients and family members. Participates in the research process. Documents the nursing care provided which demonstrates the application of the nursing process and complies with departmental and/or organizational standards. Applies effective oral and written communication skills in interacting with patients, families and members of the health care team. This includes effective negotiation and conflict management skills. Organizational Competencies: Recognizes the impact of systems on health care delivery. Facilitates coordination of care across all settings with particular attention to transitional needs. Functions within interdisciplinary teams in a manner that promotes coordination, mutual respect and timely response to the patients health care needs. Acts as an advocate for individuals and groups with unmet health needs. Applies the knowledge and tools of continuous improvement in clinical practice and the delivery of health care.