Nursing Jobs in Flemington, NJ

RN
Penn Medicine

Case Manager RN - Part Time

Penn Medicine Plainsboro Township, NJ
$41.49 - $66.15 / hour
Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Seeking experienced Case Manager RN. Schedule: Part Time - Saturday and Sunday, 8am-4:30pm Summary: The Case Manager supports the interdisciplinary team in facilitating patient care, with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors. The role integrates and coordinates utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where performance improvement in needed (e.g., day to day workflow, education, process improvements, patient satisfaction). Responsibilities: 1. Works collaboratively and maintains active communication with physicians, nursing and other members of the multi-disciplinary care team to effect timely, appropriate patient management. Addresses/resolves system problems impeding diagnostic or treatment progress. Proactively identifies and resolves delays and obstacles to discharge. Applies approved clinical appropriateness criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Department standards. Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care. Meets directly with patient/family to assess needs and develop an individualized continuing care plan in collaboration with physician. Documents relevant discharge planning information in the medical record according to Department standards. Collaborates and communicates with multidisciplinary team in all phases of discharge planning process, including initial patient assessment, planning, implementation, interdisciplinary collaboration, teaching and ongoing evaluation. Refers appropriate cases for social work intervention based on Department criteria. Initiates and facilitates referrals for home health care, hospice, medical equipment and supplies. Collects delay and other data for specific performance and/or outcome indicators, including but not limited to Avoidable Days, as determined by Director/Manager. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education, skills competency, supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff. Communicates relevant clinical information, including admission review, concurrent review, and discharge planning needs, to third party payors to secure optimal reimbursement. Credentials: Registered Nurse - NJ (Required) Education or Equivalent Experience: BSN degree required We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Salary Range: $41.49 - $66.15/Hourly As part of their job offer, successful candidates are provided a specific rate, taking into consideration various factors including experience and education. Click here for information on UPHS’s Benefits. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
CNA Full-time
Flagstar Nursing

CNA / Certified Nurse Aide

Flagstar Nursing PA
Hiring Certified Nurse Aides (CNAs) for Long Term Care Facilities. Inexperienced CNAs Welcome!!! Learn on the job! Immediate Hire Hourly pay rate: $20 Make a difference on your own schedule and terms. As one of FS Nursing’s Certified Nurse Aides, you will have access to: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit ( Daily Pay Available Soon!) · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Opportunity to earn PTO · Lucrative Referral Bonuses · Health Screenings/Background 100% Employer Paid! Ask us about our contract positions with rates up to $22! CNA/ Certified Nurse Aide Requirements: Currently holds an active CNA certificate to work in Pennsylvania Meets all State and Federal requirements for US employment in a Nursing Facility Ability to communicate effectively Reliable transportation to worksite location We look forward to hearing from you soon. Apply today!
Home Health Aide Home Health Hospice Full-time
Serenity Hospice Care

Certified Home Health Aide- Weekday Evenings

Serenity Hospice Care Middlesex, NJ
$19.50 / hour
Serenity Hospice Care provides compassionate, patient-centered hospice services to individuals and families throughout New Jersey. Our mission is to alleviate pain and symptoms, foster calmness and harmony, and honor the importance of family, connection, and life experiences. We are currently seeking compassionate and dedicated Certified Home Health Aides (CHHAs) to join our growing team in the Middlesex County area . This position focuses on delivering high-quality, dignified care to patients during the evening shift Monday-Friday (3:00 PM – 11:00 PM) . Responsibilities Provide compassionate, hands-on care to hospice patients as needed Assist patients with activities of daily living (ADLs) Follow individualized care plans to ensure the highest level of comfort and support Collaborate with the interdisciplinary hospice care team Communicate effectively with patients and their families Requirements Valid Certified Home Health Aide (CHHA) license in the state of New Jersey Prior hospice experience is a plus , but not required Reliable transportation and dependability Strong communication skills and a compassionate approach to care Evening Shift: 3:00 PM – 11:00 PM What We Offer Competitive hourly pay Training and ongoing support Benefits package available A supportive and mission-driven work environment
Caregiver Full-time
Family First Care LLC

Personal Assistant / Caregiver

Family First Care LLC PA
$13 - $15 / hour
• Attractive pay rate • Supportive office staff • Flexible schedules and the ability to work full or part-time • Paid time off (PTO) • Comprehensive medical insurance Responsibilities: • Provide personal care and hygiene assistance to clients, including bathing, dressing, and grooming • Assist with daily living activities such as meal preparation, light housekeeping, and laundry • Ensure that clients take prescribed medications as directed • Provide companionship and emotional support • Other duties as assigned
LPN Full-time
Liberty Pointe

Licensed Practical Nurse (LPN)

Liberty Pointe Doylestown, PA
$33 - $42 / hour
Liberty Pointe Rehab and Nursing in Doylestown, PA is hiring Licensed Practical Nurses (LPNs) to join our long-term care team. Pay & Benefits: · Up to $42 per hour · Health, dental, vision, and life insurance · 401(k) with employer match · Paid time off · Tuition reimbursement · Daily pay available · Wellness program & pay perks All shifts available: 7:00a-3:00p Part Time 3:00pm–11:00pm Full Time and Part Time 11:00pm–7:00am Part Time 7p-7a FT Why work at Liberty Pointe? · Supportive, team-focused environment · Consistent schedules · Leadership that values and supports nursing staff · Opportunity to build long-term relationships with residents Responsibilities: · Provide nursing care to long-term care residents · Administer medications and treatments as ordered · Collaborate with RNs and interdisciplinary care teams · Maintain accurate documentation and compliance with care standards Requirements: · Active Licensed Practical Nurse (LPN) license · Long-term care or skilled nursing experience preferred (not required) · New LPNs welcome – training and orientation provided Apply today for immediate consideration. Quick and easy Indeed Apply. We are an Equal Opportunity Employer (M/F/Veterans/Disabled). #PH2024
Home Health Aide Home Health Part-time
Maya Home Care

female chha needed aspa

Maya Home Care Milltown, NJ
$19 / hour
looking to have someone who is available for a shift that would be from 10am-2pm monday-friday. must be a female chha in nj! must have reliable transportation! if interested please apply! About Us: Maya Home Care is a boutique PCA/Companion agency dedicated to providing exceptional home care services throughout New Jersey. Our unique company culture prioritizes compassion, excellence, and personalized care, setting us apart from any other agency. We are looking to expand our team with dedicated HHA certified caregivers who are passionate about making a difference in the lives of our clients. Job Description: We are seeking HHA certified caregivers to join our growing team at Maya Home Care. As a caregiver, you will provide high-quality personal care and companionship to our clients, ensuring their comfort, safety, and well-being in their home. This is an exciting opportunity to work in a supportive and innovative environment where your contributions are valued. We give you patients around your area! Key Responsibilities: - Assist clients with daily living activities, including bathing, dressing, grooming, and meal preparation. - Provide companionship and engage clients in meaningful activities. - Perform light housekeeping tasks to maintain a clean and safe environment. - Monitor and report any changes in clients' health status to the care coordinator. - Follow individualized care plans and provide care with compassion and respect. - Ensure clients' comfort and safety at all times. - Maintain accurate and timely documentation of care provided. Qualifications: - HHA certification in the state of New Jersey. - Previous experience in home care or a related field is preferred. - Strong interpersonal and communication skills. - Compassionate, reliable, and dedicated to providing excellent care. - Ability to work independently and as part of a team. - Valid driver's license and reliable transportation are preferred. What We Offer: - Competitive compensation. - Aggressive Bonus structure - A supportive and positive work environment. - Opportunities for professional growth and development. - Flexible scheduling to accommodate your needs. - Comprehensive training and ongoing support. - A company culture that values and appreciates its employees. How to Apply: If you are a compassionate and dedicated caregiver looking to join a unique and supportive home care agency, we would love to hear from you! Please submit your resume and a brief cover letter explaining why you are the ideal candidate for this position. Maya Home Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and become a valued member of the Maya Home Care family! Requirements Pass background check High school diploma/GED Must be CHHA certified in the state of NJ Please apply within this website: https://www.cognitoforms.com/mayahomecare1/mayahomecarecaregiverapplication
Home Health Aide Home Health Full-time
Maya Home Care

urgently hiring CHHA's to start ASAP!!!

Maya Home Care Montgomery, NJ
$18 - $19 / hour
About Us: Maya Home Care is a boutique PCA/Companion agency dedicated to providing exceptional home care services throughout New Jersey. Our unique company culture prioritizes compassion, excellence, and personalized care, setting us apart from any other agency. We are looking to expand our team with dedicated HHA certified caregivers who are passionate about making a difference in the lives of our clients. Job Description: We are seeking HHA certified caregivers to join our growing team at Maya Home Care. As a caregiver, you will provide high-quality personal care and companionship to our clients, ensuring their comfort, safety, and well-being in their home. This is an exciting opportunity to work in a supportive and innovative environment where your contributions are valued. We give you patients around your area! Key Responsibilities: - Assist clients with daily living activities, including bathing, dressing, grooming, and meal preparation. - Provide companionship and engage clients in meaningful activities. - Perform light housekeeping tasks to maintain a clean and safe environment. - Monitor and report any changes in clients' health status to the care coordinator. - Follow individualized care plans and provide care with compassion and respect. - Ensure clients' comfort and safety at all times. - Maintain accurate and timely documentation of care provided. Qualifications: - HHA certification in the state of New Jersey. - Previous experience in home care or a related field is preferred. - Strong interpersonal and communication skills. - Compassionate, reliable, and dedicated to providing excellent care. - Ability to work independently and as part of a team. - Valid driver's license and reliable transportation are preferred. What We Offer: - Competitive compensation. - Aggressive Bonus structure - A supportive and positive work environment. - Opportunities for professional growth and development. - Flexible scheduling to accommodate your needs. - Comprehensive training and ongoing support. - A company culture that values and appreciates its employees. How to Apply: If you are a compassionate and dedicated caregiver looking to join a unique and supportive home care agency, we would love to hear from you! Please submit your resume and a brief cover letter explaining why you are the ideal candidate for this position. Maya Home Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and become a valued member of the Maya Home Care family! Requirements Pass background check High school diploma/GED Must be CHHA certified in the state of NJ
Home Health Aide Home Health Full-time
SYNERGY HomeCare

Certified Home Health Aide

SYNERGY HomeCare Watchung, NJ
$197 / day
Certified Home Health Aide Job Summary: We are seeking a compassionate and dedicated Certified Home Health Aide to join our team at SYNERGY HomeCare of Piscataway in Watchung, NJ . As a Certified Home Health Aide, you will provide high-quality home care to people of all ages and abilities, focusing on their non-medical needs, including companionship and social engagement. Responsibilities: Provide attention to clients' non-medical needs, including companionship and social engagement Assist clients with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts Benefits: Competitive pay ($18-$20 Hourly) Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching morning/day-shift caregivers with nearby clients Employee recognition programs About the Role: Do you want to make a difference in your community through a rewarding career? Make an impact as a caregiver with SYNERGY HomeCare. As a Certified Home Health Aide, you will have the opportunity to work in a dynamic and supportive environment, where your passion for person-centered care can shine. Our caregivers are the heart of our organization, and we are seeking individuals who share our commitment to compassionate care. About SYNERGY HomeCare: At SYNERGY HomeCare, we build connections and forward momentum in people's lives. We believe our purpose is to provide the best care possible, and we strive to help our clients feel, see, and experience more in their lives. Requirements: 1 year of experience in a healthcare setting High School diploma or equivalent required Certification as a Home Health Aide How to Apply: If you are a motivated and compassionate individual who is passionate about providing high-quality home care, we invite you to apply today!
LPN Full-time
Rose Mountain Care Center

Bilingual Chinese English Nurse, RN and LPN

Rose Mountain Care Center New Brunswick, NJ
Our Facility is looking to invite reliable and dedicated Chinese Speaking Registered Nurses or License Practical Nurses to join our team. WE OFFER VERY COMPETITIVE NEW RATES !!! LPN: Starting at 33 RN: Starting at 43 All Shifts WILL CONSIDER NEW GRADS!!! The ideal candidate would be a nurse that is looking to provide outstanding patient care and physical support for patients and residents on a daily basis. To do well in this role you should have your nursing license in New Jersey. Responsibilities : Record a patient’s medical history accurately Take and record measurements of blood pressure, temperature, heart rate etc. Observe patients under treatment to identify progress, side-effects of medications etc. Monitor patients’ condition including fluid intake and output and compose patient charts Assist ailing patients in daily necessary activities such as eating, bathing etc. Administer injections, prescribed medications, enemas etc., clean and dress wounds and assist with other basic medical care tasks Collect samples for lab testing as assigned Provide emotional and psychological support when needed Communicate with patients’ family or friends to provide advice, comfort and release instructions Qualifications: RN/LPN license in the State of New Jersey Must be CPR/BLS certified Successful completion of LPN/RN license program is a must! Long-Term/ skilled nursing facility experience Familiarity with PCC Compassionate and able to handle stress Team player! Must be able to speak Mandarin or Cantonese fluently #IND123
Home Health Aide Home Health
Brookdale Senior Living

Certified Home Health Aide(3pm-11pm)

Brookdale Senior Living Monroe Township, NJ
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Under the supervision of a professional nurse, provides direct care to residents, which reflect Brookdale’s philosophy and standards of home health care. Assists in meeting the residents' individual needs while treating the resident with respect and dignity. Assists residents with the activities of daily living, including bathing, dressing, grooming, toileting, transferring, and getting to and from activities and meals according to the resident care/service plan. Allows and encourages residents to do as much of their own care as possible. Documents the delivery of quality care in the resident's clinical record. Follows infection control and safety policies and guidelines. Implements resident care that is accurately, timely and appropriately documented; maintains confidentiality at all times. Maintains a clean, safe, and orderly environment for the residents. Performs general housekeeping duties as assigned. Responds promptly and positively to resident requests for assistance, including emergency pull cords. Maintains consistent and concise lines of authority and responsibility with effective communication that promotes a positive working relationship with residents, families, and co-workers. Identifies changes in resident status or needs and communicates to the nurse in a timely manner. Participates in educational programs. This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor. Education and Experience High school diploma or General Education Degree (GED); and minimum of one to three months related experience and/or training; or equivalent combination of education and experience. Previous experience in a health care setting is preferred, but not required. Must provide certificate showing completion of 75 hour home health aide curriculum. Certifications, Licenses, and Other Special Requirements In accordance with state law, may need to possess current state certifications and follow regulations to maintain current certification. Management/Decision Making Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor. Knowledge and Skills Has a basic level of a skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to communicate effectively in English with residents, family members and other associates of the company. Ability to apply common sense understanding to carry out instructions furnished in written and/or oral form. Uses good judgment in emergency situations, and seeks assistance when needed. Physical Demands and Working Conditions Standing Walking Use hands and fingers to handle or feel Reach with hands and arms Climb or balance Stoop, kneel, crouch crawl Talk or hear Ability to lift: up to 50 pounds Vision Requires interaction with co-workers, residents or vendors Occasional weekend, evening or night work if needed to ensure shift coverage Possible exposure to communicable diseases and infections Potential injury from transferring, repositioning, or lifting residents Exposure to latex Possible exposure to blood-borne pathogens Possible exposure to various drugs, chemical, infectious, or biological hazards Brookdale is an equal opportunity employer and a drug-free workplace.
CNA Full-time
Rose Mountain Care Center

Bilingual Chinese English CNA

Rose Mountain Care Center New Brunswick, NJ
$23 - $25 / hour
NEW RATES! Starting at $23 Fulltime/Part Time Are you looking for a position where you will bring compassion to another? Are you a CNA who wants to work with an amazing team? Then we are looking for you. Our dedicated employees are proud to offer the very best in nursing care, rehabilitation and support services. We are committed to excellence in the provision of care because we believe that all people, created in the image and likeness of God, possess an innate dignity and destiny. Rose Mountain Care Center is looking to invite compassionate and reliable Mandarin/Cantonese Speaking CNA's to join our team of dedicated Health Professionals. We have day (7am - 3pm), evening (3pm - 11pm) and night (11pm - 7am) shifts open for skilled Certified Nursing Assistants, CNA . To do well in this role you should have your New Jersey state-certified nursing assistant certification. CNA RESPONSIBILITIES : Providing great patient care. Answering patient calls and determining how best to help them. Providing physical support for patients or residents with daily activities and personal hygiene, including bathing, dressing, getting out of bed, - using the toilet, walking, standing, or exercising. CNA QUALIFICATIONS : Must have NJ State Certified Nursing Assistant license Full-Time, All Shifts Available , Every-Other weekend availability Reliable means of transportation to and from facility #IND123
RN
Penn Medicine

RN- IMU Pool Nights

Penn Medicine Doylestown, PA
Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Summary: To provide professional nursing care in accordance with the Nurse Practice Act, American Association of Cardiovascular and Pulmonary Rehabilitation and the American Heart Association to collaborate with the physician's medical plan, and to execute the objectives and the policies of the hospital. Responsibilities: 1. Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and giving consideration to age-specific accommodations for patients undergoing cardiac testing, cardiac rehabilitation and for inpatients in ICU/IVU. ¨ Utilizes the nursing process and assesses all patients assigned to his/her care. ¨ Performs and documents a comprehensive, organized system admission assessment by interview and examination of patient. ¨ Performs and documents a shift assessment of patients in a timely manner. ¨ Initiates a computerized plan of care and shift goal based on nursing assessment, the medical plan of care and patient needs, within 8 hours of admission in ICU/IVU. ¨ Maintains a complete, accurate record of patients’ care. Continuously monitors patient’s condition and prioritizes emergency care where/when needed in Cardiac Services and Cardiac Rehab. ¨ Initiates, maintains and revises patient plan of care based on scientific principles, evidence-based practice and patient needs and response to interventions. ¨ Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and knowledge of the principles of growth and development over the lifespan. ¨ Documents patient’s response to treatment, plan of care. ¨ Provides patient education based on individual healthcare needs on an ongoing basis. ¨ Completes documentation, including transcription of physician orders and computer entry without the use of unapproved abbreviations. ¨ Demonstrates the ability to use the computer for automated order entry, data retrieval, nursing documentation, intradepartmental communication and interdepartmental communication. ¨ Evaluates, revises, and improves patient care using creative strategies, evidence-based nursing, and consideration of age and population specific accommodations. ¨ Appropriately assigns all Associates under his/her supervision according to their skill level. ¨ Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals. ¨ Demonstrates initiative and self-direction in completion of assigned responsibilities in accordance with department needs. ¨ Analyzes data and responds to changes in patient status by consulting appropriate healthcare team members and taking appropriate action in a timely manner. ¨ Performs selected therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to: Point of care testing · Initiation and maintenance of oxygen therapy in all areas · Ventilator care in ICU · 12-lead ECG · Insertion and maintenance of Nasogastric Tubes (NGT) · Insertion of feeding tubes (ICU only) · Flushing and maintenance of central lines: ▪ - PICC lines ▪ - Single, double and triple central lines · Shift and 24-hour chart check · 2 patient identifiers will be utilized before performing interventions and/or procedures · Rhythm strip interpretations · Hemodynamic monitoring · Maintenance and titration of vasoactive medications · Targeted Temperature Management · Temporary Pacing Wires · Alteplase Therapy · Post IAT: Intra-arterial Thrombectomy (ICU only) · Demonstrates appropriate skill in utilization of the computer for automated order entry, data retrieval, cardiac/patient care planning, intervention and interdepartmental communications. · Monitoring of patients in Cardiac Services undergoing cardiac diagnostic testing. ¨ Cares for patients physically and psychologically with consideration of age, cultural, and spiritual issues that may affect patient care. ¨ Performs with clinical proficiency in crises and medical emergencies. 2. Communicates and collaborates with patients, physicians, family members and other health care disciplines in order to achieve excellence in patient care during hospitalization. ¨ Utilizes effective interpersonal skills in all interactions with Associates, physicians, patients, visitors and volunteers. ¨ Involves patient/significant other in the plan of care, serving as a patient advocate. ¨ Consistently and continuously communicates pertinent information regarding changes in patient status and patient care with appropriate members of the healthcare team. ¨ Uses interpersonal communication techniques to receive and give constructive feedback for the purpose of promoting professional excellence and excellence in patient care. ¨ Effectively communicates pertinent patient/significant other information during patient handoffs according to department standards. ¨ Demonstrates leadership skills in team building and interpersonal relationships to create a cohesive and productive environment. ¨ Recognizes interdepartmental relationships and interacts effectively. ¨ Follows staffing guidelines. In the interest of patient care, responds to changes or needs within the Patient Services Team by cooperating with staff rotation, reassignment to other departments, and weekend/holiday scheduling, as per unit guidelines. 3. Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals. ¨ Maintains equipment in good working order, reports equipment failure, and initiates corrective action. Where appropriate, adheres to quality monitoring or procedures for validation of equipment functionality. ¨ Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration, 2 patient identifiers, and giving consideration to age-specific effects related to medication. ¨ Safely handles various types of drugs and body fluids using knowledge of standard precautions. 4. Actively participates in and supports departmental and organizational quality initiatives and goals. ¨ Identifies professional goals which reflect own strengths and weaknesses and seeks assistance for improvement of performance. ¨ Attends and participates in meetings according to department standards. ¨ Attends 4 inter shifts in person or via Zoom each year and reads all inter shift minutes. ¨ Keeps informed of unit and hospital initiatives, updates, documentation changes, and policy/procedure changes by reading emails on a regular basis, and by attending inter shifts as stated above. ¨ Supports and participates in departmental and hospital evidence-based care quality initiatives (ex. Heart Failure, Acute MI, Glycemic Control, VTE prophylaxis, pressure ulcer prevention, Rapid Response Team (ICU), Sepsis (ICU), VAP, and infection prevention initiatives). 5. Maintains clinical competency according to unit-specific standards. ¨ Recognizes legal responsibilities and functions within the scope of the PA Nurse Practice Act. ¨ Demonstrates competency in maintaining specific technological skills required by job category and/or specialty area. Demonstrates recognition of equipment or technological adaptations dependent on age and population specific patient needs (See Scope of Practice as delineated in departmental standards and/or related Policy and Procedure in the Policy and Procedure Manual). ¨ Maintains technological competence through practice and ongoing participation in in-services and professional conferences. ¨ Strive to attain professional certification in area of specialty. ¨ Acquires and maintains proficiency in the initiation and maintenance of IV lines and sites. ¨ Completion of annual mandatory requirements: CPR certification · RAHE (required annual hospital education) · Specific departmental and hospital competencies · Point of Care Testing · Fit Testing · ACLS certification within one year of hire or transfer to critical care unit · NIHSS certification · Completion of unit-based Skills Days yearly · CCRN preferred. Credentials: Registered Nurse - PA (Required) Current licensure in Commonwealth of Pennsylvania, Department of State Bureau of Occupational and Professional Affairs and successful completion of appropriate continuing education specific to job requirements Education or Equivalent Experience: Bachelor of Science Nursing (Required) We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
Home Health Aide Home Health Full-time
Maya Home Care

urgently hiring CHHA's to start ASAP!!!

Maya Home Care Bound Brook, NJ
$18 - $19 / hour
About Us: Maya Home Care is a boutique PCA/Companion agency dedicated to providing exceptional home care services throughout New Jersey. Our unique company culture prioritizes compassion, excellence, and personalized care, setting us apart from any other agency. We are looking to expand our team with dedicated HHA certified caregivers who are passionate about making a difference in the lives of our clients. Job Description: We are seeking HHA certified caregivers to join our growing team at Maya Home Care. As a caregiver, you will provide high-quality personal care and companionship to our clients, ensuring their comfort, safety, and well-being in their home. This is an exciting opportunity to work in a supportive and innovative environment where your contributions are valued. We give you patients around your area! Key Responsibilities: - Assist clients with daily living activities, including bathing, dressing, grooming, and meal preparation. - Provide companionship and engage clients in meaningful activities. - Perform light housekeeping tasks to maintain a clean and safe environment. - Monitor and report any changes in clients' health status to the care coordinator. - Follow individualized care plans and provide care with compassion and respect. - Ensure clients' comfort and safety at all times. - Maintain accurate and timely documentation of care provided. Qualifications: - HHA certification in the state of New Jersey. - Previous experience in home care or a related field is preferred. - Strong interpersonal and communication skills. - Compassionate, reliable, and dedicated to providing excellent care. - Ability to work independently and as part of a team. - Valid driver's license and reliable transportation are preferred. What We Offer: - Competitive compensation. - Aggressive Bonus structure - A supportive and positive work environment. - Opportunities for professional growth and development. - Flexible scheduling to accommodate your needs. - Comprehensive training and ongoing support. - A company culture that values and appreciates its employees. How to Apply: If you are a compassionate and dedicated caregiver looking to join a unique and supportive home care agency, we would love to hear from you! Please submit your resume and a brief cover letter explaining why you are the ideal candidate for this position. Maya Home Care is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Apply today and become a valued member of the Maya Home Care family! Requirements Pass background check High school diploma/GED Must be CHHA certified in the state of NJ
Healthcare Hospice Full-time
Serenity Hospice Care

RN Case Manager

Serenity Hospice Care Ewing Township, NJ
$45 - $48 / hour
Serenity Hospice provides caring and compassionate hospice care services to patients and families throughout New Jersey. Our mission is to alleviate pain and symptoms; foster a state of calmness and harmony; and encourage an appreciation of family, friends, and life experiences. Serenity Hospice is looking to add a dedicated and compassionate RN Case Manager to delivering exceptional care, comfort and support to patients. They will develop plans for individual needs, perform regular check-ups and communicate with family members as needed. This role will oversee the Mercer County areas. Responsibilities: Complete an initial assessment of patient and family to determine hospice care needs Regularly re-evaluates the patients nursing needs Use assessment data to determine care plan needs Collaborate with the entire healthcare team, patient and family, to help direct the work of the team to provide care that is continuous and well-coordinated RN counsels the patient and family in meeting end of life needs Registered Nurse initiates appropriate preventative nursing procedures Communicates with the physician regarding patient's needs and reports any changes in the patient's condition Supervises the Hospice Aides and LPN's Requirements: Current NJ RN License in good standing Hospice Experience Preferred Willing to travel to the assigned areas Must have reliable transportation with liability insurance Strong communication and interpersonal skills. We offer a competitive salary based on experience and a generous benefit package including Health, Dental, Matched 401(k) and PTO Days. Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
RN Labor and Delivery Full-time
Penn Medicine

Registered Nurse (Labor & Delivery) - Full Time (Night Shift)

Penn Medicine Plainsboro Township, NJ
Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Why Join Our Team? Penn Medicine Princeton Health (PMPH) is seeking a full time Registered Nurse (RN) to work the night shift within the Labor & Delivery. Labor and Delivery department provides services to identify and respond to the obstetric and medical complications of pregnancy and labor and delivery of women 28 weeks or more gestation. We are a team-oriented, supportive L&D unit. We provide patient and family-centered care to all our pregnant and laboring patients. We are a growing unit, working with a great group of providers! Schedule Requirements: You will be required to work three-night shifts per week (7pm-7am). You will also be required to work every third weekend and every third holiday. Key Roles and Responsibilities: Intermittent and continuous fetal monitoring Labor support Assist with pain management, including nitrous oxide Assist with deliveries / circulate for c-sections Recover patients after delivery Benefits You’ll Receive at PMPH/Penn Medicine: Medical, Dental, Vision, RX coverage plan options that best fit your personal & family needs Flexible Spending and Health Savings Accounts (FSA/HAS) to save pre-tax dollars 403b Retirement Savings: Our employer contribution begins on Day 1 of your employment Generous Paid Time Off benefits that give you the work-life balance today’s world needs Prepaid tuition assistance is available to benefit-eligible employees for approved courses of study after completing six months of employment. What We Require for this Role: Education Bachelor’s degree in Nursing (BSN) required or in pursuit of Related Work Experience 15 months of RN experience required LICENSURE, CERTIFICATION OR REGISTRATION REQUIREMENT Basic Life Support (BCLS) required Active NJ RN license required National Nursing Certification preferred We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Salary Range: $49.96 - $68.99/Hourly As part of their job offer, successful candidates are provided a specific rate, taking into consideration various factors including experience and education. Click here for information on UPHS’s Benefits. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.
CNA Full-time
Heritage Pointe Rehabilitation and Nursing Center

Certified Nurse Aide (CNA)

Heritage Pointe Rehabilitation and Nursing Center Doylestown, PA
$19 - $25.50 / hour
Heritage Pointe Rehab and Nursing in Doylestown, PA is hiring Certified Nurse Aides (CNAs) to join our long-term care team. Pay & Benefits: · $19-$25.50/hour · Health, dental, vision, and life insurance · 401(k) with employer match · Paid time off · Tuition reimbursement · Daily pay available · Wellness program & pay perks All shifts available: 7:00am–3:00pm Full Time and Part Time 3:00pm-11:00pm Full Time and Part Time 11:00pm–7:00am Part Time Why work at Heritage Pointe? · Supportive, team-focused environment · Consistent schedules · Leadership that values and supports CNA staff · Build meaningful, long-term relationships with residents Responsibilities: · Assist residents with activities of daily living (ADLs) · Provide compassionate, hands-on care · Support nursing staff and care teams · Maintain resident dignity, comfort, and safety Requirements: · Active Certified Nurse Aide (CNA) certification · Long-term care or skilled nursing experience preferred (not required) · New CNAs welcome – training and orientation provided Apply today for immediate consideration. We are an Equal Opportunity Employer (M/F/Veterans/Disabled). #PH2024
LPN Home Health Full-time
White Glove New Jersey

Licensed Practical Nurse (LPN) – Private Duty 1:1 Homecare

White Glove New Jersey NJ
$32 / hour
Create your schedule according to your availability! White Glove Community Care partners with an array of providers to offer you a diverse selection of opportunities tailored to your unique preferences as a Private Duty Nurse. By becoming part of our team, you can propel your career forward and experience a gratifying and enriching work journey as a LPN, Licensed Practical Nurse. Our mission is to ensure that your position is in perfect harmony with your professional goals, delivering the satisfaction and growth you seek. LPN, Licensed Practical Nurse Benefits : FREE Health Insurance $100 Monthly benefit card Plum benefits / shopping discounts Weekly Pay Direct Deposit Immediate Hire New Grads Welcome! LPN, Licensed Practical Nurse Duties and Responsibilities Provide direct patient care in accordance with the LPN, Licensed Practical Nurse license requirements. Ensure patient safety and privacy in compliance with HIPAA regulations. Collaborate with healthcare team members to deliver high-quality care. Compensation and schedule: -Hourly Rate $32/hour -Work Life Balance - set a schedule that works for you -Day, Eve and Night Shift Options, working 8, 10 and 12 hour shifts -Work close to home - with many case options, we'll match you to a location best for you. -Variety of acute levels - WG Contracted with many providers offering you many options to choose from so you can work where you feel comfortable Skills and Qualifications: -LPN, Licensed Practical Nurse license required -No experience needed! We offer a comprehensive New Grad training! Ready to elevate your nursing career with an employer that is committed to delivering a 5 start experience? Click Apply today!
Caregiver Per Diem
Right at Home Langhorne

Urgently Hiring Caregiver

Right at Home Langhorne Titusville, NJ
$19 / hour
Right at Home is urgently hiring Experienced Caregivers looking to earn $ 19 per hour plus different pay differential. 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 urgently hiring people just like you to join our amazing team of in-home caregivers. Join our friendly and professional team today! Benefits: Competitive pay Same day pay $1 weekend pay differential Same day bonuses for working call out shifts, Sunday Funday and Weekend call outs. Time and a half for holidays $250 employee referral bonus 401 K with match Mentor program with seasoned caregiver Wonderful staff and family atmosphere A great work environment Flexible Scheduling with both short and long shifts Training and ongoing development programs Recognition programs – Including Caregiver of the Month Job Description: Pay Rate $19 per hour plus weekend pay differential Shifts : Urgently Hiring ALL SHIFTS- 4-12 hours long Location: Newtown, New Hope, and Washington Crossing, PA Responsibilities of the Personal Caregiver for the Elderly Caring for an ill, aging, or disabled person. Responsibilities may include light housework, meal preparation, medication reminders, shopping and running errands, companionship, and assistance with personal care services such as bathing, dressing and grooming. Primarily work in the client's place of residence. Travel is required. Shift times, days and activities vary with client needs. Be willing to work with Hospice patients Alzheimer's and Dementia Experience a plus Requirements: Valid driver’s license, insured automobile, and personal transportation Minimum 1 years of professional home care experience High school graduate or G.E.D. certificate required Must be able to lift a minimum of 50 pounds Ability to deal effectively with the demands of the job Must have a sympathetic attitude toward the care of the sick Enjoy spending time with seniors! TB test- PPD or QuantiFERON (both within the past year) or ChestXray (within the past 5 years) Right at Home is dedicated to a policy of non-discrimination for any person seeking employment with, or services from, our company. Right at Home hires, employs and provides services without regard to race, color, age, gender, religious creed, ancestry, national origin. IND123
CNA Full-time
Liberty Pointe

Certified Nurse Aide (CNA)

Liberty Pointe Doylestown, PA
$19 - $25.50 / hour
Liberty Pointe Rehab and Nursing in Doylestown, PA is hiring Certified Nurse Aides (CNAs) to join our long-term care team. Pay & Benefits: · Up to $25.50 per hour · Health, dental, vision, and life insurance · 401(k) with employer match · Paid time off · Tuition reimbursement · Daily pay available · Wellness program & pay perks All shifts available: 6:00am–2:00pm FT and PT 2:00pm-10:00pm FT and PT 10:00pm–6:00am FT Why work at Liberty Pointe? · Supportive, team-focused environment · Consistent schedules · Leadership that values and supports CNA staff · Build meaningful, long-term relationships with residents Responsibilities: · Assist residents with activities of daily living (ADLs) · Provide compassionate, hands-on care · Support nursing staff and care teams · Maintain resident dignity, comfort, and safety Requirements: · Active Certified Nurse Aide (CNA) certification · Long-term care or skilled nursing experience preferred (not required) · New CNAs welcome – training and orientation provided Apply today for immediate consideration. Quick and easy Indeed Apply. We are an Equal Opportunity Employer (M/F/Veterans/Disabled). #PH2024
RN Full-time
Foothill Acres Rehabilitation and Nursing Center

RN Registered Nurse

Foothill Acres Rehabilitation and Nursing Center Hillsborough Township, NJ
Foothill Acres Rehabilitation & Nursing Center, a Sub-Acute and Long-Term Care facility is looking to hire RN staff nurses for all shifts. We are a state-of-the-art modern facility looking for devoted, ambitious and reliable individuals who will maintain our prestigious nursing standards. The right candidates will enjoy a great work environment and a highly competitive salary plus benefits. Ask us about our new competitive rates. Apply today!! Required license or certification: Registered Nurse (RN) – Current BLS Certification Preferred (not required)
Home Health Aide Home Health Home Health Full-time
SYNERGY HomeCare

Certified Home Health Aide

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

Experienced Certified Nursing Assistant (CNA)

SYNERGY HomeCare Pennington, NJ
Are you an experienced certified nursing assistant (CNA) with a passion for person-centered care? Make a difference in your community as part of our SYNERGY HomeCare team, where you will feel appreciated for your service and expertise. Independently owned and operated, SYNERGY HomeCare is a purpose-driven agency with a reputation of high-quality home care and positive organizational culture. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? If so, apply to join our team as an experienced CNA! Our employees are energized by the tremendous impact of in-home care, meeting people where they feel happiest and most comfortable—in their own homes. If you are an experienced CNA with a heart for serving people of all ages and abilities, read on to learn more about how you might be a good fit for our team. SYNERGY HomeCare offers experienced certified nursing assistants (CNAs): Competitive pay between (ADD PAY RATE HERE) Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching experienced CNAs with nearby clients Employee recognition programs As an experienced certified nursing assistant (CNA) with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Provide personal care to clients as needed Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts Experienced certified nursing assistant (CNA) benefits include: (LIST ANY BENEFITS/PERKS HERE) If you would like to join our outstanding team at SYNERGY HomeCare, apply today!
RN Manager/Supervisor Full-time
Autumn Lake Healthcare at Berkeley Heights

Unit Manager

Autumn Lake Healthcare at Berkeley Heights Berkeley Heights, NJ
$90,000 - $110,000 / year
Join our wonderful team as a Unit Manager today! Autumn Lake Healthcare at Berkeley Heights is an exceptional team-oriented company hiring for Unit Manager! We provide our staff with the resources, tools, and training needed to succeed and grow in their current and desired future positions. We pride ourselves on our caring and compassionate management team who are there to fully support our staff and residents. Benefits for Unit Manager: Referral Bonuses! Competitive Rates! Wonderful Environment! Great Benefit package! Qualifications & Experience Requirements for Unit Manager: Previous Experience as a Unit Manager preferred Registered Nurse License HP
Home Health Aide Home Health Home Health Full-time
SYNERGY HomeCare

Certified Home Health Aide

SYNERGY HomeCare NJ
$18 - $23 / hour
Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate Home Health Aides like YOU! When you join the SYNERGY HomeCare team as an HHA, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring full support for fuller lives and to elevate their confidence knowing they have a Home Health Aide like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? We always have an opening for HHA’s who can answer yes to these questions. At SYNERGY HomeCare we create a world of care at home for all, which means as an HHA, you will have the opportunity to care for a wide variety of people; spanning all ages and all abilities. We are seeking Home Health Aides to join our independently owned and operated national agency. SYNERGY HomeCare offers Home Health Aides, HHA: Competitive pay Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching Home Health Aides with nearby clients Employee recognition programs As a Home Health Aide, HHA with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Provider personal care to clients as needed Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!
Home Health Aide Home Health Home Health Full-time
Always Compassionate Home Care

Home Health Aide

Always Compassionate Home Care PA
$15.50 / hour
Always Compassionate Home Care provides the highest quality of community home-based services, combined with exceptional compassion and innovation to enhance each patient’s quality of life. We have become one of Philadelphia's leading providers that serve hundreds of clients every day. Always Compassionate Home Careis in need of certified Home Health Aide/Personal Care Aide (HHA/PCA) to work cases! We offer: · 401k · Weekly Pay · Health insurance Paid Time Off · Flexible hours · Referral Program- earn up to $300-$500- ASK US HOW! Qualifications: · High school diploma or equivalent · Meets health state requirements · Recent physical · 2 PPD's or QuantiFERON Blood Test · Three References (Professional) · Positive and compassionate attitude Responsibilities · Must be able to read patient's care plan · Observes and monitors changes in patient condition · Maintain healthful, safe environment. · Provide nutritional and environmental support. · Assist patients by providing personal services, such as bathing, dressing, grooming, meals, snacks, toileting etc. · Provide medication reminders Always Compassionate Home Care provides equal opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or any other non-merit based factors protected federal, state, or local law. All employment related decisions are based solely on relevant criteria including experience and suitability. If you require assistance to fill out this application form or during any phase of the job application process, please notify the person who gave you this form or Always Compassionate Home Care’s Human Resources Department and every reasonable effort will be made to accommodate your needs in a timely manner in accordance with federal, state, and/or local law.