Nursing Opportunities in Florida

Aviata at Spring Hill Brooksville, FL

Certified Nursing Assistants (CNA)

$18 / hour

Certified Nursing Assistant (CNA) Location: Aviata at Spring Hill Address: 12170 Cortez Blvd, Brooksville, FL 34613 Shifts Available: PT - Evening (3p-11p) & Night (11p-7a) Job Summary: Aviata Health Group is seeking a compassionate and skilled Certified Nursing Assistant (CNA) to join our team at our Brooksville, Florida location. As a CNA at Aviata Health Group, you will be responsible for delivering direct care to our residents, prioritizing their wellbeing, and ensuring their dignity and independence. We offer a supportive and family-like environment where you can grow and advance your skills. Job Responsibilities: Deliver direct care to residents, including personal hygiene, mobility, and assistance with activities of daily living Assist with daily tasks such as laundry, transportation, and mail delivery Light housekeeping tasks and meal preparation Observe and report changes in residents' condition and status Conduct rounds to monitor for hazards or incidents Assist with dining and provide companionship and conversation Perform other duties as assigned Required Qualifications: High School diploma or GED Must be 18 years of age Florida CNA license Ability to read and communicate at an adequate level to essential job duties Ability to treat and care for seniors and their property with dignity and respect Ability to communicate with clients in a friendly and congenial manner Benefits: Competitive hourly rate: $18 401k with a match $225 bi-weekly attendance incentive program Opportunity for career advancement and professional growth Collaborative and supportive work environment Health, dental, and vision insurance for the entire family and more! (Full-time only) Newly certified CNAs welcome! Please note that we are an equal opportunity employer and all applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status. https://info.flclearinghouse.com/

Home Health

The Lakes Home Care Sarasota, FL

Registered Nurse Licensed (RN)

We are seeking a dedicated Registered Nurse to join our Home Health team. to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical Services. Responsibilities Utilizes the nursing process to assess, plan, implement and evaluate patient care. Assess signs and symptoms indicating physiologic and psychosocial changes in the patient’s condition. Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses. Document the patient’s plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions. Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standard. Revises the plan of care according to evaluation, changes in medical plan of care, and effective/ineffective nursing interventions. Uses clinical judgment in evaluation activities to meet patient care needs of an assigned unit/floor including establishing priorities. Other Registered Nurse (RN) duties as assigned. Requirements Current Registered Nurse (RN) License for the state in which the nurse practices. Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation). Current PPD or Chest X-Ray. Current BLS card. One year prior Registered Nurse (RN) experience preferred. The Lakes Benefits: Competitive salary Flexible work hours where you create your own schedule You can expect a 1 patient: 1 nurse ratio, tailored scheduling, and an ideal drive time when you work with The Lakes Home Care . Most importantly, you can expect a rewarding, memorable career when working in a home environment and caring for medically-fragile patients in your community.

Home Health Aide

Bay Area Direct Client Care LLC Lakewood Ranch, FL

$17 / hour

Bay Area Direct Client care as an immediate opening for a home health aide in the Lakewood ranch Area to care for one special needs male client in the family home. Hours range from 9am-3pm and some days maybe 10am- 5pm. Family is flexible. Pay is $17/hr Requirements: Minimum 1 year verifiable experience as CNA/HHA Current CPR/First Aide Certificate Pass Local and Level 2 Background screen High school Diploma/GED Reliable Transportation Pet friendly

Home Health Aide- Oviedo

Right at Home Greater Orlando Orlando, FL

Overview: We are seeking compassionate and dedicated individuals to join our team as In-Home Caregivers. As an In-Home Caregiver, you will provide essential support and assistance to individuals who require care and support in the comfort of their own homes. This is a rewarding opportunity to make a positive impact on someone's life and contribute to their overall well-being. Benefits: - Competitive pay rates -Ongoing training and professional development -$150 Employee Referral Bonus -Supportive work environment - Flexible scheduling options -Holiday Pay and Overtime -After 1 year of full time employment we offer 401k, Dental, Vision and Medical Insurance Duties: - Assist clients with activities of daily living, including bathing, dressing, grooming, and toileting - Provide medication reminders and assist with medication management - Prepare meals and assist with feeding if necessary - Perform light housekeeping tasks, such as tidying up living areas and doing laundry - Accompany clients to appointments and outings - Engage in meaningful conversation and provide emotional support - Monitor client's health status and report any changes or concerns to the appropriate healthcare professionals - Assist with mobility and transfers as needed Requirements: - Previous experience in caregiving or a related field (preferred) - Compassionate and patient demeanor - Excellent communication skills - Ability to follow instructions and work independently - Reliable transportation to travel to client's homes - Ability to pass a background check and drug test Preferred: Home Health Aides/ CNA · CNA or HHA license is preferred · 6 months of experience as a Home Health Aide in healthcare (with references) · 1-3 years of experience as a Caregiver/Home Health Aide in healthcare (in homes or facilities) If you are passionate about helping others and making a difference in people's lives, we encourage you to apply for the position of In-Home Caregiver. Join our team today and become part of a caring community dedicated to providing exceptional care to those in need. Job Types: Full-time, Part-time, Live-In Pay: $14.00 - $17.00 per hour

Manatee Memorial Hospital Bradenton, FL

Registered Nurse (RN) Resource Pool - Float Per Diem Nights

Responsibilities About Manatee Memorial Hospital (MMH): Manatee Memorial Hospital® in Bradenton, Florida, has served the citizens of Manatee, Sarasota and surrounding counties for over 70 years and has earned The Joint Commission’s Gold Seal of Approval. The 295-bed hospital with over 800 physicians, residents and allied health professionals, offers advanced healthcare services in a caring and compassionate environment. Services include cardiac care and cardiovascular medicine, emergency care for all ages, surgery services — including robotic-assisted surgery with the da Vinci® Surgical System, a weight–loss program, orthopedic services, outpatient and inpatient radiology and rehabilitation, respiratory care, sleep, oncology, wound care and women’s and children’s services. Manatee Memorial Hospital offers a Level II Neonatal Intensive Care Unit for babies with special needs and has the only Pediatric Center hospital-based outpatient multidisciplinary pediatric therapy center in Manatee County. The Registered Nurse promotes and provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Demonstrates professional leadership and support to the healthcare team while providing the foundation of all patient-centered nursing care. Communicates with physicians and other nursing staff about patient needs, administering IV’s and medications to aid in patient health and using medical equipment to monitor patient vital signs. Job Information: This opportunity is for a per diem nights position on Resource Pool MMH offers comprehensive benefits such as: Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Tuition savings to continue your nursing education with Chamberlain University Career development opportunities within UHS and its 300+ Subsidiaries! Pet Insurance · More information is available on our Benefits Guest Website: benefits.uhsguest.com About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com. From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. Qualifications Graduation from Accredited School of Nursing Current RN licensure in Florida 1-3 years of acute care experience required for the Resource Pool Current BLS through American Heart Association Current ACLS through American Heart Association EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Join Our Team! Experienced CNA & HHA Positions Available

Right at Home Greater Jax Palm Coast, FL

Experienced CNA / Certified Home Health Aide (HHA) Right at Home Palm Coast is seeking compassionate, dependable Certified Nursing Assistants (CNAs) and Certified Home Health Aides (HHAs) with at least 1 year of professional caregiving experience to join our growing team. We proudly provide one-on-one care that allows seniors and adults with disabilities to remain safe and comfortable in their own homes throughout Palm Coast, Bunnell, Flagler Beach, St. Augustine, and surrounding areas . Responsibilities Personal care (bathing, dressing, grooming, toileting) Mobility and transfer assistance Meal preparation Medication reminders Light housekeeping Companionship Transportation and errands (when applicable) Qualifications Current Florida CNA license or Certified Home Health Aide (HHA) certification Minimum of 1 year of professional caregiving experience (Preferred) Current CPR certification Valid driver's license, reliable vehicle, and current auto insurance Ability to pass a Level II Background Screening Compassionate, dependable, and professional attitude What We Offer Competitive pay Flexible scheduling (Part-time & PRN) One-on-one client assignments Supportive office team Opportunities for overtime and holiday pay If you have a passion for helping others and want to make a difference every day, we'd love to hear from you. Ready to get started? Apply today! Call our office today at (904_ 201-3566 to schedule your interview! Ask for Bianca !

Director of Nursing

Avante at Lake Worth Lake Worth Beach, FL

Director of Nursing (DON)

Needed- Director of Nursing!! Come Join our Skilled Nursing Facility Are you passionate about patient care? Are you looking to make a difference? Make Avante Group, Inc part of your work family! Avante at Lake Worth is seeking a Director of Nursing (DON) t o plan, organize, develop and direct the overall operation of the Nursing Services Department in accordance with current federal, state and local standards governing the facility, and as may be directed by the Administrator, to ensure that the highest degree of quality care is maintained at all times. Why Avante? At Avante, we believe in providing the highest quality of care to our residents while fostering a supportive and rewarding work environment for our team. Benefits You’ll Love: ✔ Competitive Compensation ✔ Comprehensive Insurance Coverage (Medical, Dental, Vision and more!) ✔ Strong Retirement Plan for Your Future ✔ Paid Time Off & Holidays to Recharge ✔ Tuition Reimbursement – Invest in Your Education ✔ Health & Wellness Programs to Keep You Feeling Your Best ✔ Employee Recognition Programs – Win prizes & an annual cruise! ✔ A Collaborative Work Environment – We value your voice! (Employee surveys, check-ins, & town halls) ✔ Advancement Opportunities – Grow Your Career with Us! Qualifications: • Must be a Registered Nurse (RN) in good standing and meet all applicable federal and state licensure requirements. • Must be at least l8 years of age. • Must show ability to read and write in a legible and understandable manner. • Must speak and understand English. • Demonstrated leadership and supervisory skills. • Previous experience in a hospital, long term care facility or other healthcare related facility. • Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices, procedures and laws, regulations and guidelines governing long-term care. • Minimum 3-5 years as RN. • Must maintain current CPR Certification. • Must have at least 5 years' experience in a supervisory capacity. • Ability to remain calm under stress. • Positive attitude toward the elderly. Education and Experience: • Must have at least five (5) years' experience in a supervisory capacity. • Bachelor's Degree preferred. • Minimum 3-5 years' experience as an RN. Background Screening Requirement: This position requires background screening through the Agency for Health Care Administration (AHCA) Care Provider Background Screening Clearinghouse. Learn more : https://info.flclearinghouse.com If you are passionate about patient care and rewarding work environment, Don’t Hesitate- Apply Today! Avante provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, Veterans' status, national origin, gender identity or expression, age, sexual orientation, disability, gender, genetic information or any other category protected by law. In addition to federal requirements, Avante complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. 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. Avante expressly prohibits any form of workplace harassment based on race, color, religion, sex, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, Veterans' status or any other category protected by law. Improper interference with the ability of Avante's employees to perform their job duties may result in discipline, up to and including, discharge.

Med-Surg

Northwest Florida Community Hospital Chipley, FL

Registered Nurse (RN), Med Surg, PRN

PRN Registered Nurse (RN) – Medical/Surgical Unit Northwest Florida Community Hospital is seeking a compassionate and skilled PRN Registered Nurse (RN) to join our Medical/Surgical team. This position is ideal for a dedicated nurse who enjoys flexibility while delivering exceptional patient care in a fast-paced hospital environment. Position Summary: The PRN Registered Nurse is responsible for providing safe, high-quality, patient-centered nursing care to adult and geriatric patients on the Medical/Surgical Unit. Working collaboratively with physicians and the interdisciplinary healthcare team, the RN assesses, plans, implements, and evaluates individualized patient care while promoting positive patient outcomes and an exceptional patient experience. Schedule: PRN (As Needed) Shifts available based on departmental needs Must meet PRN scheduling requirements, including weekend, holiday, and on-call availability as required Essential Responsibilities: Perform comprehensive nursing assessments and develop individualized plans of care. Administer medications, IV therapy, blood products, and treatments in accordance with physician orders and hospital policy. Monitor patient conditions, identify changes, and promptly communicate significant findings to providers. Provide compassionate nursing care to patients with a variety of medical and surgical conditions. Educate patients and families regarding diagnoses, medications, treatments, discharge planning, and disease management. Accurately document assessments, interventions, and patient responses in the electronic medical record. Collaborate with physicians, therapists, case management, pharmacy, and ancillary departments to coordinate quality patient care. Respond appropriately to emergency situations and assist with rapid response and code situations as needed. Promote patient safety, infection prevention, and quality improvement initiatives. Serve as a patient advocate while maintaining professionalism, confidentiality, and excellent customer service. Participate in departmental education, competency validation, and mandatory training. Qualifications: Current Florida Registered Nurse (RN) license in good standing. Current Basic Life Support (BLS) certification required. Advanced Cardiovascular Life Support (ACLS) certification preferred or obtained within the required timeframe. One (1) year of Medical/Surgical nursing experience preferred. Strong clinical assessment, critical thinking, communication, and organizational skills. Ability to prioritize multiple responsibilities in a fast-paced healthcare environment. Excellent interpersonal skills and commitment to providing exceptional patient care. Physical Requirements: Ability to stand and walk for extended periods throughout a 12-hour shift. Frequent bending, stooping, kneeling, reaching, twisting, and squatting. Ability to lift, transfer, reposition, push, and pull patients and equipment with or without reasonable accommodation using safe patient handling techniques. Ability to lift up to 50 pounds independently and assist with heavier lifting as part of a team. Manual dexterity to perform nursing procedures and operate medical equipment. Visual and auditory ability to assess patients, read medical records, administer medications, and monitor equipment. Ability to respond quickly during emergency situations. Ability to work in an environment with exposure to blood, body fluids, infectious diseases, and other healthcare-related hazards while utilizing appropriate personal protective equipment (PPE). Why Join Northwest Florida Community Hospital? Flexible PRN scheduling Competitive PRN pay Collaborative and supportive nursing team Opportunity to work in a full-service community hospital Meaningful work serving the healthcare needs of our local community Continuing education and professional development opportunities Medical Specialty : Med Surg/Acute Care Physical Setting : Hospital Work Remotely : No Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages. In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job. Final confirmation of any job offer will be contingent upon the successful completion of all pre-employment requirements, including a pre-employment drug screening and background screening. Failure to submit to either screening, falsification of any screening information, or a positive finding on a drug test will result in removal from consideration for employment for a period of one year. https://info.flclearinghouse.com

Home Health

Part-time

The Lakes Home Care Hollywood, FL

Registered Nurse Licensed (RN) in Hollywood 33021

LPN

Skilled Nursing Facility in Live Oak Live Oak, FL

LPN 1099 Agency

Licensed Practical Nurse - LPN Who we are TrueFlex Staffing was created to provide absolute flexibility and top wages to healthcare workers. With immediate opportunities in the live oak market. The Opportunity We are seeking motivated Licensed Practical Nurses (LPN) to serve as an independent contractor in a 1099 position. What You Will Do Deliver medications and treatments along with supervision of Medication Aids where applicable Monitor resident conditions and respond quickly to changes, ensuring safety, comfort, and continuity of care. Support activities of daily living Maintain clear, timely documentation Communicate effectively with the interdisciplinary teams and families Adhere to infection control and safety standards to protect your residents and your teammates. Other duties as assigned What You Must Have Active LPN license in good standing in the state of practice. Experience in a skilled nursing or long-term care setting is preferred but not required—we’ll invest in the right heart and mindset.

ICU

Halifax Health Daytona Beach, FL

Registered Nurse- Cardiovascular Intensive Care Unit

Night (United States of America) Registered Nurse- Cardiovascular Intensive Care Unit The Registered Nurse is responsible and accountable for assessing, planning, implementing and evaluating as per the nursing process. The Registered Nurse is expected to direct, delegate, and coordinate all nursing care provided by the LPN, CNA, Patient Care Companion, and Unit Clerk consistent with their roles, responsibilities, and skill level. Assignments are performed appropriately to age and development level of the patient population being served. - RN – State of Florida - Degree from an accredited school of nursing, bachelor degree preferred. - Completion of general and nursing orientation. - Completion of unit orientation and unit-specific competency checklist. - Professionalism in interpersonal communication skills with patients, families, and colleagues - Certifications as required by the specific unit/area (Refer to required certification addendum). - Completion of annual competency based learning modules [CBL’s] - Excellent communication skills are needed in dealing with physicians, patients, family, and other disciplines - Assesses the patient on admission and assesses and monitors on an ongoing basis. - Assesses patient/family learning needs. - Recognizes and responds to changes in the patient’s condition. - Documents assessment data on admission and on an ongoing basis. - Plans and coordinates care based on assessment of the patient’s status and ongoing identified needs. - Involves family/significant others in the plan of care as desired by the patient. - On admission, initiates individualized teaching plan to ensure positive outcomes and timely discharge. - Implements supportive and rehabilitative nursing care according to identified patient needs. - Collaborates with the multidisciplinary team to achieve desired patient outcomes. - Initiates and verifies physician orders. - Utilizes nursing judgment in the provision of care. - Evaluates patients/families response to interventions and progress toward desired outcomes. - Organizes patient care based on patient needs and available resources. - Serves as the patient advocate by providing compassionate nursing care, which is individualized to meet the special needs of each patient. - Identifies priorities for care of assigned patients. - Coordinates patient care activities with services provided by ancillary departments to optimize patient outcomes. - Demonstrates professional development, accountability, and leadership in the performance of their professional nursing practice. Adheres to our Cornerstone standards and hospital mission and values at all times. - Reports to work when scheduled (Refer to Attendance policy). - Maintains a professional appearance that demonstrates a positive image (Refer to Professional Appearance Expectations policy). - Maintains patient confidentiality and acts in an ethical manner at all times. - Follows legal and ethical guidelines in providing nursing care. - Maintains competencies and continues development of professional/clinical knowledge base through continuing education. - Assists with staff orientation and professional development. - Contributes to a safe and secure environment for patients, visitors, and co-workers. - Supports research and participates in quality improvement initiatives. - Administers medications according to established policies. - Complies with patient safety goals and programs.

RN Weekend Supervisor

Okeechobee SNF Operations, LLC Okeechobee, FL

*****This is in the town of Okeechobee in Okeechobee County***** RN Weekend Supervisor This is an every weekend position. 12 hours shifts (7a-7p) ****Signing bonus of $10,000.00 to be paid out incrementally $2,500.00 every 90 days. ****We are looking for an energetic team player for this position**** Duties may include, but not limited to: Ensure the facility meets the minimum staffing levels for nurses, CNAs, PCAs Ensure nurse staffing projections are posted Ensure that all resident rooms, common areas, treatment areas and nurse's stations are maintained in a clean, safe and sanitary manner Assist with safe and orderly resident transfers and discharges in accordance with facility policies Perform administrative duties such as completing medical forms, reports, evaluations, documenting, etc. as necessary Ensure that all residents are treated with dignity, respect, and consideration and have the right to exercise their choice and self-determination Ensure residents receive culturally competent trauma informed care in accordance with professional standards of practice Ensure residents are free from physical or chemical restraints imposed for the purpose of discipline or convenience that are not required to treat the residents' medical symptoms Complete accident/incident reports as necessary Keep the Director of Nursing informed of the status of residents and other related matters through written/oral reports Direct the day to day functions of the nursing team in accordance with current rules and regulations Coordinate with Staffing Coordinator to ensure staffing requirements are met Develop positive professional relationships with staff Assist in grievance process in coordination with grievance officer Assist DON/Risk Manager with reportable incident investigations Collaborate with HR, DON, and Educator on training, skills development, competencies, and in-servicing as needed Assist DON and Educator in planning clinical supervision for nurse aide trainees, nursing students and newly hired nursing staff. Requirements: Must possess an active Florida RN License or a Compact RN License Must pass a Level II Background Check As of May 28, 2026 Employment is contingent upon successful completion of a Florida AHCA Level 2 background screening in accordance with state regulations. https://info.flclearinghouse.com

Orange Park Rehabilitation and Nursing Center Orange Park, FL

Registered Nurse R.N.

Registered Nurse (RN) Join our team of highly skilled. We are currently seeking a passionate and dedicated Staff Nurse (RN) to make a difference in caring for patients in our community. Take pride in doing what you love as patients admit to our facility by monitoring, assisting, and encouraging their progress. We provide compassionate short- and long-term healthcare and specialized medical support. Responsibilities: Review, communicate and contribute to the day-to-day functions of the Certified Nursing Assistants (CNA) and Personal Care Attendants (PCA) Provide medications by mouth, subcutaneous or intramuscular injections as ordered Complete wound care as ordered to improve skin integrity Make written and oral reports/recommendations concerning the activities of your shift for continuity of care Communicate with family members of residents as needed in the event of receiving new orders, a change in condition or a simple check-in to ensure the resident is safe, well, and content Participate and shine in center surveys (inspections) Assist in planning the nursing services portion of the resident’s discharge plans Admit, transfer, and discharge residents Complete accident/incident reports as necessary Chart in electronic files using Point Click Care in an informative and descriptive manner that reflects the care provided as well as residents' responses to care Receive telephone orders from physicians on duty Order prescribed medications, supplies, and equipment as necessary Ensure that narcotics are handled in accordance with federal, state, and local regulations Participate in associate performance evaluations and make recommendations to the Nurse Supervisor Develop work assignments Make daily rounds of your unit/shift to ensure resident safety is a Top Priority Meet with the nursing personnel on your shift a regularly to improve services Administer professional services such as catheterizations, tube feedings, suction, applying and changing dressings/bandages, packs, colostomy, and drainage bags, etc Attend and participate in all center in-service programs as required Maintain professional competence through participation in continuing education programs, seminars, and training programs Qualifications: MUST hold a current and valid RN license COVID-19 vaccination is a requirement of employment. Accommodation requests will be evaluated on a case-by-case basis in accordance with local, state, and federal law. Please note, that salaries quoted on our ads may be Indeed Self-Aggregated and not correct. We offer competitive salaries commensurate with education, experience and credentials. For more Information regarding the HB531 Florida Agency for Health Care Administration, please visit: https://info.flclearinghouse.com

Hospice

Haven Hospice Jacksonville, FL

RN / Registered Nurse Case Manager - Hospice

Our Company Haven Hospice Overview Office Location: 9143 Philips Highway, Suite 480, Jacksonville, FL 32256 Coverage area: Jacksonville & Surrounding Schedule: M-F 8-5 Are you a Registered Nurse looking for a new opportunity? Haven Hospice is seeking a passionate, dedicated Hospice RN to join our team in Jacksonville, FL. Our hospice RNs provide expert, patient-centered care at a critical time in people’s lives. If you’re ready to work in a supportive, fulling environment where your skills and empathy truly shine, apply today! How YOU will benefit Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company As a RN Case Manager You will: Assess/monitor physical, emotional, and psychological needs of patients Create hospice care plans that align with the patient's wishes and goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by local branch Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Generous PTO Mileage reimbursement Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Qualifications Graduate of an accredited nursing school with current licensure to practice in state of operation One year nursing experience required, 3+ years preferred Experience in hospice or a similar setting preferred Knowledge of the hospice philosophy of care Commitment to clinical and documentation excellence Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order About our Line of Business At Haven Hospice, our primary ambition is to bring high-quality care to the warmest and most serene environment possible: home. We provide the full spectrum of hospice services, thoughtfully tailored to the individual needs of patients and families. Haven Hospice, an affiliate of BrightSpring Health Services, is grounded in a foundational commitment to providing quality patient care and championing our agency leadership and teams. We are proud to have many dedicated health care professionals on our team. We are confident you will find purpose, meaning and a chance to make a positive impact from day one. For more information, please visit www.havenhospice.com. Follow us on Facebook and LinkedIn. Location : Special Notice This position is subject to a level 2 background screening. For more information on the Florida state background screening process and standards, please access and review the Care Provider Background Screening Clearinghouse.

NICU

Halifax Health Daytona Beach, FL

Registered Nurse-NICU

Night (United States of America) Registered Nurse-NICU The Registered Nurse is responsible and accountable for assessing, planning, implementing and evaluating as per the nursing process. The Registered Nurse is expected to direct, delegate, and coordinate all nursing care provided by the LPN, CNA, Patient Care Companion, and Unit Clerk consistent with their roles, responsibilities, and skill level. Assignments are performed appropriately to age and development level of the patient population being served. - RN – State of Florida - Degree from an accredited school of nursing, bachelor degree preferred. - Completion of general and nursing orientation. - Completion of unit orientation and unit-specific competency checklist. - Professionalism in interpersonal communication skills with patients, families, and colleagues - Certifications as required by the specific unit/area (Refer to required certification addendum). - Completion of annual competency based learning modules [CBL’s] - Excellent communication skills are needed in dealing with physicians, patients, family, and other disciplines - Assesses the patient on admission and assesses and monitors on an ongoing basis. - Assesses patient/family learning needs. - Recognizes and responds to changes in the patient’s condition. - Documents assessment data on admission and on an ongoing basis. - Plans and coordinates care based on assessment of the patient’s status and ongoing identified needs. - Involves family/significant others in the plan of care as desired by the patient. - On admission, initiates individualized teaching plan to ensure positive outcomes and timely discharge. - Implements supportive and rehabilitative nursing care according to identified patient needs. - Collaborates with the multidisciplinary team to achieve desired patient outcomes. - Initiates and verifies physician orders. - Utilizes nursing judgment in the provision of care. - Evaluates patients/families response to interventions and progress toward desired outcomes. - Organizes patient care based on patient needs and available resources. - Serves as the patient advocate by providing compassionate nursing care, which is individualized to meet the special needs of each patient. - Identifies priorities for care of assigned patients. - Coordinates patient care activities with services provided by ancillary departments to optimize patient outcomes. - Demonstrates professional development, accountability, and leadership in the performance of their professional nursing practice. Adheres to our Cornerstone standards and hospital mission and values at all times. - Reports to work when scheduled (Refer to Attendance policy). - Maintains a professional appearance that demonstrates a positive image (Refer to Professional Appearance Expectations policy). - Maintains patient confidentiality and acts in an ethical manner at all times. - Follows legal and ethical guidelines in providing nursing care. - Maintains competencies and continues development of professional/clinical knowledge base through continuing education. - Assists with staff orientation and professional development. - Contributes to a safe and secure environment for patients, visitors, and co-workers. - Supports research and participates in quality improvement initiatives. - Administers medications according to established policies. - Complies with patient safety goals and programs.

Acts Retirement-Life Communities Dunedin, FL

Registered Nurse (RN)

$33 - $42.07 / hour

Overview $2,500 Sign-On Bonus! Join our team and grow with us both professionally and personally! Join our team and grow with us both professionally and personally! Next day pay: Work today, get paid tomorrow with our PayActiv benefit! We strongly believe in providing our team members with great benefits, such as tuition reimbursement, commuter benefits, scholarship awards, professional development programs, university partnerships, referral and discount programs, appreciation events, wellness initiatives, and much more! Acts is currently seeking qualified candidates for the role of Registered Nurse (RN) in our skilled nursing neighborhood. In this role, you will be responsible for providing prescribed medical treatment and personal care services to our residents in skilled nursing, while following established policies and procedures and providing compassionate care to our residents. Requirements The ideal candidate will meet the following requirements: Current State Registered Nurse (RN) license Current or eligible for certification in CPR Team members are eligible for a generous benefit package including health benefits (medical, prescription, dental and vision), flexible spending accounts, life insurance, disability programs, 401(k) plan (with 4% company match after one year of employment), paid time off and holidays, and much more! Eligibility may vary based on status. For more information or to apply, visit us at www.acts-jobs.org and join our Talent Network to receive e-mail alerts with new job opportunities that match your interests! Acts Retirement-Life Communities is one of the largest not-for-profit owners, operators, and developers of resort-style continuing care senior living communities, including independent living, assisted living, and skilled nursing. The Acts family proudly consists of 28 communities in 9 states, and over 8,500 team members. Acts provides residents with a lifestyle that includes on-campus conveniences, services, and amenities such as casual and fine dining venues, beauty salons, fitness centers, security, healthcare, activity programs, and much more. Our team members are inspired by a culture of Loving-Kindness, and we are fully committed to appreciating the array of backgrounds and talents demonstrated by our team members. Acts is an equal opportunity employer that is committed to diversity and inclusion in the workplace. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, gender, gender identity or expression, sexual orientation, marital status, national origin, non-disqualifying disability, veteran status, or any other characteristic protected by law. Acts is committed to providing reasonable accommodations for candidates with disabilities in our hiring process. This position requires compliance with Florida's Care Provider Background Screening process. Please see the Clearinghouse screening information here: https://info.flclearinghouse.com Pay Range $33.00 - $42.07 / hour. Starting rate will vary based on skills and experience.

Outpatient

Women's Care Southpoint, FL

Advanced Practice Registered Nurse (73291)

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility. As an Advanced Practice Registered Nurse (APRN) for Women’s Care, you will provide the highest quality of care as a provider, working collaboratively within a healthcare team. You will effectively identify, evaluate, and address disease prevention and health promotion issues to provide comprehensive women’s health care with an emphasis on reproductive, gynecologic, and family-centered health education, while also administering quality patient care. As an APRN, you will also perform physical examinations, order, interpret, and evaluate diagnostic tests to identify and assess patient’s clinical problems and health care needs. Women’s Care Offers: Competitive compensation package Comprehensive health benefits, including company-paid life insurance and short term disability 401K with employer contribution Generous paid time off and holidays Company paid malpractice insurance and tail coverage Paid time off and reimbursement for CME’s Qualifications: Active and unrestricted Advanced Practice Registered Nurse (APRN), Nurse Practitioner (NP) or Physician Assistant (PA) license in the state to which you are hired OR the ability to obtain. Women's Health experience strongly preferred. Must be dependable, reliable, and punctual. At Women’s Care, we believe that our success is built on a foundation of strong, shared values. These values guide our actions, shape our culture, and define who we are as an organization. Communication & Collaboration Transparency Accountability & Integrity Patient Care & Innovation Excellence Respect With the commitment of our employees, we remain true to our mission of providing unparalleled healthcare services to women every day.

LPN

South Dade Nursing & Rehabilitation Center FL

Registered Nurse (RN) / Licensed Practical Nurse (LPN)

Registered Nurse (RN) / Licensed Practical Nurse (LPN) Summary: Works as nurse on the floor in a unit performing job duties within their license nursing scope Must have active license in the state of Florida and active CPR Per diem

Labor and Delivery

Halifax Health Daytona Beach, FL

Registered Nurse- Labor & Delivery

Day (United States of America) Registered Nurse- Labor & Delivery The Registered Nurse is responsible and accountable for assessing, planning, implementing and evaluating as per the nursing process. The Registered Nurse is expected to direct, delegate, and coordinate all nursing care provided by the LPN, CNA, Patient Care Companion, and Unit Clerk consistent with their roles, responsibilities, and skill level. Assignments are performed appropriately to age and development level of the patient population being served. - RN – State of Florida - Degree from an accredited school of nursing, bachelor degree preferred. - Completion of general and nursing orientation. - Completion of unit orientation and unit-specific competency checklist. - Professionalism in interpersonal communication skills with patients, families, and colleagues - Certifications as required by the specific unit/area (Refer to required certification addendum). - Completion of annual competency based learning modules [CBL’s] - Excellent communication skills are needed in dealing with physicians, patients, family, and other disciplines - Assesses the patient on admission and assesses and monitors on an ongoing basis. - Assesses patient/family learning needs. - Recognizes and responds to changes in the patient’s condition. - Documents assessment data on admission and on an ongoing basis. - Plans and coordinates care based on assessment of the patient’s status and ongoing identified needs. - Involves family/significant others in the plan of care as desired by the patient. - On admission, initiates individualized teaching plan to ensure positive outcomes and timely discharge. - Implements supportive and rehabilitative nursing care according to identified patient needs. - Collaborates with the multidisciplinary team to achieve desired patient outcomes. - Initiates and verifies physician orders. - Utilizes nursing judgment in the provision of care. - Evaluates patients/families response to interventions and progress toward desired outcomes. - Organizes patient care based on patient needs and available resources. - Serves as the patient advocate by providing compassionate nursing care, which is individualized to meet the special needs of each patient. - Identifies priorities for care of assigned patients. - Coordinates patient care activities with services provided by ancillary departments to optimize patient outcomes. - Demonstrates professional development, accountability, and leadership in the performance of their professional nursing practice. Adheres to our Cornerstone standards and hospital mission and values at all times. - Reports to work when scheduled (Refer to Attendance policy). - Maintains a professional appearance that demonstrates a positive image (Refer to Professional Appearance Expectations policy). - Maintains patient confidentiality and acts in an ethical manner at all times. - Follows legal and ethical guidelines in providing nursing care. - Maintains competencies and continues development of professional/clinical knowledge base through continuing education. - Assists with staff orientation and professional development. - Contributes to a safe and secure environment for patients, visitors, and co-workers. - Supports research and participates in quality improvement initiatives. - Administers medications according to established policies. - Complies with patient safety goals and programs.

ICU

Lakewood Ranch Medical Center Lakewood Ranch, FL

Registered Nurse RN ICU PRN Days

Responsibilities Job Title: Registered Nurse RN ICU Status: PRN Schedule: Days *You will be considered for any openings for which you qualify. It is not necessary to apply to multiple positions.* About Lakewood Ranch Medical Center (LWRMC): Lakewood Ranch Medical Center® (LWRMC), located in the heart of the Lakewood Ranch community, has served the people of Lakewood Ranch and surrounding areas since 2004. It is an award-winning, high-quality, acute-care hospital accredited by The Joint Commission and it consistently ranks high in terms of quality, safety and patient satisfaction. The medical staff includes more than 750 physicians and allied health professionals who practice in a wide range of specialties. Through the years, LWRMC has expanded its offerings to the people of Manatee and Sarasota counties by growing services and updating technologies to better serve the surrounding communities. Services include emergency services and freestanding emergency department, general and robotic surgery, maternity care, breast health, cardiology, orthopedic surgery, stroke, sleep medicine, urology and wound care. If you want to join a team of professionals providing the highest quality of care, look no further than Lakewood Ranch Medical Center. LWRMC offers comprehensive benefits such as: Challenging and rewarding work environment Competitive Compensation Career development opportunities across UHS and our 300+ locations! Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time Off 401(K) with company match and discounted stock plan Tuition Reimbursement SoFi Student Loan Refinancing Program Employee Assistance Program Career development opportunities within UHS and its Subsidiaries More information is available on our Benefits Guest Website: benefits.uhsguest.com Job Overview: Provides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. The concepts of Patient Centered Care will provide the foundation for all nursing care. General Responsibilities: Provides professional leadership and support to the healthcare team. Demonstrates Service Excellence standards at all times Communication and interpersonal skills, basic computer skills, and customer service skills required Other duties as assigned. Qualifications Graduate of an accredited or NLN-approved RN program. Current American Heart Association or American Red Cross BLS at time of hire. Current active Florida or Compact Nursing License Prefer one year, full-time or 3 years, part-time experience in acute care setting. Additional certifications required at start date or intrafacility transfer: All Nursing Units (except nursery): ACLS as of start date (New graduate RN's wtihin 90 days of start date) Women's Center: NRP as of start date (inexperienced L&D nurses within 90 days of start date) ICU/PCU: NIH within 90 days of start date or prior to completion of orientation - whichever is first ER: PALS, CPI within 90 days of start date, NIH within 90 days of start date or prior to completion of orientation - whichever is furst PACU: PALS as of start date (inexperienced PACU nurses within 90 days of hire or prior completion of orientation - whichever is first). Please allow two to three business days for the manager to review your application. Thank you for your interest! About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching the skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Hospice

Haven Hospice Orange Park, FL

RN / Registered Nurse Case Manager - Hospice

Our Company Haven Hospice Overview Office Location: 745 Blanding Boulevard, Orange Park, FL 32065 Coverage area: Orange Park & Surrounding Schedule: M-F 8-5 Are you a Registered Nurse looking for a new opportunity? Haven Hospice is seeking a passionate, dedicated Hospice RN to join our team in Orange Park, FL. Our hospice RNs provide expert, patient-centered care at a critical time in people’s lives. If you’re ready to work in a supportive, fulling environment where your skills and empathy truly shine, apply today! How YOU will benefit Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company As a RN Case Manager You will: Assess/monitor physical, emotional, and psychological needs of patients Create hospice care plans that align with the patient's wishes and goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by local branch Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Generous PTO Mileage reimbursement Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Qualifications Graduate of an accredited nursing school with current licensure to practice in state of operation One year nursing experience required, 3+ years preferred Experience in hospice or a similar setting preferred Knowledge of the hospice philosophy of care Commitment to clinical and documentation excellence Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is in good working order About our Line of Business At Haven Hospice, our primary ambition is to bring high-quality care to the warmest and most serene environment possible: home. We provide the full spectrum of hospice services, thoughtfully tailored to the individual needs of patients and families. Haven Hospice, an affiliate of BrightSpring Health Services, is grounded in a foundational commitment to providing quality patient care and championing our agency leadership and teams. We are proud to have many dedicated health care professionals on our team. We are confident you will find purpose, meaning and a chance to make a positive impact from day one. For more information, please visit www.havenhospice.com. Follow us on Facebook and LinkedIn. Location : Special Notice This position is subject to a level 2 background screening. For more information on the Florida state background screening process and standards, please access and review the Care Provider Background Screening Clearinghouse.

Home Health Aide in Arcadia

The Lakes Home Care Arcadia, FL

The Lakes Home Care is looking for a compassionate Home Health Aide to provide assistance in daily living and personal care services in patients homes in accordance with an established care plan. Responsibilities : Responsible for assisting patients with and per plan of care, the following: Baths, Oral hygiene, Dressing and undressing, Toileting activities, feeding, etc. Taking and recording oral, rectal and axillary temperatures, pulse, respiration and blood pressure when ordered (with appropriate completed/demonstrated skills competency) Safe transfer and ambulation techniques Exercise according to the plan of care Performing range of motion and other simple procedures as an extensional therapy service as ordered (with appropriate completed/demonstrated skills competency) Patient’s laundry Meeting safety needs of patients and using equipment safely and properly (foot stools, side rails, etc.) Observation and teaching of home safety practices Recognition of an emergency situation and knowledge of emergency management procedures Must follow patients’ plan of care and complete all tasks assigned Communicates in a constant, clear, and effective way with the client, family/caregiver and office Observes and documents patient condition and reports any changes, to the assigned nurse supervisor Requirements : Meets all training requirements in accordance with state and federal laws when applicable Ability to read, follow written instructions and document care given Possess and maintains current CPR certification in accordance with state regulation PPD or chest x-ray if applicable Successful completion of Maxim screening examinations Participation and completion of Maxim’s competency program Must meet all federal, state, and local requirements The Lakes benefits : part-time position. Flexible work hours where you create your own schedule Competitive salary Join our team of healthcare professionals dedicated to improving the lives of our patients through quality care and compassion. About The Lakes Home Care Services At The Lakes Home Care, Inc., we are dedicated to providing high-quality and compassionate care to individuals in the comfort of their homes. We strive to be more than just a home care agency; we aim to be your trusted partner on the journey to a more comfortable and fulfilling life for you and your loved ones. We offer a comprehensive range of home care services, carefully tailored to meet your unique needs. From basic assistance with daily activities to specialized care, our highly trained team is here to provide the support you need. Discover how we can help you maintain your independence and quality of life.

Home Health Aide in Miami Beach

The Lakes Home Care Miami Beach, FL

The Lakes Home Care is looking for a compassionate Home Health Aide to provide assistance in daily living and personal care services in patients homes in accordance with an established care plan. Responsibilities : Responsible for assisting patients with and per-plan of care, the following: Baths, Oral hygiene, Dressing and undressing, Toileting activities, feeding, etc. Taking and recording oral, rectal and axillary temperatures, pulse, respiration and blood pressure when ordered (with appropriate completed/demonstrated skills competency) Safe transfer and ambulation techniques Exercise according to the plan of care Performing range of motion and other simple procedures as an extensional therapy service as ordered (with appropriate completed/demonstrated skills competency) Patient’s laundry Meeting safety needs of patients and using equipment safely and properly (foot stools, side rails, etc.) Observation and teaching of home safety practices Recognition of an emergency situation and knowledge of emergency management procedures Must follow patients’ plan of care and complete all tasks assigned Communicates in a constant, clear, and effective way with the client, family/caregiver and office Observes and documents patient condition and reports any changes, to the assigned nurse supervisor Requirements : Meets all training requirements in accordance with state and federal laws when applicable Ability to read, follow written instructions and document care given Possess and maintains current CPR certification in accordance with state regulation PPD or chest x-ray if applicable Successful completion of Maxim screening examinations Participation and completion of Maxim’s competency program Must meet all federal, state, and local requirements The Lakes benefits : part-time position. Flexible work hours where you create your own schedule Competitive salary Join our team of healthcare professionals dedicated to improving the lives of our patients through quality care and compassion. About The Lakes Home Care Services At The Lakes Home Care, Inc., we are dedicated to providing high-quality and compassionate care to individuals in the comfort of their homes. We strive to be more than just a home care agency; we aim to be your trusted partner on the journey to a more comfortable and fulfilling life for you and your loved ones. We offer a comprehensive range of home care services, carefully tailored to meet your unique needs. From basic assistance with daily activities to specialized care, our highly trained team is here to provide the support you need. Discover how we can help you maintain your independence and quality of life.