Nursing Jobs in Georgetown, DE

RN Per Diem
IntelyCare

Registered Nurse (RN)

IntelyCare Harbeson, DE
$43 - $60 / hour
Make up to $60 an hour as a Registered Nurse (RN) in Harbeson, DE (and the wider region), while setting your own schedule and enjoying the benefits of W2 employment. That's right, at IntelyCare you get to pick your shifts at any of our partnering facilities and take time off whenever you like — without having to sacrifice the support and stability that you can only find in a W2 position. This is the ideal kind of work-life balance — one that you control. With the ability to schedule work around your life, you won't have to worry about swapping shifts to take that weeklong camping trip to Tall Pines Campground Resort and can keep your mornings free for bike rides along the Georgetown-Lewes Trail. Need shifts that can fit around your class schedule at the University of Delaware? We're here for you. If you're ready to transform your career without missing out on all of the other important aspects of your life, then see what else we offer below and consider joining our team today. Benefits Registered Nurse (RN) hourly pay range: $43-$60 (25% higher than average) Your choice of our partnering facilities and shifts (including per diem, weekends, etc.) Get paid weekly or even daily Eligibility for health benefits (medical, dental, and vision), which includes qualifying family members Employer-covered malpractice insurance and workers' compensation and tax withholding Easily find shifts in multiple states, based on licensure Eligibility for retirement savings through IntelyCare's 401k plan Through our app, keep track of shifts, pay, and other job functions Overtime, holiday, travel, and hazard pay eligibility Access to free training and continuing education resources through our app Generous tuition discounts at Excelsior University (up to 34%) for undergraduate and graduate programs Nursing professionals come first on our team, which is why we thought you might like to hear directly from them. Here are some of the reasons why they love working at IntelyCare: "I really like how this company operates. The last company I worked for was very demanding/threatening and did not care about the employees. At IntelyCare, there’s no pressure to pick up shifts and we get benefits and rewards based on our performance. I also like the variety of facilities in my area." "I love IntelyCare because it gives me the flexibility to help others while working around my family’s schedule. I also love how nice the representatives are…they are extremely helpful!" "IntelyCare provides a great work-life balance. The flexibility and earning potential this company offers is unmatched. For me personally, the fact that I make my own schedule is what prevents burnout. I make sure I take a break from time to time to reset and recharge." "IntelyCare is what I’ve been looking for my entire career in nursing! I get to work when I want, where I want, and the pay is extremely nice. I also love being a nurse and possibly making a difference in someone’s life." Job Responsibilities Providing quality care in post-acute facilities as an RN Going over options for care and observing outcomes with physicians other staff Developing care plans and best options with medical staff and residents Being accountable to follow and adhere to resident care plans Setting up medical equipment and monitoring their use Drawing fluids, such as blood and urine, for lab work Administering appropriate treatments and medications to residents Ensuring proper staff compliance with nursing standards and facility policies Working with residents and family members regarding best care options Supervising and training of nursing and other staff, as needed Making sure resident histories and interventions are properly documented Helping with incident investigations Qualifications and Skills Current Delaware state license to practice as a Registered Nurse (RN) Graduation from approved nursing program At least 6 months of experience ( RN or similar role) Excellent organizational and leadership skills Ability to lift a minimum of 50 lbs Find a Nursing Job With Unmatched Work-Life Balance We know you're passionate about providing excellent patient care, but also we realize how vital flexible scheduling and professional support is for nursing professionals. Live a full and balanced life while joining the nursing team ranked #1 in quality. Apply for an RN job today! COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Harbeson, Delaware 19951
LPN Per Diem
IntelyCare

Licensed Practical Nurse (LPN)

IntelyCare Lewes, DE
$40 - $50 / hour
Earn an hourly rate of up to $50 as a Licensed Practical Nurse (LPN) in Lewes, DE (and nearby areas) while working as a W2 employee that gets to set your own schedule. That's right, on our team you get to pick the shifts at our partnering facilities that work best for you — and take time off on any day, week, or even month of your choosing without having to wait for an approval or a shift to swap with. All of this, plus the benefits and supportive team that you can only get in a W2 position. With a work-life balance that you get to control, you can free up your mornings for long bike rides along the Lewes-Georgetown Trail or take weekday beach days at Savannah Beach when you feel the need for a solar recharge. Want to take a full courseload at Wilmington University next semester? With IntelyCare you can pick up shifts around your classes — or just free up more time to live the full life you deserve. Still not sure if IntelyCare would be the right fit for you? Take a look at some of the other great benefits and perks we offer below and consider taking the next step in your career with us. Benefits Licensed Practical Nurse (LPN) hourly pay range: $40-$50 (25% higher than average) Flexible schedule with a wide variety of shifts and facilities from which to choose Eligibility for health benefits, including vision and dental, for you and your family Several payment options, such as weekly or even daily Bonus pay available for holidays, overtime, travel, and hazard-based shifts Malpractice insurance, workers' compensation, and taxes paid by employer Track pay, shift schedules, and perform other job-related tasks with our easy-to-use app Easily find shifts in multiple states based on where you hold a license Plan your retirement with eligibility for IntelyCare's 401k plan Up to 34% in tuition discounts on undergraduate and graduate programs through Excelsior University Training and continuing education through our app at no cost Want to know what it's like to work at IntelyCare — from the perspective of nursing professionals like you? Here's what some of our IntelyPros think about their experience with us: "This job has so much more to offer than a decent pay. The flexibility and large choice of facilities to work for is amazing. I am a single mom and I hated missing out on sports events, holidays, and special moments due to regular schedules. IntelyCare has made it possible for me to enjoy my life, kids, and career." "I love the fact that this is a W2 company! Everyone here is very understanding - they will try to help you in every way they can!" "This job feels unreal sometimes! Being able to make your own schedule is great, but working at different facilities and learning new things every day makes it even better. It helps you increase your skill set in a way that being a FT employee somewhere could never do. I truly feel blessed to be part of this team!" "I love IntelyCare because they listen to your concerns and respond in a timely manner. The staff is very pleasant and understanding. The pay here is unmatched, and the list of facilities is very diverse. I also love the flexibility!" Job Responsibilities Delivering post-acute care as an LPN Monitoring the physical and mental wellbeing of patients and tracking their vital signs Performing intakes of residents and documenting their health concerns and medical histories Reviewing the medical records and charts of residents Properly administering (and verifying) medications Helping to maintain appropriate levels of medical supplies Contributing to a safe, comfortable environment for residents Assisting with IV set up, vaccinations, and phlebotomies Helping medical staff with orientation and training Qualifications and Skills Current Delaware state license to practice as a Licensed Practical Nurse (LPN) Completion of approved Licensed Practical Nurse (LPN) educational program High school diploma (or GED/equivalent) Completion of approved LPN educational program At least 1 year of experience ( LPN or related role) Get the Optimal Work-Life Balance With a Team That Cares Searching for an LPN job that's as supportive and dedicated to you as you are to your patients and fellow nurses? At IntelyCare, we don't just talk about work-life balance, we make it central to our mission. Find out why our growing team of nursing professionals is ranked #1 in quality by applying today. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Lewes, Delaware 19958
RN Per Diem
IntelyCare

Registered Nurse (RN)

IntelyCare Georgetown, DE
$43 - $60 / hour
Retake control of your life with flexible schedules and make as much as $60 per hour as a Registered Nurse (RN) in Georgetown, Delaware, and surrounding areas. At IntelyCare, we understand that nursing professionals with balanced lives are happier and deliver the best care. That's why we hire our staff as W2 employees and give them their choice of shifts at our partner facilities, with the freedom to take time off whenever they like. With this kind of work-life balance, you'll be better able to handle all your important tasks and still carve out some time for fun activities or simply take a break from it all. Planning a getaway for the family at Funland on the beach? Maybe you'd like to keep your early mornings free for jogs through Kimmey Park. At our nurse founded company, you can do all of this — and so much more. See what else we offer and consider joining our team today. Benefits Registered Nurse (RN) hourly pay range: $43-$60 (25% higher than average) Your choice of our partnering facilities and shifts (including per diem, weekends, etc.) Get paid weekly or even daily Eligibility for health benefits (medical, dental, and vision), which includes qualifying family members Employer-covered malpractice insurance and workers' compensation and tax withholding Easily find shifts in multiple states, based on licensure Eligibility for retirement savings through IntelyCare's 401k plan Through our app, keep track of shifts, pay, and other job functions Overtime, holiday, travel, and hazard pay eligibility Access to free training and continuing education resources through our app Generous tuition discounts at Excelsior University (up to 34%) for undergraduate and graduate programs As a company built for nursing professionals like you, maybe you'd like to hear what it's like to work for us, directly from the source? Here's what just some of our dedicated team members have to say about their experience on our team: "This job feels unreal sometimes! Being able to make your own schedule is great, but working at different facilities and learning new things every day makes it even better. It helps you increase your skill set in a way that being a FT employee somewhere could never do. I truly feel blessed to be part of this team!" "IntelyCare’s customer service is amazing! There’s always someone available to help when needed. Being able to build my schedule through the app makes my life easier." "I love being part of the IntelyCare team because I’m able to make my own schedule and spend more time with my family." "I love IntelyCare because everything has been easy from the application process until now. There has never been a question unanswered, and everyone is always happy to help with whatever I needed. They always advocate on our behalf. I am so grateful to be an IntelyPro." Job Responsibilities Providing expert nursing care as an RN in post-acute care facilities Keeping track of care options and tracking outcomes with other medical staff Working with residents and medical staff to develop care plans Properly setting up and monitoring medical equipment Ensuring residents receive appropriate treatments and medications Drawing bodily fluids for lab evaluation Reviewing best care options with residents and family members Making sure staff remains compliant with facility policies and nursing standards Overseeing the accurate documentation of resident histories and interventions Providing training and supervision of nurses and support staff Helping staff with incident investigations Qualifications and Skills Current Delaware state license to practice as a Registered Nurse (RN) Graduation from approved nursing program At least 1 year of experience ( RN or similar role) Excellent organizational and leadership skills Advance Your Career and Take Control of Your Schedule Want to take the next step in your career, but also crave a healthy work-life balance? Get the flexible schedules and career support that you deserve as an RN by reaching out to the team of nursing professionals ranked #1 in quality. COVID-19 Considerations: COVID-19 vaccination requirements vary by state. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. Location: Georgetown, Delaware 19947
RN New Grad Full-time
Beebe Healthcare

NEW GRAD RN - NURSE RESIDENCY PROGRAM - FALL 2026 START DATE

Beebe Healthcare Lewes, DE
$34.50 - $56.93 / hour
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. In addition to competitive compensation and wellness benefits (medical, dental, vision, and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Pers via WorkAdvantage Employee Assistance Program Pet Insurance Overview Are you a nursing student approaching graduation? We are seeking a passionate and dedicated Graduate Registered Nurse (RN) with less than
RN OR Full-time
Beebe Healthcare

RN / REGISTERED NURSE - OR FIRST ASSISTANT

Beebe Healthcare Lewes, DE
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview RN First Assistant – Full Time | Beebe Healthcare Beebe Healthcare is seeking a skilled and compassionate Registered Nurse First Assistant (RNFA) to join our dynamic surgical services team. In this full-time role, the RN First Assistant will play an essential part in providing expert perioperative nursing care, supporting surgeons, and ensuring optimal patient outcomes in the operating room. The RNFA is a clinically competent professional nurse with demonstrated expertise in the perioperative setting. This role encompasses the full nursing process, including assessment, planning, intervention, implementation, and evaluation, while providing direct assistance during surgical procedures. The RNFA collaborates with surgeons, anesthesiologists, and the perioperative team to deliver safe, efficient, and high-quality patient care. Key Responsibilities: Deliver comprehensive perioperative care to surgical patients. Perform first assistant duties, including tissue handling, wound exposure, suturing, and hemostasis. Collaborate with the surgical team to ensure safe and effective operative outcomes. Utilize critical thinking and clinical expertise in preoperative, intraoperative, and postoperative care. Support Beebe Healthcare’s mission of excellence in patient-centered care. Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique- utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant ongoing monitoring of asepsis in all roles-scrub, circulator, and assistant anticipates needs of surgeon consistently recognizes sequence of procedures in all roles-scrub, circulator, and assistant passes instruments correctly appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units performs daily A-Test/Biological tests as required performs proper care, handling, and assembly of instruments for processing ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery care planning-utilization of collected data to plan appropriately for intraoperative nursing care implementing-provides direct patient care to meet physical and psychological needs evaluating care-continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioninG universal skin care precautions prevention of nerve damage prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps/miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department Nurse Managers. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn around time between procedures- readily available communication with OR Desk/Charge RN and/or department Nurse Manager gross cleaning of body fluid spills to confine contamination throughout the procedure prioritization of case completion process assists with room clean up tasks as necessary prioritizes case set up process toward maximum efficiency. Initiate appropriate intraoperative behaviors unique to first assisting: provide hemostasis to reduce potential for fluid volume deficit by clamping and/or legating vessels using ESU, direct pressure, applying chemical agents that promote coagulation and other means as directed by the surgeon provide exposure of the operative site through appropriate use of retractors, other instruments, and through suctioning and sponging use surgical instruments skillfully in ways consistent with their design and purpose as directed by the surgeon. Accreditation/Regulatory Compliance Qualifications Prefer minimum of 1 year recent perioperative experience as an RN First Assistant . Must be knowledgeable regarding the nursing process and its application--assessment, planning, implementation, and evaluation. Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Nonessential: * CNOR - Certified Nursing - OR Education Essential: * RN Diploma/RN Graduate Program Entry USD $39.88/Hr. Max USD $65.80/Hr.
LPN Outpatient Part-time
Beebe Healthcare

LPN - PHYSICIAN OFFICE NURSE - BEEBE ALLERGY

Beebe Healthcare Rehoboth Beach, DE
$23.67 - $36.69 / hour
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via Work Advantage Employee Assistance Program Pet Insurance Overview Responsible for delivery of patient care through the nursing process. Responsibilities Assessments of patients are accurate, consistently performed and a completed efficiently. Accurate documentation of continuum of care. Consistently demonstrates safe and accurate technical skills. Demonstrates competency in the performance of all procedures routinely performed in the office. Routinely demonstrates proper technique in operating all office/medical equipment. Triaging of patients is accurate and complies with instructions rendered by provider. Demonstrates competency in providing quality patient care. Accurately follows provider directions. Handles all specimens using proper technique. Correctly labels and processes specimens. Insures proper preparation of specimens for lab courier transfer to Lab. Conscious of biohazard safety as it relates to the job; manual delivery of specimens to lab, changing of gloves between patients. Handles specimens using proper techniques, correctly labels for transfer to lab. Routinely performs all nursing duties using appropriate PPE and in accordance with OSHA standards. Performs all job duties within the scope of practice and the organization's policies/procedures. Performs all other duties as assigned. Qualifications Minimum of 1 year L.P.N./R.N. experience, preferably in a Doctors Office. Credentials Essential: * LPN - Licensed Practical Nurse * BLS - Basic Life Saving certification (American Heart Association) Nonessential: * RN - Registered Nurse Entry USD $23.67/Hr. Max USD $36.69/Hr.
CMA Outpatient Full-time
Beebe Healthcare

MEDICAL ASSISTANT - BEEBE MEDICAL GROUP - MULTIPLE LOCATIONS AVAILABLE

Beebe Healthcare Lewes, DE
$17.25 - $26.74 / hour
Why Beebe? Multiple locations that include Lewes, Rehoboth, Millsboro, Millville, Milford & Float! Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via Work Advantage Employee Assistance Program Pet Insurance Overview As a Patient Care Assistant (PCA) of the BMG Float Team, you will play a crucial role in providing seamless support to various offices by filling in staffing gaps. This position requires flexibility, adaptability, and a commitment to maintaining high standards of patient care across different locations. The Patient Care Assistant (PCA) performs various duties assisting with the treatment and care of patients in accordance with facility or department policies, procedures, and/or protocols under the supervision and/or direction of the physician or registered nurse. The PCA assists in maintaining a safe work environment and performs all related job responsibilities in a safe manner. The PCA maintains clinical and professional competency as appropriate to the population of clients served. Responsibilities Prioritize and complete assigned tasks accurately in a safe, effective, and fiscally responsible manner. Act as a preceptor and mentor for other patient care assistants. Timely completion of assigned education and annual competencies. Ensure positive patient identification and collect and label lab specimens according to policy. PCAs may not administer medications. Follow department policies, procedures and/or protocols appropriate for Beebe Medical Group. Utilize electronic medical records and other electronic health systems for patient care documentation. Demonstrate proper technique in operating all office equipment and maintain clean/stocked patient care area. Actively assists others and accepts additional duties or assignments. Works in other BMG office locations and/or other shift times when needed. Demonstrate proper technique in operating all office equipment and maintain clean/stocked patient care area. Models the Beebe Healthcare mission, vision, and values. Practices in a manner that is congruent with cultural diversity and inclusion principles. Qualifications Credentials: BLS - Basic Life Support (American Heart Association) current certification Education: High School Graduate or equivalent One year medical/clinical experience or graduate of Medical Assistant program required. Must obtain certification as a medical assistant within 18 months of hire. Skills: Clear Communication Skills Both Written and Verbal Adheres to HIPPA and confidentiality policies regarding PHI Able to Withstand Crisis Situations Professional Customer Service skills Knowledge and Experience with Electronic Health Records Experience In Practice or Clinic Setting Entry USD $17.25/Hr. Max USD $26.74/Hr.
RN ER ICU PACU Full-time
Beebe Healthcare

REGISTERED NURSE / RN - CRITICAL CARE FLOAT POOL - NIGHTS

Beebe Healthcare Lewes, DE
$38 - $62.70 / hour
Why Beebe? Become part of the Beebe team—an inclusive, mission‑driven organization located in a vibrant coastal community. At Beebe, you’ll build a rewarding career while making a meaningful impact on the health and well‑being of our patients. Join a team committed to excellence, collaboration, and compassionate care, and experience the fulfillment that comes from supporting a community that trusts and values the work you do every day. In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,250 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview The Critical Care Float Pool Registered Nurse (RN) is a highly skilled and versatile clinician responsible for delivering exceptional, patient-centered care across a variety of acute care settings. This role supports multiple hospital units—such as Medical-Surgical, Critical Care, Emergency Department, and Procedural areas including Cath Lab Holding and PACU—requiring a high degree of adaptability and clinical expertise. The RN in this role leverages advanced assessment skills, sound clinical judgment, and strong technical proficiency to ensure safe and effective care in fast-paced and continually changing environments. As a key contributor to patient outcomes, the Critical Care Float Pool RN demonstrates flexibility, strong critical-thinking abilities, and a commitment to clinical excellence. This position plays an essential part in upholding the organization’s standards for safety, quality, and an exceptional patient experience. The ideal candidate thrives in dynamic settings, collaborates effectively with multidisciplinary teams, and consistently promotes a culture of compassion, professionalism, and high reliability. Responsibilities Direct Patient Care Deliver comprehensive patient care using the nursing process of assessment, planning, implementation, and evaluation across multiple specialty areas. Provide safe, high-quality care to patients with varying levels of acuity. Emergency & Critical Response Respond promptly to emergent and critical situations, including Code Blue, Rapid Response, trauma activations, and behavioral emergencies. Apply advanced clinical judgment in fast-paced, high-stress scenarios. Advanced Clinical Therapies & Medication Management Manage complex medical therapies such as ventilators, vasoactive drips, invasive hemodynamic monitoring, and advanced cardiac life support equipment. Safely administer medications, including high-alert medications, chemotherapy, and moderate sedation agents. Procedures & Technical Skills Perform and maintain competency in advanced procedures, including central line care, chest tube management, wound vac therapy, arterial line monitoring, and peritoneal dialysis. Ensure procedural accuracy and adherence to evidence-based practices. Collaboration & Care Coordination Collaborate effectively with multidisciplinary teams to support continuity of care during admissions, transfers, procedures, and discharges. Communicate effectively to ensure seamless transitions across units. Safety, Compliance & Professional Standards Adhere to hospital policies regarding patient safety, infection prevention, hazardous drug handling, radiation safety, and equipment use. Maintain professionalism, accountability, and adaptability while floating between diverse clinical environments. Patient & Family Support Provide compassionate, patient- and family-centered care, including education, emotional support, and assistance with end-of-life care. Serve as a supportive resource to patients and families throughout the care experience. Qualifications Minimum 5 years of acute care nursing experience At least 2 years experience in the ICU, ED, or Progressive Care setting Demonstrated flexibility and ability to adapt to multiple clinical settings. Strong interpersonal and communication skills. EPIC preferred Competencies Skills IV Therapy & Vascular Access Proficient in IV insertion, phlebotomy, port access, and central line maintenance. Competent in managing arterial lines, including setup, monitoring, and troubleshooting. Monitoring & Emergency Equipment Skilled in operating and interpreting cardiac monitoring systems. Competent with ventilators, defibrillators, rapid infusers, and other emergency response equipment. Experienced in managing advanced circulatory support devices such as IABP, Impella, and LVADs. Critical Care Clinical Skills Proficient in administering and titrating vasoactive infusions and managing complex hemodynamic needs. Skilled in ventilator management, including ventilator modes and sedation vacation practices. Experienced in conducting neuro assessments, hemodynamic monitoring, and recovery from procedures. Procedural & Perioperative Support Provides comprehensive pre-, intra-, and post-procedural care. Competent in time-outs, sheath removal, patient preparation, and recovery protocols. Patient Safety & Risk Prevention Knowledgeable in safe patient handling, fall prevention strategies, and suicide precautions. Adheres to infection prevention practices and proper restraint techniques according to policy. Specialized Therapies Competent in managing CRRT , peritoneal dialysis, and wound VAC therapy. Skilled in administering and monitoring enteral and parenteral nutrition. Utilizes evidence-based pain management modalities. Communication & Documentation Demonstrates proficiency with EMR charting and accurate clinical documentation. Uses structured handoff tools such as SBAR to support safe communication. Engages in effective communication through systems like Perfect Serve, ensuring timely updates and critical value reporting. Provides clear, empathetic education to patients and families. Credentials BLS ACLS PALS or ability to obtain within 4 weeks of hire NIH Certification TNCC required within 1 year of hire Education Graduate of an accredited nursing school Entry USD $38.00/Hr. Max USD $62.70/Hr.
LPN Outpatient Full-time
Beebe Healthcare

LPN - PHYSICIAN OFFICE NURSE - BEEBE WALKIN

Beebe Healthcare Rehoboth Beach, DE
$23.67 - $36.69 / hour
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via Work Advantage Employee Assistance Program Pet Insurance Overview Responsible for delivery of patient care through the nursing process of assessment, documentation, implementation with Family Health Center. Responsibilities Documents assessments and instructions accurately. Consistently demonstrates safe and accurate technical skills. Demonstrates competency in the performance of all procedures routinely performed in the office. Triaging of patients is accurate and complies with instructions rendered by provider. Assessments of patients are accurate, consistently performed and completed efficiently. Routinely demonstrates proper technique in operating all office equipment. Demonstrates competency in providing quality patient care. Accurately follows provider directions. Handles all specimens using proper technique. Correctly labels and processes specimens. Insures proper preparation of specimens for lab courier transfer to Lab. Routinely performs all nursing duties in a clean and safe manner. All communication with patients, providers, team members and the public is courteous, accurate and professional. Performs all other duties as assigned in a cooperative and professional manner. Qualifications Minimum of 1 year L.P.N./R.N. experience. Minimum of 1 year L.P.N./R.N. experience, preferably in a Doctors Office. Competencies Skills Essential: * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * LPN - Licensed Practical Nurse * BLS - Basic Life Saving certification (American Heart Association) Education Essential: * LPN program graduate Entry USD $23.67/Hr. Max USD $36.69/Hr.
RN OR Full-time
Beebe Healthcare

RN / REGISTERED NURSE - OPERATING ROOM (LEWES)

Beebe Healthcare Lewes, DE
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Join our Nursing Team and Cultivate your Career: At Beebe, we care about your professional nursing path and want to foster the growth and development of your career. Whether you decide to further your education, gain professional certifications, learn a new specialty area, educate or lead – we support it all. We do so by offering a nursing graduate residency program, clinical ladder, professional certification reimbursement, certification preparation curriculums, generous tuition assistance, flexible scheduling and shared governance where you can help guide nursing professional practice and have a voice as a bedside nurse. Benefits In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers: Sign-on and Referral Bonuses for select positions Tuition Assistance up to $5,000 Paid Time Off Long Term Sick accrual Employer Contribution Plan Free Short and Long-Term Disability for Full Time employees Zero copay for drugs on prescription plan for certain conditions College Bound 529 Savings Plan Life Insurance Beebe Perks via WorkAdvantage Employee Assistance Program Pet Insurance Overview Are you a skilled and dedicated Registered Nurse with a passion for perioperative nursing? Step into an exhilarating role as an Operating Room RN, where your clinical competence and expertise will shine. Join our dynamic surgical team and play a vital role in delivering exceptional perioperative care to our patients. As an Operating Room RN, you will: Utilize your extensive knowledge in the perioperative field to provide top-tier care throughout the surgical process. Conduct thorough assessments, develop detailed care plans, and execute precise interventions to ensure optimal patient outcomes. Implement and evaluate individualized nursing care for surgical patients, ensuring a smooth and safe surgical experience. Collaborate seamlessly with surgeons, anesthesiologists, and other healthcare professionals to create a cohesive and efficient surgical environment. Be an advocate for patient safety and comfort, delivering compassionate care that meets the highest standards of quality. If you are a registered nurse with a demonstrated expertise in perioperative care and a commitment to excellence, we invite you to join our team. This is your opportunity to thrive in a fast-paced, supportive environment where your skills and dedication will make a profound impact on patients' lives. Apply today and become a key player in our surgical success! Responsibilities Demonstrates competency in performance of scrub/surgical routines and aseptic technique- utilizes proper scrub, gown and gloving technique for self, surgeon, and assistant ongoing monitoring of asepsis in all roles--scrub, circulator, and assistant anticipates needs of surgeon consistently recognizes sequence of procedures in all roles--scrub, circulator, and assistant passes instruments correctly; appropriate review and preparation for assigned procedures. Understands and utilizes established guidelines for operation of autoclaves and steris units--performs daily A-Test/Biological tests as required; performs proper care, handling, and assembly of instruments for processing ensures complete/thorough documentation of all flash and steris cycles as per protocol. Accepts personal accountability for proper handling, judicious use, and optimum care of all department supply, instrument, and equipment inventory. Utilizes the nursing process throughout the perioperative setting per patient assessment- collecting, interpreting, recording, and communicating pertinent data relevant to patient care in surgery care planning--utilization of collected data to plan appropriately for intraoperative nursing care implementing--provides direct patient care to meet physical and psychological needs evaluating care--continuously evaluates patient response to nursing intervention and modifies care plan to achieve desired outcome. Demonstrates and conveys theoretical knowledge and skills related to perioperative nursing care--understands the "why" concept as well as the "how" process. Thorough/Accurate/Complete documentation of intraoperative patient care. Understands / Demonstrates / Conveys knowledge related to proper intraoperative patient positioning- universal skin care precautions prevention of nerve damage prevention of pressure related skin breakdown. Assists with completion and accuracy of surgical sponge, sharps /miscellaneous items, and instrument counts as per established policies and guidelines. Assists with maintenance of up-to-date preference sheets in conjunction with Resource RNs and department PCCs. Effectively demonstrates critical thinking, prioritization of duties, and time management skills throughout the perioperative arena. Maintains accuracy with patient charge process, cost efficient usage of case supplies, and ensures all pertinent data is provided to post case data personnel to facilitate a time efficient billing process. Strives to ensure efficiency in turn- around time between procedures readily available; communication with OR Desk/Charge RN and/or department PCC; gross cleaning of body fluid spills to confine contamination throughout the procedure prioritization of case completion process assists with room clean up tasks as necessary prioritizes case set up process toward maximum efficiency. Qualifications Must be knowledgeable regarding the nursing process and its application--assessment, planning, implementation, and evaluation. Prefer minimum of 1 year recent perioperative experience. Ability to lift up to 50 lbs. Competencies Skills Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records Credentials Essential: * RN - Registered Nurse * BLS - Basic Life Saving certification Education Essential: * RN Diploma/RN Graduate Program Entry USD $36.20/Hr. Max USD $59.73/Hr.
NP Full-time
Beebe Healthcare

CARDIOVASCULAR SERVICE LINE- NURSE PRACTITIONER-IP

Beebe Healthcare Lewes, DE
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual is a clinically competent Cardio-Vascular Advance Practice Clinician (APC) will directly report to the Director of APCs with a matrix reporting structure to the Executive Director of the Cardiac and Vascular Service Line. S/he must be able to effectively deliver care through demonstrated expertise to the Cardio-Vascular patient. The principle duties and responsibilities include but are not limited to: performing pre-procedure assessments, Histories and Physicals, education and counseling of patients on cardiac and vascular diseases and treatments, responsible for tentative diagnosis, order and provide preliminary interpretation of lab studies, post procedure management of patient, discharge patient. Responsibilities Responsibilities Provides timely and thorough pre procedural work up on all Cardio-Vascular patients to include orders, History and Physical, review of consent and lab tests. Provides post procedural orders, discharge planning and education on all Cardio-Vascular patients. Provides direct patient care to Cardio-Vascular patients and evaluates patient outcomes. Participates with evaluation and eminence of closure devices, sheath pulls and arteriotomy sites. Performs orders and interprets results of diagnostic and lab tests on all pre and post cardio-vascular patients. Provides training and education to the CCL Staff, ED and inpatient units, staff and community as needed. Actively participates in mock codes and cardiac arrests on cardiac units. Actively participates in review of PI data and all PI activities associated with the cardio-vascular patient Assessment & Management Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. Orders and collects data using appropriate evidence-based assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. Diagnosis Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. Manages diagnostic tests through ordering, interpretation, performance, and supervision. Formulates differential diagnoses by priority. Diagnoses complications and orders appropriate interventions Formulates Plan of Care Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs. Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum. Implements and modifies plan of care. Prescribes diagnostic strategies and therapeutic interventions. May perform advanced procedures consistent with privileges and competency validation. Communication and Collaboration Maintains ongoing communication and collaboration with interdisciplinary health care team. Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care. Documentation Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable. (h&p, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary) Documentation is timely, meets acute care compliance standards and captures patient acuity. Professional Practice Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students. Seeks opportunities for active engagement in research and the analysis of evidenced based practice. Actively participates in Advance Practice Grand Rounds and specialty specific meetings. Maintains CEUs, and membership in a professional organization. Qualifications Minimum 3 years experience in clinical nursing. Minimum 2 years experience functioning as an APC in the critical care cardio-vascular setting, preferred settings include but are not limited to the Cardiac Catheterization Lab, Non-invasive stress testing, and Vascular procedural area. Must have strong clinical background with strong communication and motivational skills. Must have knowledge of pharmacology principles, dysrhythmia, ability to assess clinical situations and initiate appropriate treatment and interpret laboratory data, respond to emergency situations, coordinate work schedules to achieve maximum productivity and efficiency. Competencies Skills "Essential: * Experience In Hospital Or Acute Care Setting * Clear Communication Skills Both Written And Verbal * Knowledge Of Basic Computer Programs * Able To Keep Confidential Information Regarding Patients, Team Members * Able To Withstand Crisis Situations * Has Skills To Provides Customer Service To Patients, Team Members And Visitors * Knowledge And Experience With Electronic Health Records " Credentials Essential: * NP - Nurse Practitioner * ACLS - Advanced Cardiac Life Support * BLS - Basic Life Saving certification Education Essential: * Master of Science in Nursing Other Information Minimum 3 years' experience in clinical nursing. Minimum 2 years' experience functioning as an APP in the critical care cardio-vascular setting, preferred settings include but are not limited to the Cardiac Catheterization Lab, Non-invasive stress testing, and Vascular procedural area. Must have strong clinical background with strong communication and motivational skills. Must have knowledge of pharmacology principles, dysrhythmia, ability to assess clinical situations and initiate appropriate treatment and interpret laboratory data, respond to emergency situations, coordinate work schedules to achieve maximum productivity and efficiency.
NP Oncology Full-time
Beebe Healthcare

ADVANCED PRACTICE CLINICIAN (APC) Medical Oncology - Nurse Practitioner

Beebe Healthcare Rehoboth Beach, DE
$126,471 - $172,088 / year
Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence. Overview This individual is a clinically competent, certified advanced practitioner, who serves in the comprehensive care of the medical oncology and hematology patient throughout the continuum of care. Under the scope of an advanced practice clinician and approve privileges within Beebe Healthcare, the individual is expected to perform comprehensive patient assessments, follow-up care, diagnosis, side effect and infusion reaction management, survivorship care services, and patient education/counseling in collaboration with the medical oncology physicians. Follow(s) established advanced practice standards, procedures, and guidelines/protocols to give direction to patients, families, nursing and other staff when appropriate. Responsibilities Performs comprehensive assessments for new and established oncology and hematology patients. Management of complex oncology and hematology patients to include side effect management, diagnosis, and treatment. Demonstrates critical thinking, prioritization of duties, and time management skills based on patient assessment and interpretation of test results. Serves as the primary clinical support for the infusion center when assigned. Duties include management of infusion reactions, patient care needs presented by nursing and pharmacy, coverage of triage issues and assessments, and critical lab and radiology results. Formulate and implement survivorship care plans for all curable cancer patients. Identify and initiate referrals to palliative care. Collaborate with the palliative care team for management of patient's ongoing care. Communicates positively and effectively with patients, families, physicians and the multidisciplinary oncology team. Coordinates patient care with PCP and specialty providers when appropriate. Provides detailed education and counseling to patients and families regarding diagnosis, goals of therapy, expectations, and treatment related side effects and management. Develop a comprehensive plan of care in collaboration with the attending oncologist to include selection of appropriate pharmacologic agents, referrals, and end of life care. Inpatient oncology and hematology acute care coverage to include rapid assessment and treatment of acutely ill oncology/hematology patients. Collaborate with medical oncologist and inpatient disciplines to determine the most appropriate level of care. Assist in the admission and discharge of patients receiving inpatient chemotherapy in collaboration with the attending oncology physician. Administration of intrathecal chemotherapy in collaboration with interventional radiology. Provide after-hours call coverage as part of a rotating schedule to include phone triage, clinical decision-making, and urgent inpatient/outpatient concerns in conjunction with on-call oncologist. Other duties as assigned Qualifications Education/Experience Graduate from an accredited Physician Assistant or Nurse Practitioner program. Previous experience in oncology as provider or nursing preferred. Licensure/Certification Licensure as an advanced practice clinician (PA or NP) in the state of Delaware or ability to obtain with offer letter. DEA licensure or ability to obtain prior to credentialing. Current BLS certification per American Heart Associate guidelines. Other Information Education/Experience Graduate from an accredited Physician Assistant or Nurse Practitioner program. Previous experience in oncology as provider or nursing preferred. Licensure/Certification Licensure as an advanced practice clinician (PA or NP) in the state of Delaware or ability to obtain with offer letter. DEA licensure or ability to obtain prior to credentialing. Current BLS certification per American Heart Associate guidelines. Entry USD $126,471.00/Yr. Max USD $172,088.00/Yr.
CMT Full-time
Wellpath

Certified Medication Technician

Wellpath Salisbury, MD
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Certified Medication Technician is responsible for administering prescribed medications under the supervision of a registered nurse. This role includes documenting medication administration, adhering to infection control protocols, and ensuring compliance with safety and regulatory standards. The technician participates in audits and data collection to support performance improvement efforts. They monitor for adverse reactions and report them promptly while maintaining medication supply levels. The technician also ensures patient confidentiality and compliance with HIPAA regulations. Key Responsibilities Administer medications under RN supervision in compliance with policy and regulations Document medication administration and reasons for non-administration in the MAR Follow infection control procedures and safety protocols during medication delivery Participate in audits and report adverse reactions to supervisors Maintain medication supplies and uphold HIPAA confidentiality standards Qualifications & Requirements EDUCATION High School graduate or equivalent. EXPERIENCE 1 year related experience in a medical environment preferred. LICENSES/CERTIFICATIONS Must be certified as a Medication Technician in the state within which services are provided and have current CPR Certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.
CMT Correctional Other
Wellpath

Certified Medication Technician

Wellpath Salisbury, MD
You Matter • Make a difference every day in the lives of the underserved• Join a mission driven organization with a people first culture• Excellent career growth opportunities Join us and find a career that supports: • Caring for overlooked, underserved, and vulnerable patients• Diversity, equity, inclusion, and belonging• Autonomy in a warm team environment• Growth and training Perks and Benefits In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including: • DailyPay, receive your money as you earn it! • Tuition Assistance and dependent Scholarships• Employee Assistance Program (EAP) including free counseling and health coaching• Company paid life insurance• Tax free Health Spending Accounts (HSA)• Wellness program featuring fitness memberships and product discounts• Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on employee type and length of service. Why Us Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support. How you make a difference The Certified Medication Technician is responsible for administering prescribed medications under the supervision of a registered nurse. This role includes documenting medication administration, adhering to infection control protocols, and ensuring compliance with safety and regulatory standards. The technician participates in audits and data collection to support performance improvement efforts. They monitor for adverse reactions and report them promptly while maintaining medication supply levels. The technician also ensures patient confidentiality and compliance with HIPAA regulations. Key Responsibilities Administer medications under RN supervision in compliance with policy and regulations Document medication administration and reasons for non-administration in the MAR Follow infection control procedures and safety protocols during medication delivery Participate in audits and report adverse reactions to supervisors Maintain medication supplies and uphold HIPAA confidentiality standards Qualifications & Requirements EDUCATION High School graduate or equivalent. EXPERIENCE 1 year related experience in a medical environment preferred. LICENSES/CERTIFICATIONS Must be certified as a Medication Technician in the state within which services are provided and have current CPR Certification. We are an Equal Employment Opportunity Employer We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees. We encourage you to apply! If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws.