Nursing Jobs in Gloucester, MA
$91,879.42 - $117,150.49 / year
Hours: 40 hours weekly, Monday-Friday 830am-5pm Location: 178 Savin Street Suite 100 & 200A, Malden MA 02148 Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Nursing Leadership duties: Controls, directs, and participates in the activities of the organization through a hierarchy of managers and supervisors. Responsibilities also include long-term strategic planning, determining the policies of the organization, and allocating its resources and making decisions regarding organization growth and diversification to accomplish entity's vision. A management role that supervises employees focusing on tactical, operational activities within a specified area, with the majority of time spent overseeing area of responsibility, planning, prioritizing and/or directing the responsibilities of employees. Goal achievement is typically accomplished through performance of direct and/or indirect reports. A role that supervises para-professional employees. Responsibilities that typically include: Setting day-to-day operational objectives for team, problems faced may be difficult but typically are not complex, and ensures policies, practices and procedures are understood and followed by direct reports, customers and stakeholders. Job Overview This position utilizes the nursing process, leadership skills, and current evidence based clinical knowledge to assess the needs of the departments, collaborate with health team members to coordinate patient care, and set criteria for the quality of patient care. Develops and sustains an environment that promotes excellence in clinical practice and customer satisfaction, while striving for optimal efficiency, productivity, and utilization of all resources. Provides patient and staff education, clinical supervision, and participates in unit-based activities (quality assessment, shared governance, quality review, staff development in-services, simulation drills, etc.) Job Description Minimum Qualifications: 1. Bachelor’s degree in Nursing (BSN). 2. Registered Nurse (RN) license. 3. Basic Life Support (BLS) certification. 4. Three (3) years of nursing leadership experience. Preferred Qualifications: 1. Master’s degree in Nursing (MSN). 2. Five (5) years of nursing leadership experience. 3. Nursing specialty certification. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Acts as a role model for clinical excellence and promotion of professional practice. Is visible and available to answer questions, assist with treatments/procedures. 2. Assists in clinical problem-solving and the development of critical thinking skills. 3. Assists with ensuring implementation of the nursing process and established nursing standards. 4. Demonstrates standards compliance through staff documentation in the medical record. 5. Promotes excellent relations and collaboration between staff and others on each unit in the hospital. 6. Utilizes the available resources in a cost-effective manner. 7. Supports unit performance improvement. 8. Assists with developing and retaining employees through coaching and performance feedback resulting in mutual trust and respect. 9. Assists with the Coordination of all aspects of Performance Management including: setting expectations, continuing education, credentialing, performance appraisals, auditing, concurrent monitoring, utilization review, risk management and active problem identification. 10. Performs required performance appraisals on time for unit staff based on hospital job descriptions and unit-based performance standards. 11. Assists in identifying, planning and implementing educational programs based on staff needs. Regularly participates in direct staff learning activities. 12. Participates in the professional development for self and other department/unit specific team members. 13. Conducts regular supervisory rounds as applicable to include the following monitoring of staff documentation, patient and customer satisfaction, patient education, nursing care and unit services provided, implementation and use of protocols, and overall work environment 14. Participates in identifying needs at the unit and organizational levels and assists with strategic planning, organizing, executing, controlling and evaluating systems, processes and practice, patient care and information processing 15. Participates in hospital shared governance councils. 16. Observes and monitors compliance of nursing staff in the daily practice of care delivery. 17. Mentors staff to provide evidence-based practice and clinical care. 18. Encourages professional growth through in-services, councils, clinical ladder, certification, advanced schooling, etc. 19. Evaluates effectiveness of educational programs based on performance improvement. Physical Requirements: 1. Prolonged, extensive, or considerable standing/walking. 2. Lifts, positions, pushes, and/or transfer patients and equipment. 3. Considerable reaching, stooping, bending, kneeling, crouching. 4. Frequent exposure to hazardous chemicals, sick patients, bodily substances, noise and possible exposure to radiation, lasers, electric shock, etc. 5. Regularly exposed to the risk of bloodborne diseases and other transmissible infections. 6. Requires manual dexterity using fine hand manipulation to reports and computer equipment. 7. Hearing and visual acuity sufficient to perform examinations, observe patients, read monitors and documents, and hear audible equipment alarms. 8. May have contact with hazardous materials. Skills & Abilities: 1. Ability to apply the skills and knowledge necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process. 2. Management and interpersonal skills necessary to provide leadership to a variety of employees; to maintain a variety of internal and external contacts; and to interact effectively with patients, families; physicians and other departments. 3. Analytical abilities/critical thinking skills to identify and resolve operational problems. 4. Demonstrated leadership abilities. 5. Ability to work effectively under stressful conditions. 6. Ability to communicate effectively orally and in writing. 7. Ability to adapt in a changing environment. 8. Ability to collect, track, and trend data in order to identify opportunities for performance improvement. 9. Clinical competence in nursing practice. 10. Ability to work collaboratively with nurses, physicians, and administrative colleagues. 11. Ability to navigate complex electronic clinical and administrative information systems and applications. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $91,879.42 - $117,150.49 based on full-time equivalent 
$84,300.22 - $107,481.20 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Home Care Nurse duties: Assesses, plans, implements, and evaluates the care needs of a designated group of patients or provides nursing care and identified clinical support tasks within the scope of practice for achievement of the patient’s plan of care as directed. Provides professional nursing care to patients. Requires a nursing license. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The Hospice RN Case Manager serves as case manager for the interdisciplinary team (IDT) and is responsible for the delivery of quality hospice nursing care for each patient assigned. Job Description Minimum Qualifications: 1. Candidates must hold an active RN license in the state where services are provided and may not work in states where they are not licensed. If additional state licensure is required, it must be obtained within sixty (60) days 2. Current CPR Certification. 3. One (1) year of hospice and home health experience. Preferred Qualifications: 1. One (1) year of hospice and home health experience. Location: Malden, MA and surrounding areas Hours: Full-Time, 40hrs/Week. Weekend/Holiday Commitment. Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Provides hospice nursing care to patients and families utilizing current principles of palliative care and symptom management to produce hospice outcomes. 2. Coordinates care in a cost-efficient manner. 3. Collaborates effectively with other members of IDT. 4. Utilizes nursing process and current standards of nursing practice in providing hospice care. 5. Remains competent in technical nursing skills (i.e. IVs, Gtubes, etc.) 6. Provides effective patient and family teaching. 7. Communicates with physician and Tufts Medicine Care at Home staff regarding changes in patient’s condition. 8. Understands family dynamics and works effectively within various types of family systems. 9. Provides peers with support and mentoring if appropriate. 11. Demonstrates the ability to act as a patient and family advocate. Provides information to families about all available resources. 12. Accurately addresses need for additional services. 13. Performs adequate number of nursing visits and on call/triage necessary to provide superior hospice care under Tufts Medicine Care at Home standards. 15. Communicates patient reports and status changes concisely and effectively. 17. Updates Care Plan, Medication Profile and HHA Treatment Plan routinely and as patient condition changes. 18. Completes all nursing documentation per procedures and nursing standard of practice including assessments, interventions, responses to interventions, communications, verbal orders, etc. 20. Manages caseload efficiently and effectively. 21. Involves Clinical Manager and Medical Director in situations appropriately. 22. Follows guidelines for weekend and evening coverage. 26. Pursues standards of excellence in performance as a hospice case manager. 27. Works with Clinical Manager to identify opportunities for improvement in performance and works to address them. 28. Proactive in increasing knowledge of hospice care and standards of practice. 29. Assists in hospice education in community. Physical Requirements: 1. While performing the duties of this job, the employee is required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. 2. The employee must regularly lift and/or move 25 lbs and occasionally lift and/or move up to 100 lbs. 3. The employee in this position frequently communicates internally and externally. 4. Must be able to exchange accurate information via phone, email and/or in person. 5. Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 6. Noise level in the work environment is usually moderate. 7. May be exposed to weather conditions prevalent at the time. Skills & Abilities: 1. Ability to work both autonomously and as a team member. 2. Strong assessment and prioritization skills. 3. Excellent interpersonal skills. 4. Ability to function well in very busy situations. 5. Responsible and reliable. 6. Good organizational skills. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $84,300.22 - $107,481.20 
$87,360 - $98,603.60 / year
Job Overview The position is a member of the hospice staff who determines appropriateness of referrals, coordinates and conducts pre-admission activities, completes admission when determined hospice appropriate , monitors inpatient care at contracted hospitals, performs in-service training and community education activities. This position performs duties in a variety of settings including 6patient’s home, acute care setting, skilled nursing facility or assisted living. Job Description Minimum Qualifications : 1. Massachusetts RN Licensure. 2. Hospice and/or end of life experience required . Location : MelroseWakefield Hospital Hours : Full Time- 40 Hours. No Weekends/Holidays Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list . Other duties and responsibilities may be assigned. Describes and explains hospice services to a potential patient and/or family member and elicits responses to questions regarding attitude towards hospice care, evaluates physical and psycho/social/emotional status, in order to put the patient and family at ease about choosing hospice and fully inform them about the program. Works with hospice intake and eligibility department to verify insurance reimbursement for each referred patient and document in EMR. Reviews and explains to patient and/or family about insurance coverage and financial obligations, using knowledge of hospice fees, costs and reimbursement sources. Escalates to referral management director and/or referral manager, in circumstances of potential admission where reimbursement sources appear not to cover hospice fees, to ascertain whether reduce fee or free care may be offered. Introduces and explains benefits of hospice care and familiarizes decision makers with characteristics and needs that indicate an appropriate hospice referral. Presents the advantage of the hospice Medicare/Medicaid benefits to referral sources. Thoroughly understands the Medicare/Medicaid hospice benefit, the Medicare home health benefit, the Medicare/Medicaid long term benefit and the Medicare HMO benefit. Documents a narrative note in the EMR summarizing pertinent physical and psychosocial information from the hospital record and/or from the physician and patient/family assessment. Reviews referred patient’s history, medical status, and prognosis to determine eligibility for hospice services relying on the knowledge of hospital procedure and hospice admission criteria. Completes the patient/family admission packet, including obtaining signed Notice of Election of Hospice Benefit (NOE), admission forms from the patient, family, referral source and the attending physician. Uploading completed admission documents electronically to medical records for them to complete their process. Communicates information from Comprehensive Assessment to TMCAH CMO, hospice physician or TMCAH covering NP. Documents results and performs warm hand off to team. Communicates NTUC to appropriate staff and managers. Documents reason and continuation of care measures implemented. Promotes hospice services, to ensure appropriate referrals to hospice program, may perform liaison activities centered in the acute care setting, which include but not limited to, case conferences to case managers, discharge planners, physicians, other health care providers and referral sources. Works with TMCAH liaison and intake staff to ensure ease of referral, as well as a rapid response to the referral source. Evaluates and compares information, regarding referred patient to hospice criteria. Consult with either the referral management director, referral manager, CMO, or hospice physician when an admission is questionable. Communicates on a regular basis with patient, family, referral source, hospice intake or liaison staff, to ensure continuity of care and adherence to the hospice plan of care. Develops opportunities for and conducts in-service presentations in health care facilities regarding hospice care and the indications for a hospice referral. Joins approved professional organizations and other groups which include key decision makers in the care of terminally ill patients. Assists with public relations activities to promote community awareness of Hospice services . Includes activities during National Hospice Month. Reports Compliance concerns to the CEO or Chief Compliance Officer when applicable. Ensures compliance within guidelines set forth by regulatory agencies (DPH, ERISA etc.) and demonstrates compliance with Tufts Medicine Care at Home policies and procedures. What We Offer Competitive salaries & benefits Medical, Dental and Vision benefits start day one 403(b) retirement with company match Tuition reimbursement and continuing education support - Access to MedBridge for PT CEUs and licensure/certification support, reinforcing our commitment to ongoing clinical development. Opportunities for career growth Fleet car program - A unique offering that reduces personal vehicle burden and supports clinicians in the field. Industry-Leading Safety Program – A one-of-a-kind Workplace Safety & Violence Prevention role dedicated to proactively addressing increasing safety concerns in healthcare settings. This program includes: AVADE de-escalation and self-safety training InvisaWear GPS-enabled safety devices Escort services to ensure staff safety in the field About Care at Home: Tufts Medicine Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most and so that we can bring wellness back to health care, one person at a time. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $87,360.00 - $98,603.60 $91,879.42 - $117,150.49 / year
Job Profile Summary This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Nurse Navigator duties: Focuses on the patient's needs and helps guide the patient through the healthcare system and works to overcome obstacles that are in the way of the patient receiving the care and treatment they require. A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. A senior level role that requires advanced knowledge of job area typically obtained through advanced education and work experience. Typically responsible for: managing projects / processes, working independently with limited supervision, coaching and reviewing the work of lower level professionals, resolving difficult and sometimes complex problems. Job Overview The RN Navigator serves as a liaison between patients, community resources, and providers and supports a smooth transition from hospital to home with a goal of eliminating and/or reducing readmissions, patient satisfaction, and continuity of care across the continuum. Job Description Minimum Qualifications: 1. Massachusetts RN Licensure. 2. 3 Years of RN Experience. 3. Current Basic Life Support (BLS) Certification. Preferred Qualifications: 1. Bachelor of Science in Nursing (BSN). Hours: 40 hours/week, Day Shift Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned. 1. Assesses and facilitates coordination of multidisciplinary care across the care continuum. 2. Provides communication, advocacy, and education in a culturally competent manner. 3. Triages new patient referrals to ensue timely access to care. 4. Conducts post discharge follow up phone calls and serves as a liaison and patient advocate in navigating the healthcare system. 5. Provides patient education and supports utilizing knowledge of adult learning competencies and education resources to support complete, connected, and comprehensive care. 6. Collects and reports data from patient on barriers, hospital experience, health care, medications, prior treatments, etc. 7. Collaborates with multidisciplinary care team and expedites sequence of patient's care. 8. Serves as a liaison between patient and providers/clinicians to address patient’s needs. 9. Assesses patient's needs and ensures such needs are integrated into patient’s care plan. 10. Encourages and empowers patients to actively participate in decision making about their treatment and care. Physical Requirements: 1. Occasional lifting of 30-35 lbs and turning patients. 2. Prolonged standing and walking. 3. Occasional twisting, bending, reaching, pushing/pulling, sitting, kneeling, and squatting. 4. Exposure to infectious disease and possible carcinogenic chemicals. 5. Exposure of blood-borne pathogens. 6. Requires fine manual dexterity to lift and maneuver patients. 7. Requires visual and aural acuity necessary to monitor patient care. What We Offer: Competitive salaries & benefits that start on day one 403(b) retirement plan with company match Tuition reimbursement Free parking About MelroseWakefield Hospital: MelroseWakefield Hospital and Lawrence Memorial Hospital of Medford are two campuses with one community in mind: the people of north suburban Boston. MelroseWakefield Hospital and Lawrence Memorial Hospital are distinguished by the range of high-quality clinical care and services. Our teams welcome everyone with hospitality and humanity. We focus on reducing health disparities through 40+ local health programs across a system of hospitals, urgent care locations, outpatient services, and community physicians. Core to our values, MelroseWakefield Healthcare’s commitment to community is demonstrated by our many local health programs throughout our service area and participation in partnerships with community agencies and events, and education programs in more than 10 communities to support the wellness and health of our residents. About Tufts Medicine A healthcare system that works Tufts Medicine is more than a health system — we’re a community that empowers people to live their best lives by reimagining healthcare, advancing knowledge and pioneering discovery. Every team member plays an integral role in realizing our vision of creating the most equitable and frictionless healthcare experience in the world. Here, you’ll join an enthusiastic community that champions your growth and receive generous benefits to support you and your family’s well-being. Tufts Medicine is an equal opportunity employer. At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day. The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals. Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it. Pay Range : $91,879.42 - $117,150.49 
$88,000 - $105,000 / year
At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join our elite team of healthcare professionals, providing the Right Care, at the Right Time, in the Right Place. Job Description: Registered Nurse – Home Health Full Time Up to $5,000 Sign-On Bonus! Provide personalized care. Build meaningful relationships. Help patients thrive at home. At Elara Caring, we believe the best place for care is where patients live. Every day, our teams provide high-quality, personalized care to more than 60,000 patients in the place they call home. We are seeking a compassionate and skilled Home Health Registered Nurse to join our collaborative clinical team. In this role, you will provide individualized nursing care, manage a dedicated caseload, and help patients recover, manage chronic conditions, and maintain their independence at home. Home health nursing gives you the opportunity to slow down, focus on one patient at a time, and make clinical decisions based on what each patient truly needs—all while having the autonomy to manage your day with the support of an experienced interdisciplinary team. Why Join Elara Caring? One-on-one patient care Autonomy and flexibility in managing your schedule Supportive and collaborative clinical team Competitive compensation (pay is based off experience and education with a range $88-105K) Comprehensive onboarding and ongoing clinical support Medical, dental, and vision insurance 401(k) with employer match Paid time off and paid holidays Tuition reimbursement for full-time employees Continuing education opportunities for all employees Family and pet bereavement leave Pet insurance Opportunities for professional growth and advancement What You’ll Do As a Home Health Registered Nurse , you will take primary responsibility for coordinating and managing an assigned patient caseload. Your responsibilities will include: Completing comprehensive initial and ongoing nursing assessments in patients’ homes Evaluating each patient’s physical, psychosocial, environmental, and safety needs Developing, implementing, coordinating, and updating individualized Plans of Care Providing skilled nursing services in accordance with physician orders, agency standards, and applicable regulations Monitoring patients’ conditions, progress, medications, symptoms, and response to treatment Performing follow-up visits based on each patient’s clinical needs and Plan of Care Educating patients and caregivers on diagnoses, medications, treatments, disease management, self-care techniques, and signs that require clinical attention Coordinating care with physicians, therapists, social workers, home health aides, facilities, and other members of the interdisciplinary team Communicating significant findings, changes in condition, safety concerns, or environmental risks promptly to the appropriate clinical personnel Revising the Plan of Care when patient needs change and obtaining updated physician orders as required Helping patients and caregivers access appropriate clinical, family, and community resources Taking proactive steps to reduce avoidable hospitalizations and emergency department visits Maintaining timely, accurate, and complete clinical documentation Protecting patient and employee privacy and confidentiality in accordance with HIPAA requirements Participating in quality-improvement, safety, and patient-outcome initiatives Performing additional duties and special projects as assigned What You’ll Need Graduate of an accredited nursing program Current, unrestricted Registered Nurse license in the applicable state At least one year of nursing experience in a clinical care setting Associate Degree in Nursing required; Bachelor of Science in Nursing preferred Previous home health or hospice experience preferred Homecare Homebase experience preferred Strong clinical assessment, communication, organization, and care-coordination skills Ability to manage an assigned caseload and work independently in the field Ability to collaborate effectively with patients, caregivers, physicians, and an interdisciplinary clinical team Dependable vehicle, valid driver’s license, and current automobile insurance in accordance with state requirements Willingness and ability to travel within the assigned branch coverage area Sit, stand, bend, lift and move intermittently and be able to lift 50–100 lbs. If you are ready to bring your nursing skills into a setting where you can focus on one patient at a time and see the real-life impact of your care, we would love to connect with you. Apply today and help us deliver the right care, at the right time, in the right place. Equal Employment Opportunity : We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information : Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at https://careers.elara.com/us/en/benefits EVerify : Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed.