Nursing Jobs in Harrison, NJ
$115,147 - $124,138 / year
Duties Description Independently performs the duties below: Conducts nursing assessments; and obtains, records, and updates individuals’ health information and vital signs, using standard instruments and procedures. Prepares, implements, and modifies nursing care plans; prepares individuals for and/or assists with examinations and treatments; and administers medications and nursing procedures to individuals, as prescribed Observes, monitors, and records individuals’ symptoms, conditions, and care, including diet and physical activity; and identifies and reports individuals’ responses to medication or changes in health status. Serves as the nursing representative on a treatment team; provides information on nursing needs; and consults and coordinates with treatment teams and other health care disciplines to assess, plan, implement, or evaluate individuals’ care. Makes clinical rounds to assess individuals’ nursing care needs and observe and participate in the provision of nursing services. Provides health teaching, counseling, and education to individuals, families, and other groups; and develops health improvement programs. Implements infection control protocols and procedures and provides related consultation and instruction to staff. Maintains and updates charts, records, and other documentation, consistent with agency, State, and federal requirements; and may collect data and perform related activities to support medical research. Monitors inventories and ensures that standards for medications, solutions, supplies, and equipment are maintained to meet nursing care needs. Provides clinical supervision and instruction to Graduate Nurses, Licensed Practical Nurses, and direct care staff in completing nursing care tasks. Delegates responsibility for appropriate nursing activities, skills, and/or procedures to nursing and direct care staff; and makes clinical rounds to assess individuals’ nursing care needs and observe and evaluate the provision of nursing services. Acts as liaison to outside agencies and providers to ensure continuity of care and the necessary follow-up for individuals; advocates for individuals’ needs; and may provide instruction to providers on individuals’ discharge plans. May perform the full range of supervisory duties over Graduate Nurses, Licensed Practical Nurses, and direct care staff; provide information to Registered Nurse Supervisors; and prepare or contribute to the preparation of reports and performance evaluations for lower-level staff involved in nursing care activities. LinkedIn: https://www.linkedin.com/company/nys-office-for-people-with-developmental-disabilities/posts/?feedView=all Minimum Qualifications Must have a license and a current registration as a registered professional nurse in New York State. Additional Comments This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title. At a future date (within one year of permanent appointment), employees hired under NY HELPS are expected to have their permanent non-competitive employment status converted to permanent competitive status. You will not have to take an exam to gain permanent competitive status. Please note that starting salary for this title reflects the increased hiring salary and geographic pay differential. Posted Hiring Salary includes the sum of the statutory hiring rate for PS&T Grade 18 ($66,951), Increased Hiring Salary ($9,196), Downstate Adjustment ($4,000), and Geographic Pay Differential ($35,000). Geographic Pay Differential and Downstate Adjustment are added to the job rate ($85,138). If you are currently a New York State employee serving in a permanent competitive qualifying title and eligible for a transfer via Section 70.1 of the Civil Service Law, you may be appointed to this title as a permanent competitive employee. The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies. Preference will be given to OPWDD employees impacted by closures. If you are being impacted by closure, please indicate this on your resume. All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility. If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a qualifying repayment plan while working full-time for a qualifying employer. For more information on PSLF, please visit www.studentAid.gov/publicservice. Employees on long term leave can bid on positions but must be able to report to work within fourteen (14) days and be able to perform the essential functions of their positions with or without reasonable accommodation (RA). If an employee or job applicant believes that they need a reasonable accommodation, they should contact the Reasonable Accommodation Unit at (518) 486-7222 or email accommodationrequests@opwdd.ny.gov to obtain information and RA forms. Savings programs such as the U.S. Savings Bond and the College Savings Plan. Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered health care expenses or dependent care expenses. Access to the Employee Assistance Program (EAP) an assessment and referral service that connects employees with local service providers and support services to address their personal needs. Life insurance and Disability insurance. The New York State Deferred Compensation Plan is a voluntary retirement plan that offers employees the option to invest a part of their salaries for retirement on a tax-deferred basis. Paid Holidays and Leave: ° Thirteen (13) paid holidays each year. ° Thirteen (13) days of paid vacation leave initially. ° Five (5) days paid personal leave each year. ° Thirteen (13) days of paid sick leave each year (PEF/CSEA), which may carry over from year to year. ° Up to three (3) days professional leave each year to participate in professional development events. Health Care Coverage: Employees and their eligible dependents can choose from a variety of affordable health insurance programs. Employees are provided family dental and vision plans at no extra cost. Paid Parental Leave: Paid Parental Leave allows eligible employees to take up to 12 weeks of paid leave at full pay for each qualifying event. A qualifying event is defined as the birth of a child or placement of a child for adoption or foster care. Retirement Program: Participate in The NYS Employees’ Retirement System (ERS), which is recognized as one of the best-managed and best-funded public retirement systems in the nation. Professional Development and Education and Training: NYS offers training programs and tuition assistance to eligible employees to maintain and increase their professional skills and prepare them for promotional opportunities. For more information, please visit https://oer.ny.gov/training-and-professional-development. Additionally, the Public Service Workshops Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated employees that may grant continuing education credits towards maintaining professional licensure. For more information, please visit https://oer.ny.gov/public-service-workshops-program-pswp. OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion. We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large workforce, we rely on the collective individual differences, life experiences, knowledge, self-expression, ideas and talent that our employees bring to their work. This speaks to our culture and is a key part of our successes. As we continuously recruit people for our team, we welcome the unique contributions that applicants bring in terms of their education, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran’s status, color, religion, disability, sexual orientation and beliefs. ***All people with disabilities are encouraged to apply.*** 
$125,000 - $195,000 / year
Contact a Physician Recruiter Job ID: 1139855 Location Opportunity Criteria Specialty: Behavioral Health, General Practice, Neonatology, Surgery Profession: Nurse Practitioner Details Job Description Job Title: Advanced Practice Nurse Location: Barnabas Health Medical Group Department Name: Roselle Park Medical Associates Req #: 0000250567 Status: Salaried Shift: Day Pay Range: $125,000.00 - $195,000.00 per year Pay Transparency The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview The Nurse Practitioner will work one day per week seeing patients in-office at Roselle Park Medical Associates, with the potential for afternoon home visits as needed for established home -patients within the area. The remaining four days will be spent providing care in a sub-acute nursing home setting. The position includes on-call responsibilities every fifth week, covering after-hours of 5:00 PM to 9:00 AM, Monday through Friday, and all day on weekends. Requirements APN License RN License NP Certiciation BLS and ACLS CDS and DEA Schedule Full Time Days 1 day in the office and 4 days at external facilities Essential Functions Rounds regularly at one to two subacute care facilities Performs transitional care visits for patients discharged from subacute/nursing home facilities Conducts home visits as part of ongoing patient care Preferred background or strong interest in palliative care Completes POLST (Practitioner Orders for Life-Sustaining Treatment) forms Collaborates closely with physicians within the practice to coordinate and align patient care Performs comprehensive initial and episodic health assessments; in order to identify existing or potential health problems Initiates and implements an individualized nursing and medical plan of care in collaboration with members of interdisciplinary team Initiates appropriate diagnostic, therapeutic, medical and nursing actions in conjunction with physician Provides follow-up care including acute and routine examinations Assesses progress, identify problems, initiate preventive measures, recognize emergent problems, initiate proper care in collaboration with physician Monitors and adjusts patients medication according to protocol or medical plan of care Implements nutritional therapies, as appropriate Triages patient problem calls which requires medical attention Orders appropriate laboratory and diagnostic procedures Recognizes normal and abnormal laboratory findings and the pathology involved Documents information in patients charts following documentation standards Provides health education to the patient and family (e,g, management of side effects, anticipatory teachings) Manages medical emergencies as indicated, and according to standing orders Provides monitoring and continuity of care between health care settings Provides patient and family counseling and reassurance in regard to psychological and or psychosocial issues Initiates proper referrals to private or community agencies Acts as a resource and teacher for other members of the health care team Shares knowledge and expertise with staff Collaborates with the nursing and medical staff at partner and affiliate sites to coordinate continuity of care Evaluates the quality of care as well as the quality of life for patients through assessment of patient response and recommend interventions, as indicated Contact a Physician Recruiter 
$118,942 - $152,717 / year
Overview VNS Health Home Care RNs redefine the standard of patient-centered care for New Yorkers while keeping them out of the crowded hospital system so they can heal and age where they are most comfortable- in their homes and community. Our nurses provide the Future of Care by meeting patients where they are. We design and deliver individualized care plans and exceptional clinical outcomes to our neighbors most in need. Be part of our 130-year history and innovative Future of Care built by visiting nurses like you. LOCATION: This is a float role that will support all 5 boroughs. What We Provide Attractive sign-on bonus and referral bonus opportunities Generous paid time off (PTO), starting at 31 days and 9 paid company holidays No employee contribution cost or annual deductible for health insurance including Medical, Dental, and Vision for you and your loved ones w (Medical, Dental, Vision); Life and Disability Insurance Training: 4-weeks paid clinical orientation, preceptorship, and ongoing skills labs Tuition reimbursement following 6 months and CEU credits Employer-matched retirement savings program Personal and financial wellness programs Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care Opportunities to contribute to clinical research and other organizational projects What You Will Do Practice independently in the community as part of an interdisciplinary care team. Deliver personalized nursing and care management to patients in their home or care facilities. Constantly evaluate evolving patient needs and respond with plan of care adjustments. Qualifications Current license to practice as a Registered Nurse in New York State Minimum of one year nursing experience in a medical/surgical environment Valid driver's license required for all areas outside of Manhattan Wound Care Certification or willingness to obtain within one year of hire required Certification in Hospice and Palliative Care Nursing preferred Pay Range USD $118,942.00 - USD $152,717.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day. 
Day (United States of America) Department: 100 - 604500 TG - 4 South Cardiac Progressive Care Unit Position Description: Assists in providing nursing care of patients by working cooperatively with other team members in maintaining standards of care in the clinical setting. Their frequent contact with patients assists the nurses in utilizing the nursing process. Qualifications: 1. Skilled Nursing Facility (SNF): Requires successful completion of Nurse Aide Training Program. Maintenance of certification is required. 2. RN and LPN Nursing Students: Must have completed basic nursing skills course with clinical experience within their curriculum. Post graduate LPN or RN will be eligible to work as a non licensed employee. Performing only task delegated to a non licensed nursing employee. 3. Completion of Nurse Aide Training Program or equivalent education in non licensed nursing assistant duties preferred. 
$140,001.21 - $177,585.91 / year
Description The Nurse Manager (NM) is responsible for the management of nursing practice and operations on a designated unit/service setting such as inpatient, procedural, emergency department or ambulatory care. This includes, but is not limited to, the management of: clinical nursing practice, staff recruitment, retention, labor relations, supply chain and budget, staffing, employee performance evaluation, quality improvement, staff education, medical records, internal and external regulatory and survey requirements. The Nurse Manager collaborates with multiple professionals to support and coordinate the provision / management of patient care. This individual works closely with the Nursing Clinical Director, unit Dyad partner and staff in insuring that the Service/Unit setting maintains the highest standards of patient care and is responsive to the needs of the patient & family as well as the organization. Responsibilities Patient Care Leads nursing practice using the tenets of the Professional Practice Model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing for the promotion of the patient experience. Demonstrates proficiency in all aspects of Care Checks and role models expected behaviors. Ensures the integration of Care Checks into clinical activities to enhance Relationship Centered Care validates staff members Care Checks on all patients by direct observation and patient feedback. Assesses staff competency in Care Checks/PHR and provides consistent meaningful feedback with more focused feedback as needed. Conducts rounding of patients on a daily basis (Monday-Friday.) Conducts rounding on staff on a weekly basis. Communicates quantitative and qualitative information regarding the patient experience and staff engagement to the staff and the Interdisciplinary Patient Care Team that leads to the development and implementation of an action plan. Collaborates with the physician dyad and escalates concerns as appropriate. Follows up on all patient concerns in a timely manner and provides service recovery as needed. Demonstrates caring, agility, respect, compassion, empathy and active listening through dialogue, body language and actions. Patient Experience Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions but not limited to: Admission Welcome, Bedside Shift Report, HELP, AM/PM Care, Dedicated Sit Down, Purposeful Hourly Rounding (PHR)/Care Checks, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration as applies to the care setting (inpatient, procedural ambulatory). Participates and facilitates Communication Huddle with staff at the start of the shift, identifying high-risk patients who require special attention and escalates concerns in a timely manner for resolution.. Communicates to nursing leadership concerns or issues identified during huddle and throughout shift. Initiates service recovery for patients and family members who have concerns and escalates to Nursing Director/designee and Patient Relations as needed. Interprets and communicates patient experience scores and benchmarks and keeps staff informed of progress and areas of opportunity. Empowers staff to use evidence-based practices to increase understanding of patients’ perceptions of care. Demonstrates caring, respect, compassion, empathy and active listening through verbal and body language and actions. Quality and Safety Designs, supports and leads a safe, therapeutic and efficient patient-centered care environment for professional practice. Identifies and investigates issues or variances in practice/operations by participating in the RCA process and implements corrective action plans/safety solutions accordingly. Participates in unit and hospital based quality, patient safety and patient experience process improvement initiatives Utilizes the principles of Lean methodology for process improvement through the use of the Daily Management Boards. Fosters a fair and open Just Culture that encourages error and near-miss occurrence reporting. Leads interdisciplinary quality improvement teams using the principles of high reliability. Reviews unit progress, changes, and compliance with quality and safety metrics with clinical nurses and other members of the healthcare team. Responds to escalations of potential safety hazards or gaps from best practice by correcting concerns following institutional chain of command protocol. Monitors institutional information technology infrastructure and corrects gaps in clinical nursing documentation. Leads staff participation in quality and safety initiatives and mandated compliance measures. Demonstrates accountability for all unit quality and safety practices and compliance, and ensures required evaluation of staff competencies is maintained. Operations and administration Supports implementation of the mission, vision, goals and objectives of the department, throughout the clinical service and individual patient care units. Provides administrative and clinical oversight to ensure that all activity (staffing, support services, inter disciplinary collaboration, resources and financial viability) supports the goals of the organization. Works collaboratively with physician dyads and all members of the healthcare team to promote patient care and regulatory standards. Prioritizes recruitment and retention strategies in accordance with system and local hospital retention goals. Maintains a nursing unit in compliance with all regulatory agency mandates, including the regulations of NYS DOH and The Joint Commission. Oversees 24 hour patient care delivery, throughput, staffing and processes to ensure efficient and effective operations in all clinical specialties. Implements and monitors unit salary and supply budgets, including capital equipment allocation, budget variances, management of OT and vacancies according to MSHS financial goals. Monitors availability and maintenance of nursing equipment and supplies Maintains position control of established positions and manages the recruitment and retention of qualified staff. Maintains patient/employee confidentiality in the management of information. Evaluates nursing staff performance and mentors, coaches, counsels and disciplines staff as needed. Evaluates all newly hired/transferred staff and participates in the decision about passing the probationary period. Participates in the ongoing and completes the annual performance appraisals for all staff. Completes performance improvement plans of employees as needed and shares feedback with the Associate Directors/Directors and Senior Directors accordingly. Interprets and implements the associated collective bargaining agreements and System and Hospital policies and procedures. Performs disciplinary actions as necessary with collaboration with Nursing and Labor Relations. Acts as a management witness in disciplinary activities. Insures all staff have met their orientation goals/weekly progress reports and annual competency requirements and participates in the Competency Planning Tool for unit/service. Conducts regular staff meetings to ensure communication with staff about progress, changes and compliance with all hospital policies and procedures. Maintains records of minutes for staff team meetings. Encourages, recognizes and rewards staff participation in quality and safety initiatives, compliance and successes. Facilitates organizational change initiatives by using effective strategies. Leads a shared decision making model by establishing a structure of shared governance, just culture and staff engagement in practice councils, departmental meetings and initiatives. Responds to protest of assignment in a timely manner as detailed in the collective bargaining agreement and discusses the resolution in unit staff meetings. Participates in staffing planning committees to meet all NYS mandatory requirements to insure safe staffing Professional Development Performs as a clinical leader who actively creates and supports nursing practice and an environment of care that reflects clinical excellence. Organizes the environment of care to support clinical colleagues, patients and their families and members of the healthcare team. Projects and cultivates a professional image to colleagues by communicating caring, respect, compassion, empathy and trust. Incorporates ethical principles into decision making for patient and family in collaboration with the clinical nursing staff and the healthcare team. Fosters a spirit of scholarship, inquiry, life-long learning and innovation for self and others. Acquires and disseminates knowledge and skills relative to the role, patient population, clinical specialty and global or local health community needs. Leads shared decision making through unit/service practice councils, nursing department and hospital committees, and clinical service/unit initiatives. Serves as a professional role model and preceptor for new leadership staff and students. Integrates the values of research and evidence-based practice and its application to nursing practice and the environment of care. Contributes to the profession of nursing through leadership and participation in professional organizations. Qualifications Bachelor of Science with a major in nursing required; Masters in nursing or health related field preferred 3-5 years nursing clinical care with Charge Nurse/Supervisory experience preferred. Must have relevant clinical competence in area of nursing practice assigned Licensed as a registered nurse with current registration in New York State Board certification in clinical specialty or leadership preferred. BLS from the AHA Experience in Ambulatory Care Preferred. Employer Description Strength through Unity and Inclusion The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual. At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history. About the Mount Sinai Health System: Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally. Equal Opportunity Employer The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization. Compensation The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $140001.21 - $177585.91 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. $123,173 - $133,121 / year
Duties Description Nurses are vital members of a multi-disciplinary team focused on providing compassionate care through patient-centered and recovery-focused mental health services to individuals with serious mental illness including: Planning and supervising nursing care Coordinating and providing nursing care Conducting nursing assessments Preparing, implementing, and modifying nursing care plans Providing health teaching, counseling, and education to individuals and families Implementing infection control protocols and procedures Observing and recording individuals symptoms and care; reporting responses to medications or changes in health Minimum Qualifications Candidates from outside or within State Service can be considered for hire under the Hiring for Emergency Limited Placement – Statewide (NY HELPS) program as a Registered Nurse 2 Psychiatric if they have possession of a license and current registration as a registered professional nurse in New York State; and one year of post-licensure clinical nursing experience working with individuals, at least 50% of whom have been diagnosed with mental illness, addiction, or substance use disorder. OR Candidates within State Service can be considered for transfer to a competitive class position if they have one year of permanent competitive or 55-b/55-c service in a title eligible for transfer under Section 70.1 of the Civil Service Law. Additional Comments If you would like to join the Kingsboro Psychiatric Center Nursing Team and contribute to a workforce dedicated to public service, we offer a generous benefits package including: Shift Differential for evening & night shifts Nurse Residency Program Alternate Work Schedules Additional compensation may apply based on shift assignment. 7% shift differential for evening shift. 10% shift differential for night shift. All OMH employees receive a generous benefits package including: NYS medical, dental, and vision insurance Access to tuition assistance programs Paid time off – 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave NYS Retirement programs A background check will be required. Day and evening shifts are available. Additional Comments: Posted hiring rate includes the sum of the statutory hiring rate for PS&T Grade 20 ($74,193), an Increase Hiring Rate ($9,980), Geographic Pay Differential ($35,000), and Downstate Adjustment ($4,000); and the posted job rate is the sum of the statutory job rate ($94121), Geographic Pay Differential ($35,000), and Downstate Adjustment ($4,000). Notes: If you fail to maintain your license and/or registration once you are appointed, action will be taken to remove you from the position. In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or Federally assisted program), you may be terminated from your employment. If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment. 
