Nursing Jobs in Hastings, NE

Adept Nursing and Rehab is Now Hiring Director of Nursing (DON) We are seeking a dedicated and experienced Director of Nursing (DON) to lead our nursing team and ensure the highest quality of resident care. This role requires strong leadership, excellent communication, and a passion for fostering a supportive and collaborative environment. Why Join Us: Competitive wages Paid Time Off and Holiday Pay Health, Dental, and Vision Benefits Positive, supportive work environment Path for personal and professional growth Access to outstanding team members and tools to succeed Key Responsibilities of Director of Nursing (DON) : Plan, organize, and direct overall nursing department operations Provide administrative and functional supervision over nursing personnel Lead by example and foster a positive, team-oriented work environment Liaise with residents, families, and support departments to plan for resident needs Ensure compliance with state laws, regulations, and long-term care guidelines Oversee state reporting and implement plans of correction Uphold company policies including compliance and harassment procedures Maintain integrity and professionalism in all aspects of the role Qualifications for Director of Nursing (DON) : Current RN license in Nebraska Minimum 2 years’ experience as a DON in a long-term care setting 1 year of supervisory experience in nursing management Strong leadership and team-building skills Knowledge of long-term care regulations, practices, and procedures Apply today and take the lead in providing outstanding care for our residents! 
Adept Nursing & Rehab of Blue Hill is Now Hiring Registered Nurses (RNs) for All Shifts! Shifts available: Days 6a-6p FT | Nights 6p-6a FT What we offer: $10, 000 Sign-on Bonus for Full-time! Daily Pay Option Pick up bonuses 401k Opportunities for Career Growth Comprehensive Health/Dental/Vision Insurance Generous Shift Differentials Paid time off (PTO) package and Paid Holidays Referral Bonuses – Earn by Referring Friends and Family! Weekly Employee Appreciation Events Supportive Staffing Ratios FUN and Friendly Work Environment - GREAT leadership team! Qualifications for Registered Nurse (RN): Registered Nurse (RN) license Strong clinical knowledge and excellent decision-making skills. Compassionate, empathetic, and patient-focused. Ability to lead and supervise a team of nursing staff. Excellent communication, organizational, and interpersonal skills. Ability to maintain accurate records and handle sensitive information confidentially. Eligible for Nebraska Rural Health Workforce Incentive Program Additional state-funded incentive opportunities may be available for qualified healthcare professionals. We are seeking a dedicated and compassionate Registered Nurse (RN) to join our team at our skilled nursing facility. RNs play a key role in providing high-quality care to our residents, overseeing nursing staff, and ensuring that our residents’ medical and personal needs are met in a supportive and comfortable environment. Responsibilities of Registered Nurse (RN): Assess, plan, and implement individualized care plans for residents. Administer medications and treatments as prescribed by physicians. Monitor and document residents' health status, vital signs, symptoms, and progress. Supervise and support a team of LPNs and CNAs to deliver optimal care. Collaborate with physicians, specialists, and other healthcare professionals to coordinate resident care. Educate residents and their families on health management, conditions, and treatments. Ensure adherence to all state, federal, and facility-specific regulations and standards. Respond to emergencies, assess situations, and provide critical care as needed. Participate in quality assurance activities and contribute to the facility’s continuous improvement efforts. Walk-in Interviews Welcome Monday to Friday from 10 am to 3 pm! APPLY NOW! Work Setting: Rehabilitation Center Long-term care Nursing Home Acute Care Specialty: Geriatrics 
Adept Nursing & Rehab of Blue Hill is now Now Hiring Certified Medication Aides (CMAs)! Shifts available: 6a-6p FT What we offer: Shift Differentials Pick up bonuses Daily Pay Health, dental, and vision insurance Paid time off (PTO) 401k Ongoing training and career growth opportunities Supportive team environment Eligible for Nebraska Rural Health Workforce Incentive Program Additional state-funded incentive opportunities may be available for qualified healthcare professionals. The Certified Medication Aide (CMA) is responsible for administering medications to residents under the supervision of a licensed nurse, while ensuring the highest standards of care, safety, and compliance. Qualifications: Active Certified Medication Aide (CMA) certification in NE Current CNA certification in NE Previous experience in a skilled nursing or long-term care setting preferred Strong attention to detail and organizational skills Excellent communication and teamwork abilities Compassionate, patient-centered approach to care Key Responsibilities Administer medications accurately and safely per physician orders Observe residents for side effects or reactions and report changes promptly Document medication administration in accordance with facility policies Assist residents with activities of daily living (ADLs) as needed Maintain clean, organized medication carts and storage areas Follow all state regulations and facility protocols Provide compassionate, respectful care to all residents Apply today and make a difference in the lives of those we serve! 
Job Description: Seeking a Certified Nursing Assistant (CNA) to collaborate with our patients and staff to uphold compassionate clinical care and clerical support. Under the direction of a Registered Nurse, the CNA will be responsible for: Assisting patients with activities pertaining to their individual needs for daily living. Communicating patient care needs, change in condition, observations and responses to the appropriate RN. Documenting information related to patient responses and/or patient care activities on the appropriate tool. Providing basic care in a timely, and courteous, manner that encourages physical and mental comfort amongst patients and families. Other duties as assigned. This position is a great opportunity for an individual who is flexible, patient, and skilled at clear communication and critical thinking. Position Requirements: EDUCATION : High school diploma or General Education Degree (GED) preferred. *Certification as a nurse assistant, completion of a basic nursing course, completion of Emergency Medical Technician training / certification, or completion of a hospital provided training course required. CNA required for placement in Skilled Nursing Units. Students in other health care related majors will be considered. EXPERIENCE : One month related experience and/or training preferred. CERTIFICATIONS : BLS certification required within 90 days of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. 
Job Description: Seeking a talented Registered Nurse (RN) to join our team on the Progressive Care Unit (PCU)/Pediatrics . This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in progressive care unit is preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. Completion of Basic Arrhythmia class and ACLS within 1 year of employment is required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. 
Job Description: Seeking a talented RN to join our team on Med Surg. This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATIONS/LICENSES: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. 
Adept Nursing & Rehab of Blue Hill is Now Hiring Licensed Practical Nurses (LPNs) for All Shifts! Shifts available: Days 6a-6p FT | Nights 6p-6a FT What we offer: $10, 000 Sign-on Bonus for Full-time! Full-time & PRN positions available Daily Pay Option Pick up bonuses 401k Opportunities for Career Growth Comprehensive Health/Dental/Vision Insurance Generous Shift Differentials Paid time off (PTO) package and Paid Holidays Referral Bonuses – Earn by Referring Friends and Family! Weekly Employee Appreciation Events Supportive Staffing Ratios FUN and Friendly Work Environment - GREAT leadership team! Eligible for Nebraska Rural Health Workforce Incentive Program Additional state-funded incentive opportunities may be available for qualified healthcare professionals. We are seeking dedicated and compassionate Licensed Practical Nurses (LPNs) to join our team of superstars. LPN provide direct nursing care to our residents, work alongside a collaborative team, and help ensure that our residents receive the highest quality of care in a safe and supportive environment. Qualifications for Licensed Practical Nurses (LPN): Licensed Practical Nurse (LPN) license Compassionate, patient-focused, and committed to providing high-quality care. Ability to work independently and collaboratively within a team. Excellent communication and interpersonal skills. Ability to maintain accurate records and handle sensitive information confidentially. Responsibilities of Licensed Practical Nurses (LPN): Administer medications and treatments as prescribed by physicians. Monitor and document residents' health conditions, including vital signs, symptoms, and responses to treatments. Assist in the development and implementation of individualized care plans. Provide nursing care for residents, including wound care, catheter care, and assistance with daily living activities. Collaborate with physicians, RNs, and other healthcare team members to ensure coordinated and comprehensive care. Educate residents and their families about health management and procedures. Ensure that all care is delivered in accordance with regulatory and facility guidelines. Respond to emergencies and provide critical care when necessary. Assist with training and supervising nursing assistants (CNA). Walk-in Interviews Welcome Monday to Friday from 10 am to 3 pm! APPLY NOW! 
Join Our Compassionate Team! Are you a Certified Nursing Assistant (CNA) with a heart full of compassion and a commitment to providing exceptional care? We're looking for you! Position: Compassionate Certified Nursing Assistant (CNA) Shifts: PRN (as needed) Location: [ Right at Home ] Why Choose Us? Compassionate Culture: Join a team that values empathy, kindness, and genuine care. Professional Growth: Opportunities for career advancement and ongoing education. Supportive Team: Work alongside dedicated professionals in a collaborative environment. State-of-the-Art Facilities: Provide care in a modern and well-equipped healthcare setting. Flexible PRN Shifts: Enjoy the flexibility of choosing shifts that suit your schedule. Responsibilities: Assist residents/patients with daily living activities. Provide compassionate and personalized care. Collaborate with healthcare professionals to ensure holistic care. Maintain accurate and timely documentation. Requirements: Active CNA certification. Compassionate and patient-centered approach to care. Excellent communication and interpersonal skills. Ability to work independently and as part of a team. Flexibility to work PRN shifts as needed. How to Apply: If you're ready to make a difference in the lives of others and be part of a compassionate team, please submit your resume and cover letter to [ bparten@homecarenorfolk.com ]. Application Deadline: Open until filled [ Right at Home ] is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Join us in making a positive impact on the lives of those we serve. Your compassion can make a world of difference! 
Part-Time Caregiver for the Elderly Wanted! 131 Are you passionate about providing care and companionship to seniors? Join our team as a PartTime Caregiver and make a meaningful impact in the lives of the elderly. Position: Part-Time Elderly Caregiver Location: Grand Island Nebraska Why Choose Us? Flexibility: Enjoy great flexibility with part-time hours that suit your schedule. Rewarding Work: Make a positive difference in the lives of seniors. Supportive Environment: Join a team that values compassion, empathy, and teamwork. Ongoing Training: Opportunities for continuous learning and professional development. Responsibilities: Provide companionship and emotional support to elderly clients. Assist with activities of daily living, such as bathing, dressing, and meal preparation. Monitor and report changes in clients' health or behavior. Foster a safe and comfortable environment for clients. Requirements: Previous experience in caregiving preferred but not required. Compassionate and patient demeanor. Excellent communication and interpersonal skills. Ability to work independently and adapt to varying schedules. Valid driver's license and reliable transportation. Schedule: Part-time hours with great flexibility to accommodate your availability. How to Apply: If you have a heart for caregiving and enjoy enriching the lives of seniors, we would love to hear from you! Please submit your resume and a brief cover letter detailing your interest in the position to [Your Contact Information]. Application Deadline: Open until filled Right at Home is an equal opportunity employer and values diversity in the workplace. 
Right at Home is hiring compassionate and dependable In-Home Caregivers in Hastings, Nebraska! If you enjoy helping others, building meaningful relationships, and making a real difference each day, this could be the perfect fit for you. As a caregiver, you’ll help seniors and adults with disabilities remain safe, comfortable, and independent at home. What You’ll Do: Provide companionship and conversation Assist with personal care needs Help with light housekeeping and meal prep Provide medication reminders Support clients with daily routines Offer dependable, compassionate care Why Join Right at Home? Flexible scheduling Supportive local team Meaningful one-on-one work Great team culture — we work hard and have fun! Paid training Opportunity to make a difference every shift We’re Looking For Someone Who Is: Caring, dependable, and positive A great communicator Reliable and professional Passionate about helping others Able to pass required background checks Join a team that truly values caregivers and the people we serve. Apply today and help us improve the quality of life for those we serve in Hastings! 
? Calling All Caregiving Superstars in Fairfield, NE! ? In-Home Caregiver | Right at Home – Where Compassion Meets Purpose Are you ready to turn your caring heart into a career you love? ? Right at Home is looking for friendly, dependable, and compassionate individuals to join our growing caregiving team in Fairfield, NE ! If you enjoy brightening someone's day, lending a helping hand, and being part of something truly meaningful—you’re our kind of person! ? What You’ll Do: ? Be a trusted companion to seniors and adults with disabilities ? Assist with light housekeeping and meal prep ? Provide medication reminders and personal care support ? Help clients stay safe and independent at home Why You’ll Love It Here: ? Competitive pay (your time and heart are worth it!) ? Flexible hours – part-time, full-time, evenings & weekends available ? Paid training – no experience? No problem! ? Be part of a Forbes 2024 Great Place to Work ? Fun team culture with bonuses, shoutouts, and appreciation events! You’re a Great Fit If You: ✅ Are 18 or older with a valid driver’s license and reliable transportation ✅ Love working one-on-one with people ✅ Have a positive attitude and a heart for helping others ✅ Are dependable, professional, and ready to make a difference! ? Whether you’re a seasoned caregiver or just starting out, we’d love to welcome you into the Right at Home family. ? Apply today and make a real impact—one smile, one visit, one life at a time. 
? NOW HIRING: In-Home Caregivers in Hastings, NE! ? ? Want a job where you actually make a difference every single day? At Right at Home, we’re more than just a home care company — we’re a team of compassionate people helping seniors and adults with disabilities stay safe, independent, and happy in the place they love most: HOME. And guess what? We’ve been officially certified as a Great Place to Work® TWO YEARS IN A ROW! ? We’re currently hiring caring, dependable, and motivated caregivers in the Hastings area — and we’d LOVE to meet you! ✨ Why Caregivers Love Working Here: ✅ Flexible scheduling that works around YOUR life ✅ Full-time & part-time opportunities available ✅ Competitive pay starting at $17+/hour depending on experience ✅ Supportive office team that truly has your back ✅ One-on-one client care (no chaotic facility assignments!) ✅ Make meaningful connections and change lives ✅ Training provided ✅ Career growth opportunities ✅ A positive, uplifting team culture ? What You’ll Do: ❤️ Provide companionship and conversation ❤️ Assist with meals, light housekeeping, and errands ❤️ Help clients with personal care needs ❤️ Support seniors in maintaining independence at home ❤️ Bring comfort, dignity, and joy to someone’s day ? We’re Looking For People Who: ✔ Have a kind heart and positive attitude ✔ Are dependable and compassionate ✔ Enjoy helping others ✔ Have reliable transportation ✔ Want meaningful work — not just a paycheck No healthcare experience? No problem! We can train the right people with the right heart. ? ?Serving clients throughout the Hastings area Ready to love where you work and feel appreciated for what you do? Apply today and join a team that’s changing lives — one client, one family, and one caregiver at a time. 
Job Description: Seeking a Certified Nursing Assistant (CNA) to collaborate with our patients and staff to uphold compassionate clinical care and clerical support. Under the direction of a Registered Nurse, the CNA will be responsible for: Assisting patients with activities pertaining to their individual needs for daily living. Communicating patient care needs, change in condition, observations and responses to the appropriate RN. Documenting information related to patient responses and/or patient care activities on the appropriate tool. Providing basic care in a timely, and courteous, manner that encourages physical and mental comfort amongst patients and families. Other duties as assigned. This position is a great opportunity for an individual who is flexible, patient, and skilled at clear communication and critical thinking. Position Requirements: EDUCATION : High school diploma or General Education Degree (GED) preferred. *Certification as a nurse assistant, completion of a basic nursing course, completion of Emergency Medical Technician training / certification, or completion of a hospital provided training course required. CNA required for placement in Skilled Nursing Units. Students in other health care related majors will be considered. EXPERIENCE : One month related experience and/or training preferred. CERTIFICATIONS : BLS certification required within 90 days of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. 
Are you passionate about providing care and companionship to seniors? Join our team as a PartTime Caregiver and make a meaningful impact in the lives of the elderly. Position: Part-Time Elderly Caregiver Location: Right At Home!! Grand Island!! Why Choose Us? Flexibility: Enjoy great flexibility with part-time hours that suit your schedule. Rewarding Work: Make a positive difference in the lives of seniors. Supportive Environment: Join a team that values compassion, empathy, and teamwork Ongoing Training: Opportunities for continuous learning and professional development. Responsibilities: Provide companionship and emotional support to elderly clients. Assist with activities of daily living, such as bathing, dressing, and meal preparation. Monitor and report changes in clients' health or behavior. Foster a safe and comfortable environment for clients. Requirements: Previous experience in caregiving preferred but not required. Compassionate and patient demeanor. Excellent communication and interpersonal skills. Ability to work independently and adapt to varying schedules. Valid driver's license and reliable transportation. Schedule: Part-time hours with great flexibility to accommodate your availability. How to Apply: If you have a heart for caregiving and enjoy enriching the lives of seniors, we would love to hear from you! Please submit your resume and a brief cover letter detailing your interest in the position to [Your Contact Information]. Application Deadline: Open until filled Right at Home Grand Island Come join us in providing exceptional care to our elderly clients while enjoying the flexibility you deserve! 
Job Description: The Outpatient Surgery Nurse works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Assists anesthesia personnel in preoperative and pain management area. Maintains certification in Advance Cardiac Life Support (ACLS). Take call with PACU as second RN with a response time of 20 minutes. Verifies patient’s identity, operative procedure, operative site, surgeon and consent. Evaluates patient’s psychosocial, preoperative and postoperative status; including level of understanding and perception of surgery. Verifies patient’s allergies, NPO status, and medications. Initiates patient notification for scheduling of pre-admission testing. Accurately completes preoperative / postoperative patient phone interview / calls. Demonstrates knowledge of surgical interventions and uses of anesthesia in planning care. Demonstrates through practice, the understanding of basic principles of aseptic technique as applied in the OPS areas of practice. Demonstrates knowledge of endoscopy procedures and ability to function independently within the scope of nursing practice in the endoscopy suite. Correctly collects and accurately labels specimens. Other duties as assigned. Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: Previous clinical experience in specific clinical unit preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS and ACLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. 
Pay and Benefits: We believe that our Certified Nursing Assistants (CNA) are the heart of our business. Without you, we couldn’t build meaningful relationships with our clients, put a smile on their face or be the highlight of their day. It is hard to put a price on helping others but we know how important you are and value the impact you would make day in and day out for our clients. In taking this position, you would receive: Competitive pay (Enter in pay range | Example: $15.00-$20.00 an hour) Pay may vary by location, level of training and type of shift Flexible schedules (Shifts can be arranged to fit your schedule) Medical benefits, including vision and dental (Medical benefits availability is determined by individual franchises) 401 (k) retirement plan Weekly pay Mobile clock in/out Work close to home (Serve seniors in your own community) Ongoing PAID training and development Your local office may offer you a variety of initial and ongoing career training opportunities to help you grow your skills. This could include but not limited to: A "library" of senior care reference materials and resources in the office and online On-the-job training for unique client situations Make a difference, develop meaningful relationships and meet new people Give back to those who need you most (our clients need you now more than ever before!) Paid travel time in between clients and paid mileage Extremely positive work environment Employee discount programs Access to leadership Recognition, celebrations and great team interactions! In this role, we stand prepared to equip you with the right personal protective equipment (PPE) and are ready to assist as you care for our vulnerable population of seniors and adults with disabilities. What You’ll Do and Who You Are: The good news is that your training will teach you everything you need to know to succeed on the job. But there are a few character traits you should have from the get-go. We have a great work culture at Right at Home and look for people with a similar mindset: You’re the honest, likable, energetic and approachable type, and are able to get along and verbally communicate easily with people at all levels. You listen well, have great decision making skills and are passionate about your customer focus. You’re never short of a smile and take real pride in your work by being resourceful, accountable, and adaptable and you cope well under pressure, take initiative and thrive on a challenge. Integrity is one of your core values as you do not ethically cut corners. You make a great first impression as you are professional and kind in your demeanor and approach. You don’t mind getting a little dirty … this could include (but is not limited to) assisting the patient with activities of daily living such as providing assistance with personal hygiene (toileting, bathing, care of mouth, skin and hair), ambulation, eating, dressing, shaving, light housekeeping, and other household chores. You don’t have to be a gourmet chef but you can prepare a good meal and work your way around a kitchen. You are able to perform other assigned activities which are taught by a nurse, for a specific patient, which includes but is not limited to: Assisting with the change of ostomy appliances Reinforcement of dressings (non-sterile) Assisting with the use of devices for aid in daily living (cane, walker, wheelchair or lift device) Assisting with prescribed range of motion exercises Assisting with self-administered simple urine tests for sugar acetone or albumin (may not interpret results) Measuring and preparing special diets Measuring intake and output Taking vital signs (temperature, pulse, respirations and blood pressure) Application of an external (condom-type) catheter Assisting with application of arm sling, arm splint or leg splint Must Haves: High school degree and/or a G.E.D. certificate Six months experience as a Certified Nurse Assistant (CNA) in health care (in homes or facilities) and successful completion of a State approved Certified Nurse Assistant (CNA) course The Certified Nurse Assistant (CNA) shall have successfully completed a Competency Evaluation that meets the State licensing law for home health agencies Must have a sympathetic attitude toward the care of the sick, and ability to deal effectively with the demands of the job Current CPR Certificate is recommended Meets the requirements for employees providing direct patient care Read, write, speak and understand English as needed for the job Have a valid driver’s license and use of an insured automobile for work or access to adequate transportation Why Right at Home? We truly believe that where you work matters, and as a company that believes in improving the lives of those we serve, we think we know a thing or two about what makes our employees happy. Here is what our employees say about us: “It’s wonderful to work for a company that treats their employees with the same care and respect they want us to provide to clients.” - Linda “I know I’m never alone! If I have a question or an issue, there is always someone available to help me. This means the world to me!” - Dave If you need assistance with this application or hiring process to accommodate a disability, you may request an accommodation at any time by contacting us. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities. The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required of employees. Each Right at Home office and business is independently owned and operated under a franchise agreement with Right at Home, LLC. Right at Home, LLC is not the employer or joint employer of the employees of any of its franchised offices. For comments, questions or to learn more about Right at Home, please visit www.rightathome.net. 
Now Hiring: In-Home Caregiver – Grand Island, Nebraska Do you have a heart for helping others? At Right at Home , we know that caregivers are everyday heroes. We’re urgently seeking compassionate and dependable In-Home Caregivers in the Grand Island, NE area to join our mission of improving the quality of life for those we serve. What We Offer: Starting pay: $15–$18 per hour (based on experience) Flexible daytime hours and weekend shifts available One-on-one meaningful work that truly makes a difference Supportive, family-owned company culture Nationally recognized as a Great Place to Work What You’ll Do: Provide companionship and support with daily living activities Assist with personal care, light housekeeping, errands, and meal prep Help clients stay safe, independent, and comfortable at home Requirements: Must pass a background check & drug screening Must be 19 years of age or older Must have a valid driver’s license and active car insurance Compassionate, reliable, and positive attitude Location: Grand Island, Nebraska Schedule: Daytime hours & weekends available — hiring urgently! If you’re ready to make a difference every day while working with a supportive, mission-driven team, we’d love to meet you! Apply now and become part of the Right at Home family today! 
Summary GENERAL SUMMARY: At the direction of the Registered Nurse (RN) and/or Licensed Practitioners, the Staff Licensed Practical Nurse (LPN) contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. 3. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 4. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions under the direction of the RN. 6. *As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Participates in the evaluation of the patient's response to and effectiveness of interventions. 8. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. 9. *Includes family or significant others in the care of the patient as appropriate. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 14. *Contributes to the patient's transition to the next level of care. 15. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 16. *Serves as a role model to colleagues, students and other care providers. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to perform crucial conversations with desired outcomes. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. 
Summary GENERAL SUMMARY: At the direction of the Registered Nurse (RN) and/or Licensed Practitioners, the Staff Licensed Practical Nurse (LPN) contributes to meeting patient's priority needs by assessing and participating in interdisciplinary care planning, providing delegated care and timely communication of the patient's response. Contributes to an efficient and effective work environment through activities including professional communication and documentation. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Contributes to the assessment and reassessment based on the patient's presenting problems/needs in accordance with Bryan Medical Center's procedures. 3. *Communicates pertinent initial and ongoing patient data to the RN for identification of nursing priorities of care and desired outcomes/goals. 4. *Utilizes appropriate standards of care based on the patient's diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions under the direction of the RN. 6. *As directed by the RN, provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 7. *Participates in the evaluation of the patient's response to and effectiveness of interventions. 8. *Incorporates cultural considerations into the plan/delivery of care as directed by the RN. 9. *Includes family or significant others in the care of the patient as appropriate. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Enters patient care orders into the computer accurately and consistently according to policy and procedure. 12. *Provides care in conjunction with other members of the interdisciplinary team. 13. *Provides close observation or one-to-one care, as directed by the RN, to prevent patients from wandering or potential injury. 14. *Contributes to the patient's transition to the next level of care. 15. *Assumes responsibility in a shared or delegated assignment and supports team member's practices through timely communication. 16. *Serves as a role model to colleagues, students and other care providers. 17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 18. Participates in meetings, committees and department projects as assigned. 19. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to communicate effectively both verbally and in writing. 5. Ability to perform crucial conversations with desired outcomes. 6. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 7. Ability to work in a fast-paced environment related to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 8. Ability to problem solve and engage independent critical thinking skills. 9. Ability to maintain confidentiality relevant to sensitive information. 10. Ability to prioritize work demands and work with minimal supervision. 11. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Graduation from a School of Practical Nursing with current licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. 
Starting at $17 Join our DYNAMIC team at Bickford Senior Living as a Certified Caregiver! The Certified Caregiver supports resident care within the branch, ensuring that Resident’s daily needs are met in a compassionate way that maintains their dignity, allowing them to live their life to the fullest! This position offers a full suite of benefits options that vary based on employment status. Some of the benefits include, but are not limited to: Full-time employees are eligible for all benefits (medical, dental, vision, and voluntary products) Part-time employees (29 or fewer hours per week) are eligible for Voluntary Life, Voluntary Short-Term Disability, Voluntary Long-Term Disability, Accident, Critical Illness, Identity Protection, and Cyber Monitoring Benefits start on the 1st of the month following 30 days of employment Prescription savings plans All employees are eligible for 401(k) with employer match Pay available daily "There is no higher calling, no greater purpose than a caregiver. Somehow, we’ve come to believe that caregiving is just for some of us and not all. Yet, at our core, we are all made to love, connect, to extend ourselves in service to others. The question is… do we have the will to love, do what it takes, and risk ourselves in caring, even when the burden is great? In times of happiness and sadness, we are that caregiver” - www.bickfordseniorliving.com/caregivers-manifesto RESPONSIBILITIES & QUALIFICATIONS Responsibilities: Know the residents you serve, providing care based on their service plans. Assist in all aspects of a resident’s daily life, including activities of daily living, meal service, and social engagement. Appropriately communicate with branch clinical leadership when a resident’s needs change. Knowledge of how to approach and care for residents with dementia. Qualifications: Must be 18 years or older An active CNA License in good standing. High School Diploma or GED. Willing to take additional training or education, which specific states may require. CPR and First Aid certifications are required. Ability to handle multiple priorities. Possess written and verbal skills for effective communication. Competent in organizational and time management skills. Demonstrates good judgment, problem-solving, and decision-making skills ABOUT BICKFORD SENIOR LIVING: Bickford Senior Living is a community of caregivers who are dedicated to doing whatever it takes to enrich our resident’s happiness. Founded in 1991 in Olathe, Kansas, by the Eby Family. Mary Bickford, the matriarch of the family, was the first resident of a Bickford Branch and our namesake. That location became the start of a tradition of caring that has extended to over 50 locations in 7 states. Although Bickford Senior Living has grown in size… we pride ourselves in the family environment that is the foundation on which Bickford has served thousands of residents and employees throughout the years. www.bickfordseniorliving.com/our-story At Bickford, you will… Make a Difference Every Day We are passionate about our mission — to champion quality of life for all seniors. We deliver high-quality care with a personal touch and encourage our residents to enjoy life to the fullest. Be Part of a Uniquely Supportive Community The care-focused environment we create for residents extends to our team members. We offer programs, rewards, and benefits to help you live your best. Ignite Your Potential We believe potential has no limits. We offer best-in-class leadership development programs designed to grow our leaders. We are committed to helping our team members achieve their career goals. 
We’re Hiring Caregivers in Hastings, NE! Be the Reason Someone Smiles Today Do you have a heart for helping others and a desire to make a real difference in someone’s life? Join Right at Home – where compassion meets opportunity! We’re looking for caring, dependable, and fun-loving individuals to become in-home caregivers for seniors and adults with disabilities in the Grand Island area. Why You'll Love It Here: Competitive pay: $14–$17/hr (based on experience) Flexible schedules – part-time, full-time, weekends, or evenings! We’re a 2024 Forbes Great Place to Work – and proud of it! Paid training – no experience needed! Mileage reimbursement + supportive office staff that always has your back What You'll Do: Bring joy and companionship to clients in their homes Help with light housekeeping, meal prep, and errands Assist with personal care (bathing, dressing, etc.) Be a friendly face and a helping hand You’d Be Perfect If You: Love people and have a caring personality Are reliable and trustworthy Want a job that truly matters Bonus: You’ve worked as a CNA or caregiver before (but not required!) This isn’t just a job — it’s a chance to change lives, including your own. Apply now to join a team that cares about YOU! 
Job Description: Seeking a talented RN to join our team in Labor & Delivery. This position works under general supervision while assessing, planning, implementing and evaluating the nursing care required to meet the needs of the patient. Job duties include (but not limited to): Performs complete patient assessments and communicates to the providers. Documents and maintains accurate nursing records. Functions as patient advocate between patient, physicians, other healthcare providers, administration, etc., as needed, and interacts professionally with patients and family members. Initiates diagnostic, preventative and rehabilitative nursing procedures as appropriate to the patient's care and safety. Administers medications to patients in accordance with approved standards of nursing knowledge and competency, based on age of patient, patient's clinical condition and physician orders. Other duties as assigned. LABOR AND DELIVERY RN specific duties include: Conducts complete history and assessment of the pregnant woman for confirmation of active labor and identification of risk factors. Provides continuous assessment and physical and emotional support for the woman in labor and her supportive person, including relaxation and breathing techniques and other non-pharmacological methods of pain control used for each stage of labor. Provides appropriate fetal assessment by periodic FHR auscultation and EFM, both externally and internally. Demonstrates knowledge of reassuring and non-reassuring FHR patterns and provides appropriate interventions and evaluation. Assists primary caregiver with insertion of IUPC and management of amnioinfusion. Provides assessments, interventions and evaluations of the woman experiencing augmentation and induction of labor and chemical cervical ripening. Provides assistance as needed to the anesthesia provider. Monitors the effects of analgesia and anesthesia on the mother and her fetus and provides appropriate interventions and evaluation. Prepares the delivery area to provide a safe and secure environment for vaginal or Cesarean birth. Circulates during vaginal and Cesarean birth to provide assistance to the primary care giver and surgical team as directed and provides care of the mother and her support person(s). Provides assistance with forceps and vacuum delivery if needed. Assists with the care of the newborn as needed. Documents identification of the newborn and all observations and procedures. Provides assessment and support of the newly delivery patient (vaginal or Cesarean birth) using knowledge of the physiologic and psychological adaptation during this period. Recognizes deviation from normal and initiates appropriate intervention. Assesses the breastfeeding mother to begin as soon as both are stable and identifies breastfeeding problems and takes appropriate nursing actions. Makes referral to lactation consultant as necessary. Initiates appropriate intervention. Provides ongoing planning and education throughout the hospital stay, to prepare for self care and family adjustment. Assesses the educational needs of the family and identifies barriers to learning. Assesses bonding and promotes positive bonding behaviors. Makes referrals as necessary. Recognizes emergency situations such as precipitous birth, prolapsed cord, ruptured uterus or hemorrhagic disorders and intervenes appropriately. Collaborates with primary caregiver and implements a plan of care for the high risk intrapartum patient with hypertension in pregnancy, and other medical, surgical and emotional problems such as: infection, diabetes, cardiac disease, autoimmune disorders, trauma and depression. Helps meet the special needs of the woman and her family experiencing loss and grief. Prepares and assists with transfer of high risk obstetrical patients to Level III medical centers. Provides postoperative care and teaching for the gynecological and ophthalmology patients. Attains competency in Fetal Heart Rate monitoring. Completes OB Course. Attains and maintains NRP Certification Position Requirements: EDUCATION: Associate Degree in Nursing required (Bachelor's preferred). EXPERIENCE: One year experience with maternal child nursing preferred. CERTIFICATE, LICENSES, REGISTRATIONS: BLS certification required. Current registered nursing (RN) license or Temporary permit from the State of NE required. NRP and Basic Fetal Monitoring to be obtained within one year of hire. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. 
Summary GENERAL SUMMARY: Manages resources and delegates as appropriate to optimize achievement of unit scope and department objectives. Assists in the operations management of the unit. Promotes retention of staff through recognition and promotion of teamwork within and across shifts. Supports and encourages the professional development of department staff. Ensures optimal patient care standards through daily interaction and role modeling. Supports and facilitates a collaborative relationship between medical staff and hospital staff to ensure that patient needs are met related to equipment, supplies and competent staff available to deliver personalized care. Provides direct patient care in department. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Takes on a leadership role in modeling the mission, beliefs, and behaviors of the Medical Center; promotes and models highly effective interpersonal relationships. 3. *Assists in concurrent and retrospective resolution of patient, family, and/or physician concerns and complaints. 4. Utilizes the findings from quality improvement efforts (including HCAHPS/NRC and physician partnership survey scores) to enhance patient care, customer satisfaction (physicians and patients/families) and cost-effectiveness of services. 5. Assists with unit scheduling, timecard approval, and provides input into staff evaluations and interview processes. 6. Demonstrates fiscal responsibility by downsizing or upsizing staffing in a budget conscious manner that ensures the maintenance of safe patient care. 7. Works collaboratively with the Nurse Manager to ensure appropriate equipment function, equipment availability and efficient supply usage and charging; maintains a supply and equipment inventory that meets patient care needs. 8. *Ensures staff competence while emphasizing staff retention strategies. 9. *Ensures that existing policies and procedures are adhered to during daily interactions with staff; facilitates patient admissions, discharges and transfers within service line. 10. *Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn. 11. *Documents patient care and related information according to Bryan Medical – GIRMC procedures for documentation. 12. Acts as a champion in EPIC specific to their department. May be asked to help other organizational departments in their use of Epic. 13. *Responsible for promoting patient and staff safety, providing accurate and clear communication, delegating, and serving as a resource and role model to colleagues, students and other care providers. 14. *Clearly defines, delegates and ensures completion of assignments to be accomplished throughout the shift; provides feedback in a timely manner to staff. 15. *Supports the Nurse Manager in communicating and implementing unit or area changes and keeps them informed of daily operational needs and issues. 16. *Supports the preceptor program, new employee orientation, and student programs; communicates education and/or competency needs of staff to the Nurse Manager. 17. * Coaches and mediates staff behavior as needed and communicates with the Nurse Manager if a colleague fails to respond to proper guidance or adhere to standards expected for quality care. 18. *Takes patient care assignments or charge role during volume or acuity changes or during increased staffing demand. This may encompass up to 65% of normal weekly hours. 19. *Assists the Nurse Manager with capital budget planning, equipment requests, and value analysis initiatives. 20. *Assists with record and billing audits to ensure accurate charges and coordinates appropriate vendor support. 21. Evaluates clinical outcomes prior to discharge from current level of care to next level of care; reports and acts on any untoward outcomes observed. 22. *Assists in detecting clinical outdates on equipment, drugs and supplies; acts to correct any deficiencies found. 23. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 24. Participates in meetings, committees and department projects as assigned. 25. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of computer hardware equipment and software applications relevant to work functions. 3. Ability to communicate effectively both verbally and in writing. 4. Ability to perform crucial conversations with desired outcomes. 5. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 6. Ability to problem solve and engage independent critical thinking skills. 7. Ability to maintain confidentiality relevant to sensitive information. 8. Ability to prioritize work demands and work with minimal supervision. 9. Ability to manage change and work within an intense work environment. 10. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Bachelor of Science degree in Nursing and certification in specialty preferred. Minimum of two (2) years of clinical experience in a department or unit equivalent required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. 
Summary GENERAL SUMMARY: Responsible for meeting patient’s priority needs by assessing, participating in interdisciplinary care planning, providing and /or delegating care based on patient needs and evaluating patients’ responses. Contributes to an efficient and effective work environment through activities including professional communication and documentation, preceptoring and/or resourcing of others. Supervises support staff in the delivery of patient care as described in Nebraska Statute. PRINCIPAL JOB FUNCTIONS: 1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values. 2. *Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Grand Island Regional Medical Center’s procedures. 3. *Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals. 4. *Integrates the patient’s plan of care based on the diagnosis and age-specific needs. 5. *Executes therapeutic and/or supportive interventions, consistent with perioperative procedures as ordered. 6. *Provides education for the patient and family to meet identified patient needs. 7. *Evaluates the patient’s response to and effectiveness of interventions. 8. *Evaluates patient’s progress toward established outcomes. 9. *Incorporates cultural considerations into the plan/delivery of care. 10. *Documents patient care and related information according to Grand Island Regional Medical Center procedures for documentation. 11. *Coordinates and provides care in conjunction with other members of the interdisciplinary team. 12. *Facilitates patient’s transition to the next level of care. 13. Assumes responsibility in a shared or delegated assignment and supports team member’s practices through timely communication. 14. Serves as a role model to colleagues, students and other care providers. 15. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise. 16. Participates in meetings, committees and department projects as assigned. 17. Performs other related projects and duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: 1. Maintains clinical competency as required for the unit including but not limited to age-specific competencies relative to patient’s growth and developmental needs, annual skill competency verification and mandatory education and competencies. 2. Knowledge of federal and state regulations related to nursing applications and relative practice area. 3. Knowledge of computer hardware equipment and software applications relevant to work functions. 4. Ability to delegate, provide instruction and evaluate the work of LPN’s and unlicensed professional. 5. Ability to communicate effectively both verbally and in writing. 6. Ability to perform crucial conversations with desired outcomes. 7. Ability to establish and maintain effective working relationships with all levels of personnel and medical staff. 8. Ability to work in a fast-paced environment relevant to changing patient needs, including work with patients with acute, chronic, and complex disease processes, and those who are dying. 9. Ability to practice proper body mechanics to ensure personal and customer/patient safety. 10. Ability to problem solve and engage independent critical thinking skills. 11. Ability to maintain confidentiality relevant to sensitive information. 12. Ability to prioritize work demands and work with minimal supervision. 13. Ability to maintain regular and punctual attendance. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. Advanced Cardiac Life Support (ACLS) required within first 6 months of employment. PALS as per manager's descretion. 
? HIRING IN-HOME CAREGIVERS – HASTINGS, NE ? ? Make a difference. Build relationships. Love what you do. Looking for a job that actually means something ? One where your kindness, patience, and heart truly matter? We’re hiring In-Home Caregivers in Hastings, Nebraska , and we’d love to meet you! As an in-home caregiver, you’ll help seniors and adults remain safe, comfortable, and independent in their own homes—while building real, meaningful connections along the way. ✨ What You’ll Do: Assist with daily activities like bathing, dressing, and grooming Provide companionship (yes—talking, laughing, and listening count!) Help with light housekeeping, meals, and errands Be a trusted, caring presence for clients and their families ? Why You’ll Love Working With Us: Flexible schedules (days, evenings, weekends, overnights available) Supportive, fun, and appreciative team One-on-one client care (no rushed visits!) Training provided – no experience required Work that truly fills your cup ❤️ ? You’re a Great Fit If You: Have a caring heart and dependable attitude Enjoy helping others and making someone’s day better Want a job with purpose—not just a paycheck ? Location: Hastings, NE ? Now hiring—apply today and start a career that makes a difference every single day!