jobs in Hawaii

Nursing Jobs in Hawaii

RN, Surgery, Full-time, Day Shift

Job Description Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. JOB INFO Job Identification : 71339 Job Category : RN Posting Date : 2026-08-21T23:19:47+00:00 Job Shift : Day Shift Locations : Kailua, HI, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $56.72 to $77.80. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Surgery Shift Length : 12 Hours

Full-time

1 day ago

RN, Surgery, Full-time, Day Shift

Adventist Health Kailua, HI

Job Description Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. JOB INFO Job Identification : 71340 Job Category : RN Posting Date : 2026-08-21T23:02:52+00:00 Job Shift : Day Shift Locations : Kailua, HI, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $56.72 to $77.80. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Surgery Shift Length : 10 Hours

Caregiver Needed in Kona

TLC Care Services Kailua-Kona, HI

$18 - $20 / hour

Caregiver Needed in Waikoloa Aloha Behavioral Health and Home Care Services is seeking a dedicated and compassionate Healthcare Professional to join our team in Kailua-Kona, HI. As a Caregiver, you will have the opportunity to provide high-quality care to patients in the comfort of their own homes. Responsibilities: • Provide direct care to patients, including taking medical histories, conducting exams, and developing treatment plans • Collaborate with other healthcare professionals to coordinate care and ensure optimal patient outcomes • Educate patients and their families on healthcare and wellness topics • Record and maintain accurate patient medical records Things We Look For (Not Required): • A degree in a healthcare field (e.g. nursing, medicine, etc.) • Experience in a healthcare setting • Strong communication and interpersonal skills • A passion for providing exceptional patient care Qualifications: • Current CPR/First Aid Certification • Current TB test • Valid Driver's License • Valid Vehicle Insurance • Must Live on the Big Island About the Role: As a CAREGIVER with Aloha Behavioral Health and Home Care Services, you will have the opportunity to make a meaningful difference in the lives of our patients. Our team is dedicated to providing exceptional care and compassion to those in need. If you are a healthcare professional looking to join a dynamic and dedicated team in a beautiful location, we encourage you to apply. How to Apply: If you are interested in this opportunity, please submit your application and a cover letter explaining why you would be a good fit for this position. We look forward to hearing from you and discussing how you can join our team! Job Types: Full-time, Part-time, Contract Hourly Rate: $18.00 per hour

Caregiver Needed in Waikoloa

TLC Care Services Waikoloa Village, HI

$18 - $20 / hour

Caregiver Needed in Waikoloa Aloha Behavioral Health and Home Care Services is seeking a dedicated and compassionate Healthcare Professional to join our team in Waikoloa Village, HI. As a Caregiver, you will have the opportunity to provide high-quality care to patients in the comfort of their own homes. Responsibilities: • Provide direct care to patients, including taking medical histories, conducting exams, and developing treatment plans • Collaborate with other healthcare professionals to coordinate care and ensure optimal patient outcomes • Educate patients and their families on healthcare and wellness topics • Record and maintain accurate patient medical records Things We Look For (Not Required): • A degree in a healthcare field (e.g. nursing, medicine, etc.) • Experience in a healthcare setting • Strong communication and interpersonal skills • A passion for providing exceptional patient care Qualifications: • Current CPR/First Aid Certification • Current TB test • Valid Driver's License • Valid Vehicle Insurance • Must Live on the Big Island About the Role: As a CAREGIVER with Aloha Behavioral Health and Home Care Services, you will have the opportunity to make a meaningful difference in the lives of our patients. Our team is dedicated to providing exceptional care and compassion to those in need. If you are a healthcare professional looking to join a dynamic and dedicated team in a beautiful location, we encourage you to apply. How to Apply: If you are interested in this opportunity, please submit your application and a cover letter explaining why you would be a good fit for this position. We look forward to hearing from you and discussing how you can join our team! Job Types: Full-time, Part-time, Contract Hourly Rate: $18.00 per hour

Full-time

1 day ago

Registered Nurse - RN - Dialysis

Fresenius Medical Care Waimea, HI

$42 - $60 / hour

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. PRINCIPAL DUTIES AND RESPONSIBILITIES: Directs Patient Care Technician’s provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients’ response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre-evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS : The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None EDUCATION AND REQUIRED CREDENTIALS: Graduate of an accredited School of Nursing. Current appropriate state licensure. Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND SKILLS : Minimum of one-year medical-surgical nursing experience preferred. Hemodialysis experience preferred. ICU experience preferred. Successfully complete a training course in the theory and practice of hemodialysis. Successfully complete CPR Certification. Employees have to meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment. Provide coverage at any or all area facilities as required by management. Icd-9 coding Training. Nurses Technical Training. Must meet appropriate state requirements (if any). The rate of pay for this position will depend on the successful candidate’s work location and qualifications, including relevant education, work experience, skills, and competencies. Hourly Rate: $42.00 - $60.00 Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Full-time

1 day ago

RN, Surgery, Full-time, Variable Shift

Adventist Health Kailua, HI

Job Description Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary Delivers coordinated nursing care for a patient or an assigned group of patients according to established standards of care and the nursing process. Supervises and directs the activities of various levels of assigned nursing staff, and coordinates care with other disciplines while utilizing critical thinking, professional and supervisory discretion, and independent judgment. Job Requirements Education and Work Experience: Bachelor's Degree in Nursing (BSN): Preferred Acute care facility experience: Preferred Licenses/Certifications Registered Nurse (RN) licensure in the state of practice: Required Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required Facility Specific License/Certifications Basic Life Support (BLS) certification from approved vendor per AH policy: Required Essential Functions Collects relevant data pertinent to the patient’s health or situation. Analyzes the assessment data in determining diagnosis and care issues. Develops a plan that prescribes interventions to attain outcomes. Implements the plan, coordinates care delivery, and employs strategies to promote health and a safe environment. Evaluates progress toward attaining outcomes. Identifies outcomes for the patient or the patient’s situation. Collaborates with the team of patient, family, and healthcare providers in providing patient care in a safe, healing, humane, and caring environment. Provides learning opportunities for patients/family members and team members. Directly provides health information to patients, families, and treatment team. Participates in discharge planning in order to provide continuity of care. Delegates appropriately and coordinates duties of healthcare team members. Performs other job-related duties as assigned. Organizational Requirements Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. About Us Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope. JOB INFO Job Identification : 71338 Job Category : RN Posting Date : 2026-08-21T23:25:24+00:00 Job Shift : Variable Shift Locations : Kailua, HI, United States Assignment Category : Full-time regular Pay Range : The estimated base pay for this position is $56.72 to $77.80. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information. Hiring Department : Surgery Shift Length : 12 Hours

Live in Caregiver in Waikoloa

TLC Care Services Waikoloa Village, HI

$225 - $250 / day

Live in Caregiver in Waikoloa Job Summary: Aloha Behavioral Health and Home Care Services, a renowned in-home care provider, is seeking a dedicated and compassionate Live in Caregiver to join our team of caregivers in Waikoloa, HI. As a Live in Caregiver, you will be responsible for providing exceptional care to our cherished clients in their homes, while also enjoying a fulfilling career on the beautiful Big Island. Responsibilities: Provide hands-on care, including medical histories, exams, and treatment plans Collaborate with fellow healthcare professionals for the best patient outcomes Empower patients and families with healthcare insights Maintain accurate patient records to ensure the best care possible What We Value (Not Required): Background in a healthcare field (e.g., nursing, medicine) Experience in healthcare settings Exceptional communication and people skills A genuine passion for extraordinary patient care Your Qualifications: Up-to-date CPR/First Aid Certification Recent TB test on file Valid Driver's License and Vehicle Insurance Residency on the Big Island Join Our Caring Community: At Aloha Behavioral Health and Home Care Services, we prioritize the health and safety of our team members. To ensure this, background checks and TB tests will be conducted post-hiring. Successful candidates must provide a recent TB test, conducted within two weeks following their hiring date. Why Choose Us: Competitive daily rate: $225.00 for Non-CNA and $250.00 for CNA Opportunities to make a meaningful impact in the lives of our cherished clients Comprehensive training and ongoing support A supportive and collaborative work environment How to Apply: If you're a healthcare professional seeking a fulfilling role in a stunning location, we encourage you to apply now. Send us your resume and a cover letter explaining why you're a perfect match for this position. We're excited to welcome you to our team and embark on this rewarding journey together. Apply today and let's make a difference!

Urgent Care

2 days ago

Staff Nurse - ED/Urgent Care

Kaiser Permanente Lanai City, HI

Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any task requiring nursing knowledge, judgment, and skills. Administers medications. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the Maui Health Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned within the scope of their practice. May be assigned to another cost center; that may include other work locations on a shift by shift basis to meet patient care requirements.

Caregiver

Full-time

2 days ago

Caregiver Needed

TLC Care Services Honokaa, HI

$18 - $20 / hour

Hourly Rate: Non-CNA $18/hr, CNA $20/hr We are seeking a dedicated and compassionate Healthcare Professional to join our team in Hawaii. The ideal candidate will have experience in a healthcare setting and a passion for providing high-quality care to patients. Responsibilities: Provide direct care to patients, including taking medical histories, conducting exams, and developing treatment plans Collaborate with other healthcare professionals to coordinate care and ensure optimal patient outcomes Educate patients and their families on healthcare and wellness topics Record and maintain accurate patient medical records Things We Look For (Not Required): A degree in a healthcare field (e.g. nursing, medicine, etc.) Experience in a healthcare setting Strong communication and interpersonal skills A passion for providing exceptional patient care Qualifications: Current CPR/First Aid Certification Current TB test Valid Driver's License Valid Vehicle Insurance Must Live on the Big Island If you are a healthcare professional looking to join a dynamic and dedicated team in a beautiful location, we encourage you to apply. Please submit your resume and a cover letter explaining why you would be a good fit for this position. We look forward to hearing from you! Job Types: Full-time, Part-time, Contract

Hourly Caregiver

TLC Care Services Pāhoa, HI

$18 - $20 / hour

Caregiver

Full-time

2 days ago

Caregiver Needed

TLC Care Services Paauhau, HI

$18 - $20 / hour

CNA

2 days ago

Nursing Assistant - Surge Unit (Part-Time, 36, Day)

The Queen's Health Systems Honolulu, HI

RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • Performs a variety of duties pertaining to patient care, patient transportation, material and supply distribution and equipment assembly. • Performs duties in accordance with departmental and Medical Center policies, procedures and regulations. II. TYPICAL PHYSICAL DEMANDS: • Essential: lifting up to 2 pounds, seeing, hearing, talking, grasping, fingering. • Continuous: standing, walking, stooping, forward reaching, handling. • Frequent: pushing and pulling up to 30 pounds, lifting up to 10 pounds, sitting, bending. • Occasional to frequent: squatting, twisting. • Occasional: pushing and pulling up to 50 pounds; lifting: horizontal lift/carry up to maximum 50 pounds, floor to waist up to 35 pounds, waist to shoulder up to 25 pounds, overhead level up to 15 pounds; carrying up to 35 pounds, running, climbing, side bending, kneeling, crouching, overhead reaching. • Operates various machines/tools/work aids. III. TYPICAL WORKING CONDITIONS: • Inside work. • Exposure to body fluids, blood products, and communicable diseases. • Work environment may be highly stressful, fast paced and hectic. • Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. • Management of confused/disoriented and combative patients may involve tasks that may compromise physical safety. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: • Ability to read, write, speak and understand English, both orally and in writing. • Minimum one (1) year work experience as a Nurse Aide; or, o Diploma or certificate as a Nurse Aide. o Diploma or certificate as a Medical Assistant. o Diploma or certificate as an Emergency Medical Technician. o Diploma or certificate as a Patient Care Technician. o Nursing student having completed a semester of clinical fundamentals; or, o RN with a foreign RN license with at least one (1) year acute care experience. • Current certification in BLS/HCP. B. EXPERIENCE: • Recent experience in an acute care setting preferred. Equal Opportunity Employer/Disability/Vet

LPN

Full-time

2 days ago

Licensed Practical Nurse LPN

CentralCare Inc Moanalua, HI

$30 / hour

CentralCare is seeking a highly skilled and experienced Licensed Practical/Vocational Nurse (LP/VN) to provide full-time services at Tripler Army Medical Center in Honolulu, Hawaii. This is a great opportunity for LP/VNs to support our military and their families as federal civilian contractors. Enjoy the opportunity to work in a premier military medical facility in Hawaii while gaining valuable federal experience. Any active U.S. state license is accepted. Unit: Mother-Baby Schedule: Variable/Rotating Shifts Compensation: Pay: $30 hr H&W: $5.09 hr. PTO: 80 hours accrued annually Sick leave: 56 hours accrued annually Holidays: 11 paid annually Qualifications: Degree/Education: Graduation from a State Board of Nursing approved LPN/LVN training program or completion of equivalent military training that permits sitting for the State licensure examination Must have a minimum of one (1) year experience within the last two (2) years as a licensed practical or vocational nurse, after graduation. Certifications Required: Basic Life Support (BLS) – American Heart Association Advanced Cardiovascular Life Support (ACLS) – AHA Pediatric Advanced Life Support (PALS) – AHA Responsibilities: Prepare patients for special procedures. Perform Foley catheterization on adult and pediatric patients as appropriate for clinical area. Perform irrigations of eyes, ears, stomachs, abscesses and wounds. Perform technical procedures such as shunt care, insertion and maintenance of NG tubes, Hickman Catheter Care, changing IV tubing and dressing as appropriate for clinical care area and in accordance with unit SOPs. Perform care and maintenance of drainage tubes. Perform suctioning of patients. Draw lab work independently when directed to do so. Correctly perform point of care testing and other authorized satellite laboratory procedures. Ensure laboratory specimens are correctly labeled, and laboratory slips correctly completed. Assist with special procedures, as appropriate in specialty clinics or on the units. Document inpatient record and other required forms such as Intake and Output, TPR graphic, and nursing notes. Use computerized information systems as required. Reinforce patient education and discharge instructions. Use and maintain simple and complex diagnostic tools and equipment (e.g., stethoscope, blood pressure cuff, cardiac monitor, digital readout, hemodynamic monitoring systems, infusion pumps, central venous lines, respiratory ventilator) to obtain and/or validate observations and provide for the care of all patients. Recognize and respond to serious alterations in patient's condition, determine appropriate action to include notification of the Registered Nurse/Physician, airway management and initiation of CPR. May be assigned or rotated between inpatient wards, clinics, and specialized units. About CentralCare Inc: CentralCare Incorporated is a leading SBA-certified, woman-owned small business dedicated to providing exceptional medical professionals to support the needs of military and civilian healthcare facilities. CentralCare Incorporated is an equal opportunity employer. We encourage applications from candidates of all backgrounds and experience

2 days ago

Resident Care Manager RN

Ohana Pacific Health Honolulu, HI

$109,262.40 - $113,568 / year

Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for a passionate Resident Care Manager responsible for the supervision of nursing team and who oversees the operation of a nursing unit and the daily delivery of care to residents. Keeps Director of Nursing informed of both progress and potential problems. Coordinates unit admissions, discharges, and transfers. Plans, develops and organizes work tasks; coordinates supervise and evaluates employees. Coordinates the unit's services and activities in consultation with the Director of Nursing. Plans and supervises resident care. Continually assesses residents' physical conditions and participates in resident planning conferences. Monitors quality indicators and ensures positive outcomes to the extent possible. Actively participates in and supports continuous quality improvement efforts. Participates in admission and discharge planning. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. At least three (3) years' experience in a hospital or a long term care facility. Supervisory experience preferred. Current and valid 2 Step TB clearance and health review (can be done in-house). First Aid and CPR preferred. (can be done in-house). The Benefits: Paid Time Off (PTO) Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.

Caregiver

Full-time

2 days ago

Hourly Caregiver

TLC Care Services Pāhoa, HI

$18 - $20 / hour

Caregiver

Full-time

2 days ago

Live-in Caregiver Needed

TLC Care Services Waikoloa Village, HI

$225 - $250 / day

Position: Live-in Caregiver Daily Rate: Non-CNA: $225.00/day CNA: $250.00/day Are you ready to make a meaningful impact in the lives of our cherished elders? We're seeking compassionate individuals like you to become part of our team of live-in caregivers. Our clients are located throughout the entire island, offering you the chance to provide care in beautiful surroundings. Why Choose Us? At Aloha TLC Home Care , we believe in the power of a kind heart and the value of experience. As a live-in caregiver , you'll not only receive a competitive daily rate of $225.00 for Non-CNA and $250.00 for CNA, but you'll also enjoy the satisfaction of knowing you're providing top-notch care to our island's seniors. Your Responsibilities: Provide hands-on care, including medical histories, exams, and treatment plans. Collaborate with fellow healthcare professionals for the best patient outcomes. Empower patients and families with healthcare insights. Maintain accurate patient records to ensure the best care possible. What We Value (Not Required): While not mandatory, these qualities can make you shine: Background in a healthcare field (e.g., nursing, medicine). Experience in healthcare settings. Exceptional communication and people skills. A genuine passion for extraordinary patient care. Your Qualifications: Up-to-date CPR/First Aid Certification. Recent TB test on file. Valid Driver's License and Vehicle Insurance. Residency on the Big Island. Join Our Caring Community: At Aloha TLC Home Care , we prioritize the health and safety of our team members. To ensure this, background checks and TB tests will be conducted post-hiring. Successful candidates must provide a recent TB test, conducted within two weeks following their hiring date. If you're a healthcare professional seeking a fulfilling role in a stunning location, we encourage you to apply now. Send us your resume and a cover letter explaining why you're a perfect match for this position. We're excited to welcome you to our team and embark on this rewarding journey together. Apply today and let's make a difference!

Caregiver

Full-time

3 days ago

Caregiver

TLC Care Services Hawi, HI

$18 - $20 / hour

CNA

Full-time

3 days ago

CNA

TLC Care Services Waikoloa Village, HI

$20 / hour

Outpatient

3 days ago

Nurse Practitioner - Gastroenterology

Kaiser Permanente Honolulu, HI

Job Summary: Provides direct nursing care by utilizing advanced scientific knowledge, nursing theory and skills to assess, plan, and implement appropriate health and nursing care to patients, in addition to performing registered nursing functions. Provides indirect nursing care. Plans, guides, evaluates, and directs nursing care given by other personnel associated with the health care team. Teaches and counsels individuals or groups. Utilizes theories and skills to increase communication and knowledge among all members of health care team. Serves as a consultant and resource of advanced nursing knowledge and skills to those involved directly or indirectly in patient care. Participates in joint and periodic evaluation of services rendered. Essential Responsibilities: Evaluates physical and psychosocial health status of the patient through a comprehensive health history and physical examination, using skills of observation, inspection, palpation, percussion, and auscultation, and using or ordering diagnostic instruments or procedures that are basic to nursing evaluation of physical signs and symptoms. Assesses normal and abnormal findings from history, physical examination, and diagnostic reports. Diagnoses patients health status and health care issues. Oversees and directs nursing, medical and clerical personnel in provision of patient care. Plans, implements, and evaluates care. Consults with patient, support systems, and members of health care team to provide for acute and ongoing health care or referral of patient. Manages plan of care prescribed for patient. Initiates and maintains accurate records, appropriate legal documents, and other health and nursing care reports. Develops individualized teaching plans with patient based on overt and covert health needs. Counsels individuals, families, and groups about health and illness and promotion of health maintenance. Recognizes, develops, and implements professional and community educational programs related to health care. Participates in periodic and joint evaluation of services rendered. Conducts research and analyzes health needs of individuals and populations and designs programs which target at-risk groups and cultural and environmental factors which foster health and prevent illness. Participates in policy analysis and development of new policy initiatives in the area of practice specialty. Contributes to development, maintenance, and change of health care delivery systems to improve quality of health care services and consumer access to services. Incorporates the KP Nursing Vision, Model and Values through out their Nursing Practice. Performs other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.

Caregiver

Full-time

3 days ago

Hourly Caregiver Needed!

TLC Care Services Waimea, HI

$18 - $20 / hour

Telehealth

4 days ago

Staff Nurse - Med /Tele

Kaiser Permanente Honolulu, HI

This position is a Hawaii Nurses and Healthcare Professionals Bargaining Unit represented position. Job Summary: Provides nursing care and services to patients/families. Provides direction to licensed practical nurses (LPNs) and nursing assistive personnel. Delegates nursing care according to legal and regulatory guidelines/statutes and organizational policies. Utilizes reasonable judgment in carrying out prescribed medical orders of a practitioner. Functions as primary nurse/total patient caregiver. Serves as resource nurse. Acts as preceptor and takes charge duties as assigned. Essential Responsibilities: Practices professional nursing and delegates nursing tasks to nursing assistive personnel and provides direction to the LPN as appropriate. Utilizes nursing process to deliver care. Performs any nursing task requiring nursing knowledge, judgment, and skill. Administers medications. Teaches LPNs and nursing assistive personnel special tasks of nursing care. Verifies staff competency to perform special tasks of nursing care as appropriate. Is responsible and accountable for quality of nursing rendered and adequacy of nursing care provided when special tasks are delegated to nursing assistive personnel. Functions as primary nurse/total patient caregiver. Serves as resource nurse and acts as preceptor. Takes charge duties as assigned. Incorporates the KP Vision, Model and Values through out their Nursing Practice. Performs administrative and other duties and accepts responsibility as assigned. May perform patient care to the extent necessary to maintain clinical expertise, competency and licensing necessary to fulfill job responsibilities and to direct the provision of care on the unit.

3 days ago

SNF RN

Ohana Pacific Health Lihue, HI

$48.50 - $50.30 / hour

Are you looking to work for mission driven and passionate warriors like yourself? Looking to grow within an organization? The Company: We are Ohana Pacific Health. We positively impact thousands of lives each year with the "Ohana Experience", an organizational culture based on excellence and genuine care. Hawaii's largest, locally owned post-acute healthcare company. Our vision is to transform how healthcare is provided throughout Hawaii. The Position: We're looking for passionate Registered Nurses to help us with providing professional nursing care to residents following established policies and procedures of the facility. Administers medications/treatments as ordered by the physician and according to policy and procedures. Takes telephone orders from physicians and transcribes orders to new medication administration record, the pre-printed physician order sheet, resident chart, treatment/care plans as appropriate. Maintains & orders appropriate inventory of resident medications and medical stock supplies. Conducts accurate physical assessments of residents, determines their needs and implements appropriate interventions to meet those needs. Performs assessments on admission, transfer and/or discharges. Requirements: Graduate of an accredited school of nursing. Current license as a Registered Nurse in the State of Hawaii required. Experience in geriatrics and current nursing standards of practice preferred. Knowledge of medical terminology and abbreviation required. First Aid and CPR preferred (can be done in-house). The Benefits: Paid Time Off (PTO) & Extended Sick Leave (ESL) benefits Tuition Reimbursement & Scholarship Opportunities Medical/Dental/Vision/401K match Excellent growth and advancement opportunities Mission Driven Ohana & Dedicated Team Culture Competitive pay and benefits Ohana Pacific Health is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, gender, sexual orientation, gender identity, age, physical or mental disability, genetic factors, military/veteran status or other characteristics protected by federal or state law. Learn more: EEO is the Law and EEO is the Law Supplement. Ohana Pacific Health participates in the E-Verify program in certain locations as required by law. Learn more at: E-Verify Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process can contact our Talent Acquisitions team.

Full-time

4 days ago

Registered Nurse - Perioperative Services

Hawai'i Pacific Health Aiea, HI

$56.36 - $75.15 / hour

With 118 beds and more than 400 physicians on its medical staff, Pali Momi Medical Center offers a full range of services for the communities of Central and West O'ahu. The hospital has delivered many medical firsts for the community, including Central and West O'ahu’s only interventional cardiac catheterization unit to detect and treat heart disease, a fully integrated minimally invasive surgical suite, a comprehensive women’s center, CT scan and MRI services, and the state’s first retina center. Pali Momi is the only facility in Hawai'i that uses a team triage approach in its emergency room, where patients are promptly evaluated by an emergency physician. Our Perioperative Services department provides full support throughout the duration of a patient's surgical procedure, spanning ward admission, anesthesia, surgery and recovery. Professional care services include identification of the patient’s individual needs, patient care plan development and implementation and the coordination of nursing service to restore each patient’s health before, during and after a surgical procedure. As a Registered Nurse in our Perioperative Services department, you will have the opportunity to provide professional and compassionate nursing services through the assessment, planning, implementation, evaluation and documentation of patient care. You will also function as an associate to a charge nurse and begin to assume charge nurse responsibilities with time. We are looking for someone with excellent patient care and communication skills and a commitment to delivering the highest quality health care to Hawai‘i’s people. Location: Pali Momi Medical Center Work Schedule: Day/Evening - 12 Hours Work Type: Full Time Regular FTE: 0.900000 Bargaining Unit: Non-Bargaining Exempt: No Req ID 34193 Pay Range: 56.36 - 75.15 USD per hour Category: Nursing Minimum Qualifications: Current Hawai‘i Registered Nurse License. Current American Heart Association Health Care Provider Basic Life Support (BLS) CPR cards. One (1) year recent acute care Registered Nurse experience in Operating Room. Preferred Qualifications: Bachelor’s degree in Nursing or related field. Two (2) years recent Registered Nurse experience in the Operating Room. Certified Nurse Operating Room (CNOR) and three (3) to five (5) years in Operating Room scrub and circulating experience. Current American Heart Association Pediatrics Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) CPR cards. EOE/AA/Disabled/Vets Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.

Caregiver

Full-time

4 days ago

Caregiver

TLC Care Services Waikoloa Beach Resort, HI

$18 - $20 / hour

Caregiver

Full-time

4 days ago

Caregiver

TLC Care Services Waikoloa Village, HI

$18 - $20 / hour

Hawaii has more to offer nursing professionals than just beautiful beaches, a rich culture, and surfing. The Aloha State is also the second highest-paying state for RNs in the country, right behind California, and healthcare practitioners are the seventh largest occupation title in the state. So if you’re in search of nursing jobs in Hawaii, know that there’s plenty of opportunity here. Take a look at what else you’ll find both on the job and off.

Quick Facts About Hawaii Nursing Jobs

Does Hawaii belong to the Nurse Licensure Compact? No. You will have to become licensed to work as a nursing professional in Hawaii.
How much do nurses make in Hawaii? The average annual salary for nurse jobs in Hawaii depends on your license/certification:
- NP salary in Hawaii: $132,610
- RN salary in Hawaii: $119,710
- LPN salary in Hawaii: $62,020
- CNA salary in Hawaii: $44,990
Where can I learn more about Hawaii requirements for nurse licenses? Check out the Hawaii Board of Nursing for the latest information regarding applications, renewals, verifications, and more. If your license is about to expire, explore our three-step guide to Hawaii nursing license renewal.
What are the most populous cities in Hawaii? The top five Hawaii cities by population are:
- Honolulu
- East Honolulu
- Hilo
- Pearl City
- Kailua

What to Know When Pursuing Nursing Jobs in Hawaii

More than 1.4 million people live in the Aloha State, and more than 9 million visitors come here every year. Whether you’re caring for residents or vacationers, you’ll be kept busy, which is excellent news for job seekers. To streamline your search, explore jobs by your license type:

Choose full-time, part-time, contract, temporary, or per diem employment, or you could even decide on travel nurse jobs — Hawaii has options.

In terms of your patient base in Hawaii, the median age of residents is around 40, and people ages 65 and over make up just over 21% of the population. There are roughly equal numbers of women and men, and 51% of people are married. Around 33.5% of married couples have children, while 14% have children but are not married. Additionally, Hawaii is home to more than 250,000 military personnel and their families.

Want to stand out from the competition? Be sure cultural competence is part of your skill set when pursuing nursing jobs — Hawaii is a diverse state. An estimated 37% of Hawaiians are Asian, 22% are White, 19% are two or more races, 10% are Hispanic or Latino, 9% are Pacific Islander, and about 2% are Black. If you’re bilingual, be sure to call it out on your resume and during your job interview, as it could help you communicate with patients who are more comfortable speaking a language other than English.

Working in Hawaii

Public schools are the largest industry in Hawaii, followed by computer manufacturing, hotels and motels, health and medical insurance, and warehouse clubs and supercenters. Wondering what leading acute care employers are on the islands? Some of the hospitals and medical systems in Hawaii include:

Adventist Health Castle
Hawaii Pacific Health
Hawaii State Medical Center
Kaiser Permanente Moanalua Medical Center
Kona Community Hospital (Hawaii Health Systems)
Queen's Medical Center

There are also a number of rural health clinics and community health resources that need nursing professionals like you. If you prefer to focus your search for post-acute nurse jobs in Hawaii, you’ll have no trouble finding assisted living facilities and skilled nursing facilities that are hiring. Consider exploring roles in these centers:

So what would a commute look like if you were living on one of the islands? It takes just over 27 minutes for Hawaiians to get to work, which is marginally longer than the national average. The majority of residents (67%) drive solo to work, 14% carpool, and almost 7% take mass transit.

You may be wondering where to send your kids while you’re working. The Hawaii Department of Education offers a variety of Out-of-School Time (OST) programs for working families. But what about your pets? Don’t worry. Hawaii has lots of pet sitters who can take good care of your dogs and cats. They might even see more beach time than you do!

Living in Hawaii

If you love nature and the great outdoors, there are few states that can compete with Hawaii, which is the only U.S. state that is entirely composed of islands. The eight major islands by population are:

Oahu
Hawaii (aka The Big Island)
Maui
Kauai
Molokai
Lanai
Niihau
Kahoolawe

Whether you prefer to surf, hike, paddle board, kayak, mountain bike, swim, or just go for walks, Hawaii offers near-perfect backdrops year-round. Haleakalā National Park (Maui) and Hawaii Volcanoes National Park (Big Island) are two of the many destinations that offer sights and terrain you simply can’t find anywhere else in the country.

To appreciate the culture and heritage of Hawaii and the Pacific Islands, explore the Bishop Museum, established in 1889 to honor Princess Bernice Pauahi Bishop of the Kamehameha royal family. From oil paintings to model canoes to contemporary murals, the museum features millions of objects and is among the world’s most expansive natural history specimen collections.

When it comes time to eat, Hawaii offers much more than the poke bowls for which it has become renowned. If you live here, chances are Spam musubi, loco moco, lau lau, and shaved ice are the dishes you hold dear. Looking to dine out? You’ve got your choice from fine dining to food trucks and everything in between.

Because of the micro-environments found at varying elevations on the islands, the weather can be quite diverse. That said, there are really only two seasons in Hawaii: summer (May through October) and winter (November through April). In the summer, the daytime average reaches 85 degrees; in the winter, it’s around 78 degrees.

Thanks to the fantastic weather and culture, island life isn’t cheap. Hawaii’s cost of living index is around 193.3 (based on a national average index of 100). The average price of a home in Honolulu is nearly $800,000 and a one-bedroom rental is around $2,175 per month. To take some of the edge off, remember that an RN’s paycheck in the state averages six figures.

Find Great Nursing Jobs in Hawaii on Credenza

Want to find the best-fitting NP, RN, LPN, and CNA jobs? We can help. Find out how Credenza can match you with nursing jobs in your preferred specialty and facility type.