Nursing Jobs in Indiana, PA

Job Summary The RN assesses, plans, implements and evaluates the care for a designated group of patients. The RN coordinates, directs and actively participates as an effective member of the interdisciplinary health care team, contributing to the efficient operation of the unit and promoting positive patient outcomes. Essential Job Functions Maintain professional and technical knowledge by attending education workshops, review professional publications, establish personal networks, and participate in professional societies. Assure quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards, making or recommending necessary adjustments, and following system/hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Protect patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Document patient care services by charting in patient and department records. Maintain continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs using Nurse Knowledge Exchange techniques. Maintain patient confidence and protects operations by keeping information confidential. Identify patient care requirements by establishing personal rapport with potential and actual patients, and other persons in a position to understand care requirements. Establish a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promote patient's independence by establishing patient care goals, teaching patient/family to understand condition, medications, and self-care skills, and answering questions. Maintain safe and clean working environment by complying with procedures, rules and regulations; calling for assistance from health care support personnel. Resolve patient problems and needs by utilizing multidisciplinary team strategies. Maintain a cooperative relationship among health care teams by communicating information, responding to requests, building rapport, and participating in team continuous quality improvement and problem-solving methods. Contribute to team effort by accomplishing related results as needed. Ensure operation of equipment by completing preventive maintenance requirements by following manufacturer's instructions, troubleshooting malfunctions, calling for repairs, maintaining equipment inventories, and evaluating new equipment and techniques. Maintain nursing supplies inventory by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and using equipment and supplies as needed to accomplish job results. The Registered Nurse provides direct oversight of the GN, LPN, Technical Partner, ALS Technician, Nurse Extern and Unit Clerks. This oversight includes the Registered Nurse conducting the initial comprehensive assessment and interpreting the assessment to initiate the interprofessional plan of care. This oversight includes supervision of the delegation of duties that are within the scope and capability of the care team supervised. Other related duties as assigned. Specialty Job Functions Demonstrates the ability to interpret and treat arrhythmias. Reviews rhythm strips. Demonstrates appropriate treatment of arrhythmia. Utilizes appropriate protocols for administration of drugs for treatment of arrhythmias. Required Qualifications Graduate of an accredited Nursing Program required. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. A Nursing refresher course may be required if employee hasn’t worked in an acute care setting for his / her most recent three consecutive years of professional employment. Preferred Qualifications One (1) year medical-surgical, PCU or critical care experience. Bachelor’s Degree in Nursing (BSN). License, Certification & Clearances Current licensure to practice as a Registered Nurse in the State of Pennsylvania required. Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required. Act 33 with renewal Act 34 with renewal Act 73 FBI Clearance with renewal Current ACLS or completion within one (1) year of hire/transfer date into department. Current NIH Stroke Scale or completion within six (6) months of hire/transfer into department. Supervisory Responsibilities This position has no direct supervisory responsibilities, but may serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. Work Environment : Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat x Extreme Cold x Heights x Confined Spaces x Extreme Noise(>85dB) x Mechanical Hazards x Use of Vibrating Tools x Operates Vehicle (Company) x Operates Heavy Equipment x Use of Lifting/Transfer Devices x x Rotates All Shifts x x 8 Hours Shifts x x 10-12 Hours Shifts x x On-Call x x Overtime(+8/hrs/shift; 40/hrs/wk) x x Travel Between Sites x Direct Patient Care x x Respirator Protective Equipment x x Eye Protection x x Head Protection (hard hat) x Hearing Protection x Hand Protection x x Feet, Toe Protection x Body Protection x x Latex Exposure x x Solvent Exposure x Paint (direct use) Exposure x Dust (sanding) Exposure x Ethylene Oxide Exposure x Cytotoxic (Chemo) Exposure Chemo Units Chemo Units X all other Blood/Body Fluid Exposure x x Chemicals (direct use) Exposure x x Mist Exposure x Wax Stripper (direct use) x Non-Ionizing Radiation Exposure x Ionizing Radiation Exposure x Laser Exposure x Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) x x Sitting x x Walking x x Climbing Stairs x x Climbing Ladders x Standing x x Kneeling x x Squatting (Crouching) x x Twisting/Turning x x Keyboard/Computer Operation x x Gross Grasp x x Fine Finger Manipulation x x Hand/Arm Coordination x x Pushing/Pulling(lbs. of force) x 10# 50# Carry x 25# Transfer/Push/Pull Patients x x Seeing Near w/Acuity x x Feeling (Sensation) x x Color Vision x x Hearing Clearly x x Pulling/Pushing Objects Overhead x x Reaching Above Shoulder Level x x Reaching Forward x x Lifting Floor to Knuckle x 10# Lifting Seat Pan to Knuckle x 50# Lifting Knuckle to Shoulder x 20# Lifting Shoulder to Overhead x 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. 
Essential Job Functions Deliver direct and indirect patient care in accordance with hospital policies, procedures, protocols and standards of care. Perform and/or assist with patient care needs as directed and assists patient with activities of daily living. Respond to call lights, inquiries and requests from patients and families in a timely manner. Collect, document and report ongoing patient care data as directed. Measure and/or document intake and output, including drainage and obtains daily weights when indicated. Obtain individual patient care equipment as directed. Transport patients as directed. May perform the following skills: obtain vital signs, apply heating pads, set up suction equipment, utilize E cylinders, apply antiembolic hose, aseptic techniques, distribute and maintain sufficient supply of linens, apply Sequential Compression Devices, perform blood glucose testing, perform ostomy care, simple dressing changes, apply telemetry leads, bladder scanning, preventative skin care. Apply pulse oximetry, urinary catheter care, transport blood and blood products from blood bank, perform EKGs, oral pharyngeal suctioning, place patient in CPM machine, prepare and maintain isolation boxes and supplies, declutter patient rooms and storage areas, deliver specimens to lab, crutch measurement and teaching, maintenance of specialty carts, supply inventory and special order supplies, stock warmers with blankets, saline, and water. Make regular rounds to address patient needs and physical environment - purposeful hourly rounding, Assist in the educational process to promote and maintain health, foster self-care, and improve outcomes. Obtain resources as needed. Report to the RN/LPN information regarding the patient's readiness to learn. Maintain a collaborative relationship with other health care providers to achieve desired outcomes and assure continuous flow of patient care. Communicate pertinent information of actual/potential problems to the professional/practical nurse. Communicate pertinent information at shift reports and during internal and external transfers. Participate in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assist in data collection process as requested. Recommend modifications for performance improvement. Demonstrate leadership by utilizing the behaviors inherent to the role of the technical partner. Demonstrate an ability to solve problems utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Effectively function as a resource person. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Assist in maintaining/decreasing organizational/departmental costs. Assist in the department's compliance with state, Joint Commission, OSHA and other regulatory agencies. Assist in continuous survey readiness for inspections and surveys. Adhere to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist with maintaining sufficient and proper supplies on an assigned unit. Assist with monitoring sterile supplies for expiration date and replaces as needed. Provide for patient safety in compliance with hospital and nursing department policies. Utilize two forms of patient identification before implementing any form of patient care. Assume appropriate code team role during code situations or mock codes. Respond effectively during emergency situations, including internal and external disasters. Assist in maintaining a safe and clean environment for patients, visitors and staff. Complete proper collection, identification, labeling and delivery of specimens (including diagnostic studies) to the appropriate department. Support limited use of restraints in accordance with established standards and documents according to policies. Other duties as assigned. Required Qualifications High School Diploma, GED or higher level of education. Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Completion of a Nurse Aide or comparable program (such as EMT, Medical Assistant, nursing student with at least one semester of clinical or prior experience in related field. Computer skills, Phlebotomy, EKG experience. License, Certification & Clearances Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required or obtain within orientation period (five (5) days from hire). Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 10# 20# 50# 50# Carry X 10# 10# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 10# Lifting Seat Pan to Knuckle X 50# 50# Lifting Knuckle to Shoulder X 10# 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. 
Position Summary: Promotes a professional practice image by the efficient performance of a variety of clerical and clinical related tasks designed to facilitate the smooth flow of patients and work throughout the organization. Assist the physicians with the examination and treatment of patients and perform routine tasks needed to keep the clinical office and clerical office running smoothly. Job Responsibilities: Clinical Duties Greets patients and escorts them to the examination and/or procedure rooms. Takes vital signs (height, weight, and blood pressure) at each visit and accurately transcribe results in patient’s chart. Update patient history and documentation of tobacco use, allergies, medications and immunizations. Removes, dressings and staples as required, prepares patient for examination, test(s) or procedure(s). Prepare and assists provider with examinations and procedures including appropriate room set up as needed. Obtains necessary signed consent and correctly completes ABN form when needed. Performs point of care lab testing and patient treatment as ordered by provider. Reports and records results accurately in the medical record. Follows all procedures to maintain compliance with regulatory requirements. Maintains and re-stocks clinical supplies for back office. Organizes and keeps a running inventory of medications in med rooms and refrigerator (routinely disposing of expired medications as warranted). Maintains daily logs of refrigerator temperatures, performs quality controls within the specified time frame. Cleans and scrubs down rooms and counter tops nightly and when necessary. Prepares and cleans non disposable equipment/instruments for sterilization. Adheres to OSHA guidelines. Reviews charts for next day appointment; checks for pending lab or diagnostic test results at the end of each business day; obtains said results prior to the patient’s scheduled arrival. Completes physician orders for ancillary tests, surgeries or specialist referrals ordered and scheduled as directed. Obtains necessary insurance authorizations. Documents all pertinent patient information into the electronic medical record. Travels to other IHPS offices when needed to cover clinical/clerical when requested. Performs any other services deemed reasonable by physician or practice manager. Clerical Duties Schedules and manages appointments. Routinely updates patient information: change of address, phone numbers, insurance or person to notify. Registration to include patient’s preferred pharmacy, race, ethnic background and preferred communication. Verifies medical insurance eligibility on each patient prior to or upon check in. Collects co-pays, payments from patients and provides receipt to every patient; maintains payment log, balances at end of day, correctly enters credit card payments through Emdeon, and prepares deposit slip daily. Reviews charges on encounter form for accuracy and correctly enters into computer system. Retrieves messages from answering service/machine/voicemail each morning, right after lunch and throughout the workday. Answers telephone within three rings, screens and directs incoming calls and messages to the appropriate party, answers patient inquiries either in person or on the telephone within the limits of his/her knowledge and medical practice polices. Documents pertinent information given or received in patient’s medical record. Maintains all patient information using the electronic health record to include but not limited to orders, scanning, tasking, and prescription refill requests. Schedules patient appointments according to office policy. Follows confidentiality and security rules when providing information to outside sources. Qualifications: Experience and Education: Completion of accredited medical assistant program or a multi-tasked professional with at least two years of experience, preferred in performing front and back office activities in a medical environment. Current CPR certification. Knowledge: Basic medical front and back office procedures and medical terminology; first aid measure; equipment, supplies and instruments used in a medical office; simple routine clinical laboratory methods; universal blood and body fluid precautions; OSHA rules and regulations; established protocol for storing poisons, narcotics, acids, caustics and flammable items, restrictions imposed by various managed care carriers, various forms inherent to profession; patient confidentiality regulations, usage of computer systems, insurance authorizations, referrals, and billing processes. Abilities: Establish and maintain cooperative relationships with staff members; create a responsive caring environment for patients; respond promptly to physician’s directions; maintain medical records in a concise and accurate manner; employ correct aseptic techniques in preparation of instruments & equipment; react quickly in emergency situations; recognize and prevent possible safety hazards; ensure proper maintenance of equipment; communicate clearly and facilitate patient education when warranted; act as advocate and assist physician in meeting the physical and mental needs of patient; exercise independent judgment; perform functions that consistently fall within the legal boundaries of profession. The IRMC Physician Group is proud to maintain a great work-life balance & company culture, competitive salary & benefits, and career advancement opportunities. 
Seeking Compassionate RNs! Join Our Dynamic Healthcare Team Today! Flagstar Nursing is currently looking for dedicated, highly motivated RNs to join our team! Hourly Pay Rate: $46 Some Highlights: Supportive and collaborative work environment Guaranteed hours (no cancellations) Ability to diversify your skills and experience Variety of shifts available Holiday Pay Registered Nurses (RNs) will enjoy: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Opportunity to earn PTO · Lucrative Referral Bonuses RN/Registered Nurse Requirements: · Currently holds an active RN License to work in Pennsylvania. · CPR/BLS Certified · Meets all State and Federal requirements for US employment in a Nursing Facility · Ability to communicate effectively. · Strong patient assessment skills and demonstrated clinical competency. · Reliable transportation to worksite location Alternate weekend availability required. Join Our Dedicated Team Today! 
Seeking Compassionate LPNs! Join Our Dynamic Healthcare Team Today! Flagstar Nursing is currently looking for dedicated, highly motivated LPNs to join our team! Hourly Pay Rate: $38 Licensed Practical Nurses (LPNs) will enjoy: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Opportunity to earn PTO · Lucrative Referral Bonuses LPN/Licensed Practical Nurse Requirements: · Currently holds an active LPN License to work in Pennsylvania. · CPR/BLS Certified · Meets all State and Federal requirements for US employment in a Nursing Facility · Ability to communicate effectively. · Strong patient assessment skills and demonstrated clinical competency. · Reliable transportation to worksite location Alternate weekend availability required. Join Our Dedicated Team Today! 
Registered Nurse (RN) - Vascular Surgery (CPG) Job Type: Full-time | Monday - Friday, daylight. No holidays/no weekends. Your experience matters Conemaugh Physicians Group is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN) joining our team, you're embracing a vital mission dedicated to making communities healthier ® . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. More about our team Our busy, collaborative cardiology practice includes 6 physicians and 6 advanced practice providers, delivering high-quality, patient-centered care in a fast-paced environment. In this role, you'll support clinical operations by managing patient communications (nurse line and MyChart), coordinating procedures such as cardiac catheterizations and TEEs, refilling medications, assisting with minor wound care, and placing physician orders. You'll also partner closely with the Cath Lab to coordinate procedures and maintain scheduling. We offer a strong work-life balance with a consistent Monday-Friday, 8:00 AM - 4:00 PM schedule-no evenings, weekends, or holidays, totaling 37.5 hours per week. How you'll contribute A Registered Nurse (RN) who excels in this role: Evaluates, plans and administers nursing care to patients in office settings as ordered by physicians Demonstrated knowledge of venipuncture, injections and phlebotomy Under direction of physician performs nursing assessment. EKGs, holter monitors or administers IV meds as ordered Provides prescribed medication or treatment and helps physician during exams/treatment Reports patient status, refers problems when necessary and anticipates situations that prevent/minimize adverse outcomes or less than optimal outcomes Monitors and records patient condition and outcomes and notifies physician when appropriate Maintains advanced clinical cardiovascular skills. Collaborate with other disciplines to achieve outcome. Works with Medical Director of clinic to establish goals to achieve desired outcomes; implements plan of care and evaluates patient response. Demonstrates flexibility, adaptability and ability to change in a dynamic environment Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits : Multiple levels of medical, dental and vision coverage for full-time and part-time employees . Financial Protection & PTO : Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth : Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being : Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development : Ongoing learning and career advancement opportunities. What we're looking for Applicants should have a current state RN license and graduate of an accredited nursing school. Additional requirements include: Minimum of three years' experience Experience in acute cardiac care preferred BCLS and ACLS (within one year) More about Conemaugh Physicians Group The medical group at Conemaugh Physicians Group is a team of established professionals at different practices in Johnstown and the surrounding area. The group has grown significantly in the past several years and continues to expand to meet local healthcare needs. Each practice is proud to offer top quality, comprehensive health care in a compassionate environment - close to home. We are committed to getting to know each patient as an individual in order to create a partnership in care designed around your specific needs. EEOC Statement " Conemaugh Physicians Group is an Equal Opportunity Employer. Conemaugh Physicians Group is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. Seeking Compassionate CNAs! Join Our Dynamic Healthcare Team Today! Hourly Pay Rate: $23-$25 Certified Nurse Aides (CNAs) will enjoy: · Flexible Scheduling! (Days, Evenings, Nights, and Weekends available!) · Competitive Weekly Pay with Direct Deposit · Dedicated Office staff & 24-hour On-call Service · Positive Work Environment · Medical, dental, vision, and other insurance options available · Opportunity to earn PTO · Lucrative Referral Bonuses CNA/ Certified Nurse Aide Requirements: · Currently holds an active CNA License to work in Pennsylvania. · Meets all State and Federal requirements for US employment in a Nursing Facility · Ability to communicate effectively. · Reliable transportation to worksite location Alternate weekend availability required. Join Our Dedicated Team Today! 
NOW HIRING: CERTIFIED NURSING ASSISTANTS (CNAs) for small, rural Skilled Nursing Facility in Indiana, PA Join a team that values compassion, teamwork, and providing exceptional care to our residents in a warm, home-like environment. Must be Certified in Pennsylvania. Get Paid Daily with TapCheck – access your earnings anytime ALL Shifts Currently Available 8hr or 12hr Shifts, rotating weekends and holidays Pay Rate - Based on years of experience + Shift Differential What You’ll Do: • Provide direct care to residents, including assistance with daily activities • Support residents with mobility, hygiene, and comfort • Work closely with nurses and the care team to ensure quality care • Create a positive, respectful environment for residents and families What We Offer: • TapCheck – Daily Pay Available • Medical, Dental & Vision Coverage • Additional Benefits through Colonial Life • 401(k) Program • Employee Referral Bonuses • Supportive team environment • Opportunities for growth and advancement If you’re a dedicated CNA looking to make a difference every day, we’d love to have you on our team! 
NOW HIRING! RN Supervisor for small, rural Skilled Nursing Facility in Indiana, PA SIGN-ON BONUS AVAILABLE Join a team that is committed to quality care, teamwork, and creating a supportive, home-like environment for our residents and staff. 8hr or 12hr Available Shifts: 2:00 PM – 10:30 PM 2:00 PM – 2:00 AM Full-Time Pay Rate Based on Years of Experience + Shift Differential What You’ll Do: • Provide direct nursing care to residents in accordance with care plans • Administer medications and treatments • Supervise and support CNAs and nursing staff • Communicate effectively with residents, families, and interdisciplinary team members • Ensure compliance with all regulatory and facility standards What We Offer: • Sign-On Bonus • Medical, Dental & Vision Coverage • Additional Benefits through Colonial Life • 401(k) Program • TapCheck – Daily Pay Available • Employee Referral Bonuses • Supportive team environment • Opportunities for growth and advancement If you’re a dedicated RN looking for a rewarding opportunity, we’d love to have you join our team! 
Licensed Practical Nurse (LPN) - Internal Medicine (CPG) Job Type: Full-time | Monday - Friday, daylight. No holidays/no weekends. Your experience matters Conemaugh Physicians Group is part of Lifepoint Health , a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Licensed Practical Nurse (LPN) joining our team, you're embracing a vital mission dedicated to making communities healthier ® . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. More about our team Our Internal Medicine Residency Clinic is a collaborative and patient-focused environment dedicated to delivering exceptional care while supporting the education and development of future physicians. Our team consists of 25 Internal Medicine residents, five experienced faculty physicians, two Licensed Practical Nurses (LPNs), and two Medical Office Assistants, all working together to provide high-quality care to our patients. This position offers the opportunity to work closely with another LPN, sharing responsibilities, supporting one another, and providing coverage during vacations and other time away from the clinic. You will also collaborate daily with our front desk Medical Office Assistants to ensure patients receive timely, coordinated, and compassionate care. We foster a culture built on teamwork, respect, continuous learning, and professional growth, where every team member is valued and empowered to make a meaningful impact. As a residency program, our clinic provides a dynamic and engaging environment where you can contribute to the development of future healthcare providers while expanding your own skills and knowledge. This is a Monday through Friday daylight position, with typical hours of 8:00 a.m. to 4:00 p.m. While the schedule is generally consistent, there may be occasional days that extend beyond 4:00 p.m. to ensure all patients receive the care they need before the clinic closes. If you are passionate about patient care, enjoy working as part of a close-knit healthcare team, and thrive in a teaching and learning environment, we encourage you to apply and join our team. How you'll contribute A Licensed Practical Nurse (LPN) who excels in this role: Assists medical staff in carrying out plans for care of patients. Determines nursing care needs of the patient. Develops implements and updates nursing care plans in an outpatient setting. Coordinates and orients new nursing personnel with regards to office set-up, requirements, associated activities and procedures. Coordinates special activities with the hospital i.e. direct admissions from the office or any other unique requirements. Handles patient telephone inquiries. Telephones prescription order to pharmacy, as needed. Enters complete and accurate information into an electronic medical record. Transcribes lab and other medical data into the EMR, as needed. Performs phlebotomy and on-site laboratory tests. Performs laboratory maintenance. Performs special tests, i.e. audiometry, eye tests, pulmonary functions and EKG's Inventory and order medical supplies, as needed. Orients Medical Students and Residents to office protocol and procedures. Trains new staff Pre-visit planning Assist practice manger in holding the daily huddles Self management Tracks all orders, labs, and referrals for the patient Administer CPR Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Applicants should have a current (single-state or compact) LPN license and graduate of an of a program for licensed practical nurses. Additional requirements include: One year in a physician office setting. More about Conemaugh Physicians Group The medical group at Conemaugh Physicians Group is a team of established professionals at different practices in Johnstown and the surrounding area. The group has grown significantly in the past several years and continues to expand to meet local healthcare needs. Each practice is proud to offer top quality, comprehensive health care in a compassionate environment - close to home. We are committed to getting to know each patient as an individual in order to create a partnership in care designed around your specific needs. EEOC Statement " Conemaugh Physicians Group is an Equal Opportunity Employer. Conemaugh Physicians Group is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. 
Position Summary: Promotes a professional practice image by the efficient performance of a variety of clerical and clinical related tasks designed to facilitate the smooth flow of patients and work throughout the organization. Assist the physicians with the examination and treatment of patients and perform routine tasks needed to keep the clinical office and clerical office running smoothly. Job Responsibilities: Clinical Duties Greets patients and escorts them to the examination and/or procedure rooms. Takes vital signs (height, weight, and blood pressure) at each visit and accurately transcribe results in patient’s chart. Update patient history and documentation of tobacco use, allergies, medications and immunizations. Removes, dressings and staples as required, prepares patient for examination, test(s) or procedure(s). Prepare and assists provider with examinations and procedures including appropriate room set up as needed. Obtains necessary signed consent and correctly completes ABN form when needed. Performs point of care lab testing and patient treatment as ordered by provider. Reports and records results accurately in the medical record. Follows all procedures to maintain compliance with regulatory requirements. Maintains and re-stocks clinical supplies for back office. Organizes and keeps a running inventory of medications in med rooms and refrigerator (routinely disposing of expired medications as warranted). Maintains daily logs of refrigerator temperatures, performs quality controls within the specified time frame. Cleans and scrubs down rooms and counter tops nightly and when necessary. Prepares and cleans non disposable equipment/instruments for sterilization. Adheres to OSHA guidelines. Reviews charts for next day appointment; checks for pending lab or diagnostic test results at the end of each business day; obtains said results prior to the patient’s scheduled arrival. Completes physician orders for ancillary tests, surgeries or specialist referrals ordered and scheduled as directed. Obtains necessary insurance authorizations. Documents all pertinent patient information into the electronic medical record. Travels to other IHPS offices when needed to cover clinical/clerical when requested. Performs any other services deemed reasonable by physician or practice manager. Clerical Duties Schedules and manages appointments. Routinely updates patient information: change of address, phone numbers, insurance or person to notify. Registration to include patient’s preferred pharmacy, race, ethnic background and preferred communication. Verifies medical insurance eligibility on each patient prior to or upon check in. Collects co-pays, payments from patients and provides receipt to every patient; maintains payment log, balances at end of day, correctly enters credit card payments through Emdeon, and prepares deposit slip daily. Reviews charges on encounter form for accuracy and correctly enters into computer system. Retrieves messages from answering service/machine/voicemail each morning, right after lunch and throughout the workday. Answers telephone within three rings, screens and directs incoming calls and messages to the appropriate party, answers patient inquiries either in person or on the telephone within the limits of his/her knowledge and medical practice polices. Documents pertinent information given or received in patient’s medical record. Maintains all patient information using the electronic health record to include but not limited to orders, scanning, tasking, and prescription refill requests. Schedules patient appointments according to office policy. Follows confidentiality and security rules when providing information to outside sources. Qualifications: Experience and Education: Completion of accredited medical assistant program or a multi-tasked professional with at least two years of experience, preferred in performing front and back office activities in a medical environment. Current CPR certification. Knowledge: Basic medical front and back office procedures and medical terminology; first aid measure; equipment, supplies and instruments used in a medical office; simple routine clinical laboratory methods; universal blood and body fluid precautions; OSHA rules and regulations; established protocol for storing poisons, narcotics, acids, caustics and flammable items, restrictions imposed by various managed care carriers, various forms inherent to profession; patient confidentiality regulations, usage of computer systems, insurance authorizations, referrals, and billing processes. Abilities: Establish and maintain cooperative relationships with staff members; create a responsive caring environment for patients; respond promptly to physician’s directions; maintain medical records in a concise and accurate manner; employ correct aseptic techniques in preparation of instruments & equipment; react quickly in emergency situations; recognize and prevent possible safety hazards; ensure proper maintenance of equipment; communicate clearly and facilitate patient education when warranted; act as advocate and assist physician in meeting the physical and mental needs of patient; exercise independent judgment; perform functions that consistently fall within the legal boundaries of profession. The IRMC Physician Group is proud to maintain a great work-life balance & company culture, competitive salary & benefits, and career advancement opportunities. 
Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness. Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Part and Full Time Benefits Eligibility Medical, Dental, Vision insurance 401(k) Associate assistance program Employee discounts Referral program Early access to earned wages for hourly associates (outside of CA) Optional voluntary benefits including ID theft protection and pet insurance Full Time Only Benefits Eligibility Paid Time Off Paid holidays Company provided life insurance Adoption benefit Disability (short and long term) Flexible Spending Accounts Health Savings Account Optional life and dependent life insurance Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan Tuition reimbursement Base pay in range will be determined by applicant’s skills and experience. Temporary associates are not benefits eligible but may participate in the company’s 401(k) program. Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply. To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year. The application window is anticipated to close within 30 days of the date of the posting. Assist in maintaining a physical, social and psychological environment in the best interest of residents. Monitor care of residents according to treatment plans prescribed by a physician as well as documenting responses to care plans. Nurses also administer medications, ensure cleanliness and security of medicine supply room and adhere to company systems, procedures and processes. LPN or LVN License Required per state regulations. Brookdale is an equal opportunity employer and a drug-free workplace. 
Company DescriptionDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. In this role you will be responsible for providing assistance to residents in the Assisted Living Program with their activities of daily living, enabling them to lead a quality life while maintaining their dignity.Job DescriptionProvide assistance as needed with medication reminders, bathing, grooming, dressing, escort service, and other activities of daily living.Follow the schedule of resident’s needs set out by supervisor.Provide emotional and social support to residents.Document daily log of assistance.Inform supervisor of any resident issues or concerns.Respect and encourage the independence and dignity of the residents.Respect residents’ confidentiality.Hourly Pay Range: $14-$17.00.QualificationsYou have at least one year of experience working in senior care.Acceptable proficiency in English to perform job duties, communicate with supervisor and other employees, and respond and communicate to emergency situations.You have basic computer skills. You are compassionate, professional, kind, engaging, empathetic and helpful.You have the ability to work as a part of a team and handle multiple tasks safely and efficiently.You possess the ability to make independent decisions when circumstances warrant such action.You have the ability to solve practical problems and deal with variables in high stress situations.You can maintain a positive and friendly demeanor toward the residents and your co-workers.Additional InformationSenior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, marital status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the Company. Please inform the Company’s personnel representative if you need assistance completing any forms or to otherwise participate in the application process. 
Company DescriptionDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. In this role you will be responsible for providing assistance to residents in the Assisted Living Program with their activities of daily living, enabling them to lead a quality life while maintaining their dignity.Job DescriptionProvide assistance as needed with medication reminders, bathing, grooming, dressing, escort service, and other activities of daily living.Follow the schedule of resident’s needs set out by supervisor.Provide emotional and social support to residents.Document daily log of assistance.Inform supervisor of any resident issues or concerns.Respect and encourage the independence and dignity of the residents.Respect residents’ confidentiality.Hourly Pay Range: $14-$17.00.QualificationsYou have at least one year of experience working in senior care.Acceptable proficiency in English to perform job duties, communicate with supervisor and other employees, and respond and communicate to emergency situations.You have basic computer skills. You are compassionate, professional, kind, engaging, empathetic and helpful.You have the ability to work as a part of a team and handle multiple tasks safely and efficiently.You possess the ability to make independent decisions when circumstances warrant such action.You have the ability to solve practical problems and deal with variables in high stress situations.You can maintain a positive and friendly demeanor toward the residents and your co-workers.Additional InformationSenior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, marital status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the Company. Please inform the Company’s personnel representative if you need assistance completing any forms or to otherwise participate in the application process. 
Company DescriptionDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. In this role you will be responsible for providing assistance to residents in the Assisted Living Program with their activities of daily living, enabling them to lead a quality life while maintaining their dignity.Job DescriptionProvide assistance as needed with medication reminders, bathing, grooming, dressing, escort service, and other activities of daily living.Follow the schedule of resident’s needs set out by supervisor.Provide emotional and social support to residents.Document daily log of assistance.Inform supervisor of any resident issues or concerns.Respect and encourage the independence and dignity of the residents.Respect residents’ confidentiality.Hourly Pay Range: $14-$17.00.QualificationsYou have at least one year of experience working in senior care.Acceptable proficiency in English to perform job duties, communicate with supervisor and other employees, and respond and communicate to emergency situations.You have basic computer skills. You are compassionate, professional, kind, engaging, empathetic and helpful.You have the ability to work as a part of a team and handle multiple tasks safely and efficiently.You possess the ability to make independent decisions when circumstances warrant such action.You have the ability to solve practical problems and deal with variables in high stress situations.You can maintain a positive and friendly demeanor toward the residents and your co-workers.Additional InformationSenior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, marital status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the Company. Please inform the Company’s personnel representative if you need assistance completing any forms or to otherwise participate in the application process. 
Company DescriptionDo you have HEART? We are looking for individuals who can embrace our mission to purposely brighten and enrich the lives of those we serve with HEART; Hospitality, Excellence, Appreciation, Respect & Teamwork. In this role you will be responsible for providing assistance to residents in the Assisted Living Program with their activities of daily living, enabling them to lead a quality life while maintaining their dignity.Job DescriptionProvide assistance as needed with medication reminders, bathing, grooming, dressing, escort service, and other activities of daily living.Follow the schedule of resident’s needs set out by supervisor.Provide emotional and social support to residents.Document daily log of assistance.Inform supervisor of any resident issues or concerns.Respect and encourage the independence and dignity of the residents.Respect residents’ confidentiality.Hourly Pay Range: $14-$17.00.QualificationsYou have at least one year of experience working in senior care.Acceptable proficiency in English to perform job duties, communicate with supervisor and other employees, and respond and communicate to emergency situations.You have basic computer skills. You are compassionate, professional, kind, engaging, empathetic and helpful.You have the ability to work as a part of a team and handle multiple tasks safely and efficiently.You possess the ability to make independent decisions when circumstances warrant such action.You have the ability to solve practical problems and deal with variables in high stress situations.You can maintain a positive and friendly demeanor toward the residents and your co-workers.Additional InformationSenior Lifestyle offers a comprehensive benefits plan to eligible team members including health, dental, vision, retirement benefits, short-term disability, long-term disability, and paid time off. All Senior Lifestyle positions are eligible to use DailyPay, an application that allows you to access your earned but unpaid wages before your next payday. We are committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, age, physical or mental disability, veteran or military status, genetic information, sexual orientation, marital status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity and maintain employment statistics on applicants. Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on the Company. Please inform the Company’s personnel representative if you need assistance completing any forms or to otherwise participate in the application process. 
Hillsdale Park Nursing Home is seeking CNAs to join our team. Join a team that is continuously growing and advancing in long term care! Shift Differentials: Earn additional $ evenings and nights all week Comprehensive Health/Dental/Vision Insurance Paid time off (PTO) package and Paid Holidays Opportunities for Career Growth Employee Appreciation Events Supportive Staffing Ratios FUN and Friendly Work Environment - GREAT leadership team! Summary We are looking for compassionate and self-driven CNAs to perform direct resident care under the supervision of liscensed nurses. Our CNAs ensure that resident's personal care needs are being met in accordance with residents' wishes and care plan objectives, as well as promoting a home-like environment for the physical and psychosocial wellbeing of our residents. Essential Duties & Responsibilities: Answers signal lights, bells, or intercom system to determine residents' needs and ensures call lights are within reach of resident. Ensures that residents' who are unable to call for help are checked frequently. Gives direct resident care such as bathing, dressing, and grooming of residents. Explains procedures to residents. Assists residents as necessary in their activities of daily living. Assists residents with bowel and bladder functions, Assists residents in preparation for and transporting to appointments, activities and social programs. Assists with lifting, positioning and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, lifts, etc., in keeping with specific resident safety needs. Provides incontinent care as needed. Dresses resident appropriate to the current weather, Notifies Supervisor if resident needs clothing. Changes bed linens. Handles linens according to infection control guidelines. Feeds residents requiring help and records meal intake. Delivers and documents all snacks and supplements. Offers fluids to residents frequently to ensure that residents are hydrated where designated by care plan. Reviews and implements daily nursing needs as outlined by resident Care Plan or nurse managers. Transports residents or assists residents with mobility needs. Turns and repositions bedfast residents, alone or with assistance. Takes and records temperatures, blood pressure, pulse rates, respiration rates, height, weight, and food and fluid intake and output, as directed. Monitors resident's activities and reports any irregularities of resident performance to nurse managers. Participates in and receives nursing report upon reporting and departing to/from work. Reports all changes in residents' conditions to supervisor. Cleans instruments and equipment and returns to proper area after use. Maintains cleanliness of residents units, central bathing area, treatment and supply rooms, workrooms, and linen closets. Provides post-mortem care as instructed. Accurately records all care as directed. Participates and attends periodic in-services and staff meetings. Understands and adheres to the guidelines of "Residents Rights". Perform additional duties as assigned. EDUCATION / REQUIREMENTS: Ability to communicate with residents and nursing staff. Ability to speak, read, and write English. Prior experience as LTC nursing assistant preferred; or equivalent combination of education and experience. Successful completion of State Approved Nursing Assistant Training and Competency Evaluation Program. Good standing in the state registry is required. 
Registered Nurse (RN) Supervisor Full Time 6p-6a With Generous $8,500Sign-On Bonus Heritage Ridge Senior Living at Johnstown is a newly owned and operated skilled nursing facility, providing clinically sophisticated sub-acute care and rehabilitation, as well as comprehensive nursing care. We are a family friendly 63 bed facility. We take pride in adopting progressive thinking in healthcare models and partnering with the most well regarded medical providers in the area. With extensive leadership experience in the nursing, sub-acute, and rehabilitative field, we have the resources and capabilities to provide the highest quality care through a full range of services. With a well-trained staff, meticulous attention to detail, and a history of operational excellence, it is no surprise that this healthcare facility is consistently rated among the best. Come join our growing team! RN Open Shifts: FT Responsibilities for Registered Nurse (RN) Supervisor: Responsible to supervise nurses and aides for Long Term Care facility Must be willing to work as supervisor and assisting with med carts Work with the facility's Director of Nurses and Assistant and implement recommended changes as required See residents and monitor resident care and report changes to the Director of Nursing (DON) Assess newly admitted or readmitted residents and document in the 24 - hour report. Follow up on residents as needed Monitor nursing staff to ensure proper documentation on MARs, nurses notes, accident/ incident reports, physician's orders and treatment records Liaison between nursing staff and attending physicians. Assess the necessity of calls to the physicians. Assess the necessity of calls to the physicians during off business hours Checks to see that all supplies are in proper place and all equipment is functioning Requirements for Registered Nurse (RN) Supervisor: Required license or certification for Nursing Supervisor: PA RN Nursing License FT BENEFITS: 401 (K) Dental Insurance Health Insurance Vision Insurance Paid Time Off Sick Time 6 Paid Holidays Every other weekend off Great Scheduling #INDJPA 
Shift: Rotation Job Summary Coordinates the provision of direct patient care according to Nursing Care Standards. The Registered/Graduate Nurse assesses, plans, implements, evaluates, and records patient care in accordance with the medical and nursing plans of care, policies and procedures. Participates in teaching and involves individuals and their families in their health promotion, maintenance, restoration and rehabilitation. Coordinates discharge planning in conjunction with other members of the health team. Directs and assists Licensed Practical Nurses, Nursing Assistants, and Nursing Students in rendering care to patients. Works collaboratively with all members of the patient care team and provides leadership so that standards of professional nursing practice are maintained in the clinical setting. Is able to respond quickly and appropriately to changes in patients’ clinical conditions. Demonstrates ability to function as a charge nurse as assigned. Demonstrates knowledge of the principles of growth and development over the span of life and identifies age specific needs and plans care accordingly. Maintains responsibility and accountability for their individual professional practice and all actions as a licensed nurse for the quality of care delivered. Job Specification Minimum Education Required Must be a graduate of an accredited nursing program. Licensure/Certification Required Must possess current license as a registered nurse in the Commonwealth of Pennsylvania or eligible nurse must pass their nursing boards within 6 months of hire. Must be BLS certified required (or obtain within one month of hire). Skills Must possess nursing knowledge to effectively assess patients to formulate, implement and evaluate plans of care and document completely. Must demonstrate interpersonal skills to effectively communicate with patients, families and other members of the health care team. Must be able to perform the essential functions of this position and complete the established orientation process. Must demonstrate the ability to utilize the hospital computer system. Must demonstrate commitment to service excellence and performance improvement. Shifts Rotation/Casual Requirements 
Overview Dialysis Clinic, Inc. is recruiting top talent interested in supporting our nonprofit mission to prioritize individualized care for patients facing chronic kidney disease. Our mission states, “the care of the patient is our reason for existence,” and our dedicated team embodies our sole purpose during every patient interaction. We seek motivated, compassionate individuals to provide top-notch patient care and offer paid training, competitive pay, outstanding benefits, Sundays off, and a strong culture. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers. A Dialysis Registered Nurse provides specialized nursing care at one of DCI’s in-center hemodialysis units as part of a patient care team. Our RNs are integral in ensuring safe care and the highest quality outcomes are prioritized for every patient. Schedule : Full-time, four 10-hour shifts starting at 5am; Sundays off; no overnight shifts Compensation : Pay ranges from $34-$42 per hour, depending on nursing and dialysis experience Benefits : Paid 12-week training with preceptor Comprehensive medical, dental, and vision benefits Life and long-term disability insurance are provided at no additional expense to the employee Paid time off (PTO), including holidays Extended Sick Bank (ESB) in addition to PTO – paid time for doctor appointments, sickness, or medical leave Retirement plans with $.50 of each contributed dollar matched for eligible employees, up to 8 percent Education reimbursement Employee assistance program Wellness program Among others Responsibilities What You Can Expect: Prepare dialysis machine, its alarms, and treatment supplies and ensure quality standards are met Perform hemodialysis treatments per facility policies and procedures Ongoing patient education, training and health coaching Monitor patients during dialysis, assessing and communicating changes with physician and families Administer and chart all prescribed medications Follow CDC/CMS infection control regulations Participate in patient care conferences, rounds and chart reviews Document required patient education efforts Facilitate continuity of care with local hospitals Assist in medication inventory maintenance Lead a small patient care team Contribute to onboarding new staff members as directed Additional tasks as requested Qualifications Successful Candidates Bring: Excellent communication skills Demonstrated clinical excellence Desire to collaborate with care teams Ability to problem solve Education/Training: Accredited nursing degree required Dialysis experience not required, job shadow opportunities available DCI provides 3-months of comprehensive training, including classroom group sessions and one-on-one skills training New graduates encouraged to apply DCI is committed to building a diverse and inclusive organization. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status. DCI’s Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. DCI invests in our care teams and funds research to further kidney care and treatment options. DCI prioritizes a holistic approach and offers hemodialysis, home dialysis and peritoneal dialysis treatment options. We empower patients to live meaningful and productive lives while also delivering high quality kidney care, saving lives and reducing hospitalizations. Learn more about DCI and see if we’re hiring in a clinic near you! www.dciinc.jobs DCI is a federal contractor and an Equal Opportunity/Affirmative Action Employer-Veterans/Individuals with Disabilities. If you are having difficulty using the online application system or would like to request other accommodations or application methods, please contact Doug Patterson at Accommodations@dciinc.org or 615-327-3061. Once a request has been made, DCI will initiate a discussion with you about your needs and whether an accommodation can be provided. DCI is committed to providing such accommodations where possible. For more information about equal opportunity please see: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf; https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf; https://www.dol.gov/ofccp/pdf/pay-transp_formattedESQA508c.pdf; and https://www.nlrb.gov/sites/default/files/attachments/basic-page/node-3788/employeerightsposter-8-5x11.pdf. Security Roles and Responsibilities can be reviewed at: https://www.dciinc.org/security-roles 
Job Summary: Coordinates the provision of direct patient care according to Nursing Care Standards. The Registered/Graduate Nurse assesses, plans, implements, evaluates, and records patient care in accordance with the medical and nursing plans of care. Participates in teaching and rehabilitation of the patient. Coordinates discharge planning in conjunction with other members of the health team. Directs and assists with the Licensed Practical Nurse, EDT, and Nursing Student in rendering care to patients, works collaboratively with all members of the patient care team and provides leadership so that standards of professional nursing practice are maintained in the clinical setting. Is able to respond quickly and appropriately to changes in patient’s clinical condition. Demonstrates ability to function as a charge nurse as assigned. Demonstrates knowledge of the principles of growth and development over the span of life and identifies age specific needs and plans care accordingly. Assists with the treatment and disposition of Behavioral Health patients. Job Specification Minimum Education Required Must be a graduate of an accredited nursing program. Minimum Experience Required Emergency Room Nursing experience preferred. Licensure/Certification Required Must possess current license as a registered nurse in the State of Pennsylvania or eligible nurse must pass their nursing boards within 6 months of hire. Must be BLS certified required (or obtain within one month of hire). ACLS, Arrhythmia Classes, NIH Stroke Certification required (must be obtained with 6 months of hire) PALS and Critical Care Class preferred. Skills Must possess nursing knowledge to effectively assess patients, formulate patient plan of care, implement and evaluate care and record completely. Must possess interpersonal skills to effectively communicate with patients, family and other members of the health care team. Must possess the necessary abiliti8es to perform the essential functions of this position and complete the established orientation process. Must demonstrate ability to utilize hospital computer system. Must possess understanding and commitment to service excellence and performance improvement. Must demonstrate excellence in the following attributes: Teamwork, flexibility and adaptability, positive attitude and accountability. Shifts: Rotation 
Essential Job Functions Deliver direct and indirect patient care in accordance with hospital policies, procedures, protocols and standards of care. Perform and/or assist with patient care needs as directed and assists patient with activities of daily living. Respond to call lights, inquiries and requests from patients and families in a timely manner. Collect, document and report ongoing patient care data as directed. Measure and/or document intake and output, including drainage and obtains daily weights when indicated. Obtain individual patient care equipment as directed. Transport patients as directed. May perform the following skills: obtain vital signs, apply heating pads, set up suction equipment, utilize E cylinders, apply antiembolic hose, aseptic techniques, distribute and maintain sufficient supply of linens, apply Sequential Compression Devices, perform blood glucose testing, perform ostomy care, simple dressing changes, apply telemetry leads, bladder scanning, preventative skin care. Apply pulse oximetry, urinary catheter care, transport blood and blood products from blood bank, perform EKGs, oral pharyngeal suctioning, place patient in CPM machine, prepare and maintain isolation boxes and supplies, declutter patient rooms and storage areas, deliver specimens to lab, crutch measurement and teaching, maintenance of specialty carts, supply inventory and special order supplies, stock warmers with blankets, saline, and water. Make regular rounds to address patient needs and physical environment - purposeful hourly rounding, Assist in the educational process to promote and maintain health, foster self-care, and improve outcomes. Obtain resources as needed. Report to the RN/LPN information regarding the patient's readiness to learn. Maintain a collaborative relationship with other health care providers to achieve desired outcomes and assure continuous flow of patient care. Communicate pertinent information of actual/potential problems to the professional/practical nurse. Communicate pertinent information at shift reports and during internal and external transfers. Participate in the unit performance improvement activities designed to enhance the quality of patient care and customer services. Assist in data collection process as requested. Recommend modifications for performance improvement. Demonstrate leadership by utilizing the behaviors inherent to the role of the technical partner. Demonstrate an ability to solve problems utilizing critical thinking skills and seeks assistance from immediate supervisor when appropriate. Maintain accountability for actions taken. Effectively function as a resource person. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Assist in maintaining/decreasing organizational/departmental costs. Assist in the department's compliance with state, Joint Commission, OSHA and other regulatory agencies. Assist in continuous survey readiness for inspections and surveys. Adhere to the infection control process, including standard precautions, to reduce the risk of acquiring or transmitting infections. Assist with maintaining sufficient and proper supplies on an assigned unit. Assist with monitoring sterile supplies for expiration date and replaces as needed. Provide for patient safety in compliance with hospital and nursing department policies. Utilize two forms of patient identification before implementing any form of patient care. Assume appropriate code team role during code situations or mock codes. Respond effectively during emergency situations, including internal and external disasters. Assist in maintaining a safe and clean environment for patients, visitors and staff. Complete proper collection, identification, labeling and delivery of specimens (including diagnostic studies) to the appropriate department. Support limited use of restraints in accordance with established standards and documents according to policies. Other duties as assigned. Required Qualifications High School Diploma, GED or higher level of education. Sound judgment, problem solving skills, strong oral and written communication skills, ability to follow directions from other team members; works independently assigned duties. Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience. Preferred Qualifications Completion of a Nurse Aide or comparable program (such as EMT, Medical Assistant, nursing student with at least one semester of clinical or prior experience in related field. Computer skills, Phlebotomy, EKG experience. License, Certification & Clearances Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program required or obtain within orientation period (five (5) days from hire). Act 33 with renewal. Act 34 with renewal. Act 73 FBI Clearance with renewal. Supervisory Responsibilities This position has no direct supervisory responsibilities, but does serve as a coach and mentor for other positions in the department. Position Type/Expected Hours of Work Incumbents will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between Independence Health locations. Equal Employment Opportunity Independence Health and its affiliated companies are Equal Opportunity Employers. It is their policy to prohibit discrimination of any type and to afford equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, national origin, age, marital status, disability, veteran status, or genetic information, or any other classification protected by law. Independence Health and its affiliated companies will comply with all applicable laws and regulations. Disclaimer This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Moreover, duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice. Work Environment Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Extreme Heat X Extreme Cold X Heights X Confined Spaces X Extreme Noise(>85dB) X Mechanical Hazards X Use of Vibrating Tools X Operates Vehicle X Operates Heavy Equipment X Use of Lifting/Transfer Devices X X Rotates All Shifts X X 8 Hours Shifts X X 10-12 Hours Shifts X X On-Call X Overtime(+8/hrs/shift; 40/hrs/wk) X X Travel Between Sites X Direct Patient Care X X Respirator Protective Equipment X X Eye Protection X X Head Protection (hard hat) X Hearing Protection X Hand Protection X X Feet, Toe Protection X Body Protection X X Latex Exposure X X Solvent Exposure X Paint (direct use) Exposure X Dust (sanding) Exposure X Ethylene Oxide Exposure X Cytotoxic (Chemo) Exposure X Blood/Body Fluid Exposure X X Chemicals (direct use) Exposure X X Mist Exposure X Wax Stripper (direct use) X Non-Ionizing Radiation Exposure X Ionizing Radiation Exposure X X Laser Exposure X Physical Demands When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Essential – Absolute Necessity. Marginal – Minimal Necessity. Constantly – 5.5 to 8 hours or more or 200 reps/shift. Frequently – 2.5 to 5.5 hours or more or 32-200 reps/shift. Occasionally – 0.25 to 2.5 hours or 2-32 reps/shift. Rarely – Less than 0.25 hours or less than 2 reps/shift. Physical Condition Essential Marginal Constantly Frequently Occasionally Rarely Never Bending (Stooping) X X Sitting X X Walking X X Climbing Stairs X X Climbing Ladders X Standing X X Kneeling X X Squatting (Crouching) X X Twisting/Turning X X Keyboard/Computer Operation X X Gross Grasp X X Fine Finger Manipulation X X Hand/Arm Coordination X X Pushing/Pulling(lbs. of force) X 10# 20# 50# 50# Carry X 10# 10# Transfer/Push/Pull Patients X X Seeing Near w/Acuity X X Feeling (Sensation) X X Color Vision X X Hearing Clearly X X Pulling/Pushing Objects Overhead X X Reaching Above Shoulder Level X X Reaching Forward X X Lifting Floor to Knuckle X 10# Lifting Seat Pan to Knuckle X 50# 50# Lifting Knuckle to Shoulder X 10# 20# Lifting Shoulder to Overhead X 10# When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. 
Registered Nurse Assessment Coordinator (RNAC) Heritage Ridge Senior Living at Johnstown Heritage Ridge Senior Living at Johnstown welcomes compassionate individuals to join our team as Registered Nurse Assessment Coordinator (RNAC). As an RNAC , you have the power to make a meaningful impact on the lives of older adults in your community. Join us in creating a rewarding career that goes beyond the ordinary. BENEFITS: Competitive Wages: Earn a competitive salary with additional perks like holiday pay. Health Insurance: Medical, Eye and Dental insurance offered after 60 days of employement. Voluntary Benefits: Long and Short term disability, 401K and Life insurance Generous Paid Time Off: 40 hours of PTO within the 1st year. 80 hours of PTO within the 2nd year. Sick Time: 6 days of Sick Time though-out the year. Professional Growth: Embrace professional development and growth opportunities within our dynamic organization. RESPONSIBILITIES: As a Registered Nurse Assessment Coordinator (RNAC) , your primary responsibility is determining the appropriate level of care for our residents. Scheduling and overseeing all resident MDS Assessments. Participating in the pre-admission process to determine potential residents’ level of care. Reviewing all MDS assessments and related forms to certify timely completion. Participate in the Quality Assessment and Assurance Program. Understand and follow Resident Care Plans. Ensure accurate documentation during your shift. Complete accurate charting, reporting, and progress notes. REQUIREMENTS: Possess an active and good-standing RN License. Long term care experience preferred. Experience as an RNAC preferred. We are an Equal Opportunity Employer. All persons shall have the opportunity to be considered for employment without regard to their actual or perceived gender, race, color, national origin, religion, disability, age, military or veteran status, or any other characteristic protected by applicable federal, state or local laws and ordinances. 
Job Responsibilities • Greets patients and escorts them to the examination and/or procedure rooms. • Prepares patient for examination, obtaining and recording vital signs, weight, chief complaint and any other pertinent information using appropriate techniques specific to the ages served and; accurately transcribe results in patient’s chart. • Performs point of care lab testing and patient treatment as ordered by the physician. Reports and record results accurately in the medical record. Follows all procedures to maintain compliance with regulatory requirements. • Prepares patients for and assists physicians with all treatments and procedures using appropriate techniques specific to the ages served. • Collects specimens following established policies for patient identification and specimen collection and ensures specimen is accurately processed for transportation to the laboratory. • Facilitates communication from internal and external sources (telephone, mail, fax, etc.) and takes action appropriately. Provides advice based on protocol and physician instruction and directs patients to the appropriate level of care. Maintains clean safe environment and replenishes supplies in patient care areas. • Provides instruction and education, within their scope of practice, to patients and families, based on the patient’s age, financial, psychosocial, medical and spiritual needs and obtains signed consent forms when required. • Administers medications by all routes, using appropriate technique specific to the ages served. • Facilitates patient’s access to prescription refills, calling in prescriptions, obtaining prior authorization, assisting with indigent programs, per physician order based on the patient’s financial status or insurance coverage. • Notifies physician when patient is ready for examination. • Organizes and keeps a running inventory of medications in med rooms and refrigerator (routinely disposing of expired medications as warranted). • Assists in completion of forms required by physician prior to examination (e.g., health questionnaires; medical history, etc). • Cleans and scrubs down rooms and counter tops nightly and when necessary. • Cleans, packages and sterilizes instruments and procedure supplies (forceps, etc.) Tracks all lab results (e.g., calling for cultures, blood type and lab information) and documents and initials results in chart when hard copy is not available as per office protocol. • Adheres to OSHA and sterilization guidelines. • Reviews charts for next day appointment; checks for pending lab or diagnostic test results at the end of each business day; obtains said results prior to the patient’s scheduled arrival. • Initials and files all patient related correspondence within 24 hours of receipt. Ensures all charts are appropriately filed at the end of each business day. • Records services rendered on power form, Medication Administration form (lab, urine, injections, etc.) and checks for accuracy. • Completes physician orders for ancillary tests, surgeries or specialist referrals ordered and scheduled as directed. • Follows confidentiality and security rules when providing information to outside sources. • Directs patient to exit area post procedure. Assists in collection of statistical data as needed for performance improvement or operational requirements. • Answers telephone, screens and directs incoming calls and messages to the appropriate party, answers patient inquiries either in person or on the telephone within the limits of his/her knowledge and medical practice polices. • Travels to other IPG offices when needed to cover when requested. • Performs any other services deemed reasonable by physician or practice manager. Qualifications Experience and Education. Completion of an accredited school of nursing. Current licensure to practice as a Registered Nurse in the state of Pennsylvania. Certified in basic CPR. A multi-tasked professional with at least 3 years of nursing experience, preferred. Knowledge: Advanced knowledge of medical terminology; first aid; equipment, supplies and instruments used in a medical office; clinical laboratory methods; universal blood and body fluid precautions; OSHA rules and regulations; established protocol for storing poisons, narcotics, acids, caustics and flammable items, restrictions imposed by various managed care carriers, various forms inherent to profession; patient confidentiality regulations. Abilities. Establish and maintain cooperative relationships with staff members; create a responsive caring environment for patients; respond promptly to physician’s directions; maintain medical records in a concise and accurate manner; employ correct aseptic techniques in preparation of instruments & equipment; react quickly in emergency situations; recognize and prevent possible safety hazards; ensure proper maintenance of equipment; communicate clearly and facilitate patient education when warranted; act as advocate and assist physician in meeting the physical and mental needs of patient; exercise independent judgment; perform functions that consistently fall within the legal boundaries of profession. 
Overview Certified Nursing Assistant C.N.A. - $6,000 Sign-On Bonus (to be paid throughout the first year of employment). Located in Armstrong County, PA Full-time; 6:00 p.m. to 6:00 a.m., 3 days a week. 10:00 p.m. to 6:00 a.m., 1 day every other week. Rates starting at $19 per hour. Lutheran SeniorLife provides a comprehensive array of community-based health and social service programs throughout western Pennsylvania. Our services include LIFE (Living Independence for the Elderly); skilled nursing, home health; personal care; adoption & foster care; assisted living; adult day services; memory care; hospice; palliative care; residential living; affordable housing; home safety monitoring; Meals on Wheels; rehabilitation services and private duty. LIFE is a program that serves county residents living in Armstrong, Butler, Beaver and Lawrence Counties. It is an all-inclusive comprehensive program that helps individuals maintain their independence in their home and community through supportive services. The LIFE programs offer an array of person-centered services from medical care to adult day supports with the primary goal of allowing individuals to remain in their own home. Certified Nursing Assistant C.N.A. performs basic duties to assist participants in maintaining an environment consistent with their needs. Assists participants in their mobility exercises to help them be more independent for their activities and maintain their current level of functioning. Provides care, across care settings (center or home) in a manner that ensures participant satisfaction and retention. Assists participant in such activities as walking, transfers, use of mobility devises, getting to and from restroom, toileting, providing incontinence care, feeding, showering, getting in and out of transportation vehicles, and socialization at the center. Knowledge and support of the mission and core values of the LIFE Program are important to successful performance, as are commitment to and demonstration of a spirit of teamwork. Qualifications Certified Nursing Assistant CNA requirements: High school diploma or general education degree (GED). Current Pennsylvania State Nurse Aide Certification; Must be listed on state nurse aide registry and without allegations. At least (1) year experience with the frail or elderly. Must have dependable transportation with a valid driver's license. Benefits Lutheran SeniorLife offers a variety of benefits to employees and their families, as applicable, including but not limited to: *based on employment status* Competitive Wages, Hiring Incentives, Generous Paid Time Off, Bereavement Leave & Paid Holidays Individual Coverage Health Reimbursement Arrangement (ICHRA) health benefits solution. ICHRA provides larger flexibility and customization in medical plan options while still providing the tax benefits of a group plan. Dental, Vision, Life Insurance, and Long-Term Disability plans. Voluntary Suite of Benefits Available at Low Group Rates, including Short-Term Disability, Critical Illness, Hospital Indemnity, Accident Insurance, Identity Theft Protection, Legal Services, Pet Insurance, and Additional Life Insurance Options Employer-sponsored child care benefits. Immediate eligibility to participate in the employer-sponsored retirement savings plan FSA availability, depending on the individual health plan selected Total Wellness and WorkLife Balance resources, discounts, programs Tuition Reimbursement and Mileage Reimbursement for Eligible Employees Career Success - coaching, training, internships and recognition program Lutheran SeniorLife and its affiliates are equal opportunity employ ers.